MEMBERSHIP APPLICATION

SIERRA SINGLEAIRES

Sierra Singleaires are Sierra Club members who are over 40, single and who are interested in furthering conservation activities as well as participating in hikes, cycling, backpacking, car camping, snow activities and other events. Complete this form to subscribe to Activity Schedule.

NAME: ___________________________________________________________________

ADDRESS: ___________________________________________________________________

Street

___________________________________________________________________

City State Zip Code

PHONE: home_____________________________; work _____________________________

E-MAIL Address: PRINT ALL CAPS (for clarity. We will enter lower case.)

_____________________________________________________________________________

CAN YOU VOLUNTEER TO HELP WITH SINGLEAIRES ACTIVITIES?

Hikes: ________Lead ** Potlucks: _________ Host or Hostess

________ Co-lead _________ Co-host/hostess

** Hike leading requires current American Red Cross Standard First Aid Certificate. Watch schedule for FREE offerings of this course OR contact Treasurer for reimbursement of class fees.

Do you have First Aid Certification?_______Expiration Date_____________________________

Service on Committee(s) – See Schedule Page 2._____________________________________

Since the Singleaires is an activity section of the Sierra Club, please enclose Proof of Current Sierra Club Membership (label from Loma Prietan Newspaper, SIERRA Magazine or photocopy of membership card). For information on joining the Sierra Club, call the Loma Prieta Chapter 650-390-8494.

Send check for $12, payable to Sierra Singleaires, along with this form, to:

 Sierra Singleaires

4108 Thain Way

Palo Alto**, CA 94306

PLEASE DON’T’ STAPLE

YOUR CHECK

HAVE YOU ENCLOSED: Proof of current Sierra Club membership? _______

$12 payable to Sierra Singleaires? _______

This Membership Form? _______