WDGMS Membership Form

Annual Membership:       $15 for SINGLE                $20 for FAMILY includes children under age 16. 

Membership is from November 1 – October 31 and includes monthly newsletters, which are emailed.  

Join at the show & receive membership until the next year!

 

Please print clearly.                                     Date________________
 

Name: ____________________________________________________ Phone:__________________

 

Address:________________________________________________State_______Zip______________
 

Email:______________________________________________________________

Family Membership: Name of Spouse or Significant Other_________________________________________

Optional: Phone #_________________________Email_____________________________________

 

Children: Name_______________________ Age____ Name________________________ Age_____

                 Name_______________________ Age____ Name________________________ Age_____

Please check your preference:     ____ Include my information in the club membership list.

 

_____ Do not include my information in the club membership list.

_____ I will not receive the membership list.

 

MEETINGS:  2nd Thursday of each month at 6:00 p.m. 

Lions Building located in the middle of the Central States Fairgrounds. It is the tan building east of the Soule Building (Nerdy Nuts Expo Building (former Soule Building)

800 San Francisco St Rapid City, SD 57701

 

 

 

 

 

 

 

 

 

 

 

 

 

WDGMS PHOTO RELEASE FORM

I, (Print name) __________________________________________________, grant WDGMS, my permission to use the photographs taken today (and any future meetings, gatherings and/or field trips) for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content.

  

Signature:______________________________________                Date:______________