BCFHRS Membership Application Form

BC Family Hearing Resource Society is a non-profit organization, established in 1983 that provides early intervention services to families and their children who are deaf/hard of hearing.

Our mission is to strive to help every child reach their fullest communication potential.

Benefits of a membership include: quarterly newsletter, news and updates on services to deaf/hard of hearing children and their families, fundraising activities and voting privileges at our annual meetings.

If you would like to apply to become a member of our society, please fill out this form: Please note- one person per form. If more than one person in your household would like to become a member, please complete another form.*

I’m interested in becoming a BCFHRS member

Full Name*

First NameLast Name

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Email*

example@example.com

Phone Number

Please enter a valid phone number.

Video Relay Service/Video Phone Number

Please enter a valid VRS/video phone number.

Thank you for filling out this information for us. You will be contacted by the BCFHRS Membership Coordinator after we process and review your application.