TRILLIUM PHOTOGRAPHIC CLUB
ENROLMENT FORM
Section A - ENROLMENT TYPE and CLASS:
This Section is for Everyone.
Trillium currently has four enrolment types for membership in the Club:
RENEWAL - Renewing members have held a Trillium Membership in the last 3 years.
NEW - New Members have not held a Trillium Membership in the last 3 years.
GIFT - Purchasing a Gift Membership is a way of offering that special someone an awesome experience!
TRIAL - New for 2024! Trial Membership allows a potential new member to experience 4 consecutive meetings before deciding.
A01 Select Enrolment Type (required):
—Please choose an option—A_Membership RenewalB_New MembershipC_Gift MembershipD_Trial Membership
A02 Select Enrolment Class (required):
—Please choose an option—A_Mostly In-PersonB_Mostly Virtual
Section B - PERSONAL DATA:
All personal data are kept confidential and are used for Club purposes only.
This section has two parts:
Part “A” is for the main applicant (You)
Part “B” is ONLY used for Couples Membership or Gift Membership.
IMPORTANT: Please state first name as you want it to appear on ALL Club listings: name badge, database, registry, Special Interest Group lists, etc.. Example: I wish to be know as Dave rather than David, or Julie rather than Julianna or Eli rather than Elizabeth. Please do not use second names in parentheses such as Tom(Thomas) or Jim(James); choose one or the other.
PART A - Main Applicant (You)
B01 First Name (required):
B02 Last Name (required):
B03 Address (required): (Unit or Apt. # – House # Street Name)
B04 City(required):
B05 Province (required):
—Please choose an option—ONQCABBCMBNBNLNSNTNUPESKYT
B06 Postal Code (required):
07 Phone Number (required):
B08 Email Address (required):
PART B: Partner Applicant or Gift Recipient
This section is ONLY REQUIRED if this is a Couples or Gift Membership Application.
Please provide the partner's information in a Couples Membership or the information of the recipient of a Gift Membership.
B10 First Name (required):
B11 Last Name (required):
B12 Address (required): (Unit or Apt. # – House # Street Name
B13 City(required):
B14 Province (required):
B15 Postal Code (required):
B16 Phone Number (required):
B17 Email Address (required):
FOR GIFT MEMBERSHIP PURCHASE ONLY:
You need only fill in the following sections: Section C - MEMBERSHIP TYPE, Section D - PAYMENT METHOD and Section J - WAIVERS.
Once your request is accepted and Payment received, you will receive a printable Gift Certificate by Email and additional information for the recipient on how to claim the Membership.
Section C - MEMBERSHIP TYPE:
There are four Memberships Types: Single, Couples, Student and Trial. Any of the four Types can be either Resident (in-person) or Virtual (on ZOOM). The first three are either Full Year or Half Year depending on when you join. Full Year Memberships begin at the start of the session in August and end in June of the following year. Half Year Memberships begin mid-session in January and end in June. Half Year Memberships are NOT available at the start of the session in August. Trial Memberships are available at any time and last for four consecutive regular meetings. Please choose accordingly. Students over 18 must present a valid student card.
C01 Membership Type and Fee Schedule (required):
—Please choose an option—A_$ 90.00 Single Full MembershipB_$155.00 Couples Full Membership ($ 77.50 Per Member)C_$ 45.00 Student Full MembershipD_$ 45.00 Single Half-Year MembershipE_$ 77.50 Couples Half-Year Membership ($ 38.75 Per Member)F_$ 22.50 Student Half-Year MembershipG_$ 00.0 PrePayed Gift MembershipP_$ 00.00 Past PresidentT_$ 25.00 Trial Membership
If you are the recipient of a GIFT MEMBERSHIP, please enter the Certificate Number here.
C02 Gift Certificate Number
Section D - PAYMENT METHOD:
Three options are available. E-transfer, cheque or cash. All payments are made to the Treasurer, Trillium Photographic Club. Additional payment information will be sent to you upon receiving your completed Enrolment Form.
D01 Select Payment Method (required):
—Please choose an option—A_e-Transfer – Preferred OptionB_Cheque – Either in Person at your first Meeting or by MailC_Cash – In Person only at your first Meeting (Do not send by Mail)
Section E - PAST EXPERIENCE AND CLINIC PARTICIPATION:
New and Existing Members wishing to participate in Clinics require proper classification and positioning within the system. Trillium collects the information necessary to do so at this time. However, a member can apply for Clinic entry later if they choose to.
