You can also use this secure form to apply for membership or to volunteer online.

Membership and volunteer application

Date:
Name:
Male or female:
Address:
City and province:
Postal code:
Phone:
Email:
Date of birth:

Membership application only (Annual fee is $15.00)
Please make cheque payable to Peel Association for Handicapped Adults

Type of mobility device:
Transhelp ID:
Special dietary needs:
Emergency contact name:
Emergency contact phone:
Emergency contact cell:
Relationship:

Volunteer position applied for:

    Bevarage Server      Monday 9:30 am to 12:30 pm (Brampton)
    Bowling Assistant      Friday 12:30 pm to 3:45 pm (Brampton)
    Bowlathon      Annual fundraising event


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