Photography Club of Quail Creek  Application Bring this form to a club meeting (Second Wednesday of each month-Ocotillo  Room, Kino Conference Ctr) or mail with your check to:  Jeff Krueger 2420 E Glen Canyon Rd Green Valley, Az 85614    Year  2017    Name _______________________________________________   Address  __________________________________________   ___________________________________________________   Home Phone  ______________    Cell Phone  ________________   Email Address  ______________________________________   Additional Email Address    ____________________________________   Photography Level   Professional  Amateur Beginner     (Circle one)   Membership Dues $20 for individuals and couples, payable on January 1 st  2017.       Signed: ___________________________________________ Date:____/_____/________   Waiver of Liability   I understand that the field trips of the Photography Club of Quail Creek (PCQC) may involve traveling to remote  areas and hiking to photographic opportunities which could involve certain physical challenges and dangerous situations. And that these outdoor environments, by their very nature, present certain risks and hazards that could result in serious bodily injury or damages.  In consideration of the right to participate in such  field trips and the services provide d for me by the PCQC, I  agree to assume all risks associated with such outings, accept all responsibility for my own welfare and will hold the  PCQC harmless from all liability actions, clams and suits that could arise during my participation. This agreement  shall serve as a release of responsibility on the part of PCQC, its respective officers, leaders, organizers, member  and other participants.    Signed:____________________________________________ Date:_____/______/__________
Photography Club of Quail Creek 2018