Emerald Photographic Society (EPS)

Membership Application

Please bring your completed application form to an Emerald Photographic Society meeting with your check made out to Emerald Photographic Society.

Please fill this form out while on your computer and print it to save hand writing it. There is a print button at the bottom of the page.

Check one:

Regular Membership: $35 ($20 after July 1st)

Family Membership: (2 people) $50.00 ($35 after July 1st)

Student Membership $20.00


Name: *

Email Address:*


Email Address:

Street Address: *

City, State, Zip: *

Telephone: *



Dues: *





* Required Fields

Your email address and other contact information will be used for your listing in the EPS Members Directory and for the EPS Members section of the web site.

When you turn in your application please ask for the EPS New Members Packet.

You will find out by email how to access the Members Section of the EPS Web site, EPS Mailing List and how to access Score27 to submit images for EPS competition.

For EPS use: Date Paid:__________________ Membership paid through: ______/______/______

Check number or cash: ___________________ Taken by: ________________________________





By signing this release, I acknowledge that participation in the activities organized by the Emerald Photographic Society (EPS) exposes me or my child to the risk of personal injury due to weather conditions, forces of nature, difficult terrain, strenuous conditions, accidents, or the acts or omissions of other participants or organizers of such activities. In consideration of the opportunity being provided to me or my child to participate in an EPS activity, I release, discharge and agree to hold harmless, the EPS, its officers, directors, members, or agents from any claim, demand, cause of action, or liability which I or my child may have as a result of participation in the EPS organized activity. I have read and fully understand this liability release form and it shall be binding upon me, my heirs, legal representatives, and assigns.

Dated this _____ day of __________, 20___. (Required)


Participant or Parent/Guardian of Participant (Required)


Printed Name of Participant and Parent/Guardian (Required)

(if applicable)


If the participant is a minor, then the above must be signed by the minor’s parent or legal guardian.

If you have questions regarding the effect of this document, you should consult legal counsel before signing.