MID-ATLANTIC CLOWN ASSOCIATION

                          MID-ATLANTIC CLOWN ASSOCIATION

INDIVIDUAL/FAMILY MEMBERSHIP FORM

 

 

                                       
Reinstate Membership         
Family Membership            

           

                Zip code   

   

 

I understand that by signing this application, I do hereby promise to conduct myself in an upgrading manner at all times while I am in clown costume. I do further promise never to use vulgar language or actions, smoke or drink alcoholic beverages while in costume. I do also promise to be loving and understanding and will lend a smile wherever needed. Lastly, I promise to further the old and fine art of clowning wherever I can and enjoy myself while doing it. 

       

If you were invited to join by someone, please put their name in the box below. (This is not required; only if you wish).

 

Print this form, sign & mail, along with your check or money order (made payable to M.A.C.A.) to Mid-Atlantic Clown Association, c/o Dave Myers, 202 N. Dupont Road, Wilmington, DE 19805