Youth Membership Form 2020

Preferred way to contact *

Emergency Contact

Eastview Programs involved in 2020/2021

Select Programs involved in this year: *

Volunteer Experience

Would you like to volunteer at Eastview? *

Demographic Information

I identify as: *
My preferred pronouns are: *
Ethnicity(ies): *
Are you a Newcomer to Canada? *Newcomer: came to Canada within the last 5 years *
Did your parents immigrate to Canada? *
Terms and Conditions *
Please sign *
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