Last Name

First Name

Street Address

City

Province

Postal Code

Country

Phone - Cell

Phone - Home

Email

As a club member we need your help from time to time. Please indicate the area of responsibility or task that you would be interested in helping with.

If this is a Family Membership, please enter the name of the member linked with your membership.

NOTE:

First member is $90; second family member living in the same household is $60.

Each family member must complete and sign a membership application form.

Add Name of Primary Family Member

NOTE: If you are a student and under the age of 18 please click here to proceed.

Student Initials

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Parent Initials

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In case of emergency, please provide your emergency contact information (name and telephone number).

Name and& Phone Number

Your Skill Level

Novice

Intermediate

Advanced

Please click HERE to read our Terms and Conditions*

I have Carefully read and checked all paragraphs of the attached Assumption of Risk and Release of Liability, Including Negligence.I am aware that both Predictable and unpredictable risks are involved during the Outings and workshops conducted on behalf of the Barrie Photo Club.I hereby agree to assume all of these risks and to release and hold harmless all of the persons or entities mentioned in the attached Assumption of Risk, Waiver and Release of Liability, Including Negligence

who through negligence or carelessness would otherwise be libel to me or to my heirs or assigns for damages or to my minor child or to my child's heirs or assigns

I agree to receiving emails from the club from time to time, notifying me of club events and other matters of general photographic interest.

Yes

No

Do you permit the Club Executive to share your contact information WITHIN the Club?

Yes

No

Pay by e-transfer "preferred method" to treasurer@barriephotoclub.ca

Note: No password is required but PLEASE ENTER YOUR EMAIL ADDRESS IN THE INTERAC MESSAGE BOX FOR FOLLOW-UP PURPOSES.

Pay by Cheque payable to the "Barrie Photo Club" at the Monthly Meeting at the Southshore Centre in Barrie

Fee paid - Application will not be processed until membership fee is received. Form of Payment:

Paid by e-transfer to: treasurer@barriephotoclub.ca

Cheque Payable to: Barrie Photo Club at Meeting

Cash at Meeting

Date of Payment

Signature

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Today's Date

Date

Year

Month

Day

BARRIE PHOTO CLUB

Barrie Photo Club

2026 Membership Application Form

Note all fields with ASTERISK * need to be filled out

In case of emergency, please provide your emergency contact information (name and telephone number).

Please click HERE to read our Terms and Conditions*

who through negligence or carelessness would otherwise be libel to me or to my heirs or assigns for damages or to my minor child or to my child's heirs or assigns