NATIONAL SMOOTH DANCERS, INC.
PALOMAR CHAPTER
APPLICATION FOR MEMBERSHIP
(Initiation fee of $20.00 must accompany application)
Date: __________________________ Name: _________________________________
Date of Birth (month and date only): _______ Address: ___________________________
Married:____Single:_____ Anniversary Date (month and date only): _______________
Phone: _________________ Occupation: __________________________________
Have you had previous ballroom dancing experience?______________________________
List interests, talents and hobbies such as singing, playing a musical instrument, photography,
woodcraft, etc.:_____________________________________________________________
Have you ever been a member of N.S.D.?_________
If so, what Chapter?__________________________________
Reason for withdrawal:_______________________________________________________
If called upon, would you be willing to serve in any office or on any committee or do other
work for the club? __________________________________________________________
To the best of your ability, will you attend regular monthly meetings and other meetings that
may be necessary?_____________________________________________________________
Have you read the Introduction for New Members Form and the Membership Requirement
Form provided?__________
By whom are you sponsored?____________________________________________________
Are you a legal resident of the United States?__________
Signature: _________________________________