New
Membership
The Central Oregon Flyfishers
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New Membership |
The following information is used in the roster. Include all contact data and other interests that you wish to have appear in the roster. Print legibly using block letters, all caps.
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LAST NAME FIRST NAME OCCUPATION (PAST OR CURRENT)
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SPOUSE’S FIRST NAME SPOUSE’S LAST NAME IF DIFFERENT HOME PHONE
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HOUSE NUMBER STREET WORK PHONE EXT
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CITY STATE ZIP CODE
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EMAIL ADDRESS
How do you want to receive the COF monthly newsletter? E-mail saves big $$ (Check one.) ______Email ______US Postal Service
Why did you join COF? (Check all that apply. List other interests on reverse.)
____Acquire more knowledge ____Find fishing partner ____Volunteer for projects ____ Improve technique ____Social functions
You must sign this release EACH year when you renew to attend or participate in club activities.
LIABILITY RELEASE AND HOLD HARMLESS AGREEMENT
As a condition of membership or of participation in any activity encouraged or publicized by The Central Oregon Flyfishers, I voluntarily assume all risks of my participation. In acknowledgement that I am doing so entirely upon my own initiative, risk and responsibility, I do hereby for myself, heirs, executors, and administrators agree to remise, fully release, hold harmless, and forever discharge The Central Oregon Flyfishers, all its officers, board members and volunteers, acting officially or otherwise, from any and all claims, demands, actions or causes of actions, on account of my death or on account of any injury to me or my property that may occur from any cause whatsoever while participating in any such COF activity.
I acknowledge that I have carefully read this hold harmless and release agreement, and fully understand that it is a release of liability. I further acknowledge that I am waiving any right I may have to bring legal action to assert a claim against The Central Oregon Flyfishers for its negligence.
I have read the above statement and agree to its terms as a condition of my membership in The Central Oregon Flyfishers.
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SIGNED BY PRINT NAME MONTH DAY YEAR
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SIGNED BY PRINT NAME MONTH DAY YEAR
DUES SCHEDULE
Memberships are renewable on January 1 of each year. New members joining prior to June 1 shall pay a full year’s dues of $36. New members joining after June 1 shall pay a prorated amount according to the chart below. New members who reside outside Deschutes County shall pay $12.
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THE MONTH YOU ARE
JOINING |
JUN |
JUL |
AUG |
SEP |
OCT |
NOV |
RETURN THIS FORM Mail or deliver this form and your check payable to The Central Oregon Flyfishers to the membership chairman. Forms unaccompanied by dues payment or that lack signature, name, or date on the liability release statement are considered invalid and will be returned to sender.
The Central Oregon Flyfishers
Membership Chairman
PO Box 1126
Bend, OR 97709