Membership Application

CATHOLIC SINGLE ADULTS CLUB

OF THE TWIN CITIES

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This is an application for   o New membership   o Renewal   o Returning member   o Update of information

Membership Information:

     The Catholic Single Adults Club of the Twin Cities (CSACTC), formerly the Twin Cities Catholic Alumni Club,  is affiliated with Catholic Alumni Clubs International (CACI).  Membership is open to single Catholics who are 21 years of age or older and are free to marry in the Catholic Church, and who have at least two years of post-secondary education.  Individuals with the equivalent of two years post-secondary education may also be admitted in limited numbers, with all membership privileges.

Personal Information:

     Name____________________________________________________________________________________

                    First                                                    MI          Last

     Street____________________________________________________________________________________

     City & State ______________________________________________________________________________

     Home Phone (____)___________________________E-Mail Address _________________________________

     Parish: __________________________________________________  Sex:   o M  or   o F

     How did you hear about CSACTC? ____________________________________________________________

     Are you free to marry in the Catholic Church? ___

     If divorced, have you had an annulment? ___  Date of the annulment:  _________________________________

     In what Diocese did you receive your annulment? _________________________________________________

School/Professional Information:

     College/University/Technical School:

     Degree: _________  Year: _________  Occupation: _______________________________________________

     If less than an associate degree, list schooling and work experience:

     _________________________________________________________________________________________

I am interested in helping with:

     o Community Service  o Spiritual Life      o Social Events    o Newsletter   o Publicity         o  Dances         

     o Educational Events    o Cultural Events  o Special Events  o Hospitality  o Membership   o Sports  

I understand that my address, birthday (MM/DD) and other information will be printed in the club directory and newsletter unless I indicate below:

     o Do not list any information   o No phone   o No Address   o No Birthday   o No Email Address 

     I, the undersigned, shall follow all rules and regulations of the Catholic Single Adults Club of the Twin Cities (CSACTC) , as stated in the CSACTC Constitution and Bylaws..  Upon failure to comply with these rules, CSACTC reserves the right to terminate membership at any time.  I understand that the membership dues are not refundable.  I will comply with this entire application in order for it to be valid.  I have provided the most current and correct information and I have not falsified any of the provided information.  I understand that certain activities sponsored by CSACTC may be hazardous.  I hereby for myself, my heirs, executors, and administrators, waive and release any and all rights and claims that I might have, or that may arise against CSACTC, its agents or representatives, for any and all injuries or losses sustained by me while participating in events sponsored by the club.

     I am a single Catholic, 21 years of age or older, who is free to marry in the Catholic Church, because I have either never been married or I am a widow or widower or, if divorced, I have been granted an annulment by the Church.

Signature:_______________________________________________________  Date:_______________________

Dues are $30 per year.  Please make your check payable to Twin Cities Catholic Alumni Club and mail, along with this completed application form,  to:

                  Twin Cities Catholic Alumni Club

                  P.O. Box 581321

                  Minneapolis, MN  55458-1321