SEATTLE SLEEPLESS SINGLES Membership Form
There are two ways to sign up. Complete the following form, print, and send along with your annual membership fee of $42 to Seattle Sleepless Singles, P.O. Box 3313, Kirkland, WA 98083-3313       Privacy Statement

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In consideration of accepting my membership in the Seattles Sleepless organization, I, the undersigned, intending to be legally bound hereby, for myself, my heirs and administrators, waive and release any and all claims for damages I may have against the Seattle Sleepless organization, its officers or representatives, successors and assigns for any and all injuries suffered by me as a result of my membership in Seattle Sleepless Singles and attendance at or participation in, and of its events or activities.
Enclosed is $42 for ANNUAL MEMBERSHIP made payable to "Seattle Sleepless Singles".

Signed_______________________________________________________   Date____________