Friends of Ellice & Gads Hill Swamps

Annual Friends of Ellice & Gads Hill Swamps
Membership Application Form

MISSION: Working with the community to protect the ecosystem health of Elice & Gads Hill Swamps through the wise use and management of these long term resources.

Full Name/Organization

* required

Street Address

* required

City & Province

* required

Postal Code

* required

Email Address

* required
* valid e-mail required
ex. email@website.com

Phone Number

* required
ex. 123-456-7890

Do you live beside either Gads Hill or Ellice Swamp?

* required
* if YES e-mail swampmemberships@gmail.com before submitting this form *

Are you interested in particpating in Work Days, Habitat Enhancement activities or Education Programs?

* required

Which type of activities do you participate in at the swamp?

Hunting

Hiking

Snowmobiling

Bird Watching

Other

Please type this number in the box:

* required
* invalid number
* invalid number
* invalid number

* By submitting this application you hereby agree to alow the Friends of Ellice & Gads Hill Swamps to share your name and information with the Upper Thames River Conservation Authority for the possible issuing of a hunting permit for the swamps.

Note: in applying for this "Friends" membership it does not provide permission to enter onto Upper Thames River Conservation Authority lands to hunt. In order to hunt on UTRCA lands, you must register to hunt (at no additional cost) www.utrcahunterregistration.ca

Membership

Annual Friends of Ellice & Gads Hill SwampsMembership Application Form

Annual Friends of Ellice & Gads Hill Swamps
Membership Application Form