Membership Application Form 2017/18

The complete can be viewed below and also downloaded in Word and PDF format via these links.

Word: Membership Application 17-18 thv2
.PDF: Membership Application 17-18 thv2

Bromsgrove Photographic Society

Member of

Midland Counties Photographic Federation

Membership Application/Renewal Form 2017/18

 Name:……………………………………………………………………………………………

Address:…………………………………………………………………………………………

.………………………………………………………………Postcode: ………………………

Telephone:(Home)………………………………………(Mobile)…………………………..

 Email:……………………………………………………………………………………………

 Photographic Honours / Distinctions / Qualifications:……………………………………………………………………………………………………

How did you hear about the Society:………………………………………………………

What Editing Software do you use:…………………………………………………………

Do you agree to allow your phone/email information to be available to other members;
please tick if agreeable. Tel. (Home) [    ]     (Mobile) [    ]     EMail [    ]

Please complete all Sections even if there is no change. Please PRINT clearly.

 

For Treasurer’s Use

 

Annual Subscription Rates (Please tick):

Ordinary Membership                                                        £50.00 [     ]

Concessions (Retired/Unemployed/Student)                  £45.00 [     ]

Junior Member (aged between 14th to 18th Birthday)   £10.00 [     ]

An authorised adult or guardian must accompany Junior Members at all times and the accompanying adult/guardian accepts full responsibility for them.

I Have opted to pay by Bank Transfer                                          [     ]

Should you wish to pay by cheque, please make cheques payable to “Bromsgrove Photographic Society” and give to the Treasurer together with this membership form, duly completed.

Subscription to Bromsgrove Photographic Society also includes annual membership of The Midland Counties Photographic Federation. Members agree to abide by the rules
of both these bodies.

Membership details are maintained on computer file for Society use only. Pursuant to
the Data Protection Act, it is assumed that you are agreeable to this, unless you raise
any objection with the Treasurer.

MEMBERSHIP CONDITIONS FOR APPEARING IN PHOTOGRAPHS

The area in and around the Society premises is used for digital and film photography
and to record video and film footage for a number of purposes. From time to time the
Society organises events away from its premises and the following conditions apply
equally.

By your presence in and around the Society’s area or outside event, you acknowledge
that you and anyone accompanying you (including junior members) are informed that
you may be photographed and recorded. Further, by your presence here, you grant
your irrevocable permission for your likeness and those accompanying you,
mannerisms and voice to be included in the photographs and video recordings which
may appear in any type of media without compensation and/or credit or other
consideration to you.

If you or anyone accompanying you or under your custody or control regardless of
age do not wish to be photographed, recorded, or appear under these conditions, you
should remove yourselves from the Society premise’s or event immediately.

FOR JUNIOR MEMBERS ONLY

I/We understand that as the Parent/Guardian of the Junior Member it is our
responsibility to ensure the Junior Member is accompanied during Society activities at
all times and that it is at the Parent/Guardian’s discretion as to the content of what
the Junior Member can view or be involved with.

Name: ……………………………………………………………………………..(Please print)

Signed: …………………………………………… Date: ……………………………………….

Relationship to Junior Member……………………………………………………………………

Where possible the Society will give advanced warning of potentially unsuitable
material.