CONC Membership Form
Family Members are included in one membership. You may input information for one additional family member and yourself on this form.

If your information has not changed this year, you do not have to fill out this form. Simply use Paypal or US Mail to send in your dues.

Name Person 1 *
Your answer
Email Person 1 *
Your answer
Phone Number Person 1
Your answer
Name Person 2 (family members are free)
Your answer
Email Person 2
Your answer
Phone Number Person 2
Your answer
Address
Your answer
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
I am interested in the following activities:
I am willing to help by volunteering to help maintain trails and shelters.
I would like to use PayPal to pay my $25 annual membership *
Dues go to Trail/Shelter Maintenance, Insurance, and website/Meetup fees.
Required
THIS IS A LIABILITY RELEASE. PLEASE READ CAREFULLY BEFORE SIGNING. I acknowledge that ORS §30.975 provides that an individual who engages in the sport of skiing, alpine or Nordic, accepts and assumes the inherent risks of skiing insofar as they are reasonably obvi ous, expected, or necessary. Inherent risks of skii ng include, but are not limited to, those dangers o r conditions which are an integral part of the sport, such as changing weather conditions, variations or steepness in terrain, snow or ice conditions, surface or subsurface conditions, bare spots, creek s and gullies, forest growth, rocks, stumps, lift t owers and other structures and their components, collisions with other skiers, and a skier’s failure to ski with the skier’s own ability, I am aware th at hiking, skiing, and related activities are poten tially hazardous activities that include certain risks and dangers, and I have made a voluntary choice to par ticipate in these activities despite the risks that they represent. In consideration of my being permit ted to participate in the club activities named abo ve, I agree to ASSUME ANY AND ALL RISKS OF INJURY OR DEATH, which might be associated with or result from my participation in these events. Initial Here: I further agree to RELEASE FROM LIABILITY and to IN DEMNIFY AND HOLD HARMLESS the organizers and sponso rs of the hiking and skiing event/s, the Oregon Nordic Club, and their owners, agents, landowners, affiliated companies and employ ees for any damage, injury, or death to my- self or to any person or property from any activiti es connected with my participation or practice for or my participation in these events. Initial Here: I, the undersigned, have carefully read and underst ood this agreement and all of its terms. I understa nd that this is a RELEASE OF LIABILITY which will LEGALLY PREVENT me or any other person from fi ling suit or making any other legal claim (includin g any claim based on negligence) for damag- es in the event of my death or any injury to me. I nevertheless enter this agreement freely and volunt arily and agree that it is binding upon me, my heirs, assigns, and legal representatives. I have read and agree to this waiver. *
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