The Boys and Girls Club of Niagara Niagara Falls Canada Boys and Girls Club
Children having fun at the Boys and Girls Club Niagara Children having fun at the Boys and Girls Club Niagara Children having fun at the Boys and Girls Club Niagara
Boys and Girls Club Niagara

ALUMNI APPLICATION:

Unless permitted by law, no Personal Information is collected, without first obtaining the consent of the individual concerned to the collection, use and dissemination of that information. However, we may seek consent to use and disclose Personal Information after it has been collected in those cases where the Boys and Girls Club of Niagara wishes to use the information for a purpose not identified in this Policy or not previously identified or for which the individual concerned has not previously consented.

If a Member consents, his/her personal information shall be used for the purposes indicated in this policy statement. If a member does not consent, then his/her personal information shall be used by the Boys and Girls Club of Niagara for purposes of communicating with the Member only and shall not be provided to anyone else. In the event a Member does not indicate his/her consent, the submission of the information constitutes the consent of an applicant to the use of his or her personal information for these purposes.

If a Member wishes to withdraw his/her consent to have his/her Boys and Girls Club of Niagara membership information disclosed to affiliated organizations, preferred suppliers and other reputable organizations, the Member should contact the Boys and Girls Club of Niagara.

Please fill out the following form in full

 PERSONAL INFORMATION
Contact Name: *
Address:
City: *
Province/State:
Postal Code:
Country:
Phone #: *
E-Mail Address: *
Best time to be reached?
Last Year At Club:
Number of Years at Club:
Date of Birth (dd/mm/yy): *
Gender (optional): Male   Female  
 EMPLOYMENT
Company Name:
Company City:
 IMPACT
How has the Boys and Girls Club of Niagara been an influence on your life:
What skills, values and life lessons did you learn as a result of your involvement with the club: *

Would you recommend the club to a parent/child in the future?
YES   NO   MAYBE  
 INVOLVEMENT
Past Involvement:
Years Involved:
Other Involvement:
Are you a parent?  YES   NO  
If yes, were/are your children in the club?   YES   NO  
If yes, in which capacity were/are they involved? 
 COMMENTS
Please list any experience you had as a member, volunteer or staff in the past: *
Do you know any other alumni we could contact?

Would you like to receive correspondence in the future?  YES   NO  
Mandate
Alumni Program
Alumni Events
Online Registration
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