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

Partner's E-mail:


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:

Challenge:*
Please enter the fourth, seventh
and third digits of the number
shown below, in that order.
1600132

* Essential information

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