• TBTN Chapter Affiliate Formation Form

    Complete this form to apply for your existing club to become an official Take Back The Night Affiliate. If you are starting a new club that would like to be a TBTN Chapter, please complete the TBTN Chapter Formation form. TBTN responds to applications within 2-5 business days. If you have any questions while completing this form, contact us at https://takebackthenight.org/contact/. Please note in completing this form, you understand and agree that TBTN may use your submission and data as part of its aggregate reporting, operations, and internal review. TBTN does not sell your personal data or contact information to any 3rd parties.

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  • Affiliate Officers & Advisor (Optional)

  • Affiliate Advisor Information

    • For high schools and institutions of higher education:
      • Must be a full-time paid employee of the academic institution and have appropriate approval from the institution to serve in this position.
      • Must commit to being the long-term representative and primary liaison between the Affiliate Club and Take Back The Night.
    • For all non-academic entities:
      • Must be a full-time paid employee or senior officer of the company, military base, organization, or other entity and have the appropriate approval from the entity to serve in this position.
      • Must commit to being the long-term representative and primary liaison between the Affiliate Club and Take Back The Night.


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  • Affiliate President Information

    • Serves as the primary representative of the TBTN Affiliate Club and the “face” of the Club.

    • Responsible for publicly representing the TBTN Affiliate Club to the community and to Take Back The Night.

    • Makes executive decisions and distributes tasks to officers and members.

    • Acts as the primary communicator between the officers and the advisor.

    • Leads meetings.

    • Heads year-long planning.


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  • Affiliate Vice-President Information

    • Manages the members of the club and maintains the Membership Roster using the TBTN Template in an Excel sheet listing each member’s first and last name, cell number, email, shirt size and whether the member has paid their $25 USD Member Dues for the year (collaborates with the Treasurer on this).

    • Responsible for initiating the removal of members or other officers.

    • Assists the President in leading meetings and year-long planning.

    • Interfaces with vendors, donors, sponsors, and others involved in Events.

    • Responsible for membership recruitment.


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  • Affiliate Treasurer Information

    • Responsible for managing and documenting the finances of the club.

    • Collects membership dues, fundraising amounts, and donations.

    • Responsible for purchasing any other TBTN Event Gear or other items needed for Events. 


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  • Affiliate Secretary Information

    • Responsible for all TBTN Affiliate Club communication, including internal and with TBTN.

    • Manages social media for the club.

    • Leads club members in creating promotional materials for Events.

    • Supports the President and Vice President.

    • Distributes TBTN T-shirts to members.

    • Keeps all notes, minutes, and records (other than financial).

    • Helps recruit members.


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  • TBTN Affiliate Club Members

  • Constitution

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  • Benefits to being a TBTN Chapter Affiliate Club include:

    Resources

    • TBTN Event Manual
    • TBTN monthly Newsletter
    • One hour Planning and Strategy Meeting

    Gear

    • Discounted TBTN short sleeve t-shirts ($14 each)
    • 5% Gear Discounts
    • $50 discount on TBTN Event Kit of the Year

    Exclusive Events

    • Access to Global Virtual Events (2 a year)
    • 2 seats for a pre-event Meet and Greet for Global Virtual Event
    • Access to 3 Chapter Meetings a year with all TBTN Chapters per year

    Promotion and Marketing Support

    • 1 (24 hour) story reposts on TBTN's Social Media Platforms per year
    • 1 permanent posts on TBTN's Social Media Platforms per year
    • Chapter Affiliate Club listed on TBTN website
  • Please Read and Agree to the Following TBTN Affiliate Club Terms and Conditions

    Our club along with our members and Event participants, collectively and hereinafter “AFFILIATE,” agrees to the following listed terms and conditions of being a TBTN Affiliate Club.  Our AFFILIATE also agrees to the terms and conditions listed on the Take Back The Night Foundation (hereinafter “TBTNF”) website, including but not limited to the Terms for holding and participating in TBTNF Events, acquiring, and using TBTNF gear, participating in TBTNF webinars or other virtual programs. All terms and conditions listed in this paragraph are collectively referred to hereinafter as the “TERMS”. 

    Financial Responsibility:  Our AFFILIATE understands TBTNF does not fund the operations of TBTN Chapters or Affiliate Clubs. Our AFFILIATE assumes full legal and financial responsibility for our Events and activities, including but limited to any costs or legal fees incurred from holding Events.

    Compliance with Laws, Ordinances and Policies:  Our AFFILIATE agrees to abide by and conform to all applicable policies, rules, regulations, and standards of conduct as established by the host venue, city and/or state where our AFFILIATE is located and wherever our Events are held.

    Intellectual Property:  Our AFFILIATE understands it may not use the TBTNF logo, name, or any other intellectual property in any way without express, written, prior permission from TBTNF.  Our AFFILIATE understands any photos, recordings, artistic works, or other intellectual property submitted to TBTNF via electronic submission, including but not limited to email, text, social media, online form, or upload to a TBTNF application; may be used by TBTNF in any manner of its choosing. 

    Liability and Indemnification:  Our AFFILIATE understands the TBTNF, its officers, employees and agents shall not be liable for any health problems, injuries or damage to any person or property arising out of or related to our AFFILIATE'S operations and AFFILIATE-sponsored Events. Our AFFILIATE and TBTNF, including its officers, employees, and agents, agree to mutually indemnify and hold each other harmless from and against any claims, demands, actions, losses or causes of action whatsoever arising out of or related to any injury related to our AFFILIATE'S operations.

    Termination by TBTNF:  Our AFFILIATE understands the TBTNF may terminate our status as a TBTN Affiliate Club for violating these TERMS or any reason of its sole choosing and that no refund of any donations or other monies will be made by the TBTNF.

    In signing this Form, I am confirming our AFFILIATE has read and agreed to these TERMS.  I understand I am representing and warranting I have the legal right and ability to represent my Take Back The Night Affiliate Club and all its members and Event participants.  I further agree to review these TERMS with my club's advisor, officers, members and ensure all participants in our Events agree and abide to these TERMS.

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  • Thank you for your application. We will be touch within 2-5 business days with approval and your Welcome Kit or let you know if we have additional questions. Thank you again for your commitment and interest in supporting survivors and ending sexual violence in all forms.

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