BCTCPA 2024 Membership Form

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British Columbia Team Cattle Penning Association 2024

 

  

Release & Waiver

I, undersigned, acknowledge that competition through the British Columbia Team Cattle Penning Association involves inherent risk of injury and accordingly, I hereby release the British Columbia Team Cattle Penning Association and its officers, members, agents, employees, representatives and any and all of them, from any and all claims, demands, actions or causes of action, of any kind or nature whatsoever, whether now known or ascertained, or which may hereafter develop or accrue in favor of me, my heirs, representatives or dependents, including loss of property, animate or inanimate, belonging to me or used by me and I hereby assume and accept the full risk of any and all danger or any hurt, injury, or damages which may occur through or by any reason or any matter, thing or condition, negligence or default of any person, during my involvement in this activity. 

 

 

Privacy Act Provisions

This organization is committed to the protection of the privacy of its member’s personal information. “Personal information” includes a member’s name, phone number, rating, dollars earned, points earned, photographs, video and print references. Such personal information may be disclosed on the BCTCPA website or affiliated websites, newsletters, flyers and calendars and is disclosed to the NTS and NTPC. All or some of this information may also be used for promotional purposes, as well as being released to newspapers, magazines, radio and television stations through press releases and online media. BY BECOMING A MEMBER OF THIS ORGANIZATION, I CONSENT TO THE COLLECTION, USE AND DISCLOSURE OF THE FOREGOING PERSONAL INFORMATION AS SET OUT ABOVE. 

 

 

I authorize the verification of the information provided on this form. I have received a copy of this application. 

 

 

[FIRST NAME] [LAST NAME] Tuesday, April 23, 2024 

 

[PARTICIPANT 1 FIRST NAME] [PARTICIPANT 1 LAST NAME] Tuesday, April 23, 2024

 

[PARTICIPANT 2 FIRST NAME] [PARTICIPANT 2 LAST NAME] Tuesday, April 23, 2024

 

SUBMIT ONE WAIVER PER PARTICIPANT OVER AGE 18, ADULT OR GUARDIAN OF THOSE UNDER AGE 18 MAY ADD PARTICIPATES AT THE BOTTOM OF THE FORM

 

Payment for membership can be paid by;

Etransfer - bctcpapayments@gmail.com

Cheque Payable to BCTCPA and mailed to: PO Box 2564 Sardis Stn Main, Chilliwack, BC, V2R 1A8

  

 

 

 

Who will be participating?

Adult  Adult and Children  Children

Signee Information






If multiple add together in Membership Total






If multiple add together in Membership Total

If you are a new member with NO rating enter 0

By clicking 'I Agree' below, you agree that you have read and agree with the terms of the waiver and that the information you provided is accurate. You furthermore agree that your submission of this form, via the 'I Agree' button, shall constitute the execution of this document in exactly the same manner as if you had signed, by hand, a paper version of this agreement.