ELARC INC - VE3TOP

ELLIOT LAKE AMATEUR RADIO CLUB INC.

We look forward to hearing from you! 

ELARC INC., advocates safe and enjoyable Operation of all Amateur Radios in Northern Ontario. We promote recreational Events and work to improve public awareness of Amateur Radio by serving our community with advocacy activities and much more. Licenses are required for all participants.

 

Please complete this form, sign the release, and mail with appropriate payment to: the Treasurer.

 

ELARC INC., advocates safe and enjoyable Operation of all Amateur Radios in Northern Ontario. We promote recreational Events and work to improve public awareness of Amateur Radio by serving our community with advocacy activities and much more. Licenses are required for all participants.

 

Please complete this form, sign the release, and mail with appropriate payment to: the Treasurer.


ELLIOT LAKE AMATEUR RADIO CLUB INC., MEMBERSHIP APPLICATION

2019

 ELARC INC.,  advocates safe and enjoyable Operation of all Amateur Radios in Northern Ontario. We promote recreational Events and work to improve public awareness of Amateur Radio by serving our community with advocacy activities and much more. Licenses are required for all participants.

 

Please complete this form, sign the release, and mail with appropriate payment to: the Treasurer.

 

Membership Types and Dues

NEW! Memberships are good for one year from the date of application!

 

Membership Type: (check one) Individual: $25.00 ____ Family: $40.00______ Associate: $5.00_____Junior: $10.00_______

 

Primary Adult Member's Information: (print clearly) Name: __________________________________

Address:_________________________City:_____________Province:__________Post-Code:__________

 

Email Address:________________________Phone Number:______________

Interests:  Contests        Picnics           Advocacy         Social   Other? 

Call Sign:                                                                                                       

 

Why are you joining the club?


Additional Family Member Names: (print clearly)

 

Name:                                                            Name:                                                            

 

Name:                                                            Name:                                                            

 

All members must read and sign the Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, provided with this application. By signing, you confirm that you have read and agree to the terms of the Agreement. Unsigned applications will be rejected and returned to the applicant.

 

Signature of Primary Adult Member:                               Date:                 

Signatures of ALL Additional Family Members 15 years and older:

 

Member: _____________Date: ______Member: _______________Date: ______

 

Member: _____________Date: ______Member: _______________Date: ______

 

 

 

Minors (under 15) must have a parent or legal guardian with them on all             Events, Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement.  In consideration of being permitted to participate in any way in ELARC INC., sponsored Activities ("Activity") I, for me, my personal representatives, assigns, heirs, and next of kin:

 

Acknowledge, agree, and represent that I understand the nature of Event Activities and that I am qualified, in good health, and in proper physical condition to participate in such Activity. I further acknowledge that the Activity will be conducted in public places and facilities open to the public during the Activity and upon which the hazards of traveling are to be expected. I further agree and warrant that if at any time I believe conditions to be unsafe, I will immediately discontinue further participation in the Activity.

 

          I Fully Understand that:

·        Activities involve risks and dangers of serious bodily injury, including permanent disability, paralysis and death ("risks");

·        These risks and dangers may be caused by my own actions or in-actions, the actions or in-actions of others participating in the Activity, the condition in which the Activity takes place, or the Negligence of the "releasees" Named Below;

·        There may be other risks and social and economic losses either not known to me or not readily foreseeable at this time; and I fully ACCEPT AND ASSUME ALL SUCH RISKS AND ALL RESPONSIBILITY FOR THE LOSSES, COSTS AND DAMAGES I incur as a result of my participation in the Activity.

 

I HEREBY RELEASE, DISCHARGE, AND COVENANT NOT TO SUE the Club, ELARC INC., Members, their respective administrators, directors, agents, officers, volunteers and employees, other participants, any sponsors, advertisers, and, if applicable, owners and lessors of premises on which the Activity takes place (each considered one of the "RELEASEE" HEREIN) FROM ALL LIABILITY, CLAIMS, DEMANDS, LOSSES OR DAMAGES ON MY ACCOUNT CAUSED OR ALLEGED TO BE CAUSED IN WHOLE OR IN PART BY THE NEGLIGENCE OF THE "RELEASEES" OR OTHERWISE, INCLUDING NEGLIGENT RESCUE OPERATIONS; AND I FURTHER AGREE that if, despite this RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK, AND INDEMNITY AGREEMENT I, or anyone on my behalf, makes a claim against any of the Releasees, I Will Indemnify, Save, and Hold Harmless Each of the Releasees from any litigation expenses, attorney fees, loss, liability, damage, or cost which any may incur as the result of such claim.

 

I HAVE READ THIS AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE

GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND WITHOUT ANY INDUCEMENT OR ASSURANCE OF ANY NATURE AND INTEND IT TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW AND AGREE THAT IF ANY PORTION OF THIS AGREEMENT IS HELD TO BE INVALID THE BALANCE, NOTWITHSTANDING, SHALL CONTINUE IN FULL FORCE.

 

 

Signature                                                         Date:                                                                    

 

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