Membership Application

A full length, color photograph is required to finalize you application.  Please email your photo to Inquiry@KreweofRomany.com

Name *
Name
Date of Birth *
Date of Birth
Mailing Address *
Mailing Address
Cell Phone *
Cell Phone
Alternate Phone Number *
Alternate Phone Number
Marital Status *
Applicant Information
Spouse's Information
If this section does not apply to you, please leave blank.
Children
If you do not have any children, please leave this section blank.
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Type the name and age of any other daughters not listed above.
Date of Birth
Date of Birth
Date of Birth
Date of Birth
Dat of Birth
Dat of Birth
Date of Birth
Date of Birth
Type the name and age of any other sons not listed above.
Previous Romany Membership
Are you willing to serve on the Board of Directors and become a Ball Captain?
Is your spouse willing to be a King?
Is your spouse willing to be a Committeeman?
Is your spouse willing to be a Dance Participant?
Are you willing to donate your time and talent to a committee for ball preperation?