Application Form – University Women's Club North York

If you do not want your name or contact information included in our club directory, do not complete the online form at this time. Send an email to our membership convenor: memberinfo@uwcnorthyork.ca for assistance.

If you have any difficulty registering for membership or have questions about your payment, please email MemberInfo@uwcnorthyork.ca

Fields marked with an * are required

Step 1 – Enter Contact Information

First Name*

Last Name*

Preferred Phone Number*

Alternate Phone Number

Street Address and Unit #*

City*

Province*

Postal Code*

How did you hear about us?

Do you wish to have a member as a buddy

Member name

Step 2 – Create Username and Password

Username*

E-mail Address*

Password*

Confirm Password*

Membership Status

I have read and agree with the UWCNY’s Use of Information and Insurance Waiver

Only fill in if you are not human

Use of Membership Information

INSURANCE Waiver