2022 : Family (Annual) Membership

Price:

$200 for access until March 31, 2023

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

Address Line 2: Address Line 2 is not valid

City:* City is Required

Country:* Country is Required

State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Primary Member Birth year:* Primary Member Birth year is Required

Gender:* Gender is Required

Profession:* Profession is Required

Home Phone:* Home Phone is Required

Cell Phone: Cell Phone is not valid

Spouse First Name: Spouse First Name is not valid

Spouse Last Name: Spouse Last Name is not valid

Spouse Birth Year: Spouse Birth Year is not valid

Spouse Gender: Spouse Gender is not valid

Spouse Email ID: Spouse Email ID is not valid

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1st Child Name: 1st Child Name is not valid

1st Child Birth year: 1st Child Birth year is not valid

2nd Child Name: 2nd Child Name is not valid

2nd Child birth year: 2nd Child birth year is not valid

3rd Child Name: 3rd Child Name is not valid

3rd Child Birth year: 3rd Child Birth year is not valid

4th Child Name: 4th Child Name is not valid

4th Child Birth year: 4th Child Birth year is not valid

Which part of India or other country are you/& family from? (e.g. City/State/Country): Which part of India or other country are you/& family from? (e.g. City/State/Country) is not valid

Personal Info: I understand that Gujarati Mandal of Calgary must collect, retain and use my personal information to enroll me as a member(s), enable me to participate in the Program(s) that they may hold, provide information relating to activities & events and permit them to obtain payment, and I consent to such collection, retention and use of information provided it will not be used for commercial purposes. By checking the “I AGREE” box you are agreeing to these terms.*

Photography Waiver: I agree that Gujarati Mandal of Calgary will do photography of different events. Gujarati Mandal of Calgary has the rights to post event photos on mandal website and other events to advertise mandal activity. For more information, please refer to Gujarati Mandal Bylaws. *

Liability Waiver: I understand and agree that I am solely responsible for my behavior and that of my family members and will obey all the rules and regulations pertaining to the events and all related activities organized by the Gujarati Mandal of Calgary. I understand that the Gujarati Mandal of Calgary and its officers, directors, employees, volunteers and other affiliates are not responsible for any injury, loss or damage of any kind sustained by me or any members of my family. I acknowledge that I understand and accept the risks associated with these events and activities and consent to my and members of family’s participation in these events and all related activities. By completing and submitting this form I agree to these statements.*

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