Brampton FBLC, JEC, & TA General Member Registration Form

Brampton FBLC, JEC, & TA General Member Registration Form
Welcome to Brampton’s Premier Youth Business Club! Thank you for your interest in joining Brampton FBLC, JEC & TA for the 2025–2026 term — we’re excited to have you here! To apply as a general member, please complete this registration form. By doing so, you’ll be added to our official membership list and gain access to exclusive training events, competitions, prizes, and more throughout the year.

We highly encourage you to review the 2025-2026 member prospectus so you can learn more about Brampton FBLC, JEC & TA. You can access the member prospectus through the link provided.

For any further questions or concerns please reach out to the Director of Outreach & Recruitment via email at siya.parikh.bramptonfblc@gmail.com

Name*

First NameLast Name
Personal Email (NOT SCHOOL EMAIL)*
example@example.com
Phone Number*
Please enter a valid phone number.
Instagram Handle*
School Name*
What is your Grade?*

9101112
Why do you want to join Brampton FBLC, JEC, & TA?*
What are you looking forward to as a general member of our chapter?*
How much time can you commit to our chapter activities this year (e.g., weekly, monthly)? *
Is there anything else you’d like us to know about you? *
Did anyone refer you? If so please write there full name.*
Do you understand that our clubs flagship event the Canadian National Leadership Conference (CNLC) is a paid event which is mandatory to attend? *
Note: FBL Canada does offer financial aid to wave the costs of the ticket for those who demonstrate financial need.
Do you have any questions/concerns?*
*By submitting this form, you acknowledge and consent to receive emails and promotional materials from Brampton FBLC, JEC, and TA. You also agree to join the official communication channels used by the organization and consent to the collection and internal use of the information provided in this form by the leadership team for administrative and operational purposes. Your personal data will be used solely within the organization and will not be shared with any third parties, except for our affiliated or parent organizations when necessary. All information will be handled in accordance with our commitment to privacy and responsible data management.
Should be Empty: