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You can sign up as an individual, as a full time student, or as an additional family member, as shown in the Membership Type box below. In the case of a family, each member is required to fill in a separate sign up sheet, to employ a distinct Username, and to pay for membership separately. Family members may use a common E-Mail Address. In order to qualify as a family member for this purpose an applicant must live in the same household.
Required Information  
Username:  
   
Your username can be from 3 to 16 characters and must begin with a letter. You can use any combination of lowercase letters and numbers, but spaces and special characters will not work.
Membership Type:  
Legal Name:  
Your Legal Name (First/Last Name) is required for record keeping and emergency contact info.
First Name:  
Last Name:  
Password:   6-16 characters.
Confirm Password:   Enter your password again.
Street Address:  
Street Address (Cont.):  
City:  
Prov & Postal Code  
Phone Number:   -- Ext.
E-mail Address:  
Confirm E-mail:   Enter your e-mail address again.
Birthdate:   Enter the four-digit year of your birth.
Gender:   Female Male
Emergency Information    
Emergency Contact Name:  
    (Not Participating in Any EVCC Events)
Emergency Contact Phone:   -- Ext.
Health Concerns:  
    (Tell us about any health concerns we should know about)
Medical Insurance:  
    (Do you have medical insurance, such as Blue Cross? Please enter...)
Medical Training:  
    (Do you have first aid or other medical training?)
   
 



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