Membership Application

Payment Method(Required)

If paying by check, mail or drop off the check to Linda Charapp (Membership Director) at 11801 Via Novelli Ct, Miromar Lakes, FL 33913

Price:(Required)

Price:

Important Notice for Check Payments: Thank you for choosing to pay by check. When you click “Submit,” your application is submitted. You are then redirected to PayPal. Since you are paying by check, you can safely close your browser at that point. No further action is required on PayPal.

Your First Name(Required)

Your Last Name(Required)

Preferred FIRST name for Name Tag

E-Mail Address(Required)

Membership Status(Required)

I am a NEW MEMBER to Hearts of Miromar (please complete ALL information)

Renewing Member NO Changes

Renewing Member Limited Changes

The following has changed:

Cell phone

Miromar phone

Alternate phone

Miromar Neighborhood

Miromar address

Alternate address

Spouse/Partner information

Cell Phone

Miromar Phone

Alternate Phone

Miromar Neighborhood

Miromar Address

Alternate Address

Street Address City State ZIP Code

Your Birthday

Publish my alternate address in the HOM Directory along with my Miromar address

Yes

Please select the following that are applicable(Required)

I own in Miromar

I rent in Miromar

I am ONLY a member of the Miromar Golf Course

I reside in Miromar Full Time

I am a Seasonal Resident

Select the months

Spouse / Partner Information

Spouse

Partner

Spouse / Partner's First & Last Name

Spouse / Partner's Birthday

Anniversary

Do you have any medical food allergies?(Required)

No, I do not have medical food allergies

Yes, I have medical food allergies

There will be three (3) menu selections for each luncheon. One will be vegetarian. If you have a medical food allergy, please list it below.(Required)

Only medical food allergies will be accommodated by the kitchen.
Kitchen staff will be notified; however, for your safety it is your responsibility to check with the wait staff prior to being served.

Thank you for your support of Hearts of Miromar! Any additional notes may be added here.

Your dues open the doors to many club activities, attendance at our monthly luncheons & voting privileges on important matters, such as bylaw amendments and election.
CLUB SIGN-UPS are done by YOU! Please email the Chair/co-Chair of each club you are interested in joining. Contact names can be found in the Weekly Updates.
WELCOME TO HEARTS OF MIROMAR! Here, we celebrate a vibrant community where women uplift each other with dignity, respect, kindness, and inclusion. We’re all about building and nurturing friendships, spreading goodwill in our community, and making a positive impact through local charities. Every member is valued and can expect to both give and receive warmth, respect, and camaraderie in all that we do!

October 1, 2024 to September 30, 2025 Membership