Membership

Membership Form

Name of main applicant*
First Last
Date of Birth
Mobile Phone*
Email Address*
Which Social Media do you often use?
- Facebook
- Twitter
- LinkedIn
- Google Plus
Residential Address*
Street Address Address Line 2 Suburb/ City State / Province / Region ZIP / Postal Code Country
Membership Type*
- Individual (One voting right) $20
- Family (One voting right per family) $30
- Business & Associations membership $50
Business or Association Name
Number of secondary applicants*
Caribbean Country /(ies) of origin or heritage (if applicable) list all:
Are you willing to volunteer at PCA Events?
- Yes
- No
In what capacity (eg. cooking)
What is your main occupation? (main and secondary applicant) select all applicable (optional)
Other (please state)
Any additional skill set? (optional)
Secondary Applicant 1
First Last
Date of birth
Secondary Applicant 2
First Last
Date of birth
Secondary Applicant 3
First Last
Date of birth
Secondary Applicant 4
First Last
Date of birth
Secondary Applicant 5
First Last
Date of birth
By signing this Form, I have agreed to abide by the rules under the PCA Constitution and I will uphold the principles and values expected of me as a Member of the PCA. I understand that my attendance to an event directly or indirectly supported by the PCA is deemed as consent given to use videos or photos taken at these said events for marketing purposes only and in accordance with PCA privacy policy. Photos or videos of children (less than 18 years of age) will NOT be used. without written consent from parents / guardians.
Acknowledgement*
- I agree to the terms and conditions of membership
Please type your name*
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Please note that all fields marked with * are required. After submitting your details you will be directed to our payment screen.

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Upcoming Events

Apr 13, 2024
Tropic Like it’s Hot – Caribbean Boat Party
Mar 23, 2024
Education and Career Pathway Seminar
May 12, 2024
Mother’s Day Paint and Sip Brunch and Caribbean Fashion Show