Coon Lake Community and Senior Center
Membership Form 2010
Name________________________________________ Membership No.___________
Partner/Spouse_________________________________ Membership No.__________
Phones____________________________ Email Address________________________
Address_________________________________________________________________
Coon Lake Address if different from above____________________________________
The Coon Lake Community & Senior Center is a body of people that are concerned with the quality of life at Coon Lake. We provide support for local concerns, maintain and organize the Dock Space Program, as well as maintain the Clubhouse. Memberships are available at three different levels.
1. Individual - Volunteering a minimum of 10 hours annually
2. Couples/Partners - Volunteering a minimum of 20 hours annually
3. Non-Volunteering
We need volunteers for a great many events and happenings including Pancake Breakfasts, Pig Roast, organized Clean-Ups, lawn mowing, etc. Volunteering is a wonderful way to meet your neighbors and make Coon Lake Beach a better place so we strongly encourage you to volunteer! Those who have not done their volunteer work in the past are not eligible for volunteer level membership.
Again: Seniors 65 and older and disabled persons (at President’s discretion) may receive a waiver for the volunteer hours. If you would like a waiver, please check here. _____ (Proof of status may be required)
Membership Level
__________ Individual Volunteering $ 50.00
__________ Couples/Partners Volunteering $ 100.00
__________ Non-Volunteering $ 200.00
If you want to donate to the Invasive Weed Control Fund, fill in amount $______ and add to your membership check. This will be forwarded to CLID.
I you want to donate to the Coon Lake Walleye Fund, fill in amount $_______ and add it to your
Membership check. This will be forwarded to CLIA.
Additional monetary donations are welcome and needed throughout the year!
If you have checked volunteer and have not volunteered, you will be required to pay the remainder of the fee for the previous year before you can renew your membership. Kathy Paavola or Jeff Hannon must be notified if you have volunteered for the center as a record is kept of these hours.
Signature _________________________
Signature__________________________
Kathy J. Paavola, President 651-982-4628 Jeff Hannon 651-982-1584
Please call us to volunteer.
Note: If you do not work your hours, membership reverts to Non-Volunteering.
Return to: CLC&SC, 182 Forest Road, Wyoming, MN 55092
