{"id":632,"date":"2021-09-19T16:59:26","date_gmt":"2021-09-19T20:59:26","guid":{"rendered":"https:\/\/chapters.theprimetimersww.com\/toronto\/?page_id=632"},"modified":"2025-11-10T08:48:47","modified_gmt":"2025-11-10T13:48:47","slug":"membership-form","status":"publish","type":"page","link":"https:\/\/chapters.theprimetimersww.com\/toronto\/membership-form\/","title":{"rendered":"Membership Form"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"632\" class=\"elementor elementor-632\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3ac27b3f elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"3ac27b3f\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-56f6879f\" data-id=\"56f6879f\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-23b3bcb6 elementor-widget elementor-widget-text-editor\" data-id=\"23b3bcb6\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Please complete and submit the following form for new and renewing membership. The membership year is October 1 through September 30.<\/p>\n<p>Note: As of March, 2023 this form can also be used by current members to submit their agreement with the Club&#8217;s new &#8220;liability&#8221; policy.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><\/p>\n<p>Membership fees are currently $40 per year and can be paid by Electronic Funds Transfer (EFT) to treasurer@primetimerstoronto.ca, by cheque made out to Prime Timers Toronto, or by cash (in special circumstances with exact cash) and are due on the first day of October each year. If you are joining during the year, fees are pro-rated at the rate of $20 from June1 of the year.<\/p>\n<p>Information on this form is used to compile a Club Roster, which is closely held and only available, on a need-to-know basis, to Officers of the Club, and those responsible for various mailing lists, and only for authorized Club purposes.<\/p>\n<p>In the following form, fields with an asterisk (*) are required. Thank you.<\/p>\n<p><!-- \/wp:paragraph --><!-- wp:paragraph --><!-- \/wp:paragraph --><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1884ec5 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"1884ec5\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-916bb05\" data-id=\"916bb05\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-64917a5 elementor-widget elementor-widget-wpforms\" data-id=\"64917a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-631\"><form id=\"wpforms-form-631\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"631\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/toronto\/wp-json\/wp\/v2\/pages\/632\" data-token=\"25594e19950a5ce4141243d364ad8e62\" data-token-time=\"1778383140\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-631-field_0-container\" class=\"wpforms-field wpforms-field-name\" data-field-id=\"0\"><label class=\"wpforms-field-label\">Name <span class=\"wpforms-required-label\">*<\/span><\/label><div class=\"wpforms-field-row wpforms-field-medium\"><div class=\"wpforms-field-row-block wpforms-first wpforms-one-half\"><input type=\"text\" id=\"wpforms-631-field_0\" class=\"wpforms-field-name-first wpforms-field-required\" name=\"wpforms[fields][0][first]\" required><label for=\"wpforms-631-field_0\" class=\"wpforms-field-sublabel after\">First<\/label><\/div><div class=\"wpforms-field-row-block wpforms-one-half\"><input type=\"text\" id=\"wpforms-631-field_0-last\" class=\"wpforms-field-name-last wpforms-field-required\" name=\"wpforms[fields][0][last]\" required><label for=\"wpforms-631-field_0-last\" class=\"wpforms-field-sublabel after\">Last<\/label><\/div><\/div><\/div><div id=\"wpforms-631-field_3-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"3\"><label class=\"wpforms-field-label\">Please select one <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-631-field_3\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_3_1\" name=\"wpforms[fields][3]\" value=\"New member application\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_3_1\">New member application<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_3_2\" name=\"wpforms[fields][3]\" value=\"Member renewal, no changes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_3_2\">Member renewal, no changes<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_3_3\" name=\"wpforms[fields][3]\" value=\"Member renewal, with changes\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_3_3\">Member renewal, with changes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_3_4\" name=\"wpforms[fields][3]\" value=\"Add\/update Club liability &amp; photo agreement for current member\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_3_4\">Add\/update Club liability &amp; photo agreement for current member<\/label><\/li><\/ul><\/div><div id=\"wpforms-631-field_19-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"19\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_19\">If new, where did you hear about the club?