Student Membership - New Haven Bird Club

Welcome Student Member!

Use this form if you are under 18 and qualify for a free membership.

Please fill out the information below, which will be emailed to the membership chair. You will also receive a copy at your email address.

Your Name (required)

Street or PO Box Address: (enter up to 50 characters) (required)

City: (enter up to 40 characters) (required)

State (enter the two-letter code): (required)

Zip+4: (enter 5 or 9 digits, with or without the dash) (required)

Please indicate whether or not you want your phone number and/or email address printed in the yearbook. The membership chair needs an email and phone number to contact you if there are any issues adding your membership. You will receive an email to join the distribution list for newsletters and update messages.

Your Email (required)

Email print in yearbook: Yes, print itNo, don't print it

Phone: (required, please include the area code)

Phone number print in yearbook: Yes, print itNo, don't print it

If there is an additional person on the membership and s/he wants to get email messages please add their email address below. The Additional Email will not be printed in the yearbook.

Additional Email

I am interested in volunteering

If applicable, where did you hear about the club?:

Comments or requests:

Please check if you are under 18 (required) I am under 18

Please verify below that you are not a robot.

A note about emails and phones:

Only the first email will appear in the yearbook. All emails will receive newsletters and notification of upcoming events. You may opt out of receiving emails at any time by following the unsubscribe instructions at the bottom of any email. The New Haven Bird Club does not release its membership list or email addresses to other organizations.

The email address and phone number you enter will be shown in the yearbook unless you advise us otherwise. You may use a mobile or landline number, whichever you prefer.