Water Systems Operators, Water Monitors and Water Delivery Drivers Registration

Name *

First Name

Last Name

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Media Release *

I am aware that pictures and videos will be taken at this event and may be shared on social media.

Membership *

Note that membership is free for water systems operators and others who are involved in the provision of services related to water and/or wastewater services for First Nations communities and employed by or for a First Nation organization. Regular membership will commence upon acceptance of this application.

I understand that attending the AGM and having my expenses covered is a benefit for SFNWA Members only. Therefore, if I am not an SFNWA Member I am also applying to be a member by completing this form.