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Lone Star boys of Leather

Membership Application

To apply for membership with the Lone Star boys of Leather, please complete this application. Your application will be reviewed and discussed at the next business meeting.

Personal Infomation

* Indicates required field

Name *

First

Last

Scene name *

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Are you on Facebook *

Yes No

Facebook Name *

Interest in joining the club *

Community / Personal Reference:

Name *

First

Last

Relationship *

Past Clubs

Please list them or type NA *

Image Release
By applying for membership to the Lone Star boys of Leather I grant permission to be photographed for group portraits or individually during any Lone Star boys of Leather-related activity. I further permanently and irrevocably release any personal rights and/or royalties for any and all photographs or images made of me by Leather Knights and agree that any such photographs or images remain the property of Lone Star boys of Leather and may be displayed or reproduced by Lone Star boys of Leather for promotional, marketing, or other purposes in printed or electronic form.

Electronic Signiture *

Web Site Membership Listing By applying for membership with Lone Star boys of Leather I direct that the following membership information may be posted on the Lone Star boys of Leather official website *

My Name Scene name My Photograph at events Do not use my photograph at any time

Electronic Signiture *

Official Communications
Official Lone Star boys of Leather information and announcements are disseminated through a combination of systems. It is my responsibility as a member of Lone Star boys of Leather to take note of this information when it is provided to me. I also understand that some communications are restricted to the Membership only and should not be disclosed or discussed with non-Members. Current communications systems include:
• Lone Star boys of Leather Websites – The primary website for the Lone Star boys of Leather where all information about meetings and events will be posted along with news of the organization and its activities.
• Membership Meetings – Monthly membership meetings provide a great deal of information that is important to the functioning of the Lone Star boys of Leather.
• Lone Star boys of Leather Email List –email distribution tool. (Example: Facebook, etc…)

Electronic Signiture *

Indemnity Waiver
I shall defend, indemnify and hold harmless Lone Star boys of Leather, its officers, directors, and employees from any and all claims, loss, damage, injury, and liability of every kind, nature, and description arising directly or indirectly from my participation in Lone Star boys of Leather whether it be at meetings, events, or otherwise, even if such claim may be groundless, fraudulent, or false, except to the extent such indemnity is void or otherwise unenforceable under applicable law and except where such claim, loss, damage, injury, or liability is the result of the negligence, or recklessness, or willful misconduct to Lone Star boys of Leather f, its officers, directors, or its employees. I specifically acknowledge and agree that I have an independent obligation to defend Lone Star boys of Leather, its officers, directors, and employees from any claim which actually or potentially falls within this indemnification provision even if such claim may be groundless, fraudulent, or false.
▪ I also understand that all club patches, pins and other paraphernalia remain the property of the Lone Star boys of Leather and are only available for my use while I am a member. I agree to return any such items if I cease to be a member of the Lone Star Boys of Leather.
▪ I attest that I am at least 21 years of age and will provide a valid government issued photo ID to show such proof.

Electronic Signiture *

Type your legal name *

Electronic Signature
By typing your name in the box below you are effectively signing the form and are legally bound to the above contract and proof of acceptance to those statements where in.

I agree to receiving marketing and promotional materials *

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