Please fill this form out in its entirety. Your Organization's Contact InformationAre you applying as a New Affiliate member or Renewing your membership?(Required)New MembershipRenewing MembershipOrganization's Legal Name(Required)Abbreviation (if any)Address(Required) Street Address Address Line 2 City Postal Code Approx. Number of Employees(Required)Please enter a number greater than or equal to 0.Website Main ContactFull Name(Required)Position(Required)Phone(Required)Email(Required) Alternative Contact (Optional)Full NamePositionPhoneEmail Commitment as a First Call AffiliateOn behalf of our organization:(Required)I commit to supporting the Four Keys to Success for Children and Youth, and First Call’s values and strategies as described in the About the First Call Network – Affiliate Information.I commit that representatives from my organization will strive to create and maintain a welcoming and respectful environment when interacting in the First Call network. I understand that different perspectives and opinions help us learn from one another as we work together to advocate for and uphold the rights and well-being of BC’s children, youth, and families.I commit to respecting and maintaining the confidentiality of individuals participating in First Call meetings.I consent to joining the First Call Affiliate Network and being included on First Call’s public list of affiliated organizations (network). I understand that this includes that any of above-named contacts will automatically ‘opt in’ to email communications from First Call as an Affiliate. You may opt-out of our mailing or email list at any time. I agreeSigning Options(Required) Upload Signature Sign/Mark With Mouse/Finger File(Required)Accepted file types: jpg, gif, png, pdf, Max. file size: 10 MB.Signature(Required)I am the authorized representative and signatory for this organization:Print Full Name of Signee(Required)Any Additional InformationYou can mention any additional information you’d like us to know here.How Do You Want to Pay(Required) Credit Card – First Call’s Online Payment Form Bank Account – First Call’s Online Payment Form E-Transfer Cheque by Mail Other After submitting this form, you will be redirected to the “Affiliate Membership Payment” page.PhoneThis field is for validation purposes and should be left unchanged. Δ Share this: Click to share on Facebook (Opens in new window) Facebook Click to share on X (Opens in new window) X