P. O. Box 770911

Lakewood, Ohio 44107

Note:  Please fill out and sign the application and the accompanied responsibility form and mail to the above address.  We ask that you be interviewed and attend at least one event before becoming a member.  We want to make sure that this is what you really want before sending a check in for $35.00. COUPLES $60.00

  (  )  I would like to talk to a NEON  representative first.     (  )  I will pay in full at my first meeting.                                                                                 

Please print all information legibly.       Date-___________________________________

Name_______________________________Address_________________________________Zip Code __________

City_________________________________State___________________________________

Phone-Home_______________________________

Hours to best reach me - Home________________Birth Date_____________________________________

E-mail Address (Home only, please)_________________________________________________________

PRINT THIS FORM AND MAIL

TO THE LAKEWOOD ADDRESS.

Northeast Ohio Naturists

Do you belong to other nudist groups?______________ If so, which one(s)________________________

NEON is a non-profit, social, and recreational men's group. To help ensure maximum participation by officers, chairman, event hosts, and others who toil for the benefit of all, please read and sign the following statement:

I certify that I am eighteen years of age or older and otherwise legally competent and I acknowledge that I participate in the Northeast Ohio Naturist's activities at my own risk. I, therefore, fully and forever release Northeast Ohio Naturist's officers, directors, members, and hosts at all events, absolving leaders and agents in their individual and corporate capacities from any and all liabilities, claims, demands, rights of action or causes, of action, arising out of, incidental to or proximately caused by the negligence of any of the above, breach of contract or otherwise, in the organizing, planning or managing, of an outing or event or any of the activities included therein, the screening of participants for their ability to take part in organization events or outings, the providing of or failing to provide safety precautions, instructions, equipment, devices or otherwise, or the transporting whether by airplane, car or otherwise, to or from or with the outing site or sites.

We require that everyone who wishes to become a member agree to the above statement and sign below.

Signature:______________________________   Date:__________________________

DO YOU WISH TO RECEIVE THE NEON MONTHLY NEWSLETTER?   YES        NO

Do you have any hobbies or interests that you would care to share? ___________________________

_________________________________________________________________________________________