For Family members 18 years of age and above

This coupon is to be filled out and signed by all Home members age 16 and up, on October 12, and mailed to your CRO office with your next TRF after that date.

The following people from Home #______ have signed the Charter Membership Contract on _________________ (date), with two of the Home's teamwork members as witnesses.

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

6.___________________________________________________________

7.___________________________________________________________

8.___________________________________________________________

9.___________________________________________________________

10.___________________________________________________________

11.___________________________________________________________

12.___________________________________________________________

13.___________________________________________________________

The following people from Home #_______ did not sign the Charter Membership Contract on _________________ (date).

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

6.___________________________________________________________

7.___________________________________________________________

8.___________________________________________________________

9.___________________________________________________________

10.___________________________________________________________

Of those who decided not to sign the contract, the following have chosen to move to FM status:

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

Of those who decided not to sign the contract, the following have chosen to leave the Family:

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

Provisional Charter Membership Contract Receipt

For Senior Teens

The following senior teens from Home #______ have signed the Provisional Charter Membership contract on ________________ (date), with two of the Home's teamwork members as witnesses.

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

6.___________________________________________________________

7.___________________________________________________________

8.___________________________________________________________

9.___________________________________________________________

10.___________________________________________________________

11.___________________________________________________________

12.___________________________________________________________

13.___________________________________________________________

14.___________________________________________________________

15.___________________________________________________________

The following senior teens from Home #______ did not sign the Provisional Charter Membership contract on _________________ (date).

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

6.___________________________________________________________

7.___________________________________________________________

8.___________________________________________________________

9.___________________________________________________________

10.___________________________________________________________

Of those who decided not to sign the contract, the following have chosen to move to FM status:

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

Of those who decided not to sign the contract, the following have chosen to leave the Family:

NameSignatureAge

1.___________________________________________________________

2.___________________________________________________________

3.___________________________________________________________

4.___________________________________________________________

5.___________________________________________________________

Copyright (c) 1998 by The Family