<\/label><input type=\"text\" id=\"wpforms-631-field_19\" class=\"wpforms-field-large\" name=\"wpforms[fields][19]\" ><\/div><div id=\"wpforms-631-field_1-container\" class=\"wpforms-field wpforms-field-email\" data-field-id=\"1\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_1\">Email Address <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-631-field_1\" class=\"wpforms-field-large wpforms-field-required\" name=\"wpforms[fields][1]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-631-field_4-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"4\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_4\">Full Mailing Address - Optional - do not fill if you do not want contact by mail<\/label><input type=\"text\" id=\"wpforms-631-field_4\" class=\"wpforms-field-large\" name=\"wpforms[fields][4]\" ><\/div><div id=\"wpforms-631-field_9-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"9\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_9\">If no mailing address given, please provide the first 3 digits of your postal code<\/label><input type=\"text\" id=\"wpforms-631-field_9\" class=\"wpforms-field-large\" name=\"wpforms[fields][9]\" ><\/div><div id=\"wpforms-631-field_12-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"12\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_12\">Phone Number (prime\/other) - Optional - do not fill if you do not want contact by phone<\/label><input type=\"text\" id=\"wpforms-631-field_12\" class=\"wpforms-field-large\" name=\"wpforms[fields][12]\" ><\/div><div id=\"wpforms-631-field_6-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"6\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_6\">Birth Month\/Day (mm\/dd only)<\/label><input type=\"text\" id=\"wpforms-631-field_6\" class=\"wpforms-field-medium\" name=\"wpforms[fields][6]\" ><\/div><div id=\"wpforms-631-field_15-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"15\"><label class=\"wpforms-field-label\">Please select activities of interest<\/label><ul id=\"wpforms-631-field_15\"><li class=\"choice-1 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_1\" name=\"wpforms[fields][15][]\" value=\"Bridge\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_1\">Bridge<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_2\" name=\"wpforms[fields][15][]\" value=\"Euchre\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_2\">Euchre<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_3\" name=\"wpforms[fields][15][]\" value=\"Walking Club\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_3\">Walking Club<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_4\" name=\"wpforms[fields][15][]\" value=\"Book Club\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_4\">Book Club<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_5\" name=\"wpforms[fields][15][]\" value=\"Movie Club\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_5\">Movie Club<\/label><\/li><li class=\"choice-7 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_7\" name=\"wpforms[fields][15][]\" value=\"Coffee Meetups\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_7\">Coffee Meetups<\/label><\/li><li class=\"choice-6 depth-1\"><input type=\"checkbox\" id=\"wpforms-631-field_15_6\" name=\"wpforms[fields][15][]\" value=\"Eating Out\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_15_6\">Eating Out<\/label><\/li><\/ul><\/div><div id=\"wpforms-631-field_11-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"11\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_11\">Other activities of interest? Please add below.<\/label><input type=\"text\" id=\"wpforms-631-field_11\" class=\"wpforms-field-large\" name=\"wpforms[fields][11]\" ><\/div><div id=\"wpforms-631-field_20-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"20\"><label class=\"wpforms-field-label\">You recognize that your name and\/or photograph may appear in the newsletter(s), website or other information distributed by the Club. The Club will endeavour as reasonably as possible if requested not to include this information, but make no guarantee this can occur. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-631-field_20\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_20_1\" name=\"wpforms[fields][20]\" value=\"I agree.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_20_1\">I agree.<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_20_2\" name=\"wpforms[fields][20]\" value=\"I do not agree.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_20_2\">I do not agree.