Become an Individual Member

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My Membership Enrollment

	* Required Field
Company Name
Prefix
*First Name
Middle Name
*Last Name
Suffix
*Date of Birth	/ / (MM/DD/YYYY)
Title
*Email
Secondary Email
Preferred Phone	Primary Phone Secondary Phone Mobile Phone
* Primary Phone	Ext. No dashes or spaces
* Secondary Phone	Ext. No dashes or spaces
* Mobile Phone	No dashes or spaces

Mailing Address	Primary Address Secondary Address
Primary Address
* Address
Address 2
* City
* State
* Country
* Zip Code
Secondary Address
* Address
Address 2
* City
* State
* Country
* Zip Code

*Let me know about upcoming volunteer opportunities.
*Emergency Contact Name
*Emergency Contact Phone
*Use of Name and Image	BARN may from time to time create photographic or video records of activities to be used to publicize BARN’s activities and services. I consent to use by BARN of my image, voice, name, and story, and of images of any works I may create in BARN’s digita
ID Submission	For Student/Military Accounts Only Please submit a copy of your school or military ID by email to membership@bainbridgebarn.org or stop by the front desk within 30 days of signing up
*Code of Conduct	I have read and agree to BARN's Code of Conduct on behalf of myself and of any youth or vulnerable participants for whom I am a parent or guardian.
*Assumption of Risk	I have read and agree to BARN's Assumption of Risk Policy on behalf of myself and of any youth or vulnerable participants for whom I am a parent or guardian.

Land Acknowledgment

“Every part of this soil is sacred in the estimation of my people. Every hillside, every valley, every plain and grove, has been hallowed by some sad or happy event in days long vanished.” – Chief Seattle 1854

We would like to begin by acknowledging that the land on which we gather is within the ancestral territory of the suq̀ʷabs̆ “People of Clear Salt Water” (Suquamish People). Expert fisherman, canoe builders and basket weavers, the suq̀ʷabs̆ live in harmony with the lands and waterways along Washington’s Central Salish Sea as they have for thousands of years. Here, the suq̀ʷabs̆ live and protect the land and waters of their ancestors.

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Land Acknowledgment

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