the Assistance League® of Tustin!

Tustin Assisteens®,
an auxiliary of the Assistance League® of Tustin
Since 1965, Tustin Assisteens have served our community by allowing teens in
8th through 12th grade the opportunity to work with disadvantaged & disabled
families and children in Tustin.
Assisteens offers students opportunities for: Leadership, Philanthropy
and Self-development. Our member teens run their own organization with adult
mentor support. Parents have many opportunities to participate
with their children.
Assisteens support philanthropies
that work directly with the residents of Tustin:
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AYSO VIP Soccer Buddy Program
Mary’s Shelter
Hillview Special Day Classes
Operation School Bell ®
Laurel House
The Tustin Women’s Club
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Aqua Achievers Buddy Swim Program
The Blind Children’s Learning Center
The Orange County Rescue Mission
Tustin Family & Youth Center
Cranbrook Senior Living
Tustin Public Schools Foundation
Assisteens follow the national mission of Assistance League®:
Caring and Commitment in Action!
Please join us for an information meeting
for the 2015-16 Assisteen year:
Tuesday, May 12th at 7:00 p.m.
at The Assistance League of Tustin
445 El Camino Real, Old Town Tustin
Information Form attached - Questions? Please contact
[email protected]
Assisteen / Parent
2015-16 Membership Information Packet
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Welcome Letter / Opportunities For Adult Membership
Assisteen Information Sheet
Assisteen Membership Paperwork - (1 Set Per ASSISTEEN)
 Member Information
 Code of Conduct
 Liability Waiver and Release
Adult Membership Form (1 per Parent)
Assisteen/Parent Membership Payment Form (1 Per FAMILY)
Membership paperwork must be returned by mail and with payment to:
Assistance League® of Tustin
PO Box 86 Tustin, CA 92781-00086
(Attention: Membership)
Make Check Payable to: Assistance League® of Tustin
MEMBERSHIP DEADLINE FOR
RECEIPT OF PAPERWORK AND PAYMENT
FOR THE 2015-16 YEAR IS
May 31, 2014
Welcome to the Assistance League® of Tustin!
Since 1963, Tustin Assisteens have served their community by allowing teens in 8th through 12th grade
the opportunity to work with disadvantaged & disabled families and children in their own neighborhood.
Assisteens offers students many opportunities for leadership and self-development. Our member teens are able to
run their own organization with adult mentor support. While Assisteens is a teen-run organization, it takes adult
member participation to help things run. We are required to:
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Have a 10:1 child/adult ratio at all Assisteen events.
Have an adult member of ALT at all Assisteen events.
Have at least one adult member of ALT working during every Assisteen Thrift Shop Shift.
In order to continue providing the appropriate level of adult support for the 2014-2015 Assisteen year, we need
as many Assisteen parents as possible to join Assistance League of Tustin (ALT) as adult members.
There are three different membership options for parents, depending upon your interest and time availability:
 Chapter (Meets one morning a month - daytime philanthropies - varying Thrift Shop shifts)
 WCA (Meets one evening a month - evening/weekend philanthropies - varying Thrift Shop shifts)
 AALHOT (One meeting per year - focus is the support of the Assisteen auxiliary)
Adult Membership information is listed below
All three options fulfill the membership requirement necessary for supervision of Assisteen events.
Together, all members of Assistance League, adults and teens, work to improve life for residents
of our community. Thank you for considering adult membership in the Assistance League ® of Tustin!
