Register for The Dubuque Phlockers

Tell Us About Yourself
First Name:
Last Name:
Date of Birth (e.g. mm/dd/yyyy):
Home Phone: (e.g. xxx-xxx-xxxx)
Cell Phone: (e.g. xxx-xxx-xxxx)

If you prefer to not go through the on-line sign-up procedure, simply:

  1. Download and complete the membership application form:
  2. Get your application and membership dues to us by:
  3. It's that easy!