fYrefly Regina Membership Form - 2020/2021
Fill out this form if you wish to become a member of fYrefly Regina for the 2020/2021 year.

Note: fYrefly Regina membership does not include a general membership of UR Pride Centre.
Member Information
Full Name: *
We have no reason to require your legal name.
Pronoun:
Phone:
Email:
Mailing Address:
Please include your city, province, and postal code.
Membership Eligibility: *
Only those individuals who have been involved with fYrefly Regina may become members. This is to ensure that fYrefly remains by and for those who access the program.
Donation: *
We invite people to make donations directly to the fYrefly in Schools Regina program. Unfortunately, we cannot provide a charitable tax receipt. If you would prefer to make a donation to Camp fYrefly, where you can receive a charitable tax receipt, you can do so by contacting OUTSaskatoon.
Attestation: *
Required
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