NC Law requires that any private club charge a membership due to any patron. Once a member of the club you will revice a membership card and keychain card used for admittance to club.
 
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  First Name
Last Name *
Address
*
City
*
State
*
Zip
Phone #
DL #
DOB mm/dd/yyyy
Email Address

I certify that I am at least 21 years of age and that upon my first arival of clubXcapades that I will provide the management a valid Picture ID to vierify this.

If this information if correct please type your initals below.
Inital *