Youth Membership Form

First name

Last name

Your pronouns (Optional)
—Please choose an option—HeSheTheyOther —Please choose an option—HimHerThemTheyOther
Date of Birth

I am a...
New MemberRenewing Member
Address

City

Province

Postal code

Primary phone number

Your email

Social media handles (Optional)



Website (Optional)

Certifications (Optional)

Areas of Expertise (Optional)

What membership level are you?
$40+GST Youth Member (ages 14-17)
Do you identify as an Indigenous person? If yes, and you are joining FAVA for the first time, you are eligible for a free membership.
—Please choose an option—YesNo
Why are you interested in joining FAVA and what do you hope to achieve as a member? (Optional)

How did you hear about FAVA? (Optional)
—Please choose an option—AdvertisementFilm ScreeningFilm/Writing ChallengeFriend/FamilyReferral from FAVA MemberSchoolSocial MediaOther
If you were referred by one of our members, please name them below:

Volunteer areas of interest (Optional)
As a member of FAVA, you are encouraged to contribute your time via volunteer hours. Volunteering will allow you the opportunity to move up to a higher tier of membership, as well as earn FAVA Bucks that can be used towards the cost of rentals and workshops. Please indicate which areas you may be willing and able to volunteer for.
Data entryPaintingBookkeepingCopywritingFundraising SupportEvents SupportEnglish/Foreign Language TranslationGraphic DesignFilm Content ReviewPhotographySharepoint softwareQuickbooks softwareWordpress

Today's