2023 New Membership Application 2023 Membership Application Membership fees are annual for a calendar year and payable January 1st of the current year. If you join the club between the months of July and December, initial membership fee will be reduced by 50% However initiation fee will remain at 100%. Please refer to the New Membership Application Process page for the list of membership types and the 2023 Fees Schedule for associated fees. If you have any questions regarding fees, please contact us at treasurer@psah.org. We offer two forms of payment: Payment by Interac e-Transfer Send Interac e-Transfer to email address: treasurer@psah.org And Payment by Cheque Parry Sound Anglers and Hunters PO Box 511 Sound, Ontario P2A 2X5 New Membership Application Form Please take the time to complete the application form by providing us with all the information required, failure in doing so may cause delay to your application review and approval. After submitting your application form and associated fees including membership and orientation cost, you will be notified if you have been selected for advancement to the next stage. For further information on our application process please visit our Membership Process page. Member #1 Name * Name First First Last Last What type of membership are you applying for? * PSAH Individual Membership PSAH Associate Membership PSAH Family Package PSPC Individual Membership PSPC Family Package Email * Phone Year of birth * Address * Address Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code PAL or RPAL number (if applicable) Expiry Date Restricted Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL or RPAL scans Drop your PAL scans here or click to upload Choose PAL scan Maximum upload size: 50MB Do you have an Ontario Federation of Anglers and Hunters membership (OFAH)? * Yes No OFAH number Expiry Date Tell us about yourself (do you have a cottage in the area, hobbies, belong to other clubs, etc.): A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add additional family members If applicable, you may add additional family members in the following section. Children must be under the age of 19 at the time of application. Add Member #2 Name 2 Name 2 First First Last Last Email 2 Phone 2 Year of birth 2 PAL number 2 Expiry Date 2 Restricted 2 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 2 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add Member #3 Name 3 Name 3 First First Last Last Email 3 Phone 3 Year of birth 3 PAL number 3 Expiry Date 3 Restricted 3 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 3 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add Member #4 Name 4 Name 4 First First Last Last Email 4 Phone 4 Year of birth 4 PAL number 4 Expiry Date 4 Restricted 4 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 4 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add Member #5 Name 5 Name 5 First First Last Last Email 5 Phone 5 Year of birth 5 PAL number 5 Expiry Date 5 Restricted 5 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 5 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add Member #6 Name 6 Name 6 First First Last Last Email 6 Phone 6 Year of birth 6 PAL number 6 Expiry Date 6 Restricted 6 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 6 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes Add Member #7 Name 7 Name 7 First First Last Last Email 7 Phone 7 Year of birth 7 PAL number 7 Expiry Date 7 Restricted 7 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 7 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB A few legal questions: Have you been convicted of a criminal offence for which you have not been given a pardon? * Yes No Please provide detail as to the nature of the offence and the year of conviction: Are you awaiting trial or facing criminal charges to which you are awaiting trial? * Yes No Are you presently forbidden to own a firearm? * Yes No Have you ever been convicted or discharged under a national, provincial, or territorial wildlife or game law? * Yes No Do you attest the information you provided is true and accurate to the best of your knowledge? * Yes If you are human, leave this field blank. Submit
