Membership Form

Membership Information

You have selected the Dink Squad membership level.

The price for membership is $8.00 per Month.

Username

Password

Confirm Password

First Name

Last Name

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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Phone Number (optional)

Birth Month and Date —

Month

Date

Profile Photo

Only JPG, PNG, JPEG (Max 1 MB)

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