Illinois Paranormal Society Membership Application

__________________Please initial stating the preceding information is correct to the best of my ability.
ILLINOIS PARANORMAL SOCIETY

MEMBERSHIP APPLICATION FORM
YOU MUST FILL OUT THIS ENTIRE APPLICATION
TO BE CONSIDERED FOR MEMBERSHIP
APPLICANT INFORMATION
Last Name:
Fist Name:
Current address:
City: State: ZIP Code:
Date of birth:
CONTACT INFORMATION
�Home Phone: � E-mail:
� Cell Phone: � E-mail:
� Fax: � Other:
Please indicate by checkmark how you would most like to be contacted by IPS.
EMERGENCY CONTACT
Name of a relative not residing with you:
Address: Phone:
City: State: ZIP Code:
Relationship:
INFORMATION IF JOINT MEMBERSHIP
Name:
Date of birth:
E-mail:
FAMILY MEMBERSHIP INFORMATION
Name:
Date of birth:
Name:
Date of birth:
Name:
Date of birth:
INFORMATION
Equipment you intend to use for research in IPS (cameras, video equip. EMF Meters, etc, list brand
and types if possible)
Do you consider yourself to have some psychic ability? Yes No Maybe
If so, please describe what you commonly see or feel:
If you have any abilities or knowledge that you think might benefit the association please list them
below:
What influenced you to become a paranormal investigator and join this association?
If you have any health conditions IPS should be aware of please list them below:
Are you taking prescription medication of any kind that would interfere with ghost hunting, cause
dizziness
or hallucinations?
Yes No (If Yes Please List)
Please list any other ghost hunting clubs and affiliations you are also a part of (i.e. A.G.S., I.G.S. etc):
Questions/Comments:
Membership Agreement
I, ______________________________________________________________ have
requested
to join the ILLINOIS PARANORMAL SOCIETY (herein after referred
to as IPS). I fully
understand and accept all of the following terms and conditions
of membership, and
agree as follows:
1.) RELEASE OF LIABILITY
I will not hold the IPS or the IPS members, guests or private property
owners
liable for any physical or mental injury or accident to myself while I am on
or
participating in any investigation, ghost hunt, meeting, or IPS activity.
(PEASE
INITIAL THIS ITEM)______________________________________
2.) My general health is good and I am not aware of any physical or
mental impairment
that would prevent my participation in IPS activities. I assume full
responsibility for
my own welfare and safety while participating in same. (PEASE INITIAL
THIS
ITEM)_________________________________
3.) I agree to respect confidentiality relative to other IPS members, private
residences, property owners etc., of any locations visited or discussed by
the IPS,
and will not give out information, including locations or details of
investigations to
anyone outside of the IPS without express permission of the IPS President
and
involved individuals. (PEASE INITIAL THIS
ITEM)_____________________________
4.) I will show respect for any site visited during an investigation, or ghost
hunt, including
not littering, and understand that any destruction of property on a site in
an act of
vandalism will be grounds for loss of membership. (PEASE INITIAL THIS
ITEM)___________________________
5.) In the event that I conduct any investigations on my own, I agree to
assume full
responsibility for my actions and will not involve the IPS in any manner.
(PEASE
INITIAL THIS ITEM)___________________________
6.) I understand that seeking the truth is vital to the purpose of the IPS,
and in line
with this, I will not falsify ANY evidence, including photos, videos,
information etc., of
any investigation. (PEASE INITIAL THIS
ITEM)_____________________________
7.) Any contact with any form of the media, i.e., interviews, giving
information, pictures,
etc., is strictly prohibited unless permission is obtained from the IPS Board
of
Directors. I further agree that any questions from the media, police or
others that may
arise on site during an actual investigation will be directed to my Chapter
PR Director or to
the onsite Team Leader. (PEASE INITIAL THIS
ITEM)_______________________
8.) I accept that the onsite Team Leader is to make all decisions
concerning the
investigation. Failure to follow such directions and IPS policies will be
grounds for
termination of membership. (PEASE INITIAL THIS
ITEM)__________________
9.) All investigations must be performed in a courteous and professional
manner. (PEASE
INITIAL THIS ITEM)_________________________________
10.) I accept full responsibility for the actions of any non-members that I
may bring to any
IGT functions. (PEASE INITIAL THIS ITEM)___________________________
11.) I agree to respect the dignity and rights of other IPS members and
officers even
if I am not in agreement with their ideas or opinions, and will conduct
myself at all times
in a mature and adult manner. There will be no toleration of obscene, foul,
or abusive
language in any IPS activity. (PEASE INITIAL THIS
ITEM)____________________
12.) I agree that there is to be no use of alcohol, drugs or illegal
substances, prior to, or at
any investigation or ghost hunt, and that if I am taking any prescription
medication I will
make the team leader aware of this, if it could in any way impact my
effectiveness on the
outing. (PEASE INITIAL THIS ITEM)__________________________
13.) There will be absolutely no tolerance of any firearms or weapons of
any kind on any
investigation or ghost hunt. (PEASE INITIAL THIS
ITEM)______________________
14.) I understand that I may resign at any time by filing a written
resignation with the
corporate Secretary; however, such resignation shall not relieve my
obligation of
membership dues or other charges. I understand in resigning I forfeit
remaining
membership dues. In the event my membership is revoked due to
disciplinary action, I
understand I forfeit all membership dues collected. PEASE INITIAL THIS
ITEM)_________________
15.) I understand that any intellectual property (photos, recordings, etc.) I
collect and
submit for IPS use remains my property, with all rights attendant to my
personal
property (copyright). I also understand that by submitting this property to
IPS for
the use of the organization, I give the IPS, the right to use them in
perpetuity.
Further, I understand that this property will not be used by IPS for
purposes of
profit or in any manner damaging to me. IPS will give me full credit for any
property they use. (PEASE INITIAL THIS
ITEM)____________________________
I have fully read and understand all the above conditions of
membership in the IPS,
Inc. and agree to abide by same.
Signature __________________________________ Date:
_________________________
Signature __________________________________ Date:
_________________________
Signature __________________________________ Date:
_________________________
Signature __________________________________ Date:
_________________________
Signature __________________________________ Date:
_________________________

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__________________Please initial stating the preceding information is correct to the best of my ability.

ILLINOIS PARANORMAL SOCIETY

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