National CYMK-UOY Membership Registration Form 2021-2022
This information is for National CYMK-UOY and USRL use, and Provincial CYMK (in applicable regions).
Please note with this being a Convention year, there IS a National CYMK Fee reinstated, and the *required member information has been indicated for planning and contact purposes. If you have any questions, please email our National CYMK Executive.
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Name of Member *
Local CYMK Branch *
LOCAL Executive Position (if applicable)
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PROVINCIAL Executive Position (if applicable)
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Age *
Date of Birth
MM
/
DD
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YYYY
Email *
Phone Number
Address (including city and postal code)
Waiver:                                                                                                                            I allow my personal picture, if taken at a CYMK event, to be included on the Provincial and National Facebook/ media sites, on the CYMK website, www.cymk.ca; and any additional Provincial and Executive newsletters or online social media accounts. *
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