Membership Application Form

The Lake Country Probus Club is all about providing recreational activities, fellowship, learning activities and opportunities to meet new friends.

We are a volunteer-run organization. All our activities are planned and run by members. The more volunteers, the more choice of activities we can offer; and the more opportunities to socialize with other members and the more fun. We do like our fun and good times.

We welcome members who will volunteer to help out. Please let us know something about yourself.

Please enter your details and then click on the "Submit" button.

First Name:*
Surname:*
Street Address:*
City:*
Province:*
Postal Code (A9A 9A9):*
Telephone (999-999-9999):*
E-mail Address (if applicable):
Name of Spouse or Partner (if applying for both you and your partner):

Former Career(s):


Do you have any skills or knowledge to share?
E.g. crafts, technology, speaking, organizing, managing etc.:


Please let us know how you could participate:
Organize a day trip:
Organize or help organize a longer trip:
Organize a local activity:
Organize a dining event:
Arrange for speakers:
Help the treasurer or become treasurer:
Occasionally fill in for secretary by taking minutes:
Other:
Captcha:* Note: Where it says 'Type the text', type in the text that appears in the box above. If two pieces of text are shown, separate them with a space. These may be numbers or alphabetic characters. If you are not able to read the text, click on the little icon with the circular arrows to get new words or numbers. For any further information, click on the icon with the question mark (?).

* Essential information

Please check over your responses before clicking on the "Submit" button.