Membership Registration Form

Please complete the membership registration form below.
*Required fields

Main Interest (check all that apply)


Lawn Bowling OLBA Membership


Member Information

Last Name (Member 1)* First Name (Member 1)*
Email (by providing your email address, you consent to receive electronic email messages from the club. You can unsubscribe at any time)
Last Name (2) First Name (2)
Email (by providing your email address, you consent to receive electronic email messages from the club. You can unsubscribe at any time)
Street Address* City Postal Code* (e.g. N3T 4G4)
Home Phone (e.g. 519-751-2345) Cell Phone Work Phone


Children Under 18 years of age

  Name Age
1)
2)
3)
4)

 

Volunteers are always needed to help around the club. I would be willing to help with the following:

 

Disclaimer

I grant permission to the DCOB the right to use photos or videos of myself or family members, without compensation or approval rights, in brochures, websites and advertising material promoting the Dufferin Club.

   




The DCOB is not responsible for lost or stolen items.  In no event will the DCOB, its Directors, Staff and Volunteers be held liable to any party for any direct, indirect, incidental or other damages arising out of the use of the club site or personal injury or injury of a child or any other pecuniary loss, without limitation.

Please check the box to continue.