CHAPTER MEMBERSHIP
Active Chapter Member___________________________________________________________ALT Voting Privileges/May Hold ALT Office
 Philanthropy: (4) Philanthropic Sessions Required Per Year
 Thrift Shop: (1) Full Day (9:30-2:30) or (2) Half Days (9:30-12:00 or 12:00-2:30) Required Per Month
 Meetings: Attend daytime Chapter Meetings and Orientation Meetings (If NEW Member)
Flexible Chapter Member_________________________________________________________ ALT Voting Privileges/May Hold ALT Office
 Philanthropy / Thrift Shop / Meetings: One Half (1/2) of the Active Chapter Member Requirement
Winifred Campbell Auxiliary (WCA) MEMBERSHIP
Active Professional / Student Member:_______________________________________________________ WCA Auxiliary Voting Privileges
Member is: employed 20 or more hours a week AND/OR is a student with minimum of 12 units a semester
 Philanthropy: (4) Philanthropic Sessions Required Per Year
 Thrift Shop: 1 Full Saturday (9:30-3:30) OR 2 Half Saturdays (9:30-12:30 or 12:30-3:30) Required Per Year
 Meetings: Attend evening WCA Meetings and Orientation Meetings (If NEW Member)
Active General Member:_______________________ _________________________ ________________ WCA Auxiliary Voting Privileges
May switch to Professional Classification at any time if they meet the employment/school criteria
 Philanthropy: (4) Philanthropic Sessions Required Per Year
 Thrift Shop: 6 Full Weekdays (9:30-2:30) OR 12 Half Weekdays (9:30-12:00 or 12:00-2:30) Required Per Year
 Meetings: Attend evening WCA Meetings and Orientation Meetings (If NEW Member)
Assistance League of Tustin Hilltoppers Auxiliary (AALHOT) MEMBERSHIP - Assisteen Support
Open to Parents of Assisteens Only - Participate in/ support the Philanthropic and Fundraising activities of The Assisteen Auxiliary
Service Hours Requirement:
Attend the annual Parent Meeting
Work all Thrift Shop Shifts with your Assisteen Serve as thrift shop “Manager of the Day” during your shift as needed.
Attend and support the Assisteens organization at a minimum of two (2) philanthropic events.
Attend at least two (2) Assisteen meetings as a chaperone.
ASSISTEEN INFORMATION
ASSISTEEN NAME:_________________________________________________________________________________
ADDRESS:_________________________________________________City:______________________(ZIP):_________________
ASSISTEEN
EMAIL:_________________________________________PHONE (H):__________________________(C):___________________
School (Fall 2015)_________________________________________________________________Grade (Fall 2015):__________
PARENT INFORMATION
PARENT
PARENT/GUARDIAN NAME: ________________________________________________EMAIL:__________________________________
PARENT ADDRESS
(if different):_______________________________________City:_______________(ZIP):_______(PHONE)_________________
Parent/Guardian CURRENT MEMBERSHIP* Information: CHAPTER ______ WCA ______ AALHOT ______ Non-Member______
ASSISTEEN CODE OF CONDUCT
I understand that my attitude and behavior are critical to the success and reputation of the Assisteens Auxiliary of Tustin.
For the good of the organization and my fellow Assisteens, I agree to abide by the following: (Assisteen should INITIAL each line)
_______________
I will fulfill the expectations of my membership in accordance with the policies of the Assisteens Auxiliary of Tustin.
8th GRADE MEMBER HOURS RESPONSIBILITIES: (15) minimum hours of volunteer service per year
 Volunteer Hours Service Obligation: Can include Meetings, Social Events, Philanthropic Events and Thrift Shop
 MUST include a minimum of FIVE (5) HOURS of Philanthropic Events
 MUST work a minimum of TWO (2) THRIFT SHOP SHIFTS (3.25 hours each) per year WITH parent/adult sponsor.
9th - 12th GRADE MEMBER HOURS RESPONSIBILITIES: (32) minimum hours of volunteer service per year
 Volunteer Hours Service Obligation: Can include Meetings, Social Events, Philanthropic Events and Thrift Shop
 MUST include a minimum of TEN (10) HOURS of Philanthropic Events
 MUST work a minimum of THREE (3) THRIFT SHOP SHIFTS (3.25 hours each) per year WITH parent/adult sponsor.
______ HOURS OBLIGATION: I understand I am responsible for keeping track of and fulfilling my hours obligation.
Failure to do so can result in my inability to re-join Assisteens the following year (8-11) /walk in Rose Medallion (12)
______ THRIFT SHOP: I understand when I am at the Thrift Shop, I am there to work and am under the supervision of Adult
Members / staff. No-Shows for Thrift Shop sign-ups will result in 1 penalty shift per no-show.
______ CELL PHONE USE: I will refrain from using my cell phone during Assisteen events and while working at the Thrift Shop.