<\/label><\/li><\/ul><\/div><div id=\"wpforms-631-field_23-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"23\"><label class=\"wpforms-field-label\"> By becoming a member of PTT, you agree that liability of PTT will be limited, and that PTT shall not be liable for any incidents resulting in any loss, injury or death to any persons participating in PTT-related activities or events. All PTT members participate at their own risk. In the event of any losses or injuries sustained by you or your property at a PTT-related event or activity or in or on a host&#039;s property, you agree to hold harmless and wholly not liable Prime Timers of Toronto, its board members and\/or the host, sponsor, or participants of the event. As a condition of membership, please check &quot;I agree&quot; to affirm your full agreement to this PTT policy. <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-631-field_23\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_23_1\" name=\"wpforms[fields][23]\" value=\"I agree.\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_23_1\">I agree.<\/label><\/li><\/ul><\/div><div id=\"wpforms-631-field_16-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"16\"><label class=\"wpforms-field-label\">How will you be paying the membership fee?<\/label><ul id=\"wpforms-631-field_16\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_16_1\" name=\"wpforms[fields][16]\" value=\"EFT (send Electronic Fund Transer from bank to treasurer@primetimerstoronto.ca)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_16_1\">EFT (send Electronic Fund Transer from bank to treasurer@primetimerstoronto.ca)<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_16_2\" name=\"wpforms[fields][16]\" value=\"Cheque (delivered in person at an event)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_16_2\">Cheque (delivered in person at an event)<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_16_3\" name=\"wpforms[fields][16]\" value=\"Cheque (mailed to Prime Timers Toronto, 115-473 Church Street, Toronto ON  M4Y 2C5) \"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_16_3\">Cheque (mailed to Prime Timers Toronto, 115-473 Church Street, Toronto ON  M4Y 2C5)<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-631-field_16_4\" name=\"wpforms[fields][16]\" value=\"Cash (delivered in person)\"  ><label class=\"wpforms-field-label-inline\" for=\"wpforms-631-field_16_4\">Cash (delivered in person)<\/label><\/li><\/ul><\/div><div id=\"wpforms-631-field_13-container\" class=\"wpforms-field wpforms-field-text\" data-field-id=\"13\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_13\">Date of payment<\/label><input type=\"text\" id=\"wpforms-631-field_13\" class=\"wpforms-field-large\" name=\"wpforms[fields][13]\" ><\/div><div id=\"wpforms-631-field_2-container\" class=\"wpforms-field wpforms-field-textarea\" data-field-id=\"2\"><label class=\"wpforms-field-label\" for=\"wpforms-631-field_2\">Let us know if you have any comments or questions. If problems with the form, please send an email to info@primetimerstoronto.ca<\/label><textarea id=\"wpforms-631-field_2\" class=\"wpforms-field-medium\" name=\"wpforms[fields][2]\" ><\/textarea><\/div><\/div><!-- .wpforms-field-container --><div class=\"wpforms-submit-container\" ><input type=\"hidden\" name=\"wpforms[id]\" value=\"631\"><input type=\"hidden\" name=\"page_title\" value=\"\"><input type=\"hidden\" name=\"page_url\" value=\"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/pages\/632\"><input type=\"hidden\" name=\"url_referer\" value=\"\"><button type=\"submit\" name=\"wpforms[submit]\" id=\"wpforms-submit-631\" class=\"wpforms-submit\" data-alt-text=\"Sending...\" data-submit-text=\"Click to Submit Form\" aria-live=\"assertive\" value=\"wpforms-submit\">Click to Submit Form<\/button><img decoding=\"async\" src=\"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-content\/plugins\/wpforms-lite\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"Loading\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Please complete and submit the following form for new and renewing membership. The membership year is October 1 through September 30. Note: As of March, 2023 this form can also be used by current members&hellip; <\/p>\n","protected":false},"author":8,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-632","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/pages\/632","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/users\/8"}],"replies":[{"embeddable":true,"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/comments?post=632"}],"version-history":[{"count":5,"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/pages\/632\/revisions"}],"predecessor-version":[{"id":1740,"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/pages\/632\/revisions\/1740"}],"wp:attachment":[{"href":"https:\/\/chapters.theprimetimersww.com\/toronto\/wp-json\/wp\/v2\/media?parent=632"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}