Type of Membership? Individual ($20) Family ($20 first family member, $5 each additional family member) Junior ($10 for members until the end of the year in which they reach the age of 18)

New member or renewal?
New memberRenewal

Name:

First Name(s) of family members:

Address:

Home phone:

Work phone:

Email address:

Level of competition? Advanced Intermediate Preliminary Training Novice Beginner Novice Never competed

To complete the application, please mail your check (payable to WPEA) to Denise Barry
740 Spang Rd
Baden, PA, 15005