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Membership

Wild Rose Old Tyme Fiddlers Association

A word version and pdf version of this form is also available.
 
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MEMBERSHIP FORM
Name: ____________________________________
Address: __________________________________
City: _____________________________________
Postal Code: ________________________________
Phone Number: ______________________________
Email address: _______________________________
Do you wish to receive correspondence by email when possible?     Yes ____   No ____
Do you wish to receive notifications of other workshops or events being hosted by the Wild Rose Old Tyme Fiddlers Association by email, when possible?     Yes ____   No ____
What instrument or instruments do you play? Are you a singer or dancer? Please indicate.     ____________________________________

Your name and contact information will be included on a membership list which is distributed to board members of the Wild Rose Old Tyme Fiddlers Association. This information is used for things like mailing newsletters, contacting musicians to see if they would like to entertain for the association, or contacting volunteers for any of the club's activities such as the casino fundraiser and the Grand North American Fiddle Championship.

I, ________________________________ (self, parent or guardian) hereby consent to the collection and use of the personal information above to be distributed to board members of the Wild Rose Old Tyme Fiddlers Association. Renewal of my membership each year, constitutes permission to use this information until I inform the association in writing, that I do not wish my personal information distributed as stated above.

____________________________________        _______________________

Signature of applicant, parent or guardian             Date
(parent or guardian if member under the age of 18.)

Please mail your completed membership application form to the address below along with a $15.00 membership fee for each new membership or renewal.

Membership runs from November 1 to October 31 each year.

Cheque can be made payable to Wild Rose Old Tyme Fiddlers Association and mailed to:

Wild Rose Old Tyme Fiddlers Association
#1588-5328 Calgary Trail
Edmonton, AB T6H 4J8