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.
* Required
Member Information
Full Name:
*
We have no reason to require your legal name.
Your answer
Pronoun:
Your answer
Phone:
Your answer
Email:
Your answer
Mailing Address:
Please include your city, province, and postal code.
Your answer
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.
Current or previous camper
Parent
Volunteer
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.
Cash
Cheque
E-transfer
None
Attestation:
*
By selecting this box, you attest that you are the person listed above.
Required
Submit
Never submit passwords through Google Forms.
This form was created inside of UR Pride Centre for Sexuality and Gender Diversity.
Report Abuse
Forms
