New Member and Renewal Form

Name *
Name
If you haven't moved into your new residence yet please indicate in the comments when you plan to move in.
Mailing Address
Mailing Address
Please complete your mailing address if it is different than your Medfield street address.
Phone *
Phone
Would you like to be on the email lists for any of the following activities?
Partner/Spouse Name
Partner/Spouse Name
Would your partner/spouse like to be on the email lists for any of the following activities?
Child 1 Birthday
Child 1 Birthday
Child 2 Birthday
Child 2 Birthday
Child 3 Birthday
Child 3 Birthday
Child 4 Birthday
Child 4 Birthday
Membership Type *
I plan to pay my membership by *
(Google, realtor, friend, local publication, other)