Membership Join/Renewal 2015-2016 Please complete the information below: Name: Spouse/Partner (if applicable): Address: Home Phone: Cell Phone: Email address: Moved from: Children’s Names (MM/YY) (if applicable): Book Group Holiday Activities Playgroups Weston & Neighbors Club(Coed) LunchNewcomers Bunch Poker Night Bunco Dining In Membership Join/Renewal 2015-2016 Mah Jongg Senior Lunch-Community Service Please complete the information below: Chick Flicks Mountain Biking/Hiking Stitching Family Events Everything Outdoors Ladies (& Gents sometimes) Night Out Playgroup New York, New York day trips Open Your Home for Small Club Event Open Your Home for Large Club Event (20+) I’m interested in: Please check box if you do not want your information in the Weston Newcomers Directory Our members are notified that their participation in the activities of the Club, including, without limitation, the attendance of functions at the home of a member, is at their sole risk and that neither the club nor any member will in any way be responsible to any member for damage, loss or injury caused as a result, directly or indirectly, of such participation. *For more information contact: Kristin Kreuder, President@westonCTnewcomers.com www.westonCTnewcomers.com Send your $50 New or Renewal Annual Membership to: WNNC, PO Box 1206, Weston, CT 06883