Membership Information

You have selected the Family membership level.

The Family Membership - $35 - includes two adults and children living at the same address.

This membership only allows for one user login and email address.

The price for membership is $35.00 now.

Membership expires after 1 Year.

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Account Information

Username

Password

Confirm Password

Email Address

Confirm Email Address

Full Name LEAVE THIS BLANK

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First Name

Last Name

Family Information - List the names of other family members*

*The Family Membership includes two adults and children living at the same address. List the names of other family members.

Address

City

Province

Postal Code

Phone Number

Emergency Contact Name

First & Last Name

Emergency Contact Phone Number

Phone Number

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