Membership Application for the
ITHACA SINGLES GROUP, Inc.

...a friends network for singles and single parents

The Ithaca Singles Group, Inc. (ISG) is a nonprofit social organization formed to promote friendships through scheduled social activities for single adults. All interested singles, with or without children, and regardless of age, race, religion, ethnic background, or physical disability, are invited to join. The group provides a basis of mutual support for singles, and we have a lot of fun!

Your annual membership offsets the cost of postage and publicity for this non-profit group; renting pavilion and rooms  for our monthly potluck dinners; and web hosting fees.  The annual membership fee is $24 beginning May 1st and $2 per month thereafter.  (May-$24, June-$22, July-$20, August-$18, September-$16, October-$14, November-$12, December-$10, January-$8, February-$6, March-$4, April-$2)

As a member, you will receive the monthly calendar loaded with great activities.  The best part of being an ISG member is the good feeling you’ll gain from meeting fine people in a supportive atmosphere of friendship and trust while having a great time! 

Please Join Us!

To join ISG, please complete the section below, sign your name to the liability form, and mail along with your check to the address at the bottom. If you have any questions or comments, please e-mail the ISG membership chairman  at lynn.alve@earthlink.net  or check our web page: http://www.ithacasingles.org

We’d like to hear from you!
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LIABILITY RELEASE

The Ithaca Singles Group, Inc. is an informal organization of people who have come together to share experiences related primarily to their status as unmarried, single people.

The Ithaca Singles Group sponsors events that are open to its members and guests. While such events are undertaken following what is believed to be appropriate planning and concern for the safety and well-being of all who will attend, neither Ithaca Singles Group nor its officers or other representatives can assume any responsibility for personal injury or any other harm that may occur to persons or their property while participating in such events. The undersigned hereby releases the Ithaca Singles Group, its officers, agents, and other representatives from any and all liability for any injury or other damage that may be sustained by the undersigned as a result of attending or otherwise participating in any such event.

                                                                                                                              
I understand and agree to the above statement.
Signature of Member _____________________ Date__________________

NEW MEMBER INFORMATION
Name                                                                                                    Phone #    
Address    
E-Mail Address    
Birth Date (month/day, for happy birthday wishes):    Children? Names/ages:    
Interests:    
___________________________________________________________
How did you hear about us?    

We need help from  all our members to make this club a success. Please check below what you are willing to do.

____I am interested in running for a position on the Board:          
         Position:__________________________________
                (Board positions are: president, vice-president, secretary, treasurer,  
                  membership coordinators, newsletter/calendar editors
____I am willing to host an event in my house/apartment
____House Party        ____Discussion Group        ____Cards/Games       
____VCR movie night
 ____Other? _________________________________________________________
____I am willing to host an activity   
____Movie   ____Dinner at a Restaurant    ____Sunday Brunch   
____Day Trip Out of Town     
____Evening Road Trip    ____Dances         ___Sports Event (football, hockey, basketball, etc)
____Other?_______________________________________________

Please mail to: Ithaca Singles Group, P.O. Box 4543, Ithaca, New York  14852-4543

Website Administrator: David Smith     

Content:  Helen Baker, Bruce McKee , Tom Baldwin