SILVERSTAR BEAR STEWARDSHIP SOCIETY MEMBERSHIP FORM

SILVERSTAR BEAR STEWARDSHIP SOCIETY MEMBERSHIP FORM

British Columbia Society # S0079951
PERSONAL INFORMATION
Last Name
First Name
Street Address
Apartment/Unit
Postal Code
Name of Second Family Member

First NameLast Name
E-mail Address
example@example.com
MEMBER INFORMATION

Single Membership $5.00Family Membership $10.00
Donation
The Silver Star Bear Stewardship Society will use all annual membership funds received to raise funds for bear-proof infrastructure and bear-proofing activities. Please email us if you would rather not become a member but would like to donate to this effort.

Please complete and return this form with your payment at the next member meeting

Or: E-transfer to northokanaganbears@gmail.com

Or mail to: SILVERSTAR BEAR STEWARDSHIP SOCIETY 3502 East Vernon Road, Vernon B.C. V1B3H8 E-mail: northokanaganbears@gmail.com
Personal Information Consent

I, the participant, authorize the Silver Star Bear Stewardship Society to collect and use personal information about me to receivecommunications, including newsletters, e-mails, and posting articles and images on the Silver Star Bear Stewardship Group Facebook page.I understand that I may withdraw such consent at any time by contacting a Silver Star Bear Stewardship Society director
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SILVER STAR BEAR STEWARDSHIP SOCIETY INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT
By signing this document you will waive certain legal rights, including the right to sue.

This is a binding legal agreement. As a Participant in the programs, activities and events of the Silver Star Bear Stewardship Society, the undersigned acknowledges and agrees to the following terms: The Silver Star Bear Stewardship Society and their respective directors, officers, committee members, members, employees, volunteers, participants, agents and representatives (collectively the “Organization”) are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by a Participant during, or as a result of, any program, activity or event of the Organization, caused by the risks, dangers and hazards associated with the programs, activities and events of the Organization.

I am participating voluntarily in the organization's activities, events, and programs. In consideration of my participation in the programs, activities and events of the Organization, I acknowledge that I am aware of the risks, dangers, and hazards associated with or related to any such programs, activities, and events of the Organization and may be exposed to such risks, dangers, and hazards. The risks, dangers, and hazards include, but are not limited to, injuries from:

a)Field trips and events. b)Community Engagement, c)Animal attacks, including but not limited to, bears, and cougars. d)Travel to and from activities, events and programs.

a)The injuries sustained can be severe. b)That my risk of injury is reduced if I follow all rules established for participation .

2. In consideration of the Organization allowing me to participate, I agree:

a) I do not know of any medical condition I might have that could make it unwise for me to participate in the club’s activities, events or programs, including but not limited to heart conditions; b) To freely accept and fully assume all such risks, dangers and hazards and the possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from my participation in such activities, events and programs. c) To forever release the Organization from all liability for all claims, demands, actions and costs that might arise from my participation in activities, events and programs of the Organization.
ACKNOWLEDGMENT
3. I acknowledge that I have read this agreement and understand it, that I have executed this agreement voluntarily, and that this agreement is to be binding upon myself, my heirs, executors, administrators, and representatives.

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Printed Name of Member
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SILVERSTAR BEAR STEWARDSHIP SOCIETY MEMBERSHIP FORM

PERSONAL INFORMATION

Personal Information Consent

SILVER STAR BEAR STEWARDSHIP SOCIETY INFORMED CONSENT AND ASSUMPTION OF RISK AGREEMENT

ACKNOWLEDGMENT