Membership Application

Contact Information

First name

Last name

Pronouns (Optional)

Address

Phone

Employer Information

Employer Name

Position/Title

Birthdate

Birthday Month

Birthday Day

T-Shirt & Name Tag Information

With your membership, you receive a complimentary SVOC volunteer shirt and name tag.

T-Shirt Size

Name for Badge

Enter your name exactly as you'd like it to appear on your name badge.

Who Introduced You to the SVOC?

Enter the name of the person who introduced you to the SVOC!

Optimist Sponsor Name

Preferred Payment Method

Annual membership dues are $100 and are prorated based on when you join during our club year (October through September). We believe everyone should have the opportunity to serve. If the cost of membership presents hardship, please contact the SVOC President to discuss available options.

I understand membership dues are required for membership and will be collected after my application is approved.

I acknowledge that individuals who have committed sexual offenses against children may be denied membership and/or have membership revoked.

Electronic Signature

By typing your full name below, you certify that the information provided is accurate and acknowledge acceptance of this application.

Signature

Date Signed