Optimist Club Member Registration May 2025 - April 2026

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Senha: *

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Informação da conta

Primeiro nome *

Sobrenome *

E-mail *

Nome de usuário *

Senha *

Confirme a Senha *

Endereço *

Cidade *

Estado *

País *

Código postal *

Do you commonly use a name other than your full first name (i.e. Bob in place of Robert)? If so, what is it?

Club Number (5-digit Club Number) *

Second Club Number (leave blank if not applicable)

Third Club Number (leave blank if not applicable)

Fourth Club Number (leave blank if not applicable)

Fifth Club Number (leave blank if not applicable)

Sixth Club Number (leave blank if not applicable)

Seventh Club Number (leave blank if not applicable)

Eighth Club Number (leave blank if not applicable)

Ninth Club Number (leave blank if not applicable)

Tenth Club Number (leave blank if not applicable)

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