Membership Form: Island Mountain Ramblers

Membership Registration Form

By joining today, your membership will expire December 31, 2025. Meetup policies here: https://islandmountainramblers.com/meetup-policies/
I understand that the Island Mountain Ramblers organize and manage events as a private members-only group through Meetup.com
I acknowledge that I must have a Meetup.com account to view and register for club
I confirm that my Meetup.com profile will use my first and last name as registered with the club on this form. Policy here: .
New MembershipRenewing membership
My Products*
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Single Membership$38.00CAD

Family Membership$68.00CAD

Associate (FMCBC)$16.00CAD

Student$22.00CAD

Total $0.00CAD
FMCBC Parent Club:
As of 2019 the ACCVI is no longer a member of the FMCBC and does not qualify for the associate member rate.
School Name
Applicant's Name (preferred name)*

First NameLast Name
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Applicant's Phone Number*

Area CodePhone Number
Applicant's E-mail*
Renewing Applicant's E-mail*
example@example.com
Family Members

Family memberships allow for a maximum of four members. If your family has more than 4 members over the age of 10 years of age, please complete additional applications using "student" as the membership type.
1st Additional Applicant*

First NameMiddle NameLast Name
1st Additional Applicant Email
example@example.com
Date of Birth

MonthDayYear
Date
2nd Additional Applicant

First NameMiddle NameLast Name
2nd Additional Applicant Email
example@example.com
Date of Birth

MonthDayYear
Date
3rd Additional Applicant

First NameMiddle NameLast Name
3rd Additional Applicant Email
example@example.com
Date of Birth

MonthDayYear
Date
Consent
I understand that my name, membership status, and date I signed the liability waiver may be shared with club members.*

I undersand
Day of Registration*

MonthDayYear
Today's Date

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty:

Membership Registration Form

Family Members

Consent