Membership – Final | Adirondack Mountain Club

Membership – Final

Chapter(Required)

Please enroll me as a member of the chapter above (included in your dues), I wish to be included on their outings and newsletter list. If you do not wish to be enrolled in a chapter, please choose Member-at-Large. Click here for more chapter information

Personal Information

Please enter your personal details below.

Name

Address

Date of Birth

Family Information

If choosing a Family Membership, please fill out your spouse & children information below.

Spouse / Partner First Name

Spouse / Partner Last Name

Spouse / Partner Birth Date

Spouse / Partner Email

Child 1 First Name (18 and under)

Child 1 Last Name

Child 1 Birthdate

Child 2 First Name (18 and under)

Child 2 Last Name

Child 2 Birthdate

Child 3 First Name (18 and under)

Child 3 Last Name

Child 3 Birthdate