OC Pickleheads Club Membership Application
Thank you for your interest in becoming an OC Picklehead!  Membership dues are $30.97 annually. Please complete this club membership application and sign the waiver form. 
OCPC is a 501(c)3 non-profit corporation. Your dues/donations may be tax deductible.
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First Name *
Last Name *
Birth Month/Day *
Email *
Mobile Phone *
Zip Code *
Emergency Contact Name *
 Relationship *
Emergency Contact Phone *
OCPC has membership opportunities. Get involved! Please check if you would like to volunteer for:
$30.97 Annual Membership Dues. 
Venmo deducts from OCPC a service fee; PayPal does not.
Two easy ways to pay (click link, pay & return to this form) 
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