Couple

Coupleadmin2021-04-02T07:48:04-04:00

Price:

Membership year starts Oct 1 of each year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Local Phone: Local Phone is not valid

Cell Phone: Cell Phone is not valid

Other Phone: Other Phone is not valid

About You: About You is not valid

I am a full time Resident of the Florida Keys a 6 month resident 3 months resident less than 3 months

Indemnity Agreement:* Indemnity Agreement is Required

I recognize that the Art Guild of the Purple Isles (AGPI) would not be able to operate successfully and sponsor activities without obtaining a release of liability from its members and participants. In consideration of the right to participate in activities offered by the AGPI or any of its directors, officers, leaders, instructors, or members, I hereby agree to RELEASE, IDEMNIFY, AND HOLD HARMLESS the AGPI, its directors, officers, leaders, instructors and members from any loss or damage suffered by me or any family member I bring to an AGPI activity. In consideration of my possible appearance in AGPI publications, videos, website, photos, facebook or other promotional materials, and without compensation, I give my permission to AGPI and to others authorized by AGPI, to use my image in all manner and media for use of AGPI publicity and promotion. I agree that my appearance in such media may be deleted, modified and/or edited at AGPI’s sole discretion. If I do not wish to have my image used to be for any event, I will advise the Board of AGPI in writing that I do not wish my image to be used. I RELEASE, IDEMNIFY, AN HOLD HARMLESS the AGPI or any of its directors, officers, leaders, instructor or members from all claims which I may have resulting from such appearance as expressed above.

I have read and agree to the Indemnity Agreement.*

Email:* Invalid Email

Password:* Invalid Password

Password Confirmation:* Password Confirmation Doesn't Match

Payment Information

Once submitted a link from the AGPI Treasurer for online payment will be emailed to you.
Note: Please check your spam folder.

No val Please fix the errors above