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This is a:
*
New Membership
Renewal
Required
I would like to purchase a:
*
Choose as many as apply
Family Membership
Individual Membership
I am part of a Homelearners Group
I am a Volunteer Family Club Leader
I am a Volunteer Board Member
Other:
Required
I would prefer NatureWILD Magazine in:
*
Our amazing Nature magazine for kids, sent four times a year.
Digital Format only (sent via Email)
Print Format
Required
Your First & Last Name
*
Your answer
Street Address, Town, Province, Postal Code
*
Please include a full address so we can mail your family nature-exploration tools and NatureWILD magazine!
Your answer
Email address
*
Please include so your local club leader can contact you about upcoming events.
Your answer
Yes I consent to NatureKids BC to contact me by email
Please help us meet the new Canadian Anti-Spam Legislation by opting-in to receiving email correspondence.
Yes
No
Clear selection
Telephone
*
Your answer
Family Member Information
skip this question if individual
Parent/ Guardian Information (if different from above)
please include name(s) of youths' guardians
Your answer
1st Youth's first and last name
Your answer
1st Youth's current age and birthday
*note this information is confidential and used to help select age-appropriate award recognition/prizes
Your answer
2nd Youth's first and last name
Your answer
2nd Youth's current age and birthday
Your answer
More children in your family? Please list names and birth dates below
Your answer
Is there a specific Club you would like to join? (Please refer to our website for a list of clubs)
Some communities have more than one Club. Please let us know if you have a preference - if unsure, we will select the closest one for you.
Your answer
What are the major factors that led you to join the NatureKids BC?
To learn about nature
To meet new families
To have fun
The health and well-being of my child(ren)
To learn about places to take my child(ren) in nature
The security of going out in nature with other people
To get quality time with my child(ren)
For motivation to stay active as a family
Other:
How did you hear about us?
Your answer
Are you purchasing this as a gift?
Yes
No
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If this is a gift please provide your Name and Contact information
Gifter's name, address and email
Your answer
Gifter's email
Your answer
Payment method
please indicate below if you are paying online with a credit card or will be mailing in a cheque.
Credit Card or Pay Pal
Cheque
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If the last name on your form of payment is different than the last name of this membership registration please explain below
this will help us to match up your payment and membership.
Your answer
Thank you! Please click SUBMIT below to send us your membership information
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