Membership Form

Thank you for your interest in a Community Living Kawartha Lakes membership. Please complete membership form here and click the 'Send Membership Application' button to submit it to us.

We also recommend that you print out two copies of this page - one copy to include with your membership fee (when you mail it in or drop it off) and another copy for your own records. If you have any questions about applying for members, please do not hesitate to contact us at (705) 328-0464 or send us an email.

Please mail your membership fee - in the form of cheque or money order - to:

Community Living Kawartha Lakes
33 Lindsay Street South
Lindsay, Ontario
K9V 2L9

Please make cheques payable to Community Living Kawartha Lakes. Please do not send cash by mail. Cash (as well as cheque and money order) payments for membership fees are gratefully accepted at our Lindsay office, located at 33 Lindsay Street South.

Online membership application form

Name:       
Address:       
Address       
Postal Code:       
Phone:       
Fax:       
Email:       

Membership Categories (Annual)
Individual $10 Family $15 Associate (non-voting) $100 Sustaining $500

Method of Payment
Sending Cheque: Money Order:

Please make cheques/money order payable to Community Living Kawartha Lakes.

Please do not send cash in the mail.

Other Information
Please help us serve you better by answering these questions. Thank you.

Would you like to be contacted with more information about Community Living Kawartha Lakes? If yes, please indicate the type of information of interest to you (check as many as apply). If no, please skip this question. Thank you.
Donating to Community Living Kawartha Lakes
Volunteering with Community Living Kawartha Lakes
Employment with Community Living Kawartha Lakes
Our services
Joining our committees or the Board of Directors
Providing a community job or volunteer placement for the people we support
Other (please specify):

Would you like to receive an email notice when our website is updated?
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If you chose 'yes', please include your email address:

Would you like the option to make online (credit card) donations to Community Living Kawartha Lakes?
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Would you or anyone in your family use a discussion board for siblings of individuals with intellectual challenges if it were available through Community Living Kawartha Lakes?
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