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Registration
This Form is used for the Newcomers' Directory. Please only supply information that you would be comfortable sharing with the general membership for the purposes of the Wyoming Newcomers' Directory. Please use the name that each individual would prefer to be called. The information is also shared with the membership / directory / activity chairs, club president and webmaster for purposes of enrolling members, creating activity groups, and administering the site.

WNC SITE LOGIN SET-UP

* This Field is required Information for: Username : Please enter a valid username.  No spaces, at least 3 characters and contain 0-9,a-z,A-Z
* This Field is required Information for: Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs
* This Field is required Information for: Verify Password : Please enter a valid password.  No spaces, at least 6 characters and contain lower and upper-case letters, numbers and special signs

PRIMARY MEMBER INFORMATION

* This Field is required Information for: First Name : <p>Please enter the primary member's First Name.</p>
* This Field is required Information for: Last Name : <p>Please enter primary member's Last Name.</p>
* This Field is required Information for: Email : Please enter a valid e-mail address. A confirmation email will be sent to this address upon registration.
Information for: Main Phone : <p>Please enter your primary/home phone number.</p>
Information for: Alternate Number : <p>Please enter primary member's alternate number. (i.e. Work or Mobile)</p>
* This Field is required

SECONDARY MEMBER INFORMATION

Information for: First Name #2 : <p>Please enter your spouse's first name.</p>
Information for: Last Name #2 : <p>Please enter your spouse's last name.</p>
Information for: Email #2 : <p>Please enter your spouse's email address.</p>
Information for: Main Phone #2 : <p>Please enter your spouse's main phone number.</p>
Information for: Alternate Number #2 : <p>Please enter your spouse's alternate phone number (i.e. Work or Mobile)</p>

ADDITIONAL INFORMATION

* This Field is required

Please list your children below. Include First and Last Name, Birthday (MM/YY), and Grade.

Information for: Children : <p>Include First &amp; Last Name, Birthday month/year, and Grade for  each child.</p>
Information for: Primary Member Interests : <p>Please choose any/all groups you may be interested in joining.</p>
Information for: Secondary Member Interests : <p>Please select any/all groups you may be interested in joining.</p>
 
* This Field is required Required field | Information for: ? : Field description: Move mouse over icon Information: Point mouse to icon