BECOME A mEMBER

If you would like to become a member of our group, please register via clicking the link below. This will take you to our online shop, where you can become a member and register for any upcoming trips!

Name

First Name

Last Name

Phone

(###)

###

####

Email

Date of Birth

MM

DD

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Payment

Do you agree to pay £10 for membership?

Yes

BECOME A mEMBER

Senior Citizens’ Support Group