BOEING RECREATION ACTIVITY CENTERS

 ASSOCIATE MEMBERSHIP/RELEASE & INDEMNITY FORM

Club/ Name:                                                                                             .

Name of Associate Member:                                                                                .

Address:                                                                                                               .

City:                                                             . State               .Zip Code                 .

Phone:                                                           .

Qualification:

             .Former Boeing Employee ( Please attach Proof of Termination)

              .Boeing Employee Sponsored Membership (Per Pro 99 membership Guideline).

Relationship to Sponsor: (Please Check one)____Parent, ____Brother, ____Sister

____Child/Stepchild ( beyond IRS Designation)

Name of Sponsor                                                                                                      .

BEMS ID:                                                      .

Phone: Work:                                                 .Home:                                               .

By signing this form, you and your sponsor agree that:

v Eligibility extends only during the time that the Sponsoring Boeing Employee is employed at Boeing. 

v I understand that my participation in this activity is purely voluntary and I agree to hold Boeing harmless for any and all liability for any injuries including death which I might sustain while participating in this activity. This release will not affect any benefits to which I am entitled under the Boeing benefits plan.

                                                                                                 .                      .

Boeing Sponsor Signature                                                                   Date

                                                                                                  .                      .

Associate Member Signature                                                               Date

Recreation Badge Identification number:                                   .

Recreation Office Enters Information

Please make a copy for club file and send original to Recreation, 4H-58

fil-nw02-04\Processes\Club_info\Associate_Membership_Form.doc,   page 1 of 2,  10/03/03

Boeing Recreation Club

Associate Membership Category

Overview

Clubs may now have up to 10% of their total number of members be associate members, as defined herein.

To be eligible as an associate member, an individual must be:

1) a former employee as defined below.

• Former employee defined as individuals (other than retirees) who voluntarily terminated their employment or individuals who were previously employed by the company and terminated due to a reduction in force. Additionally, former employees must have been employed by the company and been active members of the club for which they are seeking associate membership for a minimum of 3 consecutive years immediately prior to their application for associate membership. Former employees must provide evidence of their termination status such as a copy of their resignation letter or a copy of their reduction in force notice, prior to approval of their associate membership.

2) an immediate family member (as defined below) of an employee or retiree who is a member   of the same club.

• Immediate family member is defined to include parents, brothers, sisters, or children/stepchildren (beyond dependent status) of employees or retirees

Spouses, domestic partners and dependent children of immediate family members are eligible as well.

Conditions of Membership

• Associate members cannot sponsor an immediate family member for associate membership.
• Advance payment of annual dues is required for each associate membership.
• An Associate member may not hold office.
• Associate members shall agree in writing prior to approval of membership to comply with all rules, bylaws, and standards established for the safety and wellbeing of the members of the recreation clubs.
• Associate members who violate safety or conduct rules established by the Recreation Department may have their membership revoked by a majority vote at any business meeting of the club. Refund dues immediately to the terminated member on a prorated basis. No terminated member shall be eligible for reinstatement of his or her membership.

                                                                                                 .                      .

Boeing Sponsor Signature                                                                   Date

                                                                                                  .                      .

Associate Member Signature                                                               Date

Recreation Office Approval Date:                                   .

fil-nw02-04\Processes\Club_info\Associate_Membership_Form.doc,            page 2 of 2                   rev. 10/03/03