Laughter Club Registration


This form is used to register a Laughter Club that will be affiliated with the World Laughter Tour, Inc., and USA Laughter Clubs.©

Registration is valid for one year and is renewed annually.

Registered Clubs receive support services from World Laughter Tour, Inc., which includes:
   1.  A listing on the WLT website as an authorized club. Includes your photo and/or corporate logo, and a detailed description of the related services you can provide.
   2.  The SUPER CD-ROM with more than 600 files of articles, documentation, graphic images, power-point, and more.
   3.  A certificate recognizing your Club as an official part of World Laughter Tour.
   4.  Permission to use logos and the phrases "Authorized Affiliate of World Laughter Tour" and "Authorized Affiliate of USA Laughter Clubs".
   5.  Public relations and publicity assistance.
   6.  Permission to use signage (provided by WLT or otherwise) for Laughter Club meeting announcements and to identify Laughter Club members.
   7.  Opportunities to attend basic and advanced training workshops, conferences, and symposia.
   8.  Automatic subscription to electronic and mailed newsletters.
   9.  Opportunity to access in-depth consultation (on a fee basis).

REQUIRED: Every affiliated USA Laughter Club and therapeutic laughter program must be under the direction of a trained person who holds at least the designation of Certified Laughter Leader.

Instructions:
Virtual Laughter Clubs: All of the contact information, address, etc., is that of the CLL.
Virtual clubs have NO set meeting place, dates or times.

Actual Laughter Clubs: The address, etc. is where the club actually meets.
Actual clubs have a set meeting place. Dates & times can be set or "varies".
The more information you include, the easier it is for people to find your laughter club.

* Indicates required field
Laughter Club Name 
* Certified Laughter Leader - First Name 
* Certified Laughter Leader - Last Name 
* Is this a RENEWAL?   Yes    No  
Club Type   This is a "virtual" laughter club.
 This is an "actual" laughter club.
Facility 
Facility Address 
 
* Facility City 
* Facility State/Province 
Facility Zip/Postal Code 
* Facility Country 
* Phone 
 
   (One phone number only)
Alternate Phone 
Fax 
* Email 
Meeting Place 
Meeting Day  Sun   M   T   W
Th   F   Sat  
Meeting Time 
Facility Administrator - First Name 
Facility Administrator - Last Name 
Activity Director/Therapist - First Name 
Activity Director/Therapist - Last Name 
If this is a business, what department 
is responsible for the Laughter Club? 
Steering Committee Member Names 
 
 
 
 
 

Registration Fees

These fees cover costs of materials and support, e.g., website listing, newsletters, access to our toll-free line. There is an initial fee and an annual renewal.

   Hospital - $75.00
   Long Term Care - $75.00
   Business/Corporate - $75.00
   School (K-12) - $75.00
   College - $75.00
   Public Place - $75.00
   Virtual - $75.00

   Renewal - $65.00

If it is consistent with your organization's aims and policies, your Laughter Club can attract very favorable media attention. Would you like to discuss Public Relations ideas?    Yes    No
Payment Information 
* Method of Payment  Visa   Mastercard
American Express
Check
PO # 
Card Number 
Expiration Date 

By submitting this form you agree to abide by the ethical and operational guidelines of Laughter Club International and World Laughter Tour, Inc.


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