Olympia Area Village Membership Form

Welcome!

We are so glad you're interested in becoming a member of Olympia Area Village. Please read through these instructions and complete the steps below to begin the process. If you have any questions or would like assistance with completing this form or paying your dues, please contact Ellen Wendt at 507-327-1317 or [email protected].

Membership options: full fee dues are $200 per person per year. For those unable to pay this amount, there are two additional options of $120 and $60 per person per year.

1. Please complete the questions below. Some of these questions may surprise you, but the answers (used anonymously) are essential when OAV applies for grants to show that overall, OAV serves a diverse population. Please know that the answers to all questions except name, address, email address, date of birth and membership type are optional.

2. Before you leave this page, please review the Membership Agreement and attest that you agree to the conditions here. Once you submit the attestation, if you click the back arrow two times you can return to this page.

3. After you have completed this application, be sure to confirm consent at the bottom of this form and click on the SEND button.

You'll immediately receive an email from the Village acknowledging your application. A second email will instruct you how to pay your dues. Once we receive your payment, the Village will run a background check and once cleared, you'll receive a welcome email with instructions for engaging with other Village members and learning about the members-only portion of our website.

First name

Last name

Most Village correspondence is sent via email:

I use email (this is a good way to notify me)

I do not use email (if you email me information, I will likely not see it)

Phone

Cell phone

Date of birth

Marital status

Gender

Sexual orientation

Pronouns

Ethnicity

Number

Street

City

State

Zip Code

Available Membership Options

Individual - Full Fee: $200.00 for 12 months

Individual - Reduced fee - $120: $120.00 for 12 months

Individual - Reduced Fee - $60: $60.00 for 12 months

First emergency contact name

First emergency contact cell phone

First emergency contact phone

First emergency contact email

First emergency contact address

First emergency contact relationship

Second emergency contact name

Second emergency contact cell phone

Second emergency contact phone

Second emergency contact email

Second emergency contact address

Second emergency contact relationship

Your interests what do you love doing

Special expertise

How did you hear about us

What made you interested in becoming a member?

Additional Comments

I confirm that I have read, consent and agree to Revolutionaging’s (Helpful Village’s) TERMS OF USE and PRIVACY POLICY

Thank you for your interest

Thank you for contacting us — it’s a pleasure to connect! Our team is committed to providing friendly, professional assistance, and we’ll be reviewing your message right away. You’ll hear back from us soon.