E01 Name of Previous Camera Club (If applicable):
E02 Rank Achieved (e.g.: Bronze, Silver, Gold or Master):
—Please choose an option—BronzeSilverGoldMaster
E03 Self-Assessed Skill Level:
—Please choose an option—BeginnerIntermediateAdvancedExpert
E04 Principal Photography Interest:
—Please choose an option—Abstract photographyAerial photographyArchitecture photographyAstrophotographyBird photographyBlack-and-white photographyCamera movement photographyCandid photographyCreative photographyDocumentary photographyDrone photographyEvent photographyFashion photographyFine art photographyFlower photographyFood photographyHead-shot photographyLandscape photographyLong exposure photographyMacro photographyMultiple exposure photographyNature photographyNight & long-exposure photographyPet photographyPhotojournalismPortrait photographySports photographyStill life photographyStorm photographyStreet photographySurreal photographyTravel photographyWedding photographyWildlife photographyOther
E05 If you selected "Other" - Please enter it here:
Section F - YOUR GEAR - Optional:
F01 Your Main Camera – Make:
—Please choose an option—CanonFujifilmHasselbladKodakLeicaMinoltaNikonOlympusOM SystemPanasonicPentaxRcohSonySigmaVideoDroneSmart Phone
F02 Main Camera – Model:
F03 Secondary Camera – Make:
F04 Secondary Camera- Model:
F05 Main Lens e.g. 70 mm Primary, 16-140 mm Zoom:
F06 Secondary Lens e.g. 70 mm Macro, 12-55 mm Zoom:
F07 Third Lens e.g. 70 mm Macro, 12-55 mm Zoom:
Section G - SPECIAL INTEREST GROUPS - Optional:
Special Interest Groups (SIG) offer like-minded individuals an opportunity to delve deeper and share experiences about a specific photography topic. Trillium offers between two and four Special Interest Groups each year based on demand. The following Special Interest Groups are offered this year.
G01 Select the SIGs you plan to attend:
SIG1_Bird PhotographySIG2_Let's talk PhotographySIG4_Street PhotographySIG5_Pinhole Photography
Section H - VOLUNTEERING:
It cannot be stressed enough how important volunteers are to our Club. If you have hidden talents or desire to take part in shaping our Club for the future, please consider talking to us regarding any of these areas:
Looking for Volunteers in: – Please select:
Membership CommitteeProgram CommitteeClinics CommitteeEquipment CommitteeWebmaster/Programmer or CoderCAPAOCCCChair a New SIGHospitality
Section J - WAIVERS: - Required
This section is required for ALL Membership Requests, including Gift. Although the waivers do not apply to the person giving the Gift Membership, Trillium wishes to ensure the gifter is well aware of the waiver requirements of membership. The gifter is responsible to make the recipient aware of the obligation.
LIABILITY WAIVER for TRILLIUM PHOTOGRAPHIC CLUB
I understand that membership in the Trillium Photographic Club provides me with the opportunity to participate in activities which may involve elements of risk or danger that could result in loss or damage to my personal property, personal injury or death. I acknowledge this risk and danger and accept sole personal responsibility for my personal property and my personal safety as well as any and all consequences resulting from my participation in any and all club activities. I further agree to not hold the Trillium Photographic Club or any of its members responsible for any outcome, loss, injury or liability from my participation in club activities. I further understand that accepting this liability waiver applies to any and all guests or participants which may be brought by me to any club event or activity and I hereby undertake and agree to make any guest or participant brought by me aware of this liability waiver and will ensure their acceptance of these terms before they participate. I have read the terms of this waiver and understand that by attending a Trillium Photographic Club event, I acknowledge and agree to the terms of this liability waiver and accept sole personal responsibility as stated in the waiver.
USE of PHOTOGRAPHS and EMAIL WAIVER
By submitting this form, as a member of Trillium Photographic Club, I agree that any photographs submitted to the club may be used for club activities such as education or promotion. I also agree to receiving e-mails from the club from time to time notifying me of club events and other matters of general photographic interest.
ATTESTATION
By submitting this form, as a member of Trillium Photographic Club, I agree that I will follow the By-laws and Rules of Trillium and I am the applicant named above.
COMMENTS:
This section is optional – But we sure would like to hear from you as it helps us on our journey towards continuous improvent!
If you are a new member, How did you hear about us?
—Please choose an option—Trillium WebsiteSearch EngineSocial MediaBulletin BoardTrillium FlyerCamera ShopFriend or FamilyMagazineOCCC or CAPAOther
If you selected "Other" - Please enter it here:
If you could join a different Special Interest Group from the ones you chose above under Special Interest Groups, what would it be? You may choose up to 6, so choose carefully!
Abstract photographyAction photographyAerial photographyArchitecture photographyAstrophotographyBird photographyBlack-and-white photographyBlacklight photographyCamera movement photographyCandid photographyCityscape photographyCreative photographyDigital photographyDocumentary photographyDrone photographyEvent photographyFashion photographyFilm photographyFine art photographyFlower photographyHead-shot photographyLandscape photographyLight paintingLighting and flash photographyLong exposure photographyMacro photographyMinimalist photographyMultiple exposure photographyNature photographyNight & long exposure photographyPanorama photographyPhotojournalismPinhole photographyPortrait photographySports photographyStill life photographyStorm photographyStreet photographySurreal photographyTime-lapse photographyTravel photographyUnderwater photographyWildlife photographyOther
If you didn't see one on the list please enter it here:
Any other Details or comments You would like to share…
Section K - REGISTRY PARTICIPATION:
Your name, email, and city will be shared on the registry with other members. If you wish to be listed in the Registry (Directory), please indicate your choice here:
R01 Registry (required):
—Please choose an option—YesNo
IMPORTANT: You will receive an Enrolment confirmation email after submitting your form. This email contains important payment information needed to activate your membership. IF YOU DO NOT RECEIVE THE EMAIL AFTER 30 minutes, check your "spam" folder. If it is not there please contact "[email protected]".
Complete this question to confirm you are not a robot:
2+5=?
The Trillium Photographic Club would like to thank you for choosing to become a member of our family! We hope to see you soon!
