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Young Birders Club Signup Form

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Please sign up here to receive updates on upcoming meetings and field trips. If you want to sign up for more than two children, please submit another form for the additional child(ren).

Program Schedule:

Monthly meetings are held on the first Wednesday of the month from 5:30 p.m. to 6:30 p.m. at 75 S Grand Ave, Pasadena, CA 91105.

Monthly field trip schedules vary each month.

Once you sign up, you will receive email notifications prior to the meetings and field trips.

Please note that there will be no monthly meetings in June, July, and August. We offer only field trips during these months.

Contact Information

Parent or Guardian Name

First Name

Last Name

Contact Email

Verify Email

Phone

Young Birder's Name

First Name

Last Name

Young Birder's Birthday

(mm/dd/yyyy)

Additional Young Birder's Name (if there's any)

First Name

Last Name

Additional Young Birder's Birthday

(mm/dd/yyyy)

Address

Address Line 1

Address Line 2

City

State/Province

ZIP/Postal Code

Country

Liability Waiver

I agree that I, and those in my party, are participating in Pasadena Audubon Young Birders Club program at my own risk, and acknowledge that Pasadena Audubon has made no warranty or representation, expressed or implied, regarding the safety of conducting the program. I expressly release and hold harmless Pasadena Audubon and its officers, directors, employees, agents, licensees, successors and assigns from and for any and all claims, demands, actions and causes of action whatsoever for any loss, damage or injury to person or to property suffered or incurred by me or those in my party in connection with Young Birders Club program or any aspect of it. This release shall be binding upon me and my heirs, next of kin, executors, administrators and assigns.

I have thoroughly read and understand this form and the statements I have made are true.

Image Release

I grant and convey to Pasadena Audubon Society (PAS) and its representatives, licensees and assignees, all of my right, title and interests in any and all photographs, images, videos or audio recordings of myself and those in my party made by Pasadena Audubon Society, a Pasadena Audubon Society volunteer, local media agencies or an observer of the PAS Young Birder Club program, in connection with my participation in the PAS Young Birder Club. Photos may be used to promote the Pasadena Audubon Young Birders Club through club media, newsletter, website, social media. ***No one will be excluded if they do not wish to agree to this image release.***

I agree to the terms and conditions of the image release.

I hereby decline to consent to the image release terms and conditions. I acknowledge and understand that it is solely my responsibility to communicate my preference to refrain from being photographed or recorded, along with any individuals in my group, to the designated staff or person in charge of my participation activities.

Non-Discrimination Policy

Pasadena Audubon Society does not discriminate against any person on the basis of race, color, national origin, disability, or age (and any other bases you wish to include) in admission, treatment, or participation in its programs, services and activities, or in employment, or on the basis of sex in its health programs and activities. For further information about this policy, contact our Executive Director, Jared Nigro, at jaredn.pas@gmail.com.

I acknowledge that I have read and agree to the policy.

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