Membership Application | Hands-On House

Membership

Is this a new membership or a renewal?*

Membership Type*

Plus Person

Membership Upgrade Available: Add a Plus Pass and bring 1 guest each time you visit

Play It Forward: add a donation to Hands-on House to your membership

Enter the first & last names of any adults in the household*

The first name on the list will be the primary contact.

First Name	Last Name

Enter the names and birthdates of children in the household*

Child Name	Child Birthdate

Address*

Street Address City State ZIP Code

Phone Number*

Email Address*

How would you like to receive this membership?*

Membership is a gift

First Name of Gift Giver*

Last Name of Gift Giver*

Gift Giver Address*

Street Address City State ZIP Code

Gift Giver Phone Number*

Gift Giver Email Address*

Notes

Coupon

Total

$0.00

Name

This field is for validation purposes and should be left unchanged.