online membership application

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Emergency Contact Information
Assistance League of the Triangle area has my permission to include mu name as a member of and/or donor to Assistance League in its printed materials such as chapter newsletters, event invitations or programs, press releases, etc. Assistance League also has my permission to use any photographs of me taken in connection with Assistance League activities in its printed materials.
I understand that I am required to provide my own health and accident insurance. Assistance League of the Triangle Area is not responsible for any medical or legal expenses that may result from any injury or illness that I may sustain while participating in Assistance League activities. I also agree that I shall maintain adequate personal automobile insurance while using my own vehicle for Assistance League of the Triangle Area business and shall not hold Assistance League liable for any claims that may result form accidents occurring while I am using my own vehicle for Assistance League business.
All members must complete a background check (paid by Assistance League of the Triangle Area).<.b>

No person will be denied membership solely on the grounds of conviction of a criminal offense. The nature of the offense, date of the offense, the surrounding circumstances and the relevance of the offense to the activities of the chapter may, however, be considered.

Have you ever been convicted of a criminal offense (felony or serious misdemeanor)/(Required)
I hereby certify that the information set forth above is true and complete to the best of my knowledge.
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