Renew SCI BC Membership

I am:*

A person with an SCI or related physical disability

A family member of someone with an SCI or related physical disability

Other

Your Information

Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Date of Birth

Marital Status

Which of the following most accurately describes you?

What ethnicity or cultural background do you identify as?

Do you identify as an Indigenous person?

Yes

What language(s) do you speak?

Phone/Cell*

Email*

Your Information

Name*

First Last

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Phone/Cell*

Email*

Which of the following most accurately describes you?

What ethnicity or cultural background do you identify as?

Do you identify as an Indigenous person?

Yes

What language(s) do you speak?

SCI & Disability Information

Terms: Members' information may be shared internally if relevant to the delivery of SCI BC services or for the purpose of reporting to funders. Quotes from members and/or program participants may be requested for promotional purposes and photographs or video may be taken at events for the same purpose, unless a participant registers their objection. By becoming a member with SCI BC you agree to receive our communications, program information, news and other information we deem to be of interest. You have the option to opt-out of these communications after your registration is complete. Please visit http://www.sci-bc.ca/terms-and-agreement/ to review our privacy policy.

I agree to the terms of membership

Yes

Would you like to register as a peer?

If you a person with SCI or a related physical disability we encourage you to join as a peer to connect with our peer mentors, events and disability-specific information and services. You will have all the benefits of being a member and more!

Yes

SCI Level of Injury

Date of Injury / Onset of Disability

Are you able to walk, either independently or with walking aids?

Yes

ASIA Classification

Classification of Injury / Disability

Cause of Injury / Disability

Cause of Injury - Other

Date of Birth

Marital Status

Additional Comments

If you are interested in learning more about wheelchair sports, please sign up to receive the BC Wheelchair Sports Association e-newsletter for the latest info, events and news.

Renew SCI BC Membership

We encourage everyone with a spinal cord injury or related physical disability to become a member of SCI BC. We also invite family members and anyone else who is connected to the SCI community to join. Thank you for renewing your membership.

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Your Information

SCI & Disability Information

Agree to Terms

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Renew SCI BC Membership