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Membership   Application

Membership is $30.00/year (payable by cheque or money order) which includes 3 BCPA Newsletters/year as well as   involvement with society meetings and field trips.
The membership application below is in a printable form for your convenience. Mail to:
VANCOUVER ISLAND PALEONTOLOGICAL SOCIETY
Attention Membership Secretary
Box 3142, Courtenay, B.C.   V9N 5N4

Name: _____________________________
Address:  _______________________________________
City:  ___________________________    
Province/State:  ___________________  Country: _________________
Postal Code/Zip:  ________
Telephone: (         ) _____________  Fax: (        ) ________________
Email: _____________________

Amount Enclosed:  $_________          Date: ______________

The following requires your signature, etc. in order to participate in any field trip.

Waiver and Release of Liability
British Columbia Paleontological Alliance
Vancouver Island Paleontological Society (VIPS)

I am aware and acknowledge that there are inherent risks involved with my own/my child's participation in the activities of the VIPS, and that these risks include, but are not limited to: those associated with travelling to various field sites which may involve transportation by motor vehicle, boat, or aircraft; those associated with workshop activities including fossil cleaning and preparation and involving the use of tools and materials; as well as to those associated with wilderness, beach, river bed, and on or off trail hiking into cliff, rugged and rocky terrain.   The activities the VIPS  may be carried out under conditions of weather, tides, and in other circumstances beyond the control of the VIPS, and away from nearby medical facilities.   In particular, I am aware that searching for, collecting and/or extracting fossils includes the risk of being struck by falling rock, and that the use of tools such as rock picks, hammers, and chisels, even when used as designed and intended, can result in eye and other injuries to either the user and/or onlookers caused by flying rock or metal chips, and that the wearing of safety equipment such as appropriate footwear, gloves and eye protection is mandatory either when using or observing the use of such tools.

On behalf of myself, my child, my heirs, assigns, and next of kin I hereby release, and affirm that I will not hold liable the VIPS  nor any of it's officers, sponsors, agents nor any of it's members, either collectively or individually, for any and all loss or damage to person or property due to any cause whatsoever, including negligence, incurred by myself/my child, and that I have read and signed this waiver of liability without inducement, realizing that in so doing I may be foregoing substantial rights.

Date: _________________
Participant's signature:  __________________________
Name (please print):  _____________________________
Parent or Guardian's Signature
(if participant is under 18 years of age):  __________________________