Membership Application .Member Registration First Name Last Name Spouse Florida Address Street Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI New Option WV WY Zip Home Phone Cell Phone Alternate Phone Email Do you have an alternate address? Yes Alternate Address Street Address Alternate City Alternate State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI New Option WV WY Alternate Zip Send Mail to Alternate Address (From/To)? Yes FROM DATE MM/DD Format TO DATE MM/DD Format If you are a member of Christ Child Society in another city, which city? Desired Password Confirm Desired Password Enter password again to verify Interests and Skills - Please check all areas of your interests and/or skills Event Committees: Christmas Party Founders Lunch Red Wagon Gala 2024 New Member Reception Literacy/Advocacy ELLM Literacy ELLM Materials Golden Gate Elementary Herbert Cambridge Elementary Fun Time Academy Habitat for Humanity/Books Infant Care Layettes: Assembly Layettes: Create blankets Basic Needs Habitat for Humanity/Bedding Children’s Advocacy Center Grace Place Membership Assist at Meetings Mentor New Members Member Communications Newsletter Writer Photographer Email “Blasts” Writer Habitat Scholars Scholarship Application Tutor (administered by Habitat for Humanity) Scholarship Application Judge (administered by Community Foundation of Collier County) Computer Skills MS Word MS Excel QuickBooks OtherOther Are you interested in serving on the Board of Directors of Christ Child Society Naples? Yes Not at this time If you are human, leave this field blank. Submit
