Become a Member

Join our community

Become a member today or renew your annual membership! Our members make 411 Seniors what it is. We are deeply committed to our members and your ongoing support is important to us. Membership costs $10.oo CAD per year and comes with many benefits, including the chance to be a part of a vibrant and inclusive community of older adults.

If you are interested in becoming a member or renewing your annual membership, please fill out the below online Membership Form. You can also visit our centre and fill in the Membership Form in person, if preferred. To learn more about membership benefits visit the bottom of this page.

Membership Form

Please fill out this form to register or renew your annual membership at the 411 Seniors Centre Society. We do not use or disclose personal information for any purpose other than those for which it was collected for (except with a member’s express consent, or as required by law).

The membership fee is $10.00 CAD per year and can be paid by cash, cheque, or card.

Fields marked with an * are required.

First Name
Last Name
Street
City
Province
Postal Code
Email
Phone (123-123-1234)
Date of Birth
Emergency Contact Name
Emergency Contact Phone (123-123-1234)
What Languages Do You Speak?

By submitting this membership application, you irrevocably grant to the 411 Seniors Centre Society the perpetual and exclusive use of photographs and videos taken of you during the centre's activities, programs, and use of services in any of its official publications. This includes, but is not limited to, the 411 newsletter, brochures, slide shows, videos, and website. I waive any right to royalties or other compensation arising from or related to the use of the photographs, videotapes, or film. Please sign in the field "yes" or "no"

Photo Consent (Yes or No)

By submitting this membership application, you agree to abide by the 411 Seniors Centre's "Code of Conduct", which reads: The 411 Seniors Centre is committed to providing a meeting place where everyone is safe and treated with courtesy, dignity, and respect. Behaviour which is discriminatory, violent or threatening will not be tolerated. This includes, but is not limited to: discriminatory comments or actions, aggressive or threatening physical or verbal behaviour, use of coarse language, or other behaviours that are considered inappropriate. The 411 Seniors Centre has the right to deny service if this conduct is not followed. Please sign in the field "yes" or "no"

Code of Conduct Consent(Yes or No)

By Submitting this you are also agreeing to be part of the 411 Seniors Centre newsletter services. You can opt out at anytime by selecting unsubscribe. Please sign in the field "yes" or "no"

Email Consent(Yes or No)

As a member you will receive:

♥ Access to a secure, friendly, social drop-in centre
♥ Discounted admission to many of our programs, socials, trips, seminars and drop-in activities
♥ Satisfying and rewarding volunteer opportunities
♥ Newsletters and other 411 Seniors’ publications
♥ Opportunities to influence and contribute to 411 Seniors’ decision making
♥ Voting privileges at the 411 Seniors’ Annual General Meeting (for 55+ members only)

Learn more about becoming a member with the 411 Seniors Centre Society. Contact staff by phone at (604) 684-8171 or by email at membership@411seniors.org.

Join our community

Membership Form

As a member you will receive:

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