APPLICATION FOR MEMBERSHIP

KREWE OF YBOR

The mission of the Krewe of Ybor is to recognize, perpetuate, celebrate, and enhance the cultural diversity of the Ybor

City National Landmark Historic District.

Please print:

Last: First: MI: D/O/B

List family members and D/O/B:

Address:

Employer:

Position:

Telephone (H): (W):

Fax: (Cell)

E-Mail:

Professional experience and community involvement:

Why are you interested in becoming a member of the Krewe of Ybor?

How would you like to be involved with the Krewe of Ybor?

… Family / Youth Group … Fund raising … Float Committee … Mailings … Other

Name of sponsoring member:

Signature of sponsoring member:

*Application will not be accepted without signature of sponsoring member

Type of Membership*:

Individual / Single Parent - $350 … Family - $500 … Corporate - $500 (plus $100 per participating employee)

*Membership Fees are due upon approval of application and are renewable the First of May, annually. (Membership Fees do not include the cost of costumes. Krewe costumes are mandatory to participate in any parade.)

I hereby submit this voluntary application for membership with the Krewe of Ybor and agree to abide by all Krewe By-laws and Code of Ethics, which will be provided to me upon acceptance of application. I also understand that all applications are reviewed and approved within 30 days of receipt of application. Upon acceptance of membership, I agree to submit annual membership fees as required within,

10 days of Acceptance Letter from the Krewe.

Signature of applicant Date of application

*Please enclose check or money order for a non-refundable application fee of $50.00 to:

Krewe of Ybor, Inc.

P.O. Box 5926

Tampa, Florida 33675-5926

Visit us at: www.KreweOfYbor.com

APPLICATION/WAIVER FOR MEMBERS

KREWE OF YBOR

I, (Print Name) ______hereby waive my rights to hold Krewe of Ybor, Inc., its managers, employees, Board of Directors, and representatives liable for any damages or injuries suffered by any person, including the consumption of any food and the participation in any activities, whether such damages are caused by physical injury, loss of property, acts of a third party or any other cause of whatever description no matter what the source may be, and I agree to indemnify Krewe of Ybor, Inc., its managers, employees, Board of Directors, and representatives from all of such claims, including attorney fees and costs.

PUBLICITY RELEASE:

I, (print name)______, give the Krewe of Ybor, permission to photograph myself, record voices, reproduce voices and pictures during the Event, and use names, voices and pictures in advertising, publicity and promotional activities in all media now existing or hereafter created.

I agree that I will not be paid, compensated or credited for any such use of their names, voices or pictures for advertising, publicity or promotional activities.

I agree to respect myself, be respectful of others, and take responsibility for all of my actions.

Print Name:______

Signature: ______

Date: ______

Krewe of Ybor,Inc.

P.O. Box 5024

Tampa, Florida 33675-5024

Visit us at: www.KreweOfYbor.com