Clayton Rotary Club Membership Application

Clayton Rotary Club
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Please put the name you would like to use for your Rotary Club Nametag
Under your name it says what business or vocation you are in. What do you want associated with you on your name tag? It can be general or a specific job title.
Date of Birth
Clayton Rotary Club Rotarian that is sponsoring your application. If you don't have one, please visit our club and meet our members and we'll get you a sponsor!
Only one sponsor is required, but if you have more than one sponsor list additional name(s) above.
Home Address
Business Address
Preferred Mailing Address
Are You Married?
If married, what is your Anniversary date?
Spouse/Partner Name
Is your Spouse/Partner a current Rotarian?
Date Joined
What interested you in wanting to join our Club/Rotary?
Click or drag a file to this area to upload.
Please upload a headshot of you in .jpeg or .png format. This will be posted on our Club website on the Members' page if you are approved. Photo Requirements: Only headshots. No other people, animals, or advertising in the photo. Clear photo-not dark or blurry with a simple background.