Membership Application

We prefer you to register online. Otherwise, please print this form, and use a separate form for each family member. It can be mailed to the club.

Last Name:	Gender: Male Female
First Name:	Date of Birth:
Address:
City:	Province: Postal Code:
Email:
Telephone:	Home () -
	Business () -

Fees, including Orienteering Ontario & C.O.F. affiliation fees

Please check one item below (see the bylaws for specifics):

Full Member:	Additional Family Member:
Junior	$20	Junior	$10	Adult or Child	$10
Adult	$40	Adult	$20
Family	$80

FULL AND FINAL RELEASE (must be signed by all applicants)

IN CONSIDERATION OF the acceptance of my entry into the Ontario Orienteering Association as a Member, on behalf of myself, my heirs, executors, administrators, assigns and personal representatives, I HEREBY RELEASE AND FOREVER DISCHARGE, the clubs organizing the orienteering activities, the executive and all members of the clubs, the Meet Director, all Meet Officials, the Orienteering Clubs of Ontario, the Ontario Orienteering Association, the Canadian Orienteering Federation, any landowners whose property is used in the activities, any and all sponsors, any affiliated or contributing clubs, associations, individuals or corporations, all participants, their respective agents, representatives, employees, successors and assigns from ANY AND ALL actions, claims, costs, and expenses in respect of any injury, death, loss or damage to my person or property of any kind or nature, HOWEVER CAUSED (WHETHER BY NEGLIGENCE OR OTHERWISE) which may be suffered or incurred, directly or indirectly, relating to or arising from my participation in the orienteering activities.

I AM FULLY AWARE OF THE PHYSICAL RISKS OF INJURY inherent in the sport of ORIENTEERING and I VOLUNTARILY AGREE to accept full responsibility and legal liability for any injuries or damages which result from my assumption of these risks. I am physically fit and fully capable of participating in all orienteering activities.

PRIVACY CONSENT

I grant the Stars Orienteering Club, the Orienteering Ontario Association, and the Canadian Orienteering Federation and its affiliates permission to collect, use and disclose my personal information for following purposes:

Communication of events, programs and information for a period of up to one year after membership expiry;
Publication of participant registration lists and results at orienteering events and henceafter in newletters, media releases or websites for a period of up to one year after the orienteering event;
Use of date of birth to determine age group for orienteering competition;
If acting as a meet official, publication of contact information for event communication.

I ACKNOWLEDGE HAVING CAREFULLY READ, UNDERSTOOD AND AGREED to the above Full and Final Release and Privacy Consent.

Signature of Applicant: Dated:
(or Parent/Guardian if under 18)