Centre33 - Membership Form

We are excited to introduce you to Centre33, a dedicated space in Kanata where 2SLGBTQIA+ children and youth, aged 8-17, find affirming support, connection, and community. Our vision is one where we walk alongside children and youth as they become empowered to embrace their authentic selves. All of our programming is curated through a trauma-informed, culturally competent, and inclusive lens. With your support, you can make a difference in the lives of young people and their families.

Memberships are available at just $25.00 per year. Join us today and be part of our story.

If you are joining through this online form, there is no need to send us the form below.
Thank you very much for your kind and generous support - we are beyond grateful. :)
Sign in to Google to save your progress. Learn more
Email *
Full Name *
Membership Form
Telephone Number
Mailing Address
How did you hear about us?
Please choose your payment method:
Clear selection
You may choose to add a donation to your membership fee of $25, but this is not required. What is the total amount that you plan on sending?
Can we add you to our monthly mailing list?
Clear selection
Do you have any questions for us?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms