Membership Application Form

• Title     
• Full Name    


• Additional names on Family membership (please indicate birth dates of applicants under age 18):


• Address


• Country     
• Postcode    
• Telephone   


• Cell or Mobile Phone     
• Email     

Is this a new membership application or a renewal of an existing one?

•  First time application for membership
•  Membership Renewal

Category of membership for which you are applying - membership dues are the same for first-time members or renewals of existing memberships:

•  Adult age 18 or over; $15 per year
  
   Senior age 65 or over; $12 per year
  
   Student, or Junior membership under age 18; $12 per year (those under 18 years of age are unable to vote pursuant to the laws of the Province of Ontario)
  
   Family membership up to 2 adults and 2 children; $40 per year
  
   Lifetime membership age 18 or over; $1,250.00



(Family membership permits up to two adults age 18 or over and two children under age 18 from the same family living at the same address and may apply using this one form)

1. Promotion of respect for and humane treatment of all animals.
   
   
2. Prevention of cruelty to all animals.
   
   
3. Rescue, adoption and/or sanctuary of homeless or in-need pets.
   
   
4. Low-cost spay/neuter programs.
   
   
5. Affordable basic veterinary care for low income pet owners and displaced domestic animals.
   
   
6. Support to keep pets in, and return lost pets to, their loving homes.
   
   
7. Promotion of the Asilomar Accords whereby no companion animals or community cats are euthanized unless they are irremediably suffering, hopelessly ill, or truly vicious.
   
   
8. TNR program whereby our program represents Trap, Neuter/spay, Rehabilitate feral cats to prepare them for a life with or around human guardians.

Would you be willing to support, organize, help run or participate with some of our annual events?

•  Yes          No



If you answered 'Yes' to the above question, please advise what type of activities you would be willing to participate in, e.g. promote animals at an adoption event, auctions, baking, selling, running a flea market stall or bookstall at a local shopping mall, cooking for dinner events, acting as a server at dinner events and so on.

• Type of activities



What qualities or skills do you possess, which you believe would benefit Pets Niagara, e.g. newsletter writing, photography?

• Particular qualities or skills



Pets Niagara is also looking for volunteers of all ages and abilities to help out with many aspects of our programs and services.

•  Please check here and we'll send you an email with information on our rewarding volunteer opportunities.


• Interested in fostering? The more foster home volunteers we have, the more animals we can help.

Also, by completing and signing this membership application, each applicant listed as being a party to this membership is also certifying that he or she does not have a conviction for animal cruelty in any jurisdiction. Any such conviction will disentitle you from membership in Pets Niagara. Full details of each membership category are contained in our by-laws.

Entering your name(s), below, will constitute your binding signature(s). We cannot process a request for a family membership unless all names associated with the membership are added, below.

Please be sure to either send us a cheque for your membership fee or return to our membership sign-up page to complete your payment on-line. If you opt to pay on-line once you click on the link a new window will open to hold the payment page for you while you complete this form. Once you have submitted this form you will then be able to go immediately to the Paypal "Join Now" button at the bottom of the open page to complete your payment.

• Please provide the full names of all Membership Applicants

• What is the result of 12 take away 6?