New Member ($30)      Renewal ($30) 
Supporting Member* ($40) Supporting Renewal* ($40)
 

Full Name: 
Spouse's Full Name:
Address:
City/State/Zip:
Phone:
Email:
How did you hear about FAN?:
Child(ren) Name(s):
Birth Date(s):

Now is the time to become a FAN Volunteer!
FAN is what it is because of its devoted board, caring committees and energetic membership, so thank you in advance for volunteering.  Please indicate if you are interested in joining any of our committees:

 Children’s Events         Community Connection
 Parent Events                Membership
 Playgroups                    Recycling initiative 
 Ginn Field Restoration Adopt a Grandparent               Hospitality                      Publicity
Newsletter                      Fundraising Website/Technology   Other:

Are you unable to make a regular commitment, but willing to help out with specific FAN sponsored events and other needs within FAN? Contact Roslyn Michelson.

NOTICE OF RELEASE FROM LIABILITY

As you know, the Family Action Network (FAN) is a non-profit organization run strictly by volunteers. All of our events are made possible due to the gracious volunteerism of our members and sponsorship from local businesses. In that regard, we are asking our members to agree to the following release from liability clause so that we can continue to enjoy these wonderful events.

WAIVER:

 I hereby release and discharge The Family Action Network (FAN) and all businesses, agencies, hosts and other sponsoring companies from responsibility for any injuries or damages I may suffer as a result of my participation in FAN for the 2008/2009 year.

I permit the use of my family’s name and family photos in electronic broadcasts, telecasts, newspapers, and brochures, etc.

(*supporting membership includes $10 tax deductible donation)