Please highlight, copy and paste the following into your word processing program. Coweta County Foster Parents Association, Inc.   Membership and Liability Release - 2007 All members and volunteers must have a signed membership and release of liability form on file with the association before attending any functions or activities sponsored by the Coweta County Foster Parents Association, Inc. Name _____________________________DOB_______________ Email________________________________________________ Telephone__________________Cell#______________________ How long have you been a foster parent?______________________ Do you work?  Yes/No If so, what do you do?___________________ Do you have any special interests or hobbies? ________________________________________________________________________________ ________________________________________________________________________________ Do you do volunteer work with any other organizations? If so, what do you do and with whom? ________________________________________________________________________________ Would you be interested in serving on a committee? Yes/No Would you assist in functions without having to serve on a committee?  Yes/No Spouse__________________________DOB_______________ Email_______________________________________________ Telephone__________________Cell#_____________________ How long have you been a foster parent?______________________ Do you work?  Yes/No If so, what do you do?___________________ Do you have any special interests or hobbies? ________________________________________________________________________________ ________________________________________________________________________________ Do you do volunteer work with any other organizations? If so, what do you do and with whom? ________________________________________________________________________________ ________________________________________________________________________________ Would you be interested in serving on a committee? Yes/No Would you assist in functions without having to serve on a committee?  Yes/No Address______________________________________________ City_________________________State_______Zip_____ Children’s names and birthdays: ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ ___________________________ I, the undersigned, understand that my participation in the Coweta Foster Parents Association, Inc. is completely voluntary and I hereby give permission for myself and my children to participate in activities and functions sponsored by the FPA. I also agree to hold harmless the Coweta County Foster Parents Association, Inc., the corporation, any board member or volunteer of the FPA, representatives, and/or providers of any program location or activity and/or materials from any liability and/or responsibility for any accident, illness or injury that occurs during or as a result of any function or program. I accept and agree that the final responsibility for my safety and that of my children rests with me. Membership fee is $15 per person. You will get a $5 rebate if you choose to buy a Callaway Garden family membership (your dues are tax deductible) Membership year runs Jan.1-Dec.31. Please make checks payable to Coweta FPA   % Alma Duke PO Box 321 Senoia GA 30276 Signature_______________________________Date__________ Signature of spouse_________________________________Date__________ Dues_______________________    Check#_______