Membership Application

 Ocala Parrotheads in Paradise Club

MEMBERSHIP APPLICATION 2008

OCALA PARROT HEAD CLUB

Mail to:

Sharon Stump
10306 SW 82 Terrace
Ocala, FL 34481

(or bring this application to the next meeting)     

Name  ________________________________________________________________________

Address _______________________________________________________________________

City______________________________________ State _____ Zip ______________________

Home phone _________________________________Cell phone __________________________

Email __________________________________________________ Birthday ______/______                                                                                     month  /   day

Who got you into this mess?? ______________________________________

Was it the website? (Circle one)  Yes      No          There’s a website?

Is it OK to print your name, address and embarrassing pictures to be used in conjunction with your current affiliation with the Ocala Parrot Heads?

   (Circle one)                 Sure                 No, I’m in the witness protection program

Annual dues are $20 per member. ($25 if you would like a club shirt, Tank or Tee). Make your check payable to: Ocala Parrot Head Club.

Shirt Size: (circle one) T-shirt size   M  L  XL  XXL     OR  Tank top  size  S  M  L  XL

 CODE OF CONDUCT:

While we are primarily a social organization, and  while we do "Party With A Purpose" we must do so responsibly.

It is the intention of the "Ocala Parrot Head Club (OPHC)” to provide social and charitable activities for the enjoyment and benefit of all our members, guests, hosts and charities. All members of the organization shall be required to treat fellow members, guests and hosts and their personal property with respect. Members also agree to abide by all local, state and federal laws (including but not limited to) governing misuse of personal privileges, personal property and controlled substances.

Members of OPHC, by virtue of their membership agreement, agree to demonstrate personal responsibility for their words, actions and deeds and not to exhibit behaviors that are harmful to themselves and other members, guests and hosts or their personal property. We seek to provide a pleasant atmosphere in which to share our common love of the music and tales of Jimmy Buffett and to further the charitable ideals that we seek to uphold.

OCPH will not condone behavior contrary to our objectives nor that which we feel is harmful or injurious to others. By virtue of your membership in the “Ocala Parrot Head Club" you have indeed agreed to "Party with a Purpose" in a most responsible fashion!

____________________________________________                    __________________

 NAME                                                                                                                       DATE 

MEMBERSHIP DUES ARE NOT DEDUCTIBLE AS A CHARITABLE CONTRIBUTION FOR FEDERAL INCOME TAX PURPOSES.