Membership Application

Membership Application

Privacy Statement: Information collected on this form will only be used for matters associated with Amber Academy management. All information will be treated in confidence and will not be disclosed to any other party without the Member's consent.
Please Select: *

New Member Returning Member
Member Type: *

Patron (Non-Participating Member) - $25/year * Individual (Single-Child Family) - $50/year Group(Multi-Child Family) - $75/year
*Patron membership fees are allocated to our Student Bursary program for families with limited financial resources, and to our “Kids Up Front” program which provides free admission to our spring musical theatre production for children of low-income families.
Member Name (Must be 19 years or older): *

First Name Last Name
Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Primary Phone: *
Primary Email: *
Alternate Phone:
Alternate Email:
Fees and Deposits

Membership Fees are due at the time of registration. These fees are used to support the society's work in the community and are non-refundable after 14 days.

Fundraising Deposits: In order to maintain low membership fees, members with children that register for classes are required to provide a fundraising deposit at the start of each term. Deposits amounts are $150 for Fall Term (Sep-Dec) and $200 for Spring Term (Jan-Jun), and are returned at the end of the term to families that meet their fundraising targets. Deposits must be submitted before students attend their first class of the term.

Important: The Fall deposit will not be returned to families that withdraw from Amber Academy after October 15th and have not participated in the fall fundraising program. The Spring deposit will not be returned to families that withdraw from Amber Academy after March 15th and have not participated in the spring fundraising program.

Notes:

Payments made via PayPal are subject to a service fee of 2.9% + $0.30 per transaction.

Cheques must be made payable to Amber Academy Youth Fine Arts Society. There is a $25.00 charge for all returned NSF cheques. If the student's surname differs from the surname on the cheque, please note the student's full name on the front of the cheque. Cheques for fundraising deposits should be dated for the first class of each term.

Please Send Payments To:

Amber Academy Youth Fine Arts Society

2515 Watling Way

Sooke, BC V9Z 0Y7

Email: admin@amberacademy.ca
I will be paying my membership fee by: *

E-Transfer Cheque (mail) PayPal Included with the Fundraising Deposit(s) for the student(s) I am registering *AVAILABLE ONLY IF PAYING BY E-TRANSFER, CHEQUE OR CASH
Please select amount for PayPal transaction:
prev next ( X )
Patron (Non-Participating Member) $25 + $1.03 Service Fee
$ 26.03 CAD

Individual (Single-Child Family) $50 + $1.75 Service Fee
$ 51.75 CAD

Group (Multi-Child Family) $75 + $2.48 Service Fee
$ 77.48 CAD

Total

$ 0.00 CAD

Pay with PayPal

First Name	Last Name
Credit Card Number	Security Code
Card Expiration

Please click one of the PayPal options to complete payment and submit the form.

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