CDSRA Communications Consent

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This form is intended for people who wish to receive CDSRA communications who have not previously purchased a membership and therefore have not accepted the privacy agreement.

Please note that completing this form will not grant you access to attending CDSRA sessions. Non-Members are allowed to attend 2 free sessions before they are asked to purchase a membership prior to attending any future sessions. If you would like to skip this step and purchase a membership please close this form and visit www.cdsra.org/join

If you have any questions or concerns please contact support@cdsra.org

First Name *

Last Name *

Email *

Phone number

ASA Classification

Locality (If not based in Calgary)

eg. Edmonton

Number of years reffing

Privacy Agreement *

Due to privacy legislation, please initial below for permission to be put on the published membership list for purposes of communications

I hereby authorize CDSRA to publish my name, address, phone number and/or image.

Required

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