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St. Louis Modern Quilt Guild Membership Application
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Name: Ann Donze
Street Address: 1360 Grant Road,
City, State, and Zip Code: Webster Groves, MO 63119
Month/day of birthdate: January 18
Parent/Guardian Name (Required for Junior Members. By filling out this form, you consent to the junior member's participation in the guild.)
I have the following skills/connections that would be applicable to the STLMQG: Piecing, quilting, quilt design
Would you be willing to teach a workshop?
If you would be willing to teach a workshop, describe the topic(s).
Anything else you'd like us to know?
Personal Information Protection Policy: I consent to have my name, mailing address, email address, and phone number listed on the STLMQG Membership Roster, which is provided to dues-paying members only.
Photography Policy: I consent to the use of photos of myself and/or my work in Guild publicity with the understanding that proper credit will be given. Should I wish to revoke this consent at any time, I need to contact the Guild President in writing.
Release Policy: Members shall assume all risk of loss, damage, liability, injury, cost, or expense that may arise or be caused in any way at any facility where Guild functions are held.
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