Central Okanagan Naturalists’ Club (CONC) - Membership Application / Renewal Form - Family Member
Please complete this Application/Renewal form and submit it along with your payment (either by e-transfer or mailed cheque, as selected below).

NOTE: Annual membership begins on September 1 of each year. The membership renewal/application and payment are due by that date; we do not have part-year prorated memberships

Please read carefully and complete all fields of the Application form and the detailed
Release. In all application forms, please note that agreement of all Family Members and typed names are required for each field (Disclaimer, Assumption of Risk, Assumption of Liability).
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Email *
Membership Application - New or Renewal *
Please indicate whether this is a new membership application or a renewal application
Family Member 1 Full name (if 19 or over) *
Family Member 2 Full name (if 19 or over) *
Family Member 3 Full name (if under 19)
Family Member 1 Email Address (if 19 or over) *
Family Member 2 Email Address (if 19 or over) *
Family Member 3 Email Address (if under 19)
Family Member 1 Phone number (if 19 or over): *
Family Member 2 Phone number (if 19 or over): *
Family Member 3 Phone number (if under 19):
Family Member 1 Full Mailing address with Postal Code (if 19 or over): *
Family Member 2 Full Mailing address with Postal Code  (if 19 or over) (if same, type "Same"): *
Family Member 3 Full Mailing address with Postal Code (if under 19) (if same, type "Same"):
Membership Type *
Existing BCNature Club Member
Clear selection
BCNature Magazine - Mailed Paper Copy
Clear selection
Family Member 1 CONC Activities - please check all activities of interest
Family Member 2 CONC Activities - please check all activities of interest
Family Member 3 CONC Activities - please check all activities of interest
Payment Method *

Personal Information Collection and Use 

We, the Family Member participants, on our own behalf and on behalf of our minor child(ren), authorize the Central Okanagan Naturalists’ Club (CONC) and the Federation of British Columbia Naturalists (BCNature) to collect and use personal information about us for the purpose of receiving communications, including newsletters, e-mails and posting articles and images on the CONC website or BCNature website. (Neither CONC nor the BCNature will sell or distribute your personal information to any other third party not listed here.) 

We understand that we may withdraw such consent at any time by contacting the CONC secretary.  The secretary will advise on the implications of such withdrawal.


 *
Release of Liability, Waiver of Claims and Indemnity Agreement

WARNING: By signing this Release, all Family Member Participants, (including on  behalf of minor child(ren)), waive certain legal rights, including the right to sue. This Release intends to ensure that all Family Member Participants  (including on behalf of minor children) are fully aware of the potential risks of participation in CONC activities, and that all Family Member Participants (including on behalf of minor child(ren) agree to all terms and conditions associated with participation in CONC activities.


DISCLAIMER: This is a binding legal agreement. As Family Member Participants (including on behalf of minor child(ren)), in the programs, activities and events of CONC and the BCNature, all Family Member Participants, (including on behalf of minor child(ren)) acknowledge and agree to the following terms:

CONC and the BCNature and their respective directors, officers, committee members, members, employees, volunteers, participants, agents and representatives (collectively the “Organization”) are not responsible for any injury, personal injury, damage, property damage, expense, loss of income or loss of any kind suffered by any Family Member Participant (including minor child(ren)) during, or as a result of, any program, activity or event of the Organization, caused by the risks, dangers and hazards associated with the programs, activities and events of the Organization.
*
Required
Family Member 1 First and Last Name (if 19 or over): Type full name to confirm acceptance of Disclaimer. *
Family Member 2 First and Last Name (if 19 or over): Type full name to confirm acceptance of Disclaimer. *
Family Member 3 First and Last Name ( if under 19) : The Parent/Guardian will type the minor child’s (children’s) full name(s) to confirm acceptance of Disclaimer.

VOLUNTARY ASSUMPTION OF RISK 

We, all Family Member Participants (including on behalf of minor child(ren)), in consideration of CONC allowing us to participate in any activity, outing, program or event agree, that we are participating voluntarily in CONC activities, events, and programs.  In consideration of our participation, we hereby acknowledge, (including on behalf of our minor child(ren)), that we are aware of the risks, dangers, and hazards associated with or related to any such programs, activities, and events, and that we may be exposed to such risks, dangers, and hazards. The risks, dangers and hazards include, but are not limited to, injuries from:

 DESCRIPTION OF RISKS 

a) Field trips, outings, and nature walks;

b) Bird counts and watching, including walks;

d) Road, park, public land, and shoreline cleanup;

e) Animal attacks, including but not limited to, domesticated animals, bears, cougars, and snakes;

f) Bites from insects, including ticks, with the possibility of Lyme Disease, and other transmissible diseases;

g) Extreme weather conditions which may result in heatstroke, sunstroke, hypothermia, frostbite, lightning strikes, or flying object strikes;

h) Inhalation of viruses or infections, including, but not limited to, Covid, and Hantavirus Pulmonary Syndrome;

i) Executing strenuous and demanding physical techniques, including climbing and hiking, and vigorous physical exertion;

j) Reactions to agents on grass or other surfaces that may produce allergies or infections;

k) Falling to the ground due to uneven, slippery, steep, rocky or irregular terrain or surfaces;

l) Failure to properly use any piece of equipment or from the mechanical failure of any piece of equipment;

m) Spinal cord injuries, which may render me permanently paralyzed; and,

n) Travel to and from activities, events and programs.

Furthermore, we, including on behalf of our minor child(ren), are aware: 

a) That injuries sustained can be severe;

b) That we may experience anxiety while challenging ourselves during the activities, events and programs;

c) That our  risk of injury increases as we become fatigued; and,

d) That our risk of injury is reduced if we follow all rules established for participation.

 *
Required
Family Member 1 First and Last Names (if 19 or over): Type full name to confirm acceptance of Voluntary Assumption of Risk. *
Family Member 2 First and Last Names (if 19 or over): Type full name to confirm acceptance of Voluntary Assumption of Risk. *
Family Member 3 First and Last Name ( if under 19) : The Parent/Guardian will type the minor child’s (children’s) full name(s) to  acceptance of Voluntary Assumption of Risk.
RELEASE OF LIABILITY

In consideration of CONC allowing all Family Member Participants (including on behalf of minor child(ren)) to participate in an activity, outing, program or event, we agree:

a) That we are responsible for determining our own medical and mental fitness to participate. To the best of our knowledge, we do not have any medical condition that would make our participation unsafe or inadvisable, including heart-related conditions. If we have had such a condition in the past, we have been medically cleared by a qualified health professional to participate in activities of this nature.

b) To freely accept and fully assume all such risks, dangers and hazards and possibility of personal injury, death, property damage, expense and related loss, including loss of income, resulting from our participation in such activities, events and programs.

c) To forever release the Organization from any and all liability for any and all claims, demands, actions and costs that might arise out of our participation, including on behalf of minor child(ren) in the programs, activities and events of the Organization.

 *
Required
Family Member 1 First and Last Names (if 19 or over): Type full name to confirm acceptance of the Release of Liability. *
Family Member 2 First and Last Names (if 19 or over): Type full name to confirm acceptance of the Release of Liability. *
Family Member 3 First and Last Name ( if under 19) : The Parent/Guardian will type the minor child’s (children’s) full name(s) to confirm acceptance of the Release of Liability.

A copy of your responses will be emailed to the address you provided.
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