“We Are Butterfly” Club Application "We Are Butterfly" Club Application CONTACT INFORMATION Applicant's First Name * Applicant's Last Name * Street Address * City * State / Province * Zip / Postal Code * Phone * Fax Email Address * CLUB INFORMATION Club Name * Street Address * City * State / Province * Zip / Postal Code * Country * Current Number of Members * Does club have a website? Yes No Website Address/URL Hours of Operation SUNDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 MONDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 TUESDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 WEDNESDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 THURSDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 FRIDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 SATURDAY - Open Time * 000102030405060708091011121314151617181920212223 : 0030 Close Time * 000102030405060708091011121314151617181920212223 : 0030 Brand of tables and number of each type * Brand of barriers and number of each type * Number of coaches and levels of certification * Does club have a pro shop? * Yes No reCAPTCHA If you are human, leave this field blank. Δ