BCFHRS Membership Application Form

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:*

I’m interested in becoming a BCFHRS member
Full Name*

First Name Last Name
Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email*
example@example.com
Phone Number/TTY Number
Please enter a valid phone or TTY 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.
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