Affiliate Application Club Dues are $25.00 annually, due in April. Please fill out this form and mail it with a check or money order for $25.00 to: Kansas City Cave Bears P.O. Box 45161 Kansas City, MO 64171 Name: Address: City: State: Zip code: Birth date: Phone Number: Best time to call: Email Address (if any): Web Page Address (if any): Would you like to have your information in the club directory? YES or NO The Club directory is provided exclusively to other KCCB members for contact information only. I hereby certify that I am at least 21 years of age and hereby agree to the KCCB rules. Signature: Date: The KCCB web page maintains a member gallery. Although it is not required to have your picture there, you are asked to participate. If you wish, you may supply a graphical image of your personality. Pictures may be in BMP, GIF, or JPG formats and must not be nude. The Kansas City Cave Bears was formed primarily as a social group in western Missouri and eastern Kansas. KCCB activities include providing more diverse activities for the Bear community than are currently available. The Cave Bear newsletter is mailed out every two months. The KCCB mailing list and affiliate information are confidential and used solely for in-house correspondence. The Coordinating committee will contact you soon with specifics about any upcoming Cave Bear events. We welcome you and look forward to seeing you at future gatherings. Officers Signature: __________________ Amount Paid: _________ Date Received: _______________ Date Membership Card sent: __________ New Members Only: (Prorated Dues if joining after April) June – March ($20.00) August – March ($15.00) Oct. – March ($10.00) Jan. – March ($5.00) Please help us plan events that interest you by completing this survey. Your responses will be gathered and used when planning upcoming events. Please indicate your choices as: 1 – Like 2 – Dislike 3 – No Opinion H – Will Help Group Activity Movies Watching Billiards Comedy Pro Soccer (Wizzards) Bowling Drama Pro Football (Chiefs) Cycling Action Pro Baseball (Royals) Dancing (Disco) Gay College Sports Dancing (Country) Politics Auto Racing (Nascar) Horses Sci Fi Boxing/Wrestling Football Other Other Golf Gym/Fitness Music/Concerts Weekend Trips Racquetball Country Camping Roller Skating Big Bands Boating Softball Blues/Jazz Eureka Springs Swimming Classical Omaha Table Tennis Gospel/Spiritual Oklahoma City Tennis Hard Rock St Louis (HiBearNation) Volleyball Musicals Chicago (Bear Pride) Water Skiing Oldies/Pop Wichita Snow Skiing Dance Dallas Ice Skating Other Denver Canoeing Prefer Motels Casinos Exhibits/Tours Prefer Hosted Housing Walking (City) Renaissance Festival Share a Double Room Hiking Art/Photography Share a Quad Room Boating Auto Shows Pioneer Run Caving Boat/Outdoors Other Board Games Electronics Card Games Historical Sites Dining Gay Rodeo Flowers/Gardening Dining Out Other Road Tours Potluck Dinners Other Other Other Suggestions: Thanks for your time and effort in completing this survey!!
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