Bi Ladies Club |
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Membership Application You will be expected to fill out and sign this document at your first BLC party. Please read it before you attend. Privacy Policy: We will not release ANY information about you to anyone and expect the same from you.
5. By filling out and signing this form, I am certifying that I am a Female.
Name: _____________________________________ Address: ___________________________________ City: _____________________ State:______ Zip: _______
Date of Birth (M/D/YR):___/___/___
Email Address: _________________________@___________ Phone Number (___) _____-__ ______: . This will be our way of communicating with you. Make sure this information is up to date with us.
If we ever have to call you may we leave a message to "Call us at BLC"? ___Yes ___No
May we leave a message with anyone who answers the phone?. ___Yes ___No
I, the undersigned, release Bi Ladies Club (BLC), and anyone connected with the club, from any and all liability related to my attendance or participation with any club function,
Sign here ______________________________ Date ___/_____/____ |
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