Join SN - Saugeen Field Naturalists

Membership Application

Date*

Membership Rates (membership is yearly and due on April 1 of each year, unless otherwise indicated. Includes newsletter)

Please check one:*

INDIVIDUAL - $30.00

FAMILY - $40.00

LIFE - $450.00

Is this a new membership or a renewal?*

Renewal

New Membership

Optional Donation

Total

First Name*

Last Name*

Address*

Postal Code*

City/Town*

Telephone Number*

Email Address*

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.*

Yes

Get In Touch!

Fill out the form below if you have any questions and we will get back to you.

I the undersigned, wish to have my child

participate in the following activity

sponsored by the Saugeen Naturalists. As part of registering my child, I hereby agree as follows:

1. That 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 Naturalists and the Saugeen Valley Conservation Authority and their respective agents, official servants and representatives against all claims and actions, costs and expenses and demands, 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 that I shall accept the responsibility of observing my child’s participation in this activity and should I 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.

Participant’s Parent or Guardian signature