MEMBERSHIP TYPE

MEMBERSHIP FEE

General Membership fee is $25.00.
General Membership fee is due annually before April 1st.
Lifetime Membership and Honorary Membership pay no annual fee.

 PHOTO PERMISSION

In becoming a Member of The Council for Black Aging Community of Montreal, also referred to as CBAC, you consent to your likeness and photographs being used in CBAC’s print, online and video-based marketing materials and other organization publications.

I hereby authorize The Council for Black Aging Community of Montreal, also referred to as CBAC, to publish photographs taken of me, my name and likeness, for use in CBAC’s print, online and video-based marketing materials and other organization publications.

I hereby release CBAC from any reasonable expectation of privacy or confidentiality associated with the images specified above.

I further acknowledge that my participation is voluntary and that I will not receive financial compensation of any type associated with publication of these photographs.

I hereby release CBAC, its contractors, its employees, and representatives involved in the creation or publication of marketing materials, from liability for any claims by me or any third party in connection with my participation.

I have read and understand the above:

Name (print): ___________________________________________

Signature: ______________________________________________

Date: __________________________________________________

Photo Exemption

While I acknowledge memberships in CBAC comes with automatic photo permission, I would like to be exempted from same.

Name: ___________________________________

Signature: ________________________________

Date: ____________________________________