American Women’s Club of Amsterdam

Username *

Email Address *

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First Name *

Last Name *

Street and House Number *

City *

Postcode *

Phone Number *

Select Year of Birth *

Are you an American citizen? *
Yes No

If you are not an American citizen, what is your association with the US?

Country 1:

Country 2

Current / Recent Employer

Current / Recent Occupation

Partner's First Name

Partner's Last Name

Partner's Employer

Do you have children living at home? If so, in what date range were they born? (We sometimes have child-centered activities)
2000 - 2004 2005 - 2007 2008 - 2010 2011 - 2013 2014 - 2016 2017 - present

Your Neighborhood (For connecting you with women in your community/neighborhood)

Would you be willing to volunteer... *
Yes I am unable to volunteer at this time

AWCA often takes photo of members and guests at club events and meetings. These photos may be posted to the AWCA website, Facebook page, Instagram, or used in other future club materials. May we use photos that include you? *
Yes, you may use my photo in any AWCA public communication channel. No, you may not use my photo in any AWCA public communication channel.

I have reviewed and agree to the AWCA Member's Code of Conduct.

Yes, I want to receive AWCA membership updates via email.

Registration confirmation will be emailed to you.

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