Membership Application

Memberships are yearly and due on April 1st of each year, unless otherwise indicated. Memberships include newsletter.
Kindly be aware that this form is only for collecting your information, and payments will be processed via email transfer or by cheque.
*All information you enter into our forms is protected by industry-standard SSL encryption technology, which ensures that your data remains confidential and is transmitted securely.
Date*
Membership Rates (membership is yearly and due on April 1 of each year, unless otherwise indicated. Includes newsletter)
Please check one:*
Is this a new membership or a renewal?*
Optional Donation
Total
$
First Name*
Last Name*
Address*
Postal Code*
City/Town*
Telephone Number*
Email Address*
I am interested in helping with*
Any other areas you are interested in helping with*
Gift or skills that I can bring to the club*
To save postage, please indicate if you are willing to have your newsletter emailed to you.*
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Memberships Payment Details

Please choose one of the options below to make your membership payment.

By E-transfer

e-transfer address:
saugeenfieldnaturalists@gmail.com

OR

By Cheque

Payable to:
Saugeen Nature
PO Box 20156 Stn Main
Hanover ON N4N 3T1

PERMISSION TO TAKE PHOTOGRAPHS/VIDEOS

I give permission in the event that photographs may be taken of myself or my child/ren during the course of participating in the Junior Naturalists Program.(Required)
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WAIVER AND ASSUMPTION OF RISK

I consent to have my child(ren) participate in the above noted program, hosted by Saugeen Nature. As part of registering this (these) child/ren, I hereby agree as follows:

1. I acknowledge that there are inherent risks associated with this activity and that my child could sustain personal injury through participation in this activity and I am hereby accepting to take that risk on behalf of myself or my child.
2. To save harmless and keep indemnified the Saugeen Field Naturalists and their respective agents, official servants and representatives against all claims and actions, costs and expenses and demand, in respect of injury, loss or damage or death to myself or my child’s person.
3. That I acknowledge that in this situation volunteers are involved in supervising this activity and I shall accept the responsibility of observing my child’s participation in this activity and should have any objection to the manner in which my child or myself are being supervised or instructed, I accept the responsibility to remove myself or my child from this activity.

This agreement shall be binding upon myself, my heirs, executors and assigns. I have read this Waiver and Assumption of Risk and I fully understand all aspects of it.
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