______ RESPECT: I will show respect and courtesy to all fellow Assisteen members, Adult members, mentors and chaperones &
all those with whom I come in contact through Assisteens Programs & Events. If I am asked to leave an Assisteen event
because of my behavior, I will not receive credit for those hours
______ I UNDERSTAND THAT:
 If I need to leave an Assisteen activity before it is over, I will notify the adult in charge.
 If I am sent home early due to any misconduct or illness, it will be at the expense of my parent/ guardian. In such case
the supervising adults will contact my parent/guardian & will, if necessary, make the travel arrangements.
 The use of tobacco, alcohol, drugs or gambling will not be tolerated at any Assisteen activity, & may result in
termination of membership.
_______________________________________________________________________________________________________
ASSISTEEN Member Name
Signature
Date
I have read the above Code of Conduct for the Assisteens Auxiliary. I understand & agree that my Assisteen member will abide by this code as stated.
_______________________________________________________________________________________________________
PARENT Name
Signature
Date
®
This Release and Waiver of Liability is executed this _____ day of ___________, 2015, by,
___________________________ _________________________________________________________(the Assisteen parent) in
favor of Assistance League® and Assistance League of Tustin, and its auxiliaries, directors, officers, employees and agents.
I, the Assisteen volunteer’s parent, hereby freely and voluntarily, without duress, execute this Release and Waiver of Liability under
the following terms:
I hereby acknowledge and agree that in consideration of my child(ren), ________________________________________________,
being permitted to become a member of Assistance League and Assistance League of Tustin. and/or volunteering to participate in
the various functions associated with said membership, I do hereby, release and forever discharge Assistance League and Assistance
League of Tustin and its successors and assigns from any and all liability, claims, demands, and causes of action, of whatever kind or
nature, either in law or equity, which may hereafter arise from my participation with Assistance League or Assistance League of Tustin and/or any program, activity or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with
Assistance League or Assistance League of Tustin.
I understand and acknowledge that this Release discharges both Assistance League and Assistance League of Tustin from any
liability or claim that I may have against Assistance League or Assistance League of Tustin with respect to any bodily or other
injury, illness, death or property damage that may result from my participation. I also understand that Assistance League and
Assistance League of Tustin do not assume any responsibility or obligation to provide financial assistance or other assistance,
including but not limited to, medical, health, or disability insurance, in the event of injury, illness, death or property damage.
Insurance: Assistance League and Assistance League of Tustin do not carry or maintain any health, medical, disability, damage, or
other liability insurance coverage for the benefit of its members or volunteers, and expressly disclaim any responsibility or obligation
to do so. As an Assisteen parent, I am expected and encouraged by Assistance League and Assistance League of Tustin to maintain
medical, health, disability, property, vehicle and all other applicable insurance coverage for my child’s own benefit and protection.
Medical Treatment: Except as otherwise agreed to by Assistance League or Assistance League of Tustin, in writing, I hereby release
and forever discharge Assistance League and Assistance League of Tustin, from any and all liability, claims, demands and causes of
action whatsoever that may arise on account of first aid or other medical treatment rendered during my participation with
Assistance League and Assistance League of Tustin and/or any program, activity, or event sponsored, managed, arranged or
promoted by, or otherwise affiliated or associated with Assistance League and Assistance League of Tustin
Assumption of Risk: I understand that my child’s participation with Assistance League and/or Assistance League of Tustin and/or any
program, activity or event sponsored, managed, arranged or promoted by, or otherwise affiliated or associated with Assistance
League and/or Assistance League of Tustin, may include activities that may be hazardous. I further recognize and understand that
such participation may involve certain inherently dangerous activities. I hereby expressly and specifically assume the risk of injury or
harm in the activities and release Assistance League and/or Assistance League of Tustin, from all liability for injury, illness, death and/
or property damage that may result.
Photography/Audio Release: I do hereby grant and convey unto Assistance League and/or the Assistance League of Tustin, all rights,
titles, and interest in and to any and all photographic images and video or audio recordings made by or on behalf of Assistance
League and/or Assistance League of Tustin, or made with its consent, during my or my Assisteen’s participation in any program,
activity or event sponsored, managed, arranged, or promoted by, or otherwise affiliated or associated with either Assistance League
or Assistance League of Tustin, including, but not limited to, any royalties, proceeds or other benefits derived from such photographs
or recordings.
