The Halton Outdoor Club
Membership Renewal Form 2011/12

Membership renewal is due by October 1st

Name(s)

Telephone Number: (H) () ; (W) ().

E-mail  

New Address, if changed

I prefer to get my newsletter (please choose one): by Canada Post from Club’s website

Membership cost: Individual $50 Family $85 Student $30 Total included $

Family membership includes couples and their children 18 and under. Student membership applies to full-time students of any age.

Please make cheques payable to The Halton Outdoor Club,  and mail to Jayne Swanson, 163 West 18 St., Hamilton ON, L9C 4G6

The Indemnity Agreement (must be signed)

In consideration of membership in The Halton Outdoor Club (the "Club") and/or the services provided by and any and all activities organized and run by the said Club, I hereby for myself, my heirs, executors, administrators and assigns, release and forever discharge The Halton Outdoor Club, its servants, agents, sponsors, employees, or members from any and all claims, demands, damages, actions or causes of action arising out of or in consequence of any loss, injury or damage to my person or property incurred while attending at or participating in any activity of, or organized by the "Club", notwithstanding any such loss, injury or damage may arise by reason of negligence of the "Club", its servants, agents, sponsors, employees or members. Without limiting the generality of the foregoing, I (we) release any and all recourse which I/we may now or hereinafter have resulting from any decision of The Halton Outdoor Club.

Dated this day of , 20,                                                                                         .

                                                                                                                                                                       (if a couple, then both partners must sign)

Please indicate any areas you would be interested in helping the club with, or if you have any special skills you feel would be useful to the Club.

Social Convening Club Executive Newsletter Activity Coordination Leading Trips

Publicity & Promotion Membership Secretarial Other .