Social Visitation Form

Stop by for a visit! Please fill out the form below if you would like to request a designated social visit with one of our Elders. Contact 604-588-0445 for more information.

    Visitor Information

    Resident Information

    I, the visitor, submit this visitation agreement for consideration as the DESIGNATED VISITOR for the Elder stated above. Upon approval, I agree that I alone will have visiting privileges granted unto me; there will be no substitutions of any other persons made in my absence. I also understand that all visitation agreements must be approved by the Kinsmen Lodge CEO prior to the commencement of any visitations which are subject to the following conditions: