BECOME A MEMBER

Membership form for the period from November 1st, 2019 to October 31st, 2020

By offering a donation greater than $10, you are allowing us to help a greater number of families in need.
Make checks payable to: L’Etoile de Pacho
or pay by credit card by clicking here

YOUR PERSONAL INFORMATIONS

Complete address
City
Province
Postal Code

INFORMATION ABOUT YOUR CHILD WITH DISABILITY AND / OR SERIOUS DISEASE

IMPORTANT NOTICE

As our organization is required to comply with the "Privacy Act in the Private Sector", please answer the following questions, sign and return this form. Thank you for your collaboration!
I authorize L'Étoile de Pacho to use this information for statistical and in-house organizational purposes.
I authorize L'Étoile de Pacho to take pictures at various events, such as fundraising, family activities, etc. and to use them for purposes deemed relevant (website, facebook, communication to parents, ect.).
Envoi