Name: Membership - Adult Individual
SKU: 987
Price: 20.00 CAD
Availability: InStock

Adding a partner or child to your application is available at the end of the form.

Name (first applicant)*

First Last

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone*

Email*

Age - Under 18 or 18 and Over*

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

Your name and contact information will allow us to communicate with you when required. This information is used for things such as providing newsletters, contacting musicians to see if they would like to entertain for the association, or contacting volunteers for any of the Association's activities, i.e., the casino fundraiser and the Grand North American Fiddle Championship. I, (self, partner, parent or guardian) hereby consent to the collection and use of the personal information above. This information is considered confidential, accessible only by the executive, board members and/or committee heads. Renewal of my membership each year, constitutes permission to use this information until I inform the association in writing, that I do not wish my personal information distributed as stated above.*

I Agree

Membership expires October 31st each year. Benefits of membership include receiving the newsletter, fiddle lessons and workshops at Pleasantview Community Hall, and an invitation to Association-sponsored events.

Consent

I agree to the privacy policy.

Product Name

Add Child or Partner to my application

If you are adding a child your membership, please do that first before adding a partner.

Name of Child (first child)

First Last

Phone

Email

Age - Under 18 or Over 18

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

Add another Child or Partner to my application

Name of Child (second child)

First Last

Phone

Email

Age - Under 18 or Over 18

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

Add another Child or Partner to my application

Name of Child (third child)

First Last

Phone

Email

Age - Under 18 or Over 18

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

Name of Partner

First Last

Phone

Email

Age - Under 18 or Over 18

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

Name of Partner

First Last

Phone

Email

Age - Under 18 or Over 18

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

Name of Partner

First Last

Phone

Email

Age - Under 18 or Over 18

Are you interested in playing for gigs on behalf of WROTFA (i.e., senior centres)?

What instrument or instruments do you play? Are you a singer or dancer? Please indicate.

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Membership – Adult Individual