GSSCC 2018 Membership Form

2017 GSSCC memberships expire as of midnight on March 1, 2018. There is NO GRACE PERIOD.

The GSSCC has several user-friendly ways to apply for renewing your GSSCC membership or apply for a new membership.

To renew your current membership or apply for membership online and pay by credit card or Paypal, cheque, or e-transfer, complete the form and waiver on this page.

Note that for credit card and Paypal payments, the online payment processing fee (2.9% + $0.30) is added to the final cost, this is not an increase in the membership fees.

Full Name *

First Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

E-mail *

Phone Number *

Area Code Phone Number

GSSCC #

Family membership *

yes no

Family member #2 Name *

First Name Last Name

Family member #2 email *

Family member #2 phone *

Area Code Phone Number

Include Youth member *

yes no

Dependent children under the age of 18 years whose parent(s) are members of the GSSCC are entitled to become a member at no cost. Date of birth must be included

Youth (under 18 years residing at same address)

First Name Last Name

Youth - date of birth

Month Day Year

GSSCC Region *

GSSCC Club (West) *

GSSCC Club (Prairies) *

GSSCC Club (Ontario) *

GSSCC Club (Quebec) *

GSSCC Club (East) *

Payment type *

Credit card/Paypal Cheque E-transfer

Please send your e-transfer to the Membership Chairperson, Debbie Reynolds, at dlreynolds@live.com, and send the password for it in a separate email to Debbie.

Please ensure that the security question is What club am I joining? and the answer to the security question is GSSCC.

If you have any questions, you can contact Debbie by email or phone: (403) 719-7370, cell: (403) 703-6559

Please send your cheque to:

GSSCC Membership
c/o Debbie Reynolds
43 Atlanta Crescent SE, CALGARY ALBERTA, T2J 0Y2
Phone: (403) 719-7370 Cell: (403) 703-6559
dlreynolds@live.com

Please select

New Single Membership $ 118.84 CAD

New Family Membership $ 180.58 CAD

New Single Foreign Membership $ 129.13 CAD

New Family Foreign Membership $ 190.86 CAD

New Club $ 334.93 CAD

Total $ 0.00 CAD

Please select

New Single Membership $115 New Family Membership $175 New Single Foreign Membership $125 New Family Foreign Membership $185 New Club $325

RELEASE OF LIABILITY, WAIVER OF CLAIMS, ASSUMPTION OF RISKS AND INDEMNITY AGREEMENT

BY SIGNING THIS DOCUMENT YOU WILL WAIVE CERTAIN LEGAL RIGHTS, INCLUDING THE RIGHT TO SUE.

This Waiver will stay valid for the length of time that the GSSCC participant’s membership remains current.

PLEASE READ CAREFULLY!

In consideration for allowing me to participate in any or all events and related activities of the GERMAN SHEPHERD SCHUTZHUND CLUB OF CANADA, I hereby warrant and agree that:

I am familiar with and accept that there is always the risk of serious injury and death resulting from participation in any organized recreational activity including the demonstrations, competitions and like activities offered as part of the program of the GERMAN SHEPHERD SCHUTZHUND CLUB OF CANADA; and
I have satisfied myself, and believe, that I am physically, emotionally and mentally able to participate in this program, and that my equipment is appropriate for use in this program; and
I understand that all applicable rules for participation must be followed and that at all times the sole responsibility for personal safety remains with me; and
I will immediately remove myself from participation, and notify the nearest official, if at any time I sense or observe any unusual hazard or unsafe condition or if I experience any deterioration in my physical, emotional or mental fitness, or that of my equipment, or exceed my comfort level, for continued participation in any event or related activity.

I UNDERSTAND AND AGREE, ON BEHALF OF MYSELF, MY HEIRS, ASSIGNS, PERSONAL REPRESENTATIVES AND NEXT OF KIN THAT MY EXECUTION OF THIS DOCUMENT CONSTITUTES:

AN UNQUALIFIED ASSUMPTION BY ME OF ALL RISKS associated with my participation in any or all of the games, events and related activities of the GERMAN SHEPHERD SCHUTZHUND CLUB OF CANADA (“the Activities”) even if arising from the negligence or gross negligence, including any compounding or aggravation of injuries caused by negligent rescue operations or procedures, of the GERMAN SHEPHERD SCHUTZHUND CLUB OF CANADA, any event organizer, event venue and any and all persons associated therewith or participating therein in any capacity; or in transportation to and from such events and activities; and
A FULL AND FINAL RELEASE AND WAIVER OF LIABILITY AND ALL CLAIMS that I have, or may in the future have, against the GERMAN SHEPHERD SCHUTZHUND CLUB OF CANADA, all event sponsors, event venues, and their respective directors, officers, employees, coaches, leaders, contractors, agents and representatives, advertisers, volunteers, others participating in any capacity, (all of whom are collectively referred to as “the Releasees”) from any and all liability for any loss, damage, injury or expense that I may suffer as a result of my use of or my presence at event facilities, or my participation in any part of, or presence at, any or all of the games, events and related activities of the Releasees due to any cause whatsoever, INCLUDING NEGLIGENCE, GROSS NEGLIGENCE, BREACH OF CONTRACT, OR BREACH OF ANY STATUTORY OR OTHER DUTY OF CARE, INCLUDING ANY DUTY OF CARE OWED UNDER THE RELEVANT OCCUPIERS LIABILITY ACT ON THE PART OF THE RELEASEES.
AN AGREEMENT NOT TO SUE THE RELEASEES for any loss, injury, costs or damages of any form or type, howsoever caused or arising, and whether directly or indirectly, from my participation in any aspect of the said games, events and related activities; and
An agreement that this document be governed by the laws, and in the courts of the Province or Territory in which the said games, events and related activities take place.

I HAVE READ AND UNDERSTAND THIS AGREEMENT AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN SUBSTANTIAL LEGAL RIGHTS WHICH I AND MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS AND ASSIGNS MAY HAVE AGAINST THE RELEASEES.

I SIGN THIS DOCUMENT VOLUNTARILY AND WITHOUT INDUCEMENT

Date

Month Day Year

City and Province

Full Nameof Participant *

First Name Last Name

Signature of Participant *

Full Name of Participant #2 *

First Name Last Name

Signature of Participant #2 *

Full Nameof Witness *

First Name Last Name

Signature of Witness *

GSSCC Waiver