WCSC - Membership Application
Name: (first, last)(Please Print)	__________________________________
Address:	__________________________________
City, State, Zip:	__________________________________
Home Phone:	__________________________________
Busn./Other Phone:	__________________________________
Cellular Phone:	__________________________________
E-mail Address:	__________________________________
Birthday: (month & day)	__________________________________
Occupation: (optional)	__________________________________
Do you have any skills or talents (besides dancing) that you would like to offer to the club?
____________________________________________________________________ ____________________________________________________________________
Annual Membership Dues	_________________ checks preferred please
Annual Dues:	$35 or Lifetime-$99
Mail application and check to:	West Coast Swing Club of Cincinnati   Attn: Membership P.O. Box 30215   Cincinnati,   OH 45230
Membership benefits include:	Discounts to all WCSC events Free Admission to first dance Access to excellent seats at national swing events Free Admission to Friday dances during Weekend Jams Discounts at other swing dance club events
In signing this, I agree to abide by the rules of the club and to relinquish the club on any responsibility or liability for injury to me resulting from my participation in the activities of the club, and to allow for the use of photographs in WCSCC publications.
Member Signature:	_______________________________ Date: __________

Copyright © 2002 West Coast Swing Club Of Cincinnati