Registration form

This form is used to register potential members and record their preferences for various activities.

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* 1. Please select all that apply to you

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* 2. Contact Information

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* 3. How did you hear about us?

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* 4. Age group (birthday)

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* 5. Let us know your birth date: DD/MM format

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* 6. Neighbourhood

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* 7. All member contact information appears on our "confidential list," which is accessible only to administrators. Only the information you choose to share will appear on the "public" list, accessible only to group members. Therefore, please select your preferences regarding the "public" list for all members for the following:

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* 8. Physical, Cultural, Social and Leisure

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* 9. Volunteer Capacities (services you can render to Gay and Grey Montreal and/or its members):

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* 10. Other Social Activities/Events (Please check all that apply & identify  your preference in box at the end

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