Registration & Commitment Form


With my signature below, I am agreeing that the information I provide below is accurate and true. I am pledging to participate in 100 Men Who Care – Southern Georgian Bay, and I am making a  personal commitment to contribute to a maximum of $400 each calendar year ($100 per meeting to a maximum of four meetings) to local nonprofit organizations serving the Southern Georgian Bay region. I agree to donate each meeting to the nonprofit organization selected by the group’s majority vote. If I am unable to attend a meeting, I  will still provide my donation to the selected charity. I also acknowledge that photographs and videos taken at events and meetings may include my image and may be used in promotional materials for 100 Men Who Care – Southern Georgian Bay.

    I understand my personal contact information is strictly confidential, and I understand it will not be shared or distributed to an outside third party without my expressed consent. If 100 Men Who Care – Southern  Georgian Bay chooses to publish a Membership Directory, I agree that my contact information be included in that directory.

    Completed Commitment Forms may be scanned and sent via e-mail to or forms may be completed and turned in at a meeting. (Should you wish to discontinue membership at any time  after your three-time commitment, please send an e-mail to indicating your  withdrawal.)



      Email Us