STAG CLUB OF WINTER PARK

APPLICATION FOR MEMBERSHIP

Name _______________________________ Nickname __________________________________

Address __________________________________ Zip Code ______________________________
Phone(s) ___________________________________ Email _______________________________
Wifes name __________________________ Business or Profession _______________________
Additional Information (Schools, Career, Family)
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Place of birth __________________________ Date of birth ________________________________
I hereby apply for membership in The Stag Club of Winter Park and agree to abide by the Regulations
of the Club. I will contribute to its fellowship, participate in its activities, share its responsibilities if
called upon and be regular in attendance (at least 80% of the weekly meetings).
Applicant ___________________________________________________ Date _________________
We the undersigned members of the Stag Club of Winter Park, recommend and sponsor this applicant.
We are eligible under the Regulations of the Club at this time.
Place SIGNATURE and BADGE # below.
Sponsor ________________________( ) Co-Sponsor ____________________________________
Badge#

Badge#

For official use only

Date Received ________________ Time ________________

Bio Read _____________________ Date Induction ___________________ Badge No. __________