If you would like to become a member of the Friends, please complete and submit the form below.  You will receive notices of events via email or telephone.  Alternatively, application forms are available at the Churchill Seniors' Centre.

Name
Street Address
City, Province
Postal Code
Home Phone
E-mail
Activities*

             *Please list the activities you participate in at the Churchill Seniors' Centre.

  Click Submit Form to join the Friends of Churchill Seniors Centre.