APSGO Membership Form
This form should only be completed AFTER you have attended your first meeting and have decided to join a specific APSGO chapter.
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Your Group location *
First & Last Name of Member *
First & Last Name of Spouse (if attending)
Email address *
Main Phone number *
Other Phone number
Work Phone number
Mailing Address *
Please include complete street address, including City and Postal Code.
How did you hear of APSGO? (doctor, school, friend, internet, etc.) *
APSGO Code of Confidentiality
In order to protect our privacy and the privacy of our children, and so we can freely discuss our issues, everything said in the group or in the context of support calls must remain within the group and must not be repeated to anyone outside the group or for any purpose other than to give support to the parents concerned.

By entering my name below and submitting this form, I acknowledge that:

1. My membership provides me certain discounts and allows me to attend meetings at any APSGO group. Membership entitles me to APSGO newsletters, satisfaction surveys, and information on upcoming events - i.e., fundraising, the yearly conference and AGM, workshops, etc.
2. I understand that all Officers, Committee Chairs and Chapter Members are unpaid volunteers and are not personally liable while carrying out their duties as APSGO members.
3. I am solely responsible for any decisions or plans I choose to implement for myself and my family.
4. I understand and agree to adhere to APSGO' s code of confidentiality as a condition of my membership.

PRIVACY POLICY:
I understand the contact information I provide will be used by the association for APSGO-purposes only, and this information will not be used for any other purpose without my express written permission. Nor will my personal information ever be given or sold to anyone else. To view our full privacy policy, please visit our website at https://apsgo.ca/apsgo-privacy-policy/
Please indicate that you have read and agree with our Confidentiality & Privacy Policies (above) by ENTERING YOUR NAME in the blank below. *
Payment Method for $50 Member Fee *
After submitting this form, please send an e-transfer (preferred) or mailed cheque of $50 to complete your Member Registration. Payment details will display after submitting this form. An annual payment of $20 is due every subsequent year you are an active member of APSGO. Please note that your APSGO Chapter may also require initial and weekly payments to support their operations.

** Please ensure that your FULL NAME and GROUP LOCATION are included with your cheque or etransfer payment!
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