New Membership Application Javascript Disabled Please enable Javascript to use this form. Name of Organization * Mailing Address Line 1 * Mailing Address Line 2 Mailing City * Mailing Province * AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Mailing Postal Code * Is this a business address? * Yes No Camp Address Line 1 Camp Address Line 2 Camp City Camp Province AB AK AL AR AZ BC CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MB MD ME MI MN MO MS MT NB NC ND NE NH NJ NL NM NS NT NU NV NY OH OK ON OR PA PE PR QC RI SC SD SK TN TX UT VA VI VT WA WI WV WY YT Camp Postal Code Office Phone * Camp Phone Fax Email * Website http:// Region * Calgary & Kananaskis Area Central Alberta - East Central Alberta - West Edmonton & Area Northeast Alberta Northwest Alberta Red Deer & Area Southern Alberta Primary Contact Information: First Name * Last Name * Email * Position * Bookkeeper/Accountant Camp Director Camp Manager Environmental Program Staff Executive Director Facilities Management/Maintenance Food Services General Labourer - "Do it all" Horsemanship Hosting Housekeeping/Janitorial Human Resources/Personnel Marketing/Fund Development Nurse Office Administration/Finance Office/Registrar Organizational Director Other Other Associate (receive Equipper/Conference Info) Outdoor Programs Manager Program Director Ropes/Obstacle Course Seasonal Counsellors Skills/Activity Leader Spiritual Advisor Voting Representative Is the Primary Contact a Year-RoundCamp Employee? * Yes No Voting Representative Information: First Name * Last Name * Email * Umbrella Organization Name Umbrella Organization Website Camp Kindred * --Select an option-- Agency Religious Affiliated Day Camp Special Populations Eco-Tourism Specialized Program Other, please specify Other: Organizational Affiliation * --Select an option-- Independent/For Profit Religious Independent/Not-for-Profit Agency Government Other Other: How did you learn of the ACA? * --Select an option-- Camp ACA Publication School Camp Fair Internet Other Members Other Other: Reason for joining the ACA? --Select an option-- Camp Accreditation Career Advancement Discounts Educational Opportunities Networking Information on Issues Other: Description and Mission Program Information and Activities Offered Camp Membership* Please select revenue category: --Select a category-- Camp - Additional Site - Camp has an additional site for programs CAT 1 - Less than $100,000. CAT 2 - $100,000 - $250,000 CAT 3 - $250,001 - $500,000 CAT 4 - $500,001 - $750,000 CAT 5 - $750,000 - $1,000,000 CAT 6 - More than $1,000,000 CAT 8 - Commercial CAT 9 - Associate Membership CAT 10 - Individual Membership CAT 11 - Student Membership Camp - Additional Site Camp has an additional site for programs - $ 270.00 CAT 1 Less than $100,000. - $ 270.00 CAT 2 $100,000 - $250,000 - $ 400.00 CAT 3 $250,001 - $500,000 - $ 532.00 CAT 4 $500,001 - $750,000 - $ 663.00 CAT 5 $750,000 - $1,000,000 - $ 795.00 CAT 6 More than $1,000,000 - $ 925.00 CAT 8 Commercial - $ 120.00 CAT 9 Associate Membership - $ 120.00 CAT 10 Individual Membership - $ 40.00 CAT 11 Student Membership - $ 20.00 Dues are renewed annually. They cannot be refunded or transferred to another individual or to next year's services. Our Membership Year runs from January to December. For tax purposes, ACA dues may be deductible as a business expense, but are not deductible as a charitable donation. What goods and/or servicesdoes your business provide? Method of Payment * Please select one (1) method of payment: Payment by Credit Card Payment by Cheque (* denotes required fields)