Uxbridge Youth Centre

Become A Member

register to become a UYC member

In order to attend drop-in hours and participate in our programming, we require all youth to fill out a quick membership form. Becoming a member is absolutely free and is the only step required to start enjoying the UYC!

Completing this form will ensure that we have the appropriate information in case of an emergency and that you are familiar with our rules so we don’t run into any problems later down the road. Please fill out the form below or download a PDF copy of this form which you can hand in when you arrive at the UYC. We also have copies of this form at the front desk inside the UYC, so if you have questions about becoming a member or want to do this later then just let us know when you drop by!

The Uxbridge Youth Centre is here for your enjoyment. However, in order to ensure that everybody
enjoys their time here, all members must agree to the following rules:

  • Be Respectful: Please respect all others and all property in the centre. Violation of centre
    regulations demonstrates a lack of respect for the Uxbridge Youth Centre, and members found
    doing so are subject to having their membership temporarily or permanently suspended.
  • Please refrain from using racist, sexist or any other prejudiced language.
  • Use all centre equipment in the manner it was intended to be used. Anyone found damaging
    centre equipment will have their membership revoked until the member pays for repairing the
    damaged equipment.
  • Smoking is strictly prohibited inside and outside the building. Please respect both the Seniors
    Centre and public sidewalk space.
  • Anyone found under the influence of alcohol or narcotics in the Uxbridge Youth Centre,
    including all satellite events and trips, will immediately be asked to leave.
  • Members of the UYC are to refrain from loitering in the Uxbridge Seniors Centre hallway.
    Hallway access is intended for accessing the shared washrooms. Please treat shared youth and
    senior space with respect.

By submitting this membership form, you agree to follow all rules and regulations of the Uxbridge Youth
Centre. You understand that membership is a privilege, and violation of UYC rules may result in temporary
or permanent removal of UYC membership.

Member Registration
First & Last Name
Home phone number or a parents cell phone number
Secondary phone number to contact for emergencies (home or cell)