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Membership Application

Full Name

Address

Email Address

Cell Phone Number

May we use text message to communicate with you?

May we use text message to communicate with you?
A
B

Please indicate what best describes you

List any hobbies or skills that could benefit our organization (EX. Carpenter/Plumber/Designer ETC.)

In what areas are you interested?

In what areas are you interested?
A
B
C
D
E
F

Since we work with children, please answer the following:

Have you ever had a misdemeanor and/or Felony Conviction?
Since we work with children, please answer the following:
A
B

If yes, please describe:

Additional ideas and/or concerns that I have to benefit/improve the Pleasant Valley/River Road neighborhood

Once your application is received, a PVRRNRG board officer will contact you, Via phone, to discuss your application. We may, at our discretion, require additional background information or request a background investigation, if needed. Please type your name again below as your electronic signature. Thank you for your interest in our neighborhood! We look forward to working with you!