Join UAM - UAManitoba

Step 1 of 4

Personal Information

Please complete every field before continuing.

Title *

First Name *

Middle Name (Optional)

Last Name *

Birth Day *

Birth Month *

Are you 18 years or older? *

YesI am 18 years or older NoI am under 18 years old

Step 2 of 4

Contact Information

Your email will be verified before the registration is saved.

Email Address * Enter a valid email address for your membership record.

Phone Number * Numbers only. Do not use letters, spaces, +, brackets or hyphens.

Address *

Step 3 of 4

Community & Origin

Please complete every field before continuing.

Gender *

Male Female Prefer not to say

Local Government of Origin *

Home Town *

Step 4 of 4

Membership & Photograph

Select one membership option and upload your picture.

Type of Membership *

Regular $30 registration, $20 monthly dues & donation Student No financial commitment Patron Financial donation

Your Picture *

Upload a clear JPG, PNG or WebP photo. Maximum 5 MB.

Human Verification *

What is 7 + 7?

Complete this check to submit your registration. No email verification is required.

CAPTCHA-protected registration. After the human-verification check passes, your registration and photograph will be saved immediately in Community Registrations.