MEMBERSHIP APPLICATION FORM
NAME ___________________________________________________________________ DATE _____________________
STREET ADDRESS ____________________________________________________________________________________
CITY/STATE/ZIP CODE _________________________________________________________________________________
PHONE NUMBER (circle preferred number to use) Home ________________________ Cell _________________________
E-MAIL ADDRESS (for monthly newsletter distribution and/or other Club correspondence) ___________________________
___________________________________________________________________________________________________
BIRTHDAY (month/day) ________________________________________________________________________________
SPONSOR (if applicable) _______________________________________________________________________________
HUSBAND/PARTNER __________________________________________________________________________________
HOBBIES: if you play card games, please include which one(s):_________________________________________________
___________________________________________________________________________________________________
WOULD YOU BE INTERESTED IN HELPING ON COMMITTEES IF NEEDED (circle one)? YES NO
HOW DID YOU HEAR ABOUT GENETASKA? _________________________________________________________________
LUNCHEON MEETINGS ARE HELD ON THE THIRD WEDNESDAY OF THE MONTH AT VARIOUS RESTAURANTS IN THE AREA.
DUES ARE $25 PER YEAR, PAYABLE ON JANUARY 1ST. DUES FOR INDIVIDUALS JOINING AFTER JUNE 30TH ARE $12.50 AND PAYABLE IMMEDIATELY.
​
OUR CLUB’S HISTORY
The Club was organized in January of 1947 under the name, Women of Kiwanis (wives of Kiwanis Club members). In 1988, the Club voted to include women other than Kiwanis wives in order to enhance and increase its membership. The Rochester Chapter is the oldest and only Genetaska Club in existence. Currently, we have over 100 members.
Genetaska means “helping hands.” Our purpose is to help serve those in need in our community. Our warm fellowship, resolute purpose and dedication have brought about many outstanding accomplishments.
MAIL THE COMPLETED FORM OR
FOR MORE INFORMATION:
Ann Wendl
2 Arbor Ct
Fairport, NY 14450
585-425-7984