Membership Form

By completing this form you will become a registered member of the Mount Royal University Alumni Association (MRUAA) Child and Youth Studies Alumni Chapter. Registered Membership will allow you to enjoy the many ongoing opportunities and experiences of your chapter. If you prefer to fax or mail-in the membership form, please use the pdf version.

MEMBER INFORMATION
Fields marked with * are required.
Last Name*	First Name*	Middle Name
Birth Date*
Permanent Address*
City*	Province*	Postal Code*
Home Phone* Cell Phone
E-mail*
Please indicate the last year that you attended as a student in the Child & Youth Studies Program:*
INTERESTS IN THE CHAPTER
Board positions and leadership	Continuing education/enrichment activities
Social/Professional Networking	Mentorship/student involvement
Other

The information that you provide on and with this registration form is collected under the authority of the University's Act and Freedom of Information and Protection of Privacy Act Section 33(c). It will be used for identification purposes, contact purposes, to update the information of the Mount Royal University Alumni database and to inform you of MRUAA and Chapter related benefits, programs and events. Your personal information is protected by Alberta's Freedom of Information and Protection and Privacy Act and can be reviewed on request. If you have any questions regarding the collection or use of this information, contact the Office of Alumni Relations, Mount Royal University, 403.440.7000.