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Identities
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Guest
Young Adult (Aged 19-26 years old)
PNOA Sponsor
Which of the above identities will you start registering with
Name
*
Username
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Gender
*
Male
Female
Other
Password
*
Email
*
WeChat ID
After registration, we‘ll add you to the PNOA WeChat group.
Phone Number
Street Address
City
State/Province
First Emergency Contact
Name
*
Phone
*
Second Emergency Contact
Name
Phone
Provincial/ Territorial Health Insurance Card (Care Card)
Information for Medical Emergency
Do you have any allergies?
*
None
Yes
If so, please provide the detail.
Do you have any medical conditions?
*
None
Yes
If so, please provide the detail.
Volunteer Application
Do you want to contribute to PNOA activities?
*
Volunteer
Blogger
Event Leader
None
Do you have First Aid & CPR certificate?
Yes
No
Do you have past experience for following activities?
Snowshoeing
Skiing
Snowboarding
Day Hiking
Backpacking
Cycling
Kayaking
Back country ski / snowboarding
Fundraising event
Other
Activity to be leaded
Snowshoeing
Skiing
Snowboarding
Day Hiking
Backpacking
Cycling
Kayaking
Back country ski / snowboarding
Fundraising event
Other
Please provide the detail
Please provide the detail
Member's Declaration
I have examined the medical information and believe it discloses all the pertinent information about the health of myself. I agree that should I become ill or injured while attending PNOA activities, all necessary medical or dental treatment will be given by qualified doctors or nurses. I authorize the PNOA activity leader to act on my behalf in arranging whatever treatment appears necessary.
*
I agree
Member’s photo Consent
I grant permission for PNOA to use my photographs or images to promote the organization, to which PNOA will hold the copyrights. This copyright includes any and all rights to the work in any future publications of the organization, in any format or media, and to grant permission for its use in outside publications. I understand that some pictures may be accessible to anyone with internet access and may be used in instructional settings.
*
I agree
I disagree
Member’s Waive
Please click the below link and read PNOA Waiver Form, and then sign it to accept its terms and conditions. Juniors‘ legal guardian must fill and sign the form.
https://drive.google.com/file/d/1heZCc-8fIXdP2ZG549lIxvFQHK4iRBlK/view
I CONFIRM THAT I HAVE READ AND UNDERSTOOD THIS AGREEMENT PRIOR TO SIGNING IT, AND I AM AWARE THAT BY SIGNING THIS AGREEMENT I AM WAIVING CERTAIN LEGAL RIGHTS WHICH I OR MY HEIRS, NEXT OF KIN, EXECUTORS, ADMINISTRATORS, ASSIGNS AND REPRESENTATIVES MAY HAVE AGAINST THE RELEASEES.
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