Membership Application Form

Items marked with * are required

What is your full name? *

First Name
Last 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?

First Name
Last 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
Name
Birth Date

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

I Am a US Citizen
I have resided a minimum of 1 year in the US
I am the spouse/partner of a US citizen
I 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 years
I am the parent of a child born in the United States or of US nationality
I am applying for Associate Membership, and I am being sponsored by

What is your e-mail address? *

(e.g. john@example.com)

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

Yes
No

You may enter a second email address if you would like

(e.g. john@example.com)

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

Yes
No

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:

Newsletter 
Board Member 
Website 
Blog 
Children’s Activities 
Adult Social Events 
Outdoor Activities

I prefer events:

weekday mornings 
weekday afternoons 
weekday evenings 
weekends 

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

yes
no

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) – €60
Singles (one-person household) – €30
Student (25 years & under) – €25
Non-Resident (email only) – €15