Membership Application

First Name *

Last Name *

Street *

City *

Province *

Postal Code *

Birthday (mm/dd/yyyy) *

Occupation *

Place Of Employment *

Email Address *

Phone (Home) *

Phone (Cell) *

Phone (Work) *

Applicant’s Signature

Date *

Your Doctor’s appointment will be sent to the email address provided followed by a phone call and text message.

SPONSOR’S INFORMATION

*You must be sponsored by two Members in good standing. ** Only one sponsor can be a relative

Sponsor #1 Name *

Membership Number *

How long have you known the applicant (years)? *

Related? *

Sponsor #1 Signature *

Date *

Sponsor #2 Name *

Membership Number *

How long have you known the applicant (years)? *

Related? *

Sponsor #2 Signature *

Date *

Why would you like to be a member of the Giovanni Caboto Club? *

Applicant’s Background Information (for our Cultural Archives):

Where were you born:

Country *

Province/State *

City/Town *

Is one of your parents Italian *

What is your father/mother’s name *

Is one of your grandparents Italian *

What is your grandfather/grandmother’s name *

Family Information *

Other

Partner’s name

Children

Name

Date of Birth (mm/dd/yyyy)

Gender

Name

Date of Birth (mm/dd/yyyy)

Gender

Name

Date of Birth (mm/dd/yyyy)

Gender

If married, please provide date of marriage (mm/dd/yyyy)

Beneficiary name *

Relationship *

Skill Sets

Please check which volunteer committees you would like to be part of, if any

MEMBER’S OATH

On my honour, I do solemnly swear to be loyal to the Giovanni Caboto Club, to abide and promote at all times by the objects and ideals of the Club, the provisions of its constitution, By-laws and other rules and regulations in force now and those enacted in the future; to treat all members as family, to respect each other as equals and to yield always to the will of the majority

Sul mio onore io giuro solennemente di essere leale al Giovanni Caboto Club, di attenermi a e promuovere in ogni occasione le finalita e gli ideali del Club, le disposizioni del suo statuto, i Regolamenti ed alter regole in vigore ora ed approvati in futuro; di trattare tutti i soci come una famiglia, rispettarsi in eguaglianza e di cedere sempre alla volonta’ della maggioranza.

Membership Application

SPONSOR’S INFORMATION

Applicant’s Background Information (for our Cultural Archives):

MEMBER’S OATH

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