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Interfaith Singles Membership Application, Change of Address, and Membership Renewal for 2009
Membership is open to divorced, separated or never-married individuals thirty (30) years of age or older. The "Club" is an ecumenical singles organization open to people of all faiths. Each member receives a newsletter that lists Club activities.
A General Membership Meeting is held once per month, at the discretion of the Board, and attendance is encouraged.
Membership is from January 1 to December 31.

Use this form for New Membership Application, Change of Address and Membership Renewal. Complete application on your screen, print out, sign, and mail to Interfaith Singles, Inc., P.O. Box 160613, Altamonte Springs FL 32716. Enclose check for $25 for new membership or renewal after January 31 or enclose $20 for renewal before January 31.
Name
Street Address
City State Zip
Home/Cell Phones
E-Mail
Occupation
Birth Date (MM/DD)
What church do you attend? (optional)
Are you single? Yes            No
Do you wish to have your phone number published? Yes            No
Do you wish to have your e-mail published? Yes            No
RELEASE OF LIABILITY AND HOLD HARMLESS AGREEMENT
I hereby appoint INTERFAITH 30+ SINGLES, INC. (hereinafter the "Club"), its directors and agents to perform all acts and to enter into any and all contracts as may be deemed desirable in connection with any Club activity. I understand that the Club acts only as a coordinator and accepts no responsibility for the services of any person, activiity, business, or organization whatsoever rendering any of the services or accommodations being offered in connection with any activity, or function. The Club accepts no responsibility in whole or in part for any loss, damage or injury to personal property, howsoever caused, with or without notice, or for any additional expenses occasioned thereby. I fully understand that the Club is a voluntary association run by volunteers who have no special training in conducting activities. By participating, I do not rely upon the expertise of any director, officer, activity coordinator, or the agents of any of the foregoing. I agree that I am solely responsible for my personal safety and conduct. Furthermore, I, on behalf of myself, my heirs, executors, successors, and assigns, hereby voluntarily release, discharge, waive, and relinquish any and all actions or causes of action for personal injury,property damage, or wrongful death arising out of or resulting from my participation in any Club-sponsored activity whiuch I have or may have now or in the future against the Club, its directors, officers, activity coordinators, members and agents for any said causes of action whether the same shall arise by the negligence of any of the said persons or otherwise. I understand and agree that it is the intention and purpose of this document to exempt and relieve the Club and its directors, officers, activity coordinators, members and agents from any and all liability from personal injury, property damage or wrongful death caused by negligence of any of the aforesaid persons. I agree to indemnify and hold harmless the Club, its directors, officers, activity coordinators, mbmers or agents or contractors from any loss, cost or expense incurred by or attributable in any way to me in connection with any activity. I agree to abide by the bylaws (bylaws available upon request), rules and regulations of the Club and the activity coordinators in conjunction with any activity and to meet all payment deadlines. I acknowledge and understna dthat I am executing this release of liability and hold harmless agreement in order to induce the Club to grant my application for membership and in consideration for the Club granting such membership. The Board, in its absolute discretion, reserves the right to deny application to and to subsequently remove from membership any person deemed to be an unsuitable candidate for membership or unsuitable member so long as denial or removal is not based on race, religion, creed, sex, national origin or any other discriminatory practice that would be in violation of any state or federal statute. Activity fees are based upon current charges and are subject to change without notice.

Note: The Board will investigate, upon written request, any alleged cases of harassment, intimidation, or threats made by another member.
Signature Date
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