Long Branch Civic Association 2023-25 Membership Form
To join the Long Branch Civic Association for two years, fill out this form and pay $50.

Pay online using LBCA PayPal Link OR write a check payable to LBCA.
(When paying via PayPal, please add note that it's for LBCA membership dues.)

If you complete this form online and pay by check, drop your check to 9118 Bramble Place.

ANY QUESTIONS?  Email Donna Nelson-Schneider donnanel3@gmail.com OR The Long Branch Civic Association longbranchcommunity@gmail.com
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Email *
Adult 1
18 years old and over. Please fill in the information below for Adult #1.
First Name *
Last Name *
Street Address *
Home Telephone Number  xxx-xxx-xxxx *
Email *
(To receive important neighborhood notifications and our newsletter)
Cell Phone Number  xxx-xxx-xxxx
Adult 2
18 years old and over. Please fill in the information below for Adult #2.
First Name
Last Name
Email
(To receive important neighborhood notifications and our newsletter)
Cell Phone Number  xxx-xxx-xxxx
Children's Names | Birth Month & Year
Children living at home only.
Child 1 - First Name
Child 1 - Birth Month/Year
(two-digit month/two-digit year, e.g. 02/05)
Child 2 - First Name
Child 2 - Birth Month/Year
(two-digit month/two-digit year, e.g. 02/05)
Child 3 - First Name
Child 3 - Birth Month/Year
(two-digit month/two-digit year, e.g. 02/05)
Child 4 - First Name
Child 4 - Birth Month/Year
(two-digit month/two-digit year, e.g. 02/05)
Child 5 - First Name
Child 5 - Birth Month/Year
(two-digit month/two-digit year, e.g. 02/05)
Long Branch Neighborhood Directory 
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Long Branch 50th Anniversary!
The neighborhood will be celebrating its 50th anniversary.
Are you the Original Owner of your home?
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For all residents, what year did you move to Long Branch?
Interest Groups | We'd like to see who'd be interested in joining/organizing a neighborhood interest group(s). Please indicate below if any of the following neighborhood groups would be of interest to you (or write in your own idea below:). Most importantly, please let us know any of these you'd like to help get started! 
Long Branch Events | We'd like to get your feedback on our annual events (& some new ideas) listed below -- which ones you enjoy &/or we should bring back, again with your help and the help of our members! Please let us know any of these events you'd like to help with or help get started! 
Please contact me! I'm interested in getting involved in neighborhood events &/or learning more about the Long Branch Civic Association (LBCA).
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Neighborhood Watch Program | Would like to SIGN UP to participate in the Neighborhood Watch program.
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Donation to Long Branch Pool
Consider adding a donation when you pay your membership fee to help support our wonderful neighborhood resource!
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TOTAL Payment ($50 LBCA Membership + any Pool Donation) *
Payment by *
Can pay online using LBCA PayPal Link 
(When paying via PayPal, please add note that it's for LBCA membership dues.)
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