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.

Are You a New Member or a Returning Member? *

Returning Member
New Member

First Name *

Last Name *

Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Email *

Phone

Date of Birth

Emergency Contact Name

Emergency Contact Phone

What Language Do You Speak?

What existing programs, activities or services would you like to participate in at 411?

Are there any new programs, activities or services you'd like to see offered at 411?

Photo Release Form *

I agree

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

Code of Conduct *

I agree

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.

Email Notification Consent *

I agree

Questions? Comments? Suggestions?

Sign-up to receive 411 Bulletins and E-Newsletters

Yes, keep me updated

Address

Address Line 1

Address Line 2

City

State

Zip Code

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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