{"id":3052,"date":"2026-01-08T10:54:56","date_gmt":"2026-01-08T15:54:56","guid":{"rendered":"https:\/\/yokosobuffalo.org\/?page_id=3052"},"modified":"2026-03-25T15:16:05","modified_gmt":"2026-03-25T19:16:05","slug":"application","status":"publish","type":"page","link":"https:\/\/yokosobuffalo.org\/en\/application\/","title":{"rendered":"Membership Application"},"content":{"rendered":"\n<div class=\"wpcf7 no-js\" id=\"wpcf7-f3043-o1\" lang=\"ja\" dir=\"ltr\" data-wpcf7-id=\"3043\">\n<div class=\"screen-reader-response\"><p role=\"status\" aria-live=\"polite\" aria-atomic=\"true\"><\/p> <ul><\/ul><\/div>\n<form action=\"\/en\/wp-json\/wp\/v2\/pages\/3052#wpcf7-f3043-o1\" method=\"post\" class=\"wpcf7-form init\" aria-label=\"\u30b3\u30f3\u30bf\u30af\u30c8\u30d5\u30a9\u30fc\u30e0\" novalidate=\"novalidate\" data-status=\"init\">\n<fieldset class=\"hidden-fields-container\"><input type=\"hidden\" name=\"_wpcf7\" value=\"3043\" \/><input type=\"hidden\" name=\"_wpcf7_version\" value=\"6.1.5\" \/><input type=\"hidden\" name=\"_wpcf7_locale\" value=\"ja\" \/><input type=\"hidden\" name=\"_wpcf7_unit_tag\" value=\"wpcf7-f3043-o1\" \/><input type=\"hidden\" name=\"_wpcf7_container_post\" value=\"0\" \/><input type=\"hidden\" name=\"_wpcf7_posted_data_hash\" value=\"\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_group_fields\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_hidden_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_visible_groups\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_repeaters\" value=\"[]\" \/><input type=\"hidden\" name=\"_wpcf7cf_steps\" value=\"{}\" \/><input type=\"hidden\" name=\"_wpcf7cf_options\" value=\"{&quot;form_id&quot;:3043,&quot;conditions&quot;:[],&quot;settings&quot;:{&quot;animation&quot;:&quot;yes&quot;,&quot;animation_intime&quot;:200,&quot;animation_outtime&quot;:200,&quot;conditions_ui&quot;:&quot;normal&quot;,&quot;notice_dismissed&quot;:false}}\" \/>\n<\/fieldset>\n<p><label> Last Name [Required]<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"last-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example: Smith\" value=\"\" type=\"text\" name=\"last-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> First Name [Required]<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"first-name\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"Example: Joe\" value=\"\" type=\"text\" name=\"first-name\" \/><\/span> <\/label>\n<\/p>\n<p><label> Family\uff08Spouse\u30fbChildren\uff09<br \/>\n<span style=\"font-size: 0.9em; font-weight: normal; color: #666\">*If provided, only your spouse's name will be included in the membership directory.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"family-member\"><textarea cols=\"40\" rows=\"10\" maxlength=\"2000\" class=\"wpcf7-form-control wpcf7-textarea\" aria-invalid=\"false\" placeholder=\"Example: wife Mary, son John\" name=\"family-member\"><\/textarea><\/span> <\/label>\n<\/p>\n<p><label> Address [Required]<br \/>\n<span style=\"font-size: 0.9em; font-weight: normal; color: #666;\">*Example: 123 Main St, Buffalo, NY 14201<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-address\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-text wpcf7-validates-as-required\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"text\" name=\"your-address\" \/><\/span> <\/label>\n<\/p>\n<p><label> Phone Number [Required]<br \/>\n<span style=\"font-size: 0.9em; font-weight: normal; color: #666\">*Example: 123-456-7890<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-phone\"><input size=\"40\" maxlength=\"12\" minlength=\"12\" class=\"wpcf7-form-control wpcf7-tel wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-tel\" aria-required=\"true\" aria-invalid=\"false\" placeholder=\"\" value=\"\" type=\"tel\" name=\"your-phone\" \/><\/span> <\/label>\n<\/p>\n<p><label> Email Address [Required]<br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"your-email\"><input size=\"40\" maxlength=\"400\" class=\"wpcf7-form-control wpcf7-email wpcf7-validates-as-required wpcf7-text wpcf7-validates-as-email\" aria-required=\"true\" aria-invalid=\"false\" value=\"\" type=\"email\" name=\"your-email\" \/><\/span> <\/label>\n<\/p>\n<fieldset style=\"border:none; padding:0; margin-bottom: 20px;\">\n\t<legend style=\"font-weight: bold; margin-bottom: 5px;\">Membership Fee [Required]\n\t<\/legend>\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"membership-type\"><span class=\"wpcf7-form-control wpcf7-radio\"><span class=\"wpcf7-list-item first\"><label><input type=\"radio\" name=\"membership-type\" value=\"Family