CYMK Membership Registration Form 2019-2020
*For Provincial and National Executive Use
Name of Member
Local CYMK Branch
St. Elia's CYMK (Edmonton)
St. John's Junior CYMK (Edmonton)
St. John's Senior CYMK (Edmonton)
Anna Papish CYMK (Saskatoon)
Tryzub Junior CYMK (Winnipeg)
Ivan Danylchuk Senior CYMK (Winnipeg)
Long-branch CYMK (Toronto)
Local Executive Position (if applicable)
Provincial Executive Name and Position (if applicable)
Address (including city and postal code):
Date of Birth:
$15 Membership fee (Alberta Provincial $5/National $10) submitted to the LOCAL to send to ALBERTA Provincial
$15 Membership fee (Alberta Provincial $5/National $10) submitted by the INDIVIDUAL to ALBERTA Provincial
$10 National Membership fee submitted to LOCAL to send to National
$10 National Membership fee submitted by the INDIVIDUAL to National
Waiver: I allow my personal picture, if taken at a CYMK event, to be included in the Provincial and National Facebook media sites, on the CYMK website,
; and any additional Provincial and Executive newsletters or online social media accounts.
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