Hi-camp Membership Application Form (入會表格)
[***If you like to fill out the Application Form in paper, click
HERE
.]
Date:
Yes, I (We) want to join Hi-Camp Outdoor Activity Club!
Please enroll
me for:
Individual:
one year $10
three years $20
five years $25
Family:
one year $15
three years $30
five years $40
Title:
---
Mr
Ms
First Name:
Last Name:
Age:
<18
18-29
30-39
40-49
50-59
60-69
>70
Contact Phone 1:
(Home Phone or Cell Phone)
Contact Phone 2:
(Home Phone or Cell Phone)
Address:
City:
State:
Zip:
Email:
Additional family members (Spouse, Children (under 23) & Elderly Parents):
First Name
Last Name
Relationship
Age
<18
18-29
30-39
40-49
50-59
60-69
>70
<18
18-29
30-39
40-49
50-59
60-69
>70
<18
18-29
30-39
40-49
50-59
60-69
>70
<18
18-29
30-39
40-49
50-59
60-69
>70
<18
18-29
30-39
40-49
50-59
60-69
>70
Please read an sign second page
After click Submit button, you have to select the checkbox for Liability Release for each family member age 18 or older, membership will not be considered without checking the Liability Release checkbox.
