VERMILLION FLYCATCHER Instructor – Ryan Puhlmann - Alberta Wildlife Carving Association

Membership (Join Us) Form

Member Information

First Name

Last Name

Address

City

Prov./State

Country

Postal Code

Cell Phone

Home Phone

Membership Fee: $30.00 (Payable by cheque or e-transfer only)

Cheques

Payable to: Alberta Wildlife Carving Association

Mail to: John Stevenson
45-54519 Range Road 273
Sturgeon County AB T8R 1X7

E-Transfer

awcacarve@gmail.com

Payment Method

Permissions, Consents and Releases

Website

I hereby grant AWCA permission to publish any photographs taken of me during AWCA classes/events on the AWCA website.

Name

Date

Personal
Information
(optional)

I authorize AWCA to release my personal information (i.e. name, address, phone and email) to other members, companies and associations within the carving community

Name

Date

Email

I consent to receive electronic communications from AWCA.

Name

Date

Liability

All members must complete the mandatory Liability Release Form on the reverse

As a member of the Alberta Wildlife Carving Association (AWCA), I, my family or guest in consideration of my being allowed to participate in the events, meetings, activities, courses,functions and/or competitions (all of which are referred to as “the events”) of The Alberta Wildlife Carving Association, I hereby for myself, my heirs, executors, administrators, and assigns release and forever discharges agents, volunteers and instructors [including all members, family or guest connected with the organization] (all of which are now referred to as The Alberta Wildlife Carving Association) from any and all lawsuits or actions, claims or demands by reason of any damage, loss, death or injury to myself or to my property arising from my participation in the events not withstanding that the same may have been contributed to or occasioned by the negligence of The Alberta Wildlife Carving Association.

(Guests in this document means any non-member, whether visiting or being paid or volunteering as a judge, presenter or instructor.)

I agree to save and hold harmless and indemnify The Alberta Wildlife Carving Association from and against all lawsuits, claims, actions, cost or expenses in respect to any death, injury, loss, damage to myself or my property howsoever caused arising out of or in connection with the events and whether the same may have been contributed to or occasioned by the negligence of The Alberta Wildlife Carving Association.

I further recognize and acknowledge that I am entering into this release agreement with The Alberta Wildlife Carving Association on its own behalf and on behalf of its officers, directors, managers, servants, agents, volunteers and instructors.

It is the responsibility of all members to inform any family member or guest of this disclaimer.

I have read and agree to all conditions of this release form and agree to observe all rules and decisions of the Alberta Wildlife Carving Association.

Liability Release is valid indefinitely for all Alberta Wildlife Carving Association activities and/or events.

Name

Date

For any questions, contact John Stevenson (780) 459 – 9366 jmscarve@gmail.com

VERMILLION FLYCATCHER Instructor – Ryan Puhlmann