Client-Member Form | VFFLS 2023

Complete this form to begin your application.

Fields marked * are required.

First Name

Last Name

Birthday

Year

Month

Day

Phone

Email

Address

Thinking of your personal wellness aspirations, what is your motivation(s) for being a member at VFFLS?

What are your wellness aspirations?

To be able to proactively / better manage my health & wellness

To improve / maintain my mental well being

To improve / maintain my emotional well being

To improve / maintain my spiritual well being

To reduce pain levels / ensure pain is not exacerbated

Other

Would you be willing to volunteer / share your skills with VFFLS?

Personal Health Number

How did you hear about The Vancouver Friends For Life Society?

I agree to the terms & conditions

Step 1 - You