ASSISTEENS MEMBERSHIP APPLICATION 2023-2024

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This is to be filled out by THE TEEN MEMBER themselves! THIS DOCUMENT AUTO-POPULATES OUR MEMBERSHIP/CONTACT INFO SPREADSHEET so please be accurate. Please fill in all blanks!

Email *

Assisteen member LAST NAME *

Assisteen member FIRST NAME *

Assisteen grade entering fall 2022 *

7th

8th

9th

10th

11th

12th

What School do you attend? *

Mailing Address *

City *

Zip *

Student Contact Phone number *

In what school activities do you participate? *

In what community activities do you participate? *

What are your special interests/abilities? *

Is your parent a member of Assistance League of Norman? *

yes

What is your parent/guardian name? *

What is your parent/guardian contact phone number? *

What is your parent/guardian email? *

What is your parent/guardian address? *

Who is your emergency contact? (name/phone) *

I will pay $40 for my required dues for Assisteens, due prior to September 30, 2022 *

yes - paying via online link on ALN website, Assisteens page

yes - paying via check/cash at September kick off meeting

yes - paying by mailing check to ALN at 809 Wall Street, Norman OK. 73069

I would like to be contacted about getting financial assistance for dues.

I agree to sell $100 in event tickets for fall/spring fundraisers this year (this is a membership requirement). *

Yes

I have read the policies and standing rules and agree to meet the following requirements to be a member in good standing (please check each on to show you have read and understand): *

25 volunteer hours prior to May 31, 2023

Fall/Spring Fundraiser: volunteer at one of the two fundraisers

Fall/Spring Fundraiser: sell $100 in event tickets throughout the year

Attend meetings and events on the 4th Sunday of the month

I will notify the secretary if I will miss meetings at assisteens@alnorman.org

I will have my parent complete the required parent form.

Required

ASSISTEENS CODE OF CONDUCT 1. I will fulfill the expectations of my membership in accordance with Policies of Assisteens Auxiliaries 2. I will conduct myself in appropriate manner at all times while participating in Assisteens activities. 3. I will respect fellow Assisteens members and all those with whom I come in contact with through Assisteens programs and events. 4. I understand that bullying and harassment will not be tolerated and may result in revocation of membership 5. I understand that the use of tobacco, alcohol, drugs, gambling will not be tolerated at any Assisteens activity, and may result in revocation of membership. 6. I understand that use of electronic devices during meetings are prohibited. I also agree that I will carefully consider any material placed on the internet or posted in any form of social media in order to preserve and protect the name, image and reputation of Assistance League and Assisteens. I further understand that posting of inappropriate photos or videos will to be tolerated and may result I revocation of membership. 7. I understand that if I am sent home early due to any misconduct or illness, it will be at the expense of my parent/guardian and will, if necessary, make the travel arrangements. 8. I understand that if I need to leave an Assisteens activity before it is over, I will notify the adult in charge. *

Yes

I understand that while I am volunteering for Assisteens/Assistance League of Norman (ALN), there is a risk of injury either on the chapter house premises or in a vehicle while conducting Assisteens/ALN business. On behalf of myself, my heirs, personal relatives and executor, I release, discharge, indemnify and hold harmless Assisteens/ALN, its agents, servants, and volunteers from any class, causes of action or demands of any nature or cause connected with my volunteer service. This could include any costs, attorney's fees and court costs incurred by Assisteens/ALN in connection with any volunteer services based on damages or injuries that I may incur in any way while volunteering. Such damages are limited to but may include injuries, accidents, and personal damage. *

Yes

I agree to release, discharge, indemnify and hold Assisteens/ALN harmless for any and all damage to my personal property while providing my services on a voluntary basis to Assisteens, ALN, its agents, servants and volunteers. *

Yes

I understand that public relations are an important aspect of volunteering at Assisteens/ALN. I agree on behalf of myself, my heirs, personal representatives and executors to allow Assisteens/ALN and its agents to use any photographs, videos, or film taken of me for use in public relations efforts. Assisteens/ALN will use all efforts to notify me but notification is not required for the photos, video or film to be used for Public Relations' purpose. *

Yes

Send me a copy of my responses.

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