New Member Class Registration Form

The Junior League reaches out to women of all races, religions and national origins who demonstrate an interest in and a committement to voluntarism.

Name: *

Nickname:

Address: *

City: *

State: *

Zip: *

Home Phone:

Cell Phone: *

Work Phone:

Email: *

Date of Birth (MM/DD/YYYY): *

Employer (if applicable):

Occupation: *

Education: *

Spouse's or Partner's Name (if applicable):

Children’s Name(s) / Ages (if applicable):

How did you hear about the Junior League: *

Please describe your personal interest in voluntarism and community service in 250 words or less: *

0/250 words

Please describe what you think you can do for the Junior League of Greenwich, and what you think the Junior League of Greenwich can do for you in 250 words or less. *

0/250 words

Please provide a brief bio (2-3 paragraphs is plenty). Where did you grow up, what brought you to Greenwich if you've lived elsewhere, tell us about your interests, your hobbies, your family, your pets, anything you would like to share. *

Please provide a unique fact about you - we may use these for fun at an upcoming meeting! *

Are you new to Greenwich (within the past 2 years)? If yes, when did you move here and where from? *

Do you have any dietary restrictions? *Dinner may be provided for in person meetings. *

Please provide a current headshot or photo of you.

Click to confirm you will pay your membership fee securely online: *

JLG Membership ($326)

I prefer to pay via check

Name on Card

Credit Card Type

Credit Card Number

Expiration Date (mm/yy)