Difference between revisions of "Application"
From Makers Local 256
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| − | [[Image:Ml logo | + | {|width="100%" cellspacing="0" cellpadding="1" |
| − | + | |width="200"|Name||colspan="2" style="border-bottom: 1px solid black"| ||width="200" rowspan="8" style="text-align: center"|[[Image:Ml logo.png | 200px]]<br>203 Brown St<br>Huntsville, Al 35805<br>https://256.makerslocal.org | |
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| − | + | |Phone Number||colspan="2" style="border-bottom: 1px solid black"| | |
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| − | Phone Number: | + | |Emergency Contact Name||colspan="2" style="border-bottom: 1px solid black"| |
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| − | + | |Emergency Contact Phone||colspan="2" style="border-bottom: 1px solid black"| | |
| − | Emergency Contact Name: | + | |- |
| − | + | |Desired Username||colspan="2" style="border-bottom: 1px solid black"| | |
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| − | Emergency Contact Phone: | + | |Monthly pledge amount||colspan="2" style="border-bottom: 1px solid black"| |
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| − | + | |Email address||colspan="2" style="border-bottom: 1px solid black"| | |
| − | Desired Username | + | |- |
| − | + | |colspan="2"|Add to the General Email List (low to moderate traffic)||style="border-bottom: 1px solid black;text-align: center"|YES / NO | |
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| − | + | |style="text-align: center" colspan="4"|'''A member of the Makers Local 256 finance committee will approach you via email once a month to request your pledged donation.''' | |
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| − | + | |colspan="4"|You understand that the Makers Local 256 is a place where people will come to work on projects, and that some of the tools used in these projects are powered, and dangerous. You are expected to wear safety equipment at all times. If appropriate safety equipment is not available, you are not to use the power tools. You are not to use the powertools unless another person is present and able to call for help. No powertools are to be used indoors. Home made bladed powertools are not allowed at the shop. You understand that there is no public phone available at the Makers Local 256 Shop. You understand that if you get hurt and no one is available to work a phone, then there is no phone available to place calls with. By entering the premises you assure that you are familiar with power tools and are capable of deciding whether you should be in their presence while they are in operation. In the event of a power tool accident, Makers Local 256 will not be held accountable for your safety. You understand that Makers Local 256 is not responsible in any way for any personal property that you bring to or leave at the shop. | |
| − | Email address: | + | |- |
| − | + | |colspan="4"|By signing below you agreeing that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and Board Members for any damages, injury or injuries arising out of your or your guests use of any tools, power or otherwise, while on the property and premises. | |
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| − | + | |colspan="4"|By signing below, you further agree that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and Board Members for any damages, injury or injuries arising out of the use of any item you or your guests have created, manufactured or designed on and off the property and premises of Makers Local 256. | |
| − | + | |- | |
| − | + | |colspan="4"|By signing below, you further agree that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and its Board Members for any losses, costs, court costs and reasonable attorneys' fees, damages, complaints, claims or lawsuits arising out of any injury or injuries incurred or caused by any tool, power or otherwise, or the use of any item you or your guests have created, manufactured or designed on and off the property and premises of Makers Local 256. | |
| − | + | |- | |
| − | + | |style="text-align: center" colspan="4"|'''You understand that you and you alone are responsible for the safety of any guest you bring to the make shop.''' | |
| − | '''A member of the Makers Local 256 finance committee will approach you via email once a month to request your pledged donation.''' | + | |- |
| − | + | |Signature||style="border-bottom: 1px solid black" colspan="3"| | |
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| − | You understand that the Makers Local 256 is a place where people will come to work on projects, and that some of the tools used in these projects are powered, and dangerous. | + | |Date||style="border-bottom: 1px solid black" colspan="3"| |
| − | You understand that there is no public phone available at the Makers Local 256 Shop. | + | |- |
| − | + | |Board Sponsor #1||style="border-bottom: 1px solid black" colspan="3"| | |
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| − | + | |Board Sponsor #2||style="border-bottom: 1px solid black" colspan="3"| | |
| − | You understand that you and you alone are responsible for the safety of any guest you bring to the make shop. | + | |} |
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| − | Signature: | + | |
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| − | Date: | + | |
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| − | Board | + | |
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| − | Board | + | |
Revision as of 13:51, 3 April 2010
| Name |  203 Brown St Huntsville, Al 35805 https://256.makerslocal.org | ||
| Phone Number | |||
| Emergency Contact Name | |||
| Emergency Contact Phone | |||
| Desired Username | |||
| Monthly pledge amount | |||
| Email address | |||
| Add to the General Email List (low to moderate traffic) | YES / NO | ||
| A member of the Makers Local 256 finance committee will approach you via email once a month to request your pledged donation. | |||
| You understand that the Makers Local 256 is a place where people will come to work on projects, and that some of the tools used in these projects are powered, and dangerous. You are expected to wear safety equipment at all times. If appropriate safety equipment is not available, you are not to use the power tools. You are not to use the powertools unless another person is present and able to call for help. No powertools are to be used indoors. Home made bladed powertools are not allowed at the shop. You understand that there is no public phone available at the Makers Local 256 Shop. You understand that if you get hurt and no one is available to work a phone, then there is no phone available to place calls with. By entering the premises you assure that you are familiar with power tools and are capable of deciding whether you should be in their presence while they are in operation. In the event of a power tool accident, Makers Local 256 will not be held accountable for your safety. You understand that Makers Local 256 is not responsible in any way for any personal property that you bring to or leave at the shop. | |||
| By signing below you agreeing that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and Board Members for any damages, injury or injuries arising out of your or your guests use of any tools, power or otherwise, while on the property and premises. | |||
| By signing below, you further agree that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and Board Members for any damages, injury or injuries arising out of the use of any item you or your guests have created, manufactured or designed on and off the property and premises of Makers Local 256. | |||
| By signing below, you further agree that you shall indemnify and hold harmless Makers Local 256, its Members and its Officers and its Board Members for any losses, costs, court costs and reasonable attorneys' fees, damages, complaints, claims or lawsuits arising out of any injury or injuries incurred or caused by any tool, power or otherwise, or the use of any item you or your guests have created, manufactured or designed on and off the property and premises of Makers Local 256. | |||
| You understand that you and you alone are responsible for the safety of any guest you bring to the make shop. | |||
| Signature | |||
| Date | |||
| Board Sponsor #1 | |||
| Board Sponsor #2 | |||
