Guelph Optimist Membership Application Form

E-mail

First Name

Middle

Last Name

Address 1

Address 2

City

Province

arrow&v

Country

arrow&v

Postal/Zip Code

Phone #

Interest Finder, please check all items of interest to you:
Were you ever a Junior Optimist Member?
Are you currently attending a full-time post secondary institution?
Have you previously belonged to another Optmist Club?

If yes, provide name of Club