In consideration of membership in the Queen City Sampler Guild, I hereby voluntarily assume all risks of accident or damage to my person or property and hereby release and discharge the Queen City Sampler Guild from every claim, liability, or demand of any kind sustained relating to activities of the Guild.
Telephone number (include area code): Home___________________________________________
(Please circle the telephone number you
prefer the Guild to use)
Work ______________________________ Cell__________________________________________
Email address____________________________________________________________________
(Provide the email address that you prefer to use for Guild’s business)
Put me on these stitch-in email lists: Daytime__________________Nighttime___________________
Interest Survey (How can you help your Guild?)
Chair a stitch-in group
Work on a fund raiser/holiday party
Help assemble/mail a newsletter
Work a shift at an exhibit/show
Write an article or book review for the newsletter
Lead a workshop or provide a program.
Topic: (Optional)____________________________________
Serve as an officer or chairperson of a committee Position/Committee _________________________________