|ALMOST HEAVEN WV SHAG DANCE CLUB
P.O. BOX 102
CLARKSBURG, WV 26302
PLEASE READ CAREFULLY -- PRINT ALL INFORMATION
MEMBERSHIP FEE MUST ACCOMPANY THIS APPLICATION
MAILING ADDRESS ________________________________________________
CITY ____________________________ STATE ______ ZIP ______________________
PHONES (HOME) ___________________ (WORK) _________________ (CELL)_______________
BIRTHDATE ______________________________ OCCUPATION ____________________________
ALMOST HEAVEN WV SHAG DANCE CLUB MEMBERSHIP PROVIDES YOU WITH THE FELLLOWSHIP, AND FUN OF DANCING, SHAG LESSONS, FREE AND
NEARLY FREE PARTIES, NEWSLETTERS, EMAIL NOTICES, UPCOMING SHAG EVENTS IN YOUR LOCAL COMMUNITY AND SURROUNDING AREAS
1. Membership is restricted to individuals 21 years old or older.
2. Membership may be revoked at the discretion of the Executive Board.
3. Membership cards are not transferable.
4. Annual membership dues are from January 1 – December 31, of the same year.
5. All memberships expire December 31 each year.
6. Renewal annual dues are $20.00 per person if paid by December 31.
7. New member dues are prorated per person for each new membership at any time.
**PLEASE READ THESE POLICIES AND DIRECTIONS**
- ALMOST HEAVEN WV SHAG DANCE CLUB is not designed to be an avenue to give money to charitable causes. This is a social club. Funds raised by
the club during the year are used for expenses incurred by the club, for the benefit of the club’s members and to aid in the prosperity and future
of the Almost Heaven WV Shag Dance Club.
- Members are encouraged to be active, attend club meetings, and to help with the various committees, activities, and functions the club supports
and/or hosts during the year. We recognize that everyone can’t always do or be at everything. But, we believe every member can and should do
various things to help during the year.
- RELEASE: FOR AND IN CONSIDERATION of dues paid for membership to the Almost Heaven WV Shag Dance Club I, the undersigned, being of lawful
age, do hereby release and forever discharge Almost Heaven WV Shag Dance Club, from any and all causes of action, claims, and demands for,
upon, or by reason of any damage, loss, or injury, which heretofore has been or while will hereafter be sustained by me as a consequence of
attendance at Almost Heaven WV Shag Dance Club sponsored functions. It is understood that the act of admission to Almost Heaven WV Shag
Dance Club sponsored functions as a member is not construed as an admission on the part of Almost Heaven WV Shag Dance Club any liability to
me whatsoever for any personal injury or loss.
I submit my application and agree to the terms above on this date .
Almost Heaven WV
Shag Dance Club