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
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?
* 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