Club Membership Registration Form

Acorn Club Membership Registration

Complete the form below to sign up to join Acorn Club.
Participant Information
Participant Name

First NameLast Name
E-mail
Phone Number

Area CodePhone Number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date

MonthDayYear
Gender
School Information
School Name
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Grade
Principal Name
Parent / Guardian Information
Name

First NameLast Name
Relationship
Email
example@example.com
Phone Number
Please enter a valid phone number.
Why you want to be a part of Acorn Club?
Where did you hear about us?

A Friend or colleaugeGoogleBlog PostNews ArticleSocial MediaOther
Membership Type

Little Acorn: Age 8 - 12Acorn Ambassador: Age 12 or above
Preferred way to contact

PhoneEmailOther
Please include a brief introduction, your area of interest, and relevant experience. We encourage diverse backgrounds and welcome applicants of age 8+.
Members commitment to the Acorn Club :
Young member:

I agree to commit to the expectation of fundraising and volunterrism as outlined in the Acorn Club Inviation Package.
Print Name
Signature

Clear
Parent or Guardian:

I give permission for my child to participate as a member of the BC Children’s Hospital Foundation’s Acorn Club Program. I will do my best to support and encourage my child’s meaningful involvement in the program.
Print Name (Parent/ Guardian)
Signature

Clear
Once you submit your application, we will contact you shortly to complete your membership application.

Thank you!
Should be Empty:

Acorn Club Membership Registration

Participant Information

School Information

Parent / Guardian Information

Members commitment to the Acorn Club :