Form

Membership Category Choose One

Voting Members are actively engaged in carrying out our philanthropic programs as well as the fund raising these programs require. Professional Members shall be employed or carry academic units or have a child under age 18.

Voting Member - $95 ($75 dues + $20 one-time orientation fee)

Professional Member - $95 ($85 dues + $10 one-time orientation fee)

Name

First Name

Last Name

Contact Information

Street Address

Address Line 2

City

State

Zip Code

Primary Pnone

Secondary Phone

Emergency Contact

Name and Phone Number

How did you hear about Assistance League of Laguna Beach (ALLB)?

Choose one:

Website

Instagram

Facebook

Other Social Media

Thrift Shop

Farmer's Market

Friend

Another Assistance League

ALLB Member

If you were referred by an ALLB Member, please indicate the member's name.

Talents or Interests

Do you have any special talents or interests you are interested in sharing with ALLB? Select one or more.

Photo and Name Release

Assistance League of Laguna Beach has my permission to include my name as a member of Assistance League in its printed materials such as chapter newsletters, press releases, or other printed/electronic materials. Assistance League of Laguna Beach also has my permission to use any photographs or video images of me taken in connection with Assistance League activities in its printed or electronic materials and on the website.

I agree

Insurance

I agree that I shall maintain a valid drivers’ license and proof of personal automobile insurance for using my own vehicle for Assistance League of Laguna Beach business. Upon request, I shall provide copies of my license and proof of insurance to the chapter office. I shall not hold Assistance League liable for any claims that may result from accidents occurring while I am using my own vehicle for Assistance League business. I understand that there are inherent risks involved while participating in any Assistance League activity or event, I hereby accept and assume all of these risks, and all other risks, associated with my decision to participate in any Assistance League activity or event. I hereby freely and voluntarily accept for myself alone all risks of injury, illness or death.

I agree

Background Check

I understand that I will be contacted to complete a background check. This is required because of the interaction with minors/children during Assistance League activities.

I agree

Date of Birth

Your date of birth - month/day/year - is required for the background check.

Volunteer Agreement

I agree to fulfill the participation and financial requirements for the membership category I selected above.

I agree

Pay Dues and One-time Orientation Fee

Click the button to complete your form and to pay your membership dues and one-time orientation fee via PayPal.

Regular Member: $75 + $20 = $95.00
Professional Member: $85 + $!0 = $95.00

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Member Application