Cañon City, Colorado
Fremont County
South Central Colorado, USA
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Geologic Time Scale
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This online form is for memberships paid by card only. If you want to use cash, please go here and print that form, and bring it to a meeting or send it with check to the address on the form.
Cañon City Geology Club
Online Membership Application/Renewal
For Membership through 12/31 of current year if submitted before 10/1.
*
Indicates required field
Adult Names:
*
All adults will need to sign a Release of Liability Form before they can attend any club sponsored activities. (Sample Below*)
Minor Name(s) & Ages: (under 18)
*
Mailing Address:
*
Home & Cell Numbers:
*
E-Mail Address(es)
*
Unless requested otherwise here, you will be notified of meetings, field trips, and classes via email
*
Use phone for meeting notifications
Use phone for event notifications
Dues:
*
Individual: $20
Family: $25 (family members living at the same address - up to two independent adults plus dependents
Annual dues (Jan 1 - Dec 31) are due January 1. After that date members are in arrears and cannot attend classes or field trips
until paid for the current year. Members with unpaid dues after February 15 will be dropped from the member mailing list.
Anyone joining October 1 or after will receive membership for the remainder of the current year and for the next calendar year.
*SAMPLE RELEASE OF LIABILITY
All adults will need to sign will need to sign a form before attending any Club sponsored event.
By signing below, I acknowledge that all activities sponsored or conducted by the Cañon City Geology Club
(hereinafter “Club”) may be hazardous and take place in remote locations and may result in loss, damage, injury or
death. With full knowledge of these dangers, I hereby agree for myself, all of my family and my heirs to RELEASE
the Club and any of its officers, directors, representatives, field trip leaders, committees, members, other trip or
activity participants or affiliate clubs from liability, claims, demands, or any cause of action. I AGREE NOT TO SUE
OR OTHERWISE MAKE ANY CLAIM against any of these parties for anything which may arise during my
participation in any activities of the Club.
I intend this RELEASE of LIABILITY to be effective whether or not any loss, damage, injury or death RESULTS FROM
NEGLIGENCE of the Club or any of its representatives. I understand that negligence means a failure to do an act that a
reasonable, careful person would do, under the same similar circumstance, to protect himself, herself, or others from
injury, death or loss.
I hereby further agree for myself, all of my family and my heirs to RELEASE the mine owner, property owner, claim
holder, or personnel of a site where a field trip or activity is held and any of their directors, officers, representatives or
agents from liability, claims, demands or any causes of action. I AGREE NOT TO SUE OR OTHERWISE MAKE ANY
CLAIM against these parties for anything which may arise during my participation in any activities of the Club.
Parent / Guardian
Adult(s)
I AGREE TO BE SOLELY RESPONSIBLE FOR MY OWN SAFETY and to take every precaution to insure my own safety
and well being while participating in activities of the Club.
By signing below I acknowledge that I have read and understand this legal document:
After clicking Submit, you will be taken to a "Pay now" page.
Submit
Cañon City Geology Club