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Application Key received from Membership Chairs:*
Full Name of Applicant:*
Nickname (if any):
Home address:*
Years resided in New Canaan Area:*
Home phone number (if any):	()-First three digitsSecond three digitsLast four digits
Applicant's cell phone number:*	()-First three digitsSecond three digitsLast four digits
Applicant's E-mail:*
Marital status:*
Applicant's date of birth:*
Applicant's Gender:*	Male Female
Applicant's college(s):*
Applicant's Employer:*
Job Title:
Business address:
Business phone number:	()-First three digitsSecond three digitsLast four digits
Business E-mail:	------------------------------------------------------
Spouse's full name:
Nickname (if any):
Spouses's cell phone number:	()-First three digitsSecond three digitsLast four digits
Spouse's E-mail:
Spouse's Date of Birth:
Spouse's gender:	Male Female
Spouse's college(s):
Spouse's employer:
Job Title:
Business address:
Business phone number:	()-First three digitsSecond three digitsLast four digits
Business E-mail:	--------------------------------------------------------
Child 1 Name:
Nickname (if any):
Gender:	Male Female
Date of birth:
Child 2 Name:
Nickname (if any):
Gender:	Male Female
Date of birth:
Child 3 Name:
Nickname (if any):
Gender:	Male Female
Date of birth:
Child 4 Name:
Nickname (if any):
Gender:	Male Female
Date of birth:
Child 5 Name:
Nickname (if any):
Gender:	Male Female
Date of birth:
More children?:	Enter names, nicknames, genders, dobs for all ------------------------------------------------------
Present Club Affiliations:
Previous Club Affiliations:
Probable family uses of NCFC :	Women's Tennis Men's Tennis Jr. Tennis Aquatics Women's Paddle Men's Paddle Padel Pickleball Social Events Youth Activities/Camp Private Events in Club Buildings (check all that apply)
Racquet sports skill levels of family members:*	-------------------------------------------------------
Sponsor Family:*	Enter Name, Phone #, Email
Co-sponsor Family:*	Enter Name, Phone #, Email You may not use your sponsor or co-sponsor families for support families.
Support family #1:*	Enter Name, Phone #, Email for each Support Family
Support family #2:*
Support family #3:*
Support family #4:*
Support family #5:*
Support family #6:*
Other NCFC Members We Know:	Names only
Required family photo:*	Upload file
Assertion:*	I am electronically signing this form. All information contained in this application is correct and complete to the best of my knowledge.

New Canaan Field Club - Where Families Come to Play

Phone: 203-966-6879

Email: [email protected]

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