DSC Membership Form
Sign in to Google to save your progress. Learn more
Email *
First & Last Name *
When would you most likely attend a social event? (Choose as many as are applicable)
Mailing Address
Primary Phone number
Status of Sponsor: *
Birth Day
MM
/
DD
/
YYYY
Please select your dues amount: *
Would you like to sponsor a fellow spouse's dues?
Please include the donation amount and the name of the spouse - if you choose to sponsor.
Preferred payment method (you will receive email instructions)
Clear selection
Would you utilize childcare if available?
Clear selection
By joining the DSC, you acknowledge the DSC may use photographs and/or video of you taken at the DSC related events on our website and Facebook page
Clear selection
Would you like to join one of the member subgroups?
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy