Don-Test - Parksville Lawn Bowling Club

Membership Type

Returning Member

New Member

First Name *

Last Name *

Phone

Email

Address

City

Province

Postal Cd.

Country

Age Category

EMERGENCY CONTACT INFORMATION

First Name *

Last Name *

Phone

Relationship

Membership Fees

Full - $214

Junior - $52

Social - $21

One Time Fees

Initiation - $100

One Time Fees

Initiation - $100

Optional Fees

Locker - $15

Key - $10

Magnetic Name Tag - $15

Total Owing :

$214.00

Payment Method

e-transfer to treasurer@parksvillelawnbowlingclub.com

Cheque - deposit in Membership slot in draw room, payable to Parksville Lawn Bowling Club

Cash

Anything Changed We Should Know About?? (Addr., Ph.#, permissions, etc)

PERMISSION TO USE PERSONAL INFORMATION. PLEASE READ AND SIGN

The British Columbia personal information protection act (PIPA) dated 1 January 2004 requires we inform members why we collect, use and disclose their personal information. the club collects and uses your name, address, telephone number and email address to fulfill the following:

Maintain a register of members to identify and contact members, issue receipts for dues, issue membership cards and list in the club phone book.

To mail club newsletters, contact volunteers, advise members of club functions, obtain permission for use of names or photos in media or club historical records, etc. and to send appropriate cards to members as the situation dictates.

Access to personal information is restricted to club members requiring it during the performance of their duties. It is not available in any form to outside agencies or persons except when required to pass on necessary information for the organization of club membership in Bowls BC, insurance, club functions, trips, etc.

Lists containing names and phone numbers of member volunteers for various club duties or members signing up for club activities will be maintained by the volunteer committee.

I agree with my personal information being used as outlined above.

Yes

No

I agree with my email address being included in the club phone directory.

Yes

No

I have read the Permission to Use Personal Information section and selected the appropriate fields listed above.

Yes

Date

PERMISSION TO USE PHOTOS PLEASE READ AND SIGN

I hereby give the PARKSVILLE LAWN BOWLING CLUB (PLBC) permission to use images of me for any purposes in connection with promoting PLBC and its activities which may include advertising, promotion, marketing and solicitation of funding. PLBC may crop, alter or modify images of me and combine such images with other images, text and graphics without notifying.

I have read the Permission to Use Photos section above and acknowledge its terms.

Yes

Date

PERMISSION TO INCLUDE NAME WITH PHOTO PLEASE READ AND SIGN

I consent to my name being displayed in connection with the appearance of my image.

Signature

Clear

Date

VOLUNTEERING

Parksville Lawn Bowling Club is a volunteer organization where volunteerism is one of our core values. there is no shortage of opportunities to be involved and have fun, orientation and / or education will be provided.

Please indicate areas you would be interested in helping

Please list other skillsets/qualifications

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