Membership Registration Form

Thank you for your interest in joining our community - please carefully fill out the below form to start your membership registration. 

 For information, our website is digitally signed which means that all data between your computer / mobile device and our server is encrypted.  However, if you prefer not to sign up digitally then you may register at the centre when arrive for the first time.

Personal Details / Contact Information
Other Information

Dear Member/Parent or Guardian (if child is under 16 years of age), Lambton Street Youth & Community Hub adheres to the Data Protection Act and is committed to protecting your privacy at all times.  By providing and submitting your details using this online form you are agreeing that we can process and store the information provided for the sole purpose of membership registration and membership management.