K-W Highland Glen Camera Club

Membership Application & Waiver

2024-25 Season

ANNUAL DUES (September to June)

$65 - Single
$35 - Student with ID
Family membership is available for 2 or more applications from the same household. Family membership is $65 plus $32.50 for each additional application. If you are applying for a Family membership, each member of the household must complete an application form.

Dues are payable by September 18, 2024

Reduced dues if joining after January 1, 2025

$40 - Single
$30 - Student with ID
Family membership is available for 2 or more applications from the same household. Family membership is $40 plus $20 for each additional application. If you are applying for a Family membership, each member of the household must complete an application form.

New or renewal*

New memberRenewal

MEMBERSHIP TYPE*

SingleStudentFamily

In the following box, enter the TOTAL number of Family members, INCLUDING the primary applicant. A maximum of 5 members may apply under the Family application.

Total number of Family Applicants

Total dues

Calculation based on number of applicants

Full Name*

First NameLast Name

E-mail*

Confirmation Email

Phone Number*

eg: 519-123-1234

Address*

Street Address

Street Address Line 2

CityProvince

Postal Code

ADDITIONAL Member Name

First NameLast Name

ADDITIONAL Member Name

First NameLast Name

ADDITIONAL Member Name

First NameLast Name

ADDITIONAL Member Name

First NameLast Name

ADDITIONAL Member Name

First NameLast Name

Consent

Photo Use Policy:

The Board of Directors of HGCC has my permission to use my submitted images for club promotional purposes and website. No images will be used for material gain. You will retain copyright to the image and, where practical, credit wil be given to the photographer.

Photo Use*

YESNOASK ME

Email Use:

The Board of Directors of HGCC has my permission to use my email address to communicate with me on Club matters. This includes:

club news
announcements
Zoom links for meetings
notices of meeting cancellation

Members can unsubscribe from club emails at any time. Members who unsubscribe will not be mailed individually with critical information such as Zoom meeting links and meeting cancellations.

Email Use*

YesNo

Personal Information Use:

The Board of Directors of HGCC has my permission to include my contact information (name, email, phone number, address) on the club membership list. This list is only used by the Board of Directors.

Personal information*

YESNO

Volunteering:

Our club relies on the involvement of its members to operate. Check one or more areas below if you would like to get involved.

Volunteer

Release of Liability, Waiver of All Possible Claims and Assumption of Risk

Activity: All activities sponsored by or organized by or through K-W Highland Glen Camera Club, including but not limited to club meetings and/or gatherings, club field trips, gatherings and/or outings, club presentations, seminars, workshops and/or competitions.

I desire to participate in the above activities sponsored or organized by K-W Highland Glen Camera Club. I understand that in order for K-W Highland Glen Camera Club to accept my application to participate in the above activities, I must agree to be bound by this Release of Liability, Waiver of All Possible Claims and Assumption of Risk. I acknowledge that I am not required to participate in the above activities and that I am choosing to do so of my own free will.

I acknowledge that I use the properties and facilities arranged for me by K-W Highland Glen Camera Club at my own risk and I hereby hold harmless K-W Highland Glen Camera Club, its Executive, and the owners of any such property and facilities from any suit, cause, action or claim resulting from my use of such property or facility.

I understand and agree that there are hazards and risks inherent in participating in the above activities. I agree to assume all risk for any such personal injury, loss of life, or property loss or damage.

In consideration of K-W Highland Glen Camera Club accepting my application, I hereby and forever release and discharge K-W Highland Glen Camera Club and its Officers, Directors, and Agents from any liability whatsoever arising as a result of participation in the above activities.

I confirm that I am the full age of majority or, in the alternative, I have indicated that I am the guardian of the minor participant named, and that I have read and understand this agreement prior to signing it and agree that this agreement will be binding upon me (as participant or guardian), my heirs, next of kin, executors, administrators and successors.

Checking the box below is the equvalent to your signature requesting membership to the club and the acceptance of the Liability Waiver displayed above.

Date

mm-dd-yyyy

Signature*

Acceptance Signature

I understand that this membership application will only be considered complete upon payment of the appropriate membership dues. Your confirmation email will provide instructions regarding the payment of dues.

Please verify that you are human*