Click on link and answer
Pap@ and Tastycake were talking and she suggested that we can go to the shelter for abused females at Broad and Fairmont and "Give a pair" as part of Speed Demonz community service throughout our area of Philadelphia.
"Give a pair" is basically taking something out of our own closet or even from a store and giving someone who needs a pair something to rock on his or her own two feet.
Please contribute to the poll!
Thank you Pap@
Wednesday, May 23, 2012
Friday, May 18, 2012
Thursday, May 17, 2012
Sunday, May 13, 2012
Prospect Form 2012
Full Legal Name:
____________________________ Attribute name: _______________________
Date of Birth:
___________ Age: ____ Gender: ___ Marital status: ____________ Family/kids:
____
New Member: ____ Returning Member: ____ Transferring (previous club):______________________
New Member: ____ Returning Member: ____ Transferring (previous club):______________________
Why choose “Speed Demonz
Truck&Auto”? _____________________________________________
Valid DL: ____ Vehicle year/make/model:
________________________________________________
Job: _____ FT/PT: _____
Continuing Education: _____ FT/PT: ______ Curriculum: _______________
Hobbies:
_________________________________ Special skills:
______________________________
Goals in life:
_______________________________________________________________________
ANY Restrictions: ___________________________________________________________________
ANY Medical problems:
______________________________________________________________
Doctor’s Name:
____________________________________________________________________
Doctor’s Address: __________________________________________________________________
Doctor’s Office Phone: _______________________________
Medical Insurer/Health Plan: __________________________ Policy #: ______________________
*************This information will only be used in case of an emergency. Speed Demonz Truck&Auto is liable for protecting their extended family members and ensure that emergency will be rendered if deemed necessary.
Doctor’s Address: __________________________________________________________________
Doctor’s Office Phone: _______________________________
Medical Insurer/Health Plan: __________________________ Policy #: ______________________
*************This information will only be used in case of an emergency. Speed Demonz Truck&Auto is liable for protecting their extended family members and ensure that emergency will be rendered if deemed necessary.
Emergency Contact:
Name: ________________________________ Relationship: __________________________
Address: __________________________________________________________
Home phone: Cell phone:
Name: ________________________________ Relationship: __________________________
Address: __________________________________________________________
Home phone: Cell phone:
Availability:
_____________________________ Any Religious beliefs: __________________________
Meaning of attribute:
__________________________________________
IF Applicable: How did
you hear about Speed Demonz Truck&Auto? _____________________________
IF Applicable: Did a
member of Speed Demonz Truck&Auto recruit you, if so WHO? _________________
How can Speed Demonz Truck&Auto
benefit from you? _______________________________________
What will you gain for
being a full colored Speed Demonz Truck&Auto member? ____________________
Prospect Signature
________________________ Prospect
Coordinator Signature ________________
Prospect Print
___________________________ Prospect Coordinator Print ______________________
Date:
_________________________ Date: _____________________________
AUTHORIZATION AND CONSENT OF PARENT(S) OR LEGAL
GUARDIAN(S)
1. I hereby declare that
the information listed above is TRUE.
(Prospect Initials) ______
2. I hereby grant my
full permission and consent to contact my doctor listed above for any non-
threatening and/or life threatening emergency situations when in the PHYSICAL PRESENCE of my extended family
SPEED DEMONZ Truck&Auto. (Prospect Initials) _______
3. I hereby grant SPEED DEMONZ Truck&Auto temporary
guardian AND my full authorization to make all decisions related to EMERGENCIES priority when in the PHYSICAL PRESENCE of my extended family
SPEED DEMONZ Truck&Auto. (Prospect Initials) ________
4. SPEED DEMONZ Truck&Auto will remain my temporary guardian until
my emergency contact have been reached and notified. After notification and my
emergency contact or guardian is in correspondence with the hospital/Doctors SPEED DEMONZ Truck&Auto shall no
longer have my full authorization and be relinquished from being my temporary
guardian IMMEDIATELY. (Prospect Initials) ________
5. Prospects are
obligated to attend a minimum of 3
events weekly. (Prospect Initials) _______
*6. Prospects are mandatory to pay a nonrefundable registration fee upon the completion of this PROSPECT
FORM to validate the seriousness of being a full colored SPEED DEMONZ Truck&Auto.
(Prospect Initials) _______ ($30)
7. Its mandatory for
prospects to purchase their vest after Prospecting. Prospects must contact the
Prospect Coordinator to get the SPEED DEMONZ Truck&Auto vest with the back
covered until further notice. (Prospect Initials) ______ ********Patches can be purchased but the back of the
vest should not be touched. ($175)
8. Prospects are not to
consume any alcoholic beverages while in
the presence of your extended family SPEED DEMONZ Truck&Auto unless authorized
by a full colored member such as your Sergeant of Arms, President or Vice
President (no other exceptions). (Prospect Initials) ________
9. If prospects are
giving the authorization by a full colored member such as your Sergeant of
Arms, President or Vice President to consume any alcoholic beverages then a
minimum of *****2***** drinks should be granted. ***************SPEED
DEMONZ Truck&Auto assume the responsibilities of all members of its family
especially prospects and drinking need to be under controlled and/or supervised
until you’ve reached being a full colored member. (Prospect Initials)
_______
10. Any violations of #8
AND #9 will result in disciplinary actions and a possibility of not being a
full colored member of SPEED DEMONZ Truck&Auto. (Prospect Initials)
________
11. The individual time
you stay as a prospect depends on your time, commitment, dedication,
communication, and availability in the community and ongoing events that must
be guaranteed and accepted by your Sergeant of Arms, President, or Vice
President. (Prospect Initials) ________
CERTIFICATE
OF ACKNOWLEDGMENT OF NOTARY PUBLIC
STATE
OF __________________COUNTY OF ________________This document was acknowledged
before me on ______________________ [date] by
________________________________________________ [name of principal].
|
[Notary
Seal, if any]:
|
_______________________________
(Signature of Notarial Officer) Notary Public for the State of ______________ My commission expires: __________________ |
Subscribe to:
Posts (Atom)