Other: I expressly understand and agree that this Release is intended to be as broad and inclusive as permitted by law, and that this
Release shall be governed by and interpreted in accordance with the laws of the State of California. I agree that in the event that any
clause or provision of this Release shall be held to be invalid by any court of competent jurisdiction, the invalidity of such clause or
provision shall not otherwise affect the remaining provisions of this Release. By signing below, I acknowledge that I have read and
understand this Release and agree to its provisions. I understand that this document affects certain legal rights which I have and I
voluntarily sign my name and agree to be bound by the terms herein.
________________________________________________________________
ASSISTEEN MEMBER NAME(S)
PARENT OF ASSISTEEN(S) NAME
________________________________________________________________
SIGNATURE
DATE
®
ASSISTEEN MEMBERSHIP FEES
Due by May 31, 2015
EACH ASSISTEEN® MEMBER ANNUAL DUES & FEES
 Membership Dues: $30
 Social/Hospitality Fee: $30
 Installation Fee: $30
$90 for EACH Assisteen
ROSE MEDALLION FEES for 10, 11 & 12th Graders
 One (1) Assisteen Rose Medallion Ticket: $110
 One (1) Adult Rose Medallion Ticket: $100
$210
(For families with two (2) 10-12th Graders, 1 additional $110 RM Ticket is required)
CHECK THE BOX OR BOXES WHICH APPLY TO YOUR ASSISTEEN(S) :
LINE 1
$90: ONE (1) 8-9th Grade Assisteen (PAID BY May 31, 2015) - Member Dues and Fees Only
NAME: __________________________________________________
LINE 2
$180: TWO (2) 8-9th Grade Assisteens (PAID BY May 31, 2015) - Member Dues & Fees Only
NAMES: ____________________________________________________________________________
LINE 3
$300: ONE (1) 10-12th Grade Assisteen (PAID BY May 31, 2015) - Member Dues, Fees & Rose Medallion Fee
NAME: __________________________________________________
LINE 4
$200: PARTIAL PAYMENT: ONE (1) 10-12th Grade Assisteen : (PAID BY May 31, 2015)- Member Dues, Fees & RM Fee
($100 Balance Due 11/1/15: Parent Initial Here ________________)
NAME: __________________________________________________
(For Two 10-12th Grade Assisteens, the cost includes 2 sets of dues & fees ($180) + 3 Rose Medallion Tickets ($320)
LINE 5
$500: TWO (2) 10-12th Grade Assisteens: (PAID BY May 31, 2015) - See Explanation Above
NAMES: ____________________________________________________________________________
LINE 6
$400: PARTIAL PAYMENT: TWO (2) 10-12th Grade Assisteens : (PAID BY May 31, 2015) - See Explanation Above
($100 Balance Due 11/1/15: Parent Initial Here ________________)
NAMES: ____________________________________________________________________________
TOTAL ASSISTEEN FEES DUE (Add Lines 1- 6)
LINE 7
I understand that all Assisteen dues & fees, once paid, are non-refundable
and that partial payments are due on or before 11/1/15 (initial here)
ADULT MEMBERSHIP FEES
CHAPTER (Daytime)
WCA Auxiliary (Evening)
 Membership Dues & Fees: $80
 Membership Dues: $80
Installation AND Meeting Dinners Fee: $45
$125
AALHOT
(Assisteen Support)
 Membership Dues: $60
CHECK BOX WHICH APPLIES TO THE ADULT MEMBER: (Membership Paperwork MUST Accompany Payment)
LINE 8
$80: Adult Chapter Membership
NAME: ____________________________________________________
LINE 9
$125: Adult WCA Membership
NAME: _____________________________________________________
LINE 10
$60: Adult AALHOT Membership
NAME: _____________________________________________________
LINE 11
$10: NEW MEMBER FEE (Chapter and WCA ONLY)
TOTAL AMOUNT DUE: (Add Line 7 + Line 8, 9, 10 or 11 if Adult is Joining)
Membership paperwork for EACH Adult and EACH Assisteen MUST Accompany Payment:
Payment received without paperwork will be returned.
Make Check Payable to: Assistance League® of Tustin - Mail Check with ALL Paperwork to:
Assistance League® of Tustin, PO Box 86 Tustin, CA 92781 (Attention: Membership)