| FAMILY (Living in the same home) / ADULT / POST-SECONDARY [P-S] STUDENT INFORMATION |
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| Given Name of Parents, Adult, P-S Student | |
| Surname(Family Name) | |
| Number & Street | |
| Town / City | |
| Province | | Postal Code | |
| | Country Code | Area Code | Local Number |
| Home Tel | | | |
| Parent / Family Email | |
| P-S Students Only : School Attending | |
| OTHER FAMILY INFORMATION (For those who have children with more than one home) |
|---|
| Given Parent / Guardian Name | |
| Surname | |
| Number & Street | |
| Town / City | |
| Province | | Postal Code | |
| | Country Code | Area Code | Local Number |
| Home Tel | | | |
| Parent / Family Email | |
| CHILDREN INFORMATION |
|---|
| Given & Family Name | Date of Birth (D / M / Y) | Sex (M / F) | Email Address |
| | | |
| | | |
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| Regular Memberships | | | Limited Memberships |
|---|
FAMILY (2+ persons...one 18+ years of age)
$348.00/year OR
$48.00/year plus working 3 bingos
PLUS
Working one bingo for the JB or Local Work OR
A $75 donation
ADULT (1 person...18+ years of age)
$224.00/year OR
$24.00/year plus working 2 bingos
STUDENT (1 person...18+ years of age & a full-time post-secondary student)
$112.00/year OR
$12.00/year plus working 1 bingo |
| Associate $24.00/Year
Supporting $25.00/year |
A regular Family Membership is required for families involved in
international programs or actively involved with the local chapter
Leaders and home staff are given a complimentary adult or
student membership for the year of the program they are
leading/staffing but are still required to complete a membership
application form
Memberships are valid from January 1 to December 31
Renewal Deadline: January 1st each year |
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Bingo cheques of $100.00 each per bingo, payable to CISV Saskatoon, dated Jan 1 [all] and Feb 1 [family,adult] and Mar 1 [family], or as
per the Bingo Coordinator's instructions, shall accompany any membership application where the applicant has selectect a membership category
that involved working bingos. One cheque WILL BE CASHED each time your family does not show up to work your scheduled bingo...otherwise,
they are returned to you uncashed. |
| Privacy: Information collected will be used to maintain a local membership database for the purposes of communication and information, to fulfill
SLGA Bingo license requirements, and to fulfill CISV National and International requirements. |
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