Member ($20)\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">Family Member ($20)<\/span><\/label><\/span><span class=\"wpcf7-list-item last\"><label><input type=\"radio\" name=\"membership-type\" value=\"Student ($10)\" \/><span class=\"wpcf7-list-item-label\">Student ($10)<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<div style=\"background-color: #f9f9f9; padding: 20px; border: 1px solid #ddd; border-radius: 5px; margin-top: 10px; margin-bottom: 20px;\">\n\t<p><strong style=\"display: block; margin-bottom: 15px; border-bottom: 1px solid #ccc; padding-bottom: 5px;\">\u3010Payment via Venmo\u3011<\/strong>\n\t<\/p>\n\t<div style=\"display: flex; flex-wrap: wrap; gap: 20px;\">\n\t\t<div style=\"flex: 1; min-width: 200px; text-align: center; border-right: 1px solid #eee;\">\n\t\t\t<p><strong>Venmo ID: @NORIKO-NIEDZIELA<\/strong>\n\t\t\t<\/p>\n\t\t\t<p><img decoding=\"async\" src=\"http:\/\/yokosobuffalo.org\/wp-content\/uploads\/2026\/01\/Venmo-QRcode-1.png\" alt=\"Venmo QR Code\" style=\"width: 140px; margin-top: 10px; border: 1px solid #eee; background: #fff; padding: 5px;\" \/>\n\t\t\t<\/p>\n\t\t<\/div>\n\t\t<div style=\"flex: 2; min-width: 280px; font-size: 0.9em; line-height: 1.6;\">\n\t\t\t<p><strong>\uff1cHow to Pay\uff1e<\/strong>\n\t\t\t<\/p>\n\t\t\t<ol style=\"margin-top: 5px; padding-left: 20px;\">\n\t\t\t\t<li>\n\t\t\t\t\t<p>Scan the QR code on the left with your camera, or search for ID \"<strong>@NORIKO-NIEDZIELA<\/strong>\" in the app.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Enter the membership fee amount.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>In the \"What's this for?\" field, please enter \"<strong>Full Name, 2026 Membership Fee<\/strong>\". (Required for confirmation.)\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t\t<li>\n\t\t\t\t\t<p>Tap \"Pay\" to complete the transaction.\n\t\t\t\t\t<\/p>\n\t\t\t\t<\/li>\n\t\t\t<\/ol>\n\t\t\t<p style=\"font-size: 0.85em; color: #666; margin-top: 10px;\"><br \/>\n*If you don't have an account, you can sign up <a href=\"https:\/\/venmo.com\/\" target=\"_blank\">here<\/a>.\n\t\t\t<\/p>\n\t\t<\/div>\n\t<\/div>\n<\/div>\n<fieldset style=\"border:none; padding:0; margin-bottom: 20px;\">\n\t<legend style=\"font-weight: bold; margin-bottom: 5px;\">Membership Directory Listing\n\t<\/legend>\n\t<p><span style=\"font-size: 0.9em; font-weight: normal; color: #666; display: block; margin-bottom: 5px;\">*This information is used exclusively for the annual Membership Directory (published every spring). Please uncheck if you do not wish to be listed.<\/span><br \/>\n<span class=\"wpcf7-form-control-wrap\" data-name=\"list-consent\"><span class=\"wpcf7-form-control wpcf7-checkbox\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"list-consent[]\" value=\"I would like to be listed in the Directory\" checked=\"checked\" \/><span class=\"wpcf7-list-item-label\">I would like to be listed in the Directory<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/fieldset>\n<div style=\"margin-top: 15px; background-color: #fff3cd; border: 2px solid #ff0000; padding: 10px 10px 0px 10px; border-radius: 5px;\">\n\t<p><span class=\"wpcf7-form-control-wrap\" data-name=\"proxy-consent\"><span class=\"wpcf7-form-control wpcf7-checkbox wpcf7-validates-as-required\"><span class=\"wpcf7-list-item first last\"><label><input type=\"checkbox\" name=\"proxy-consent[]\" value=\"I confirm that the above information is correct.\" \/><span class=\"wpcf7-list-item-label\">I confirm that the above information is correct.<\/span><\/label><\/span><\/span><\/span>\n\t<\/p>\n<\/div>\n<div style=\"text-align: center; margin-top: 30px;\">\n\t<p><input class=\"wpcf7-form-control wpcf7-submit has-spinner\" type=\"submit\" value=\"Submit\" \/>\n\t<\/p>\n<\/div><p style=\"display: none !important;\" class=\"akismet-fields-container\" data-prefix=\"_wpcf7_ak_\"><label>&#916;<textarea name=\"_wpcf7_ak_hp_textarea\" cols=\"45\" rows=\"8\" maxlength=\"100\"><\/textarea><\/label><input type=\"hidden\" id=\"ak_js_1\" name=\"_wpcf7_ak_js\" value=\"240\"\/><script>document.getElementById( \"ak_js_1\" ).setAttribute( \"value\", ( new Date() ).getTime() );<\/script><\/p><div class=\"wpcf7-response-output\" aria-hidden=\"true\"><\/div>\n<\/form>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_locale":"en_US","_original_post":"https:\/\/yokosobuffalo.org\/?page_id=2930","footnotes":""},"class_list":["post-3052","page","type-page","status-publish","hentry","en-US"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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