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CCECA Membership
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Member Information
First Name
Last Name
Email
Birth Date
Mobile Phone Number
WhatsApp No.
WeChat Account Name
Street Address
City
Postal Code
Province
- None -
Gender
Female
Male
Other
CCECA Membership Type
Associate (Age 30-49) - $20
Full (Age 50+) - $20
Permanent (Full) (Age 50+) - $300
Permanent (Associate) (Age 30-39) - $300
The amount already included credit card admin fee.
Admin Fee
8
Languages
Cantonese
Mandarin
English
Other
Languages - Other
Liability Waiver
Yes *
I am aware that it is a condition of participation in any program, volunteer service or travel provided on behalf of The Calgary Chinese Elderly Citizens’ Association (CCECA), its agents, volunteers, and employees that the participant does so at their own risk. CCECA, its agents, volunteers or employees are not liable for any physical or material loss, damage, injury, loss of life or cost resulting from, or in connection with such participation.
Contact consent
Yes
No
I agree CCECA to contact me by telephone, mail and email for matters related to classes, events, programs and other purposes related to services provided by CCECA.
Media consent
Yes
No
I agree that photos and videos taken of me during participation in any activity provided by CCECA are properties of
CCECA and may be used for promotional purposes.
Interest in Volunteer Work?
Yes
No
Community
Living Status
Lives Alone
With Spouse
With Family/Friend
In Facility
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