Questions and concerns can be directed to: info@NaturistRochester.org
(877) 522-9188 P.O. box 283
Please Print
1) Name(s):_________________________________________________________________
Name(s) of minor Children attending: _________________________________________
2) Address:_________________________________________________________________
3) City:_____________________________ State/Prov:_______
ZIP/POSTAL:__________
4) Phone (include area
code):___________________________________________________
5) Email:___________________________________________________________________
6)
www:____________________________________________________________________
Emergency Contact.
Name:____________________
Telephone #_________________
The above information is
confidential and is provided only to Naturist Rochester officers and/or
members, and used for club mailings and other official business.
If these change, please
contact an officer with changes.
Do you wish any items above not published to members but for use only by officers?
If so,
list item number(s)..______________________________________
Do you wish to receive most club info by
__email or by __snail-mail?
(Circle
or check one.)
Why do you want to become a member of Naturist Rochester?
___________________________________________________________________________
___________________________________________________________________________
Where did you first hear about us?
_______________________________________________
The above information is confidential and is provided only to Naturist Rochester
Officers, and used for club mailings and other official business. If these
change, please contact an officer with the changes
We/I understand that participation in all events is at my own risk. In the case of accident or injury, We/I
waive any liability to Naturist Rochester, the location of said accident, or
the owner of said location.. By my
signature below I certify that I am at least 18 years of age and that I wish to
participate in Naturist Rochester activities.
I agree to abide by the rules established by the by-laws and officers of
Naturist Rochester, AANR, TNS and those established by any facilities rented
(Parent or legal guardian)
Signature:
___________________________________________________________________________
[Member, or Parent/legal
guardian as applicable for minor(s)] Date
When filing this
application, please include $15 for a single membership, $25 for a family
membership,
Print
form out, make check payable to “Naturist
and mail to the above address. If you wish to join AANR and/or TNS, you may include that additional amount with your check.
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The section below will be completed by the appropriate club official(s).
Membership #__________ AANR Member
#_________ TNS Member #____________
Dues received (date): ______________________________________
Membership card mailed (date): ______________________________
Newsletter mailed (date): __________Yahoo Group Invitation sent (date):_____________
“We are a non-landed nudist club in