2019-2020 CISV Waterloo Membership
Thank you for your interest in being part of CISV Waterloo chapter. We are happy to have you!
(If you are applying as a leader please email CISVwaterloo@gmail.com for a link to the leadership form.)

Membership in CISV Waterloo entitles family members to:
• participate in local activities and events including mini-camps
• participate on the Adult Board and Junior Board, if interested
• participate in the Junior Branch activities
• apply for a leadership position
• apply for national and international programs
• receive up to date information by electronic mail broadcasts

Even if your child is not participating in a program this upcoming year, a membership helps support the CISV Waterloo Chapter and keeps you on the email broadcast list for event reminders and news. Memberships are valid from the date of payment for one year or until the Fall AGM each year. You will receive an annual renewal notice in September.

A family membership in CISV Waterloo is $100 per calendar year. In addition, individual adults 18+ can be members for $30 per calendar year. There are additional options for members who want to support the chapter in a more substantial way...please contact treasurer.CISVwaterloo@gmail.com. Thanks!

Note: You only need to fill out one membership form per family.
Email address *
Do you want to renew or join CISV Waterloo? *
Family Name *
Your answer
Parent/Guardian Name: *
Your answer
Parent/Guardian Name:
Your answer
Primary Address
Primary Email Address (for CISV emails and newsletter) *
Your answer
Secondary Email Address (for CISV emails and newsletter)
Your answer
Address: *
Your answer
City: *
Your answer
Postal Code:
Your answer
Phone Number:
Your answer
Mobile Phone Number:
Your answer
Other Address
Secondary Address (Include full address)
Your answer
Phone Number:
Your answer
Mobile Phone Number:
Your answer
Membership Details
Membership Type *
Required
Payment Method (if sending e-transfer, send to treasurer.cisvwaterloo@gmail.com and include a security question. Then send separate email to treasurer with the answer to the security question.) *
Required
Driving Statement: "I understand ALL drivers carrying programme participants during scheduled CISV activities must be at least 19 and carry a full driver's license (not a Learners or Probationary license) and all vehicles must be insured for a minimum $1million liability. You may be required to show evidence of coverage."* *
Required
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy