Name *

Email *

Membership Category *

Phone number *

Projected Rotation Date (MM/YY) *

Do you live on or off base?

Please check all that apply: *

Would you like to help any of the following committees? *

Which activity/activities or interests do you have? *

Release (Give NOSC permission to use any image of myself for purpose of publication in NOSC publicity, email tree and posted onto the NOSC web page and Facebook or used solely for the purposes of NOSC activities.) *

WAIVER OF LIABILITY (NOSC does not discriminate with regard to race, color, marital status, age, creed, national origin, lawful political affiliation, labor organization membership, physical handicap or sex. In addition, the US Federal government or any of its instrumentalities cannot be held liable as a result of any of this organization’s activities. As this is a private organization, NOSC does not have private insurance coverage for public liability, property damage claims or other legal actions that may arise as a result of its activities. Members release NOSC, its advisers, officers, board members, and club/organization from any and all claims,demands, actions, or causes of action. Members of NOSC assume all personal liability for any and all civil action taken against them. All members acknowledge that by accepting membership and the by-laws, they are aware of this waiver of liability.) *

Signature (Please type name) *

Date *

Questions: noscmembership@gmail.com