membership

York - Simcoe Naturalists

Membership Form - York-Simcoe Naturalists Club

Membership is open to all persons interested in our natural heritage. There are three categories: Single, Family and Life. If you are interested and would like to join, fill out and sign the membership form and then either pass it in to our Membership Secretary on a club meeting night, or mail it with your cheque or money order enclosed. (make cheque payable to the York-Simcoe Naturalists).

Single ($25.00) Family ($30.00) Life ($300.00)

Name:

Address:

Postal Code:

Telephone:

E-mail:

Release of Liability Agreement (this must be signed)
In consideration of being accepted as a member of the York-Simcoe Naturalists, I hereby discharge the York-Simcoe Naturalists, its officers, directors, and representatives for any liability whatsoever arising as a result of my or my children's participation in the York-Simcoe Naturalists, and I declare that this release is binding upon me, my heirs, executors, administrators, and assigned. (For Family applications, all names must be listed and signed.)

Print name:

Signature (s):

Date:

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