APPLICATION FOR MEMBERSHIP

 

Questions and concerns can be directed to: treasurer@NaturistRochester.org   

(877) 522-9188       P.O. box 283   Rochester, NY  14526-0283

 

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 Rochester

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 Western NY. We equally welcome singles, families, couples & individuals of all race, religion, gender, and sexual-orientation for wholesome, clothes-free recreation.

 

updated 31-August-2015  webmaster