CCGRA Member Renewal Application

* Denotes required fields

*First Name:
*Last Name:
*E-mail:
*Birth Date:
Occupation:
*Address:
*City:
*Province or State:
*Postal or Zip Code:
*Phone:
Alternate Phone:

Choose a plan:

All fees in Cdn.$(GST included)
Single $30 Family $50 Corporate $75 Community Partner (minimum $200)


Family Member Application Only

If you are registering for the "Family" membership, then please enter the second family member's information below:

First Name:
Last Name:
E-mail:
Birth Date:
Phone:
Occupation:

Volunteering

If you are interested in being a volunteer in our unique association, please indicate below which area(s) might be of interest to you:

Fund-raising/Outreach
Finance
Graphic Arts/Web
Newsletter
Sponsorship
Social Planning
Merchandising
Membership
Rodeo Events
Convention Volunteer
General Volunteering

Other(Please Describe)


By submitting this membership renewal, the applicant(s) certify that they are at least 19 years of age and agree to conduct themselves in accordance with the by-laws, rules and regulations of CCGRA. Furthermore, the applicant(s) agree to hold harmless CCGRA from any and all damages, injury or death, which might occur to the undersigned or the undersigned's property before, during or after any function involving CCGRA. Failure to honour the commitments set forth above or payment of dues, may result in termination of membership. Memberships are considered donations and there are therefore no refunds unless covered specifically by circumstances that are set forth in the CCGRA By-laws. Memberships are annual and subject to annual renewal.

You must click "yes" to verify you have read and agree to the statement above

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