Membership Registration 2025 Membership registrations received now are good through to the end of 2025. "*" indicates required fields Membership Type*Select from three options below Family Single Adult Student This field is hidden when viewing the formTotal Tally – FamThis field is hidden when viewing the formTally Count – SingleThis field is hidden when viewing the formTotal TallyMembership DuesValue of Membership type.New or Returning Member* New Member Returning Member Contact InfoYour name* First Last Spouse/Partner name First Last How many Junior Members are you enrolling?Please list the name and ages of children wishing to enrol in the Junior Field Naturalists012345Junior Member 1 Name Year of Birth Junior Member 2 Name Year of Birth Junior Member 3 Name Year of Birth Junior Member 4 Name Year of Birth Junior Member 5 Name Year of Birth Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Secondary Email Phone Number*Secondary Phone NumberThe OrchidThe Orchid is our monthly newsletter produced 9 times per year… How would you like to receive it; a Printed hardcopy delivered by Canada Post and/or PDF Emailed to you?Orchid Delivery Format* Orchid Hardcopy Orchid Emailed Your InterestsWe appreciate you letting us know a little bit about yourself. We use this data only to tailor our programming to our membership and understand how you may want to get involved.What are your main interests? Interest Aquatic Life Interest Astronomy Interest Birds Interest Botany Interest Geology Interest Insects (butterflies) Interest Mammals Interest Natural Environment Interest Reptiles and Amphibians Select AllVolunteeringWe are always looking for volunteers. Would you be interested in participating in any of the following activities? Help join the Board Help with Meetings Help the Junior Naturalists Help Conservation Committees Help work on Field Projects Help give a Presentation Help with Orchid publication Help lead an Outing Select AllHow do you hope to participate in the club? Participate in Outings Participate in Citizen Science Participate in Meetings Participate in Junior Naturalists Select AllMembership and FeesNotice: Membership fees provide only a small part of the funds required to operate the Peterborough Field Naturalists. Donations from members like you help us offer a diverse range of programming for everyone. Please consider including a donation with your membership so that we can continue to serve you and the Peterborough community.Feeling Generous*Optional additional donation beyond expected membership fee. $10 $20 $50 $60 $70 $100 $150 Sorry, not this year Total AmountMembership + DonationPayment Option*How will you be paying? Canada Helps E-transfer Cheque You selected Canada Helps payment. After submitting the form, please go to our Canada Helps “donate” page, (click the DONATE button) and complete your secure payment there.We now accept E-transfer Payments! Simply add [email protected] as a recipient on your Online Banking. Indicate “Membership Payment” in the comment section of the transaction. Your payment will be auto-deposited.Old School! That’s great. Please include a cheque and send it to us via snail mail at P.O. Box 1532, Peterborough, ON, K9J 7H7, or deliver it in person at one of our events.Liability Waiver 2025*In consideration of the Peterborough Field Naturalists (PFN) accepting this application, I hereby for myself, my heirs, executors, administrators and assigns forever release and discharge the PFN, their officers, directors, servants and agents from any liability whatsoever arising from my participation in PFN activities, whether by reason of negligence of the PFN or its representatives, or otherwise. I affirm that I am in good health, capable of performing the exercise required for field trips or other activities in which I participate, and accept as my personal risk the hazards of such participation. As a member of the PFN and/or as a parent / guardian of a member under 18 years of age, I have read and understood the above, and accept its term on behalf of all my underage children. I have read and agree to the Liability Waiver above—PhoneThis field is for validation purposes and should be left unchanged.
