SWESA Member Registration Form

SWESA Member Registration Form

2023
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityProvince

Postal Code
Phone Number*
Email*
AGM Mail Notification

Please send my SWESA Annual General Meeting notice by mail instead of email.
Birth Year*
Emergency Contact Name
Emergency Contact Number
SWESA Bulletin/email contact consent*

SWESA may send you electronic messages such as emails, attachments, and notifications of our activities . You can unsubscribe from receiving such materials at any time.
Photography consent - please note that photographs taken at events may be used for promotional purposes by SWESA. If you have any concerns about the collection of personal information or the use of your image they should be directed in writing to the President, SWESA, Box 88008, Rabbit Hill Road PO T6R 0M5.
I am interested in the following programming/topics/interests: (optional)
What was/is your occupation? (optional)
How did you hear about SWESA? (optional)
SWESA has engaging and fun volunteer groups! There are many different volunteer roles and we offer a flexible commitment.

I would like to volunteer with SWESA (optional)
Volunteer roles I am interested in knowing more about:

Front Desk VolunteerSpecial event table/chair set-upMonthly Luncheon kitchen helpBook donation deliveryTaste of Edmonton shift (ticket seller)Board of DirectorsBoard of Directors Committee (non-board member) - Fundraising, External RelationsCasino shiftAdministration/office supportInformation Technology (IT)
If I volunteer for SWESA, I understand that any information secured by me, in the pursuit of my volunteer duties is confidential in nature. I understand that as a condition of my volunteer involvement, I am expected to maintain this confidentiality. As a volunteer, I will not share anyone's personal information for personal benefit or profit. I agree to all the terms and conditions outlined. *

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Program Waiver - I recognize that the activities I will be participating in may have some inherent risks. I knowingly and voluntarily assume the risks of engaging in these activities. I acknowledge that it is my responsibility to be aware of the risks associated with the activity(ies) and to safeguard my person by ensuring that I am physically able/capable of the activity, that I exercise safety measures appropriate to the activity, and that I do not participate beyond my capabilities. I understand that SWESA endeavors to provide the best possible leadership and instruction, and to provide a safe environment for the program(s) I am joining. I acknowledge that SWESA only organizes activities and does not necessarily possess any special skill or knowledge in relations to the activity itself. I hereby release SWESA for any liability arising out of my participation. The waiver is effective for duration of the participant's involvement with SWESA.*

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Payment type*

VisaMC

Membership2023 Membership

$30.00CAD Quantity

Total

$0.00CAD

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year

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