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Facebook
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Menu
Home
About Us
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Strategic Plan
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Staff
Community Board
Our Partners
Facility Rentals
Our Programs
Children’s Programs
Preteen and Youth Programs
Family Programs
Older Adults and Seniors Programs
Adult Day Programs
Community Programs
Employment Programs
Food Programs
Settlement Programs
Get Involved
Become a Member
Membership Application Form
Volunteer
Donate
Careers
Calendars
News
Social Inclusion Stories
SouthVan Voices Newsletter
Blogs and e-Newsletters
Announcements
Contact Us
Contact Us
Donate
Home
About Us
Our Vision & Mission
Strategic Plan
Annual Reports
Staff
Community Board
Our Partners
Facility Rentals
Our Programs
Children’s Programs
Preteen and Youth Programs
Family Programs
Older Adults and Seniors Programs
Adult Day Programs
Community Programs
Employment Programs
Food Programs
Settlement Programs
Get Involved
Become a Member
Membership Application Form
Volunteer
Donate
Careers
Calendars
News
Social Inclusion Stories
SouthVan Voices Newsletter
Blogs and e-Newsletters
Announcements
Contact Us
Membership Application Form
Get Involved
Become a Member
Membership Application Form
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Personal Details
Name:
*
First
Last
Address:
*
Street Address
City
Province
Postal Code
Phone:
*
Type:
*
Home
Cell
Work
Email:
*
Birthdate
*
DD slash MM slash YYYY
I identify my gender as:
*
Female
Male
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Other
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Please specify:
*
Number of Children
*
Please enter a number greater than or equal to
0
.
Preferred Language:
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*
Program(s) Attending:
*
Adult Day Program
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*
Contact Preference(s):
*
Email
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Text
Emergency Contact
Name:
*
Full Name
Relationship:
*
Contact Phone:
*
Waiver Release
Waiver:
*
I agree that I, the undersigned, will follow all reasonable instructions and directions of the staff, leaders,and instructors duly appointed by the Association of Neighbourhood Houses (ANHBC) in connection with the operation of all SVNH programs. I hereby release, and forever discharge ANHBC and its agents or volunteers, of and from all manner of action, cause of actions, claims and demands of whatever nature which result from any accidental injury, loss or expense sustained, arising out of or in any way connected with participation in any program, or attendance at any location operated by ANHBC.
Signature
*
Photo Permission Release
Release:
*
During SVNH events or programs, you may be photographed or filmed for the purpose of capturing memories and promotion for South Vancouver Neighbourhood House (e.g. newsletter, website, posters or brochures, SVNH Facebook page or slideshows, and funder reports). Therefore we ask for your permission to use photos or film for these purposes.
I give permission for SVNH to use photos or film taken during the course of my participation in this program or event.
I DO NOT give permission for SVNH use photos or film taken during the course of my participation in this program or event.
IRCC Member
Are you an IRCC client or participating in an IRCC funded program?
*
Yes
No
South Vancouver Neighbourhood House Membership
Which type of membership do you wish to purchase?
*
Child/Youth Membership
Senior Membership
Adult Membership
Family Membership
Which type of membership?
*
Child/Youth Membership
Senior Membership
Adult Membership
Family Membership
Family Members Personal Details
Please provide personal details for family members you are registering:
First Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Add another family member?
*
Yes
No
Second Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Add another family member?
*
Yes
No
Third Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Add another family member?
*
Yes
No
Fourth Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Add another family member?
*
Yes
No
Fifth Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Add another family member?
*
Yes
No
Sixth Family Member:
Name
*
Full Name
Relationship to you:
*
Date of Birth
*
MM slash DD slash YYYY
Phone
*
Email
*
Association of Neighbourhood Houses of British Columbia Membership
Association of Neighbourhood Houses of British Columbia (ANHBC) is an umbrella organization of eight Neighbourhood Houses and one outdoor camp including Alexandra, Cedar Cottage, Frog Hollow, Gordon, Kitsilano, Marpole, Mount Pleasant, and South Vancouver Neighbourhood Houses, and, Sasamat Outdoor Centre. ANHBC membership dues are $2 per year. There are many benefits to membership with ANHBC including voting privileges at the Annual General Meeting, events and news from ANHBC Neighbourhood Houses and Special notices of timely information. ANHBC membership is optional and will not affect your entitlement to any benefits and privileges under your South Vancouver Neighbourhood House membership.
Would you like to become a member of ANHBC?
*
Yes, I would like to become an ANHBC member
No, I would not like to become an ANHBC member
E-newsletter Sign-up
E-Newsletters offer updates on SVNH programs and highlights around the community. E-News are sent out by staff quarterly, and you have the ability to unsubscribe at any time.
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SVNH and ANHBC Membership Fees Total
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Method of Payment
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SVNH staff will contact you via phone, text or email to set an appointment for payment.
Credit Card
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Card Details
Cardholder Name
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