Membership Application Form

Items marked with * are required

What is your full name? *

What is your date of birth? *

What is your nationality (as on your passport)? *

If applicable, what is your spouse's/partner's full name?

What is your spouse's/partner's date of birth?

What is your spouse's/partner's nationality (as on their passport)?

If applicable, please list children:

Name
Birth Date
Name
Birth Date
Name
Birth Date
Name
Birth Date
Name
Birth Date

Please check all applicable boxes (New applicants must be proficient in English & meet one of these criteria): *

I am a US citizenI have resided a minimum of 1 year in the USI am the spouse/partner of a US citizenI am/was (or my spouse/partner is/was) employed by a US corporation or organization headquartered in the USA or a USA governmental agency for a minimum of 2 yearsI am the parent of a child born in the United States or of US nationalityI am applying for Associate Membership, and I am being sponsored by

What is your e-mail address? *

Would you like to receive a copy of the newsletter at this email address? *

YesNo

You may enter a second email address if you would like

Would you like to receive a copy of the newsletter at this email address?

YesNo

What is your mailing address? *

Address Line 1

Address Line 2

City

Postal Code

Country (if not France)

How long have you lived in France?

What is your home phone number?

(e.g. 01 23 45 67 89)

What is your mobile phone number?

(e.g. 01 23 45 67 89)

What is your current or prior occupation?

Who is your current employer?

What is your spouse's/partner's current or prior occupation?

Who is your spouse's/partner's current employer?

American Club of Lyon is a volunteer organization, and we rely on the contribution of our members to thrive. Please indicate below which role(s) you may find appealing and/or any activities for which you may volunteer to help:

NewsletterBoard MemberWebsiteBlogChildren's ActivitiesAdult Social EventsOutdoor Activities

I prefer events:

weekday morningsweekday afternoonsweekday eveningsweekends

I give permission to use photos of me/us on the club website and promotional materials: *

YesNo

Please indicate your preferred website username (if there is a conflict, you will be asked for an alternate):

How did you hear about American Club of Lyon?

Please indicate the type of membership: *

Family (household) - €60Singles (one-person household) - €30Student (25 years & under) - €25Non-Resident (email only) - €15
Please leave this field empty.