India Canada Association of Waterloo Region

                                www.icawaterloo.com / www.melawaterloo.com 

APPLICATON FOR THE MEMBERSHIP 2024  

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Name *
Spouse’s Name: 
Other Family Members/Children/Parents living together: (Don't count yourself and your spouse)
 *

Family Membership: $25

Single: $15

I, on my own and on behalf of all my family as listed above acknowledge that, in my participation in any ICA event, or by any member of my family, or guests, I hereby release India Canada Association of Waterloo Region and its board members and officers from all liabilities for injury and/or damage to any person or property.  I have read and fully understood the terms of this liability release.

   If you are applying as single member, you cannot add any additional members 

Membership

Please complete this form online or Print this form and mail to hello@icawaterloo.com

 For e-transfer please use hello@icawaterloo.com email. 

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