Membership Application .Member Registration First Name Last Name Spouse Florida Address Street Address City State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWINew OptionWVWY Zip Home Phone Cell Phone Alternate Phone Email Do you have a summer address? Yes Summer Address Street Address Summer City Summer State AKALARAZCACOCTDCDEFLGAHIIAIDILINKSKYLAMAMDMEMIMNMOMSMTNCNDNENHNJNMNVNYOHOKORPARISCSDTNTXUTVAVTWAWINew OptionWVWY Summer Zip Send Mail to summer 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? How did you hear about Christ Child Society of Naples? 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 Fundraiser Literacy/Advocacy ELLM Reading Readiness 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 Web site Updates OtherOther Are you interested in serving on the Board of Directors of Christ Child Society Naples? Yes No/not at this time If you are human, leave this field blank. Submit
