MembershipApplication Select your Membership * Annual Family Summer Family Individual Gym Only Tennis Only Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Email * Do you want to be informed about WIC updates and service disruptions? Yes, add me to the list. No, I do not want to be added to this service. Phone 1 * The main phone number you can be reached at. (###) ### #### Phone 2 A secondary number, if you'd like to provide one. (###) ### #### Additional information about your household Only fill this section out if you are applying for an Annual Family or Summer Family Membership. Partner First Name Last Name Phone (###) ### #### Dependents where are under 21 years old Please list all names, age, and which school they attend Please read and understand these conditions before submitting your application. It is the responsibility of every individual, his or her parents, or legal guardian to provide for his or her own accident and health coverage while participating in all WIC activities. The WIC does not provide any accident or health coverage for its members or guests. By submitting this application, I hereby make application for membership in the Woodacre Improvement Club. I agree to abide by its Rules and By-Laws. Failure to observe rules may result in revocation of membership privileges without fee refund. No membership refunds will be granted for non-use of privileges or in case of program closure due to weather, equipment failure or unavoidable problems on the program site. I agree to indemnify and hold harmless the Woodacre Improvement Club and its officers, contractors, and employees from and against any and all liability for any injury which may be suffered by me or my children arising out of or in any way connected with participation in WIC. I understand that membership is on a yearly basis, payable in advance or on a monthly basis and is not transferable and dues are not refundable. Thank you for submitting your application to the Woodacre Improvement Club. We will email you about next steps to fulfill your payment as soon as possible.