You have entered the St Charles Imperial Dance Club website
St Charles Imperial Dance Club Board
A not for profit organization dedicated to the preservation and promotion of Imperial-style swing dancing
The St. Charles Imperial Dance Club began in 1984 when a group of 35 members of the St. Louis Imperial Dance Club decided that there were enough St. Charles people involved in swing dancing to form their own club. That idea has grown to a viable club of over 100 members.
We are one of eight clubs in the St. Louis and Metro East areas to include the Lake of the Ozarks which are connected through an umbrella organization called the Midwest Swing Dance Federation. All clubs offer each others' members reciprocity. SCIDC is also a member of a national organization called the American Bop Association connecting similar dance style clubs from across the country.
We and our sister clubs are not-for-profit organizations, incorporated by the state wherein we reside.
ST. CHARLES IMPERIAL DANCE CLUB
MEMBERSHIP / RENEWAL APPLICATION FORM
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Name___________________________________________________ Date __________________________________
City____________________________________ State___________________________ Zip ____________________
Home Phone______________________________________________ Cell______________________________________________
E-mail address for special mailings about club information: ____________________________________________________________
Renewal _______________ New Membership ______________ Birth month ________________
Dues are $20.00 per year, due each year on your anniversary date. Please make check payable to
St. Charles Imperial Dance Club (SCIDC).
This application, along with your check, may be mailed to: SCIDC, 3242 Ipswich Lane, Saint Charles, MO 63301
or completed at our monthly dance. Your new membership card will be mailed to you promptly upon receipt of your check.
Release From Liability
THIS RELEASE is executed on the below date of St. Charles County, Missouri, by the above named, herein referred to as “releaser”. In Consideration of being
permitted to participate in any activities conducted by the St. Charles Imperial Dance Club, releaser for himself, spouse, legal representatives, heirs and assigns,
hereby releases, waives and discharges the St. Charles Imperial Dance Club, it’s officers and members (herein referred to as “release”), and each of them from
all liability to releaser, releasor’s spouse, legal representatives, heirs and assigns, for any and all loss or damage and any claim or damages resulting there from,
on account of injury to releasor’s person or property, even injury resulting in death of the releaser, whether caused by the negligence of releases or otherwise,
while the releaser is for any purpose participating in any activity or function sponsored by the St. Charles Imperial Dance Club. Releasor expressly agrees that
this release, waiver and indemnity agreement is intended to be as broad and inclusive as permitted by the laws of the State of Missouri and that if any portion
hereof is held invalid, it is agreed that the balance shall not withstanding continue in full legal force and effect.
Personal data collected on the membership application is for the sole purpose of providing club membership with accurate and up-to-date activities, club
functions, and procedures. Information included in the database will only be used by Board Members as pertaining to specific procedures or Bylaw requirements.
Database will be kept in confidence by Database Manager and other Bylaw entrusted Board Members. Limited to address only, information will be supplied
to the Newsletter Editor. End of month current database will be supplied to the Secretary as part of the club permanent records. Personal information or any part of the database will not be sold or given to any third party persons or affiliate organizations. Information collected will not be used for solicitations for
any purpose unless deemed necessary by the Board of Directors and conditions must pertain to club function or club business. All club members have the right
to privacy of personal information and may alter, diminish or remove that information from the Club Database upon written request to the Board of Directors.
IN WITNESS WHEREOF, releaser has executed this release at St. Charles, Missouri, the day and year below written: