MEMBERSHIP APPLICATION 2012

Membership Fee $ 25.00 Per  Person (January thru December) TAX DEDUCTIBLE

Make checks payable to:  PCBSSF   (Panama City Senior Services Foundation, Inc.)

PCB. Senior Center Members Must wear Membership Cards when  attending activities or meetings in either building

Date_________ First Name: _______________________ Last Name: _________________________________

Local Florida Address:_______________________________________________________________________

City:   ___________________________        State: florida          Zip: _______________________________

Local Telephone: ________________________      Cell Phone: ______________________________________

E-Mail Address:____________________________________________________________________________

                           (please use upper or lower case correctly or emails will not be delivered)

Is this your Year-round address? _____If Not, please list months (by name) you are in PC Bch._____________

Out of State Address:________________________________________________________________________

Out of State Home Telephone: _______________________

Emergency Contact:  Name: ________________________ Telephone: ________________________________

Birthday: _______________________                     Spouse's Name:___________________________________

The Senior Center depends on volunteer members to help with many of our activities and fund raisers.  We are a non-profit, tax exempt corporation and must keep our operating costs quite low in order to provide the wonderful variety of activities and events that we all enjoy.

lease turn this page over to sign up for volunteer opportunities. Let us know if there are some you would like that are not listed.   

Volunteer Opportunities . . . Place a mark next to the description for as many volunteer activities you are willing to support.

____ Fund Raising:  soliciting businesses/individuals to donate money or to give items for some of the following fund raisers:

____ Dances: 5 held during a year's time - New Year's Eve, mid Jan no name, Valentine, St. Patrick's Day, Halloween Party .. * note: Our Dances are parties with music - you are welcome to buy a ticket to listen to the music-enjoying other's company.  ** If you are a volunteer for that dance & sit at the volunteer table when not busy.. you will NOT need to pay for a ticket.

            Need people for: Set up/take down/clean up, kitchen help, ie: the afternoon of the dance  -  cutting cakes into individual serving sizes, placing food onto serving trays, placement of drink and food tables setting (glasses, large container & scoop for ice, napkins/utensils for serving/eating, plates  before/after/during - keeping area clean, bringing fresh food/ice to serving tables, as needed -decorating, sell raffle & other tickets.  (when responsibilities of the Lyndell Bldg. employees have other duties during the times needed to have tables/chairs set up prior to or after a dance, we need able bodies to set up or take down those tables/chairs - for this, & other events,  you can pop in/out at the times needed. )

______ Fall Fling/Holiday Bazaar:  (late Oct or early Nov) Set up/take down, work Tom Bolo table, raffles & 50/50

____ Office/clerical help:  Make phone calls to get the volunteers needed for dances, triathlons & other events , (can be done from your home or at center),  answer phones when employee is away from desk or aid in signing new members & giving tour of our buildings to those interested. Other items as needed.

______ Community Service: Christmas Tree Lighting for City of PCB, Fourth of July, occasional EXPO, man tables for part or whole event, giving information to public about us.

____ Triathlon:  2 held per yr. Wed/Thurs/Fri prior to Mother's day.  Iron Man in November 4 days.    Sign up for time slots to aid the athletes to purchase tickets for special events, register participants, hand out free packets.  (we receive a donation for the Center when enough volunteers from the Center help)

____ Pot Luck (Third Wed of Sept - April):  Help Kathleen Cook set up serving area, sell 50/50 tickets, clean up - wipe tables/trash to bins/wash/put away/lite sweep of floor, re set  tables/chairs to standard setting(Remember to bring a favorite dish to share at the lunch.. can be bought or homemade & encourage others to do the same)