ࡱ> JLKq` KbjbjqPqP 3::K  $ i 2 $!h$|  "   # "  L|| bDi :9 0i $<.$$|$|l c h T    j i     TOC Membership Application YEAR_______ (Please use a separate form for each family member) TORONTO ORIENTEERING CLUB c/o Heather Shepherd 28 Dunlop Avenue, Scarborough Ontario, M1K 1L1 First Name: Last Name Gender: Male ( Female ( Year of Birth First Year you orienteered in Ontario SI Card Number (if any) : Email: Address: City: Province: Postal Code: Home Phone Other Phone: Fees per person - payable to Toronto Orienteering Club OOA BASIC Membership All Ages: $5. 00 ( OR TOC FULL Membership (includes OOA Basic) Adult: $30.00 ( Junior (under 20): $20 ( (Maximum of $20.00 for any number of juniors in the household. Family membership is no longer available.) FULL AND FINAL RELEASE 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 Toronto 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 thereafter in newsletters, media releases or websites for a period of up to one year after the orienteering event. Use of birth year 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. 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