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Adding additional family members to your account

Primary Account Holder Information

The primary account holder should already have an account. If the primary account holder does not already have an account, please request an account.

Name

First name

Last name

Email address

Phone number

Additional Family Member

First Name

Last Name

Gender

Date of birth

Date of birth: Day

Date of birth: Month

Date of birth: Year

Do they have any medical conditions?

Yes

No

Please list their medical conditions

Please list any medical conditions you may have

Household confirmation

I confirm that this person is a member of my immediate family who resides in the same residence as me.

Do you wish to add another family member?

Yes

No

Second Additional Family Member

First Name

Last Name

Gender

Date of birth

Date of birth : Day

Date of birth : Month

Date of birth : Year

Do they have any medical conditions?

Yes

No

Please list their medical conditions

Please list any medical conditions you may have

Household confirmation

I confirm that this person is a member of my immediate family who resides in the same residence as me.

Do you wish to add another family member?

Yes

No

Third Additional Family Member

First Name

Last Name

Gender

Date of birth

Date of birth : Day

Date of birth : Month

Date of birth : Year

Do they have any medical conditions?

Yes

No

Please list their medical conditions

Please list any medical conditions you may have

Household confirmation

I confirm that this person is a member of my immediate family who resides in the same residence as me.

Do you wish to another family member?

Yes

No

Fourth Additional Family Member

First Name

Last Name

Gender

Date of birth

Date of birth : Day

Date of birth : Month

Date of birth : Year

Do they have any medical conditions?

Yes

No

Please list their medical conditions

Please list any medical conditions you may have

Household confirmation

I confirm that this person is a member of my immediate family who resides in the same residence as me.

Do you wish to add another family member?

Yes

No

Fifth Additional Family Member

First Name

Last Name

Gender

Date of birth

Date of birth : Day

Date of birth : Month

Date of birth : Year

Do they have any medical conditions?

Yes

No

Please list their medical conditions

Please list any medical conditions you may have

Household confirmation

I confirm that this person is a member of my immediate family who resides in the same residence as me.

Once submitted, our staff will verify the information and add the addtional member(s) to your account within two business days.

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North Vancouver Recreation & Culture gratefully acknowledges that we operate on the traditional, unceded territories of the Sḵwx̱wú7mesh (Squamish), səl̓ílwətaʔɬ (Tsleil-Waututh) and xʷməθkʷəy̓əm (Musqueam) Nations.

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