Directory l Live Board l Kick-back Program l Update Your Profile l Message Board

Update Profile

After filling in as many fields as you would like, please submit the information below. Your email and/or phone number is required in order to verify the information prior to having it populate your online club profile found in the directory.

NOTE: All Fields are OPTIONAL. However, in an effort to make the Members Only section as beneficial a resource to new and existing members, please submit as much as you are willing.

If you would like your picture (head shot) included with your profile, please visit the front desk at the club to get your picture taken.

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Name:

Club Membership

Club Members Since: (year)

Club Interests (select all that apply):

Basketball	Racquetball	Running / Jogging Track	Pools / Sauna
Cardiovascular Machines	Strength Training (Weights)	Golf	Boxing
Other Club Interests (please specify)

Employment

Retired (if you like, you can list your previous employment)

Company Name:

Company Website Address:

Job Title:

Role in Job/Position:

Other business affiliations / previous employment:

Home Life

Marital Status

Married
Living with Significant Other
Single
Widowed
Other

Children

   No Children

Child #1: Boy  Girl   Name:
Child #2: Boy  Girl   Name:
Child #3: Boy  Girl   Name:
Child #4: Boy  Girl   Name:
Child #5: Boy  Girl   Name:
Child #6: Boy  Girl   Name:

More kids / other family members living with you (please specify):

Other Interests

Other than activities at the club,
please list other interests or hobbies you have:

Contact Information

Yes - Club members may contact me (include in my online profile)
No - Club members may not contact me (do not include in my online profile)

Work Phone:
Cell Phone:
Home Phone:

Work Email Address:
Personal Email Address:

Special requests regarding including any of
the above information in your online profile:

Please be patient while the information is submitted.
You will receive a confirmation page when complete.

Any questions, please contact the club.