Are you a new member or a renewal:

    First Name: Last Name:

    Street Address:
    City:
    Province:
    Postal Code:

    Contact Phone Number:

    Your Email:

    Membership Type (select one):

    If Couple - Name of Partner:

    Skill Level (select one)

    Can you help on the following tasks or committees

    Are you interested in joining any of the following Interest Groups

    Type of Camera (Specify make and model)

    Name of Previous Club (if you previously belonged to another club)

    Rank in Previous Club (e.g.: Bronze, Silver, etc)

    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. *

    (required)
    It is mandatory to agree to this statement for membership to Trillium Photographic Club

    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. *

    (required)
    It is mandatory to agree to this statement for membership to Trillium Photographic Club

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