Membership

TCCSA Membership Registration

To become a member of TCCSA, please complete the online Membership Registration Form and submit the membership fee payment at one of our TCCSA locations. We will contact you in a timely manner once you submit the online membership application.

New Renewal

Applicant Information

Last Name

First Name

Gender

Address

City

Postal Code

Contact Number

Email

Language

English Mandarin Cantonese Other

Birth Month

Birth Year

Other Language (Please Specify)

Country of Origin

Other Status (Please Specify)

Membership Types

Select a membership type

Dependent 1 - Aged 19 or under

Last Name

First Name

Age

Birth Month

Birth Year

Gender

Relationship

Dependent 2 - Aged 19 or under

Last Name

First Name

Age

Birth Month

Birth Year

Gender

Relationship

Dependent 3 - Aged 19 or under

Last Name

First Name

Age

Birth Month

Birth Year

Gender

Relationship

Dependent 4 - Aged 19 or under

Last Name

First Name

Age

Birth Month

Birth Year

Gender

Relationship

Dependent 5- Aged 19 or under

Last Name

First Name

Age

Birth Month

Birth Year

Gender

Relationship

Consent

I acknowledge that I have read, understand, and agree with the procedure of the TCCSA membership registration. I certify that the information submitted in this registration form is ture and correct to the best of my knowledge. *

I hereby give consent to TCCSA to send program information and service updates to my email address. *

Membership

TCCSA Membership Registration

Membership Fee