Membership Application

Please fill out the form below.

Name *

Address *

Phone *

Email address *

Spouses Name (if married)

How many children in household

Name of children/ages in household

Membership Qualification

Country of Heritage

Have you ever been a member before?

Indicate with a check mark the committee(s) you would most likely be interested in serving on.

Indicate with a check mark the committee(s) you would most likely be interested in serving on. Other...

Date *

Please enter today's date in the format MM/DD/YYYY ex: 09/01/2017 to verify your signature.

As a member, I agree to be governed and abide by the By‐Laws of the Rochester West Indian Festival Organization, Inc. *

Give your digital signature here by typing your full legal name.

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