Become an SCI BC Member

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.

Become an SCI BC Member

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 signing up!

Your Information

Your Information

SCI & Disability Information

Agree to Terms

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Become an SCI BC Member