Membership Form with payment

Western Connecticut Orienteering Club: Membership Form

First name

Last name

Multi-line address

Country/Region

Address

City

Zip / Postal code

Primary Club

WCOC

Other

You may belong to multiple clubs, but OUSA requires you to pick a primary club. In OUSA-sanctioned events, you can only compete for your primary club.

Other Club

If WCOC is not your primary club.

Membership Type

Family (up to 2 people over 25, and all younger members of one household)

Individual

Youth (25 and under)

Junior (20 and under)

Note: ages as of Dec 31 of the current year.

New or Renew

New Membership

Renewal

Memberships are valid through Dec 31 of the current year, and renew in January.

If you are registering as a family, please list the family members’ names:

Family Member 1

Family Member 2

Family Member 3

Family Member 4