KINGSTON & DISTRICT SKEET, TRAP AND SPORTING CLAYS CLUB
MEMBERSHIP APPLICATION & RENEWAL FORM 2009
ALL MEMBERSHIPS ARE DUE AS OF JANUARY 1ST. YOUR OFAH MEMBERSHIP DEPENDS ON YOUR PROMPT RENEWAL. RENEW ON TIME AND SAVE MONEY … HELP YOURSELF AND HELP THE CLUB!
Mailing Address:
1250 Italia Ln , R.R. # 6
Kingston , Ontario
K7L 4V3
Tel : (613)-542-9228
Answering machine on dut y
Name:______________________________ Pal. #_ _ _ /////_ _ _ _ Expiry date_____________
Spouse:______________________________ Pal # _ _ _///// _ _ _ _ Expiry date _____________
Children:______________________________ Pal #_ _ _/////_ _ _ _ Expiry Date _____________
:____________________________________Pal #_ _ _/////_ _ _ _ Expiry Date _____________
Address:_____________________________________ Apt # : __________
City: __________________________________ Province : _____________
Postal Code: ________________
Home Phone : ___________ Work: _____________ E-Mail : _____________________________
**The club automatically registers members as OFAH members for insurance Are you already an OFAH member yourself or through another club. YES NO OFAH # _____________________
Membership Type |
Annual Fee |
Paid After Feb 28 |
Amount Paid |
Regular_ 1 Person
|
$225.00 |
$250.00 |
|
Family- Parents, Includes Children under 21
|
$250.00 |
$275.00 |
|
1 Month Membership- Try us for 1 month/1 time only. MONTH JOINED : |
$20.00 |
|
|
New Member: One Time Only!!!! After June 1st |
$130.00 |
|
|
*** The cost of the regular and family membership includes a $50.00 shoot card to be given upon completion of the first kitchen duty in 2007
Method of Payment :
Cash ___________________ Cheque : _______________ Interac : ________________
Visa /Mastercard : ___________________ Expiry Date : _____________
*** 1 Month Membership allows for all privileges afforded to regular members except shoot cards. Unlimited shooting privileges at regular member cash prices. Target and ammunition fees apply.
IN CONSIDERATION OF THE ACCEPTANCE OF MY APPLICATION FOR MEMBERSHIP, AND PERMISSION TO TAKE PART IN CLUB ACTIVITIES, I FOR MYSELF, MY HEIRS, EXECUTORS, ADMINISTRATORS, SUCCESSORS AND ASSIGNS, HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE THE SAID CLUB, THE CLUB EXECUTIVE AND ALL OTHER PERSONS INVOLVED IN THE ORGANIZATION, OPERATION AND CONDUCT OF SAID CLUB, AND THEIR RESPECTIVE HEIRS, OF AND FROM ALL CLAIMS, DEMANDS, DAMAGES, COSTS, EXPENSES, ACTIONS AND CAUSES OF ACTION WHETHER IN LAW OR IN EQUITY , IN RESPECT OF DEATH, INJURY, LOSS OR DAMAGE TO MY PERSON OR PROPERTY, HOWEVER CAUSED, ARISING OR TO ARISE BY REASON OF MY PARTICIPATION IN THE ACTIVITIES OF THE SAID CLUB, WHETHER AS A SPECTATOR, PARTICIPANT, COMPETITOR OR OTHERWISE, WHETHER PRIOR TO, DURING OR SUBSEQUENT TO AN EVENT, AND NOTWITHSTANDING THAT SAME MAY HAVE BEEN CONTRIBUTED TO, OR OCCASIONED BY THE NEGLIGENCE OF ANY OF THE AFORESAID.
I FURTHER HEREBY UNDERTAKE TO HOLD AND SAVE HARMLESS AND AGREE TO INDEMNIFY THE SAID CLUB, AND ANY OF THE AFORESAID, FROM AND AGAINST ANY AND ALL LIABILITY INCURRED BY ANY OR ALL OF THEM, ARISING FROM, OR IN ANY WAY CONNECTED WITH MY PARTICIPATION OR MEMBERSHIP IN THE SAID CLUB.
BY SIGNING THIS, I ACKNOWLEDGE HAVING READ, UNDERSTOOD AND AGREED TO THE ABOVE WAIVER, RELEASE AND INDEMNITY.
DATED AT KINGSTON THIS _______ DAY OF _________________, 200___
PRINT NAME : ____________________________
SIGNATURE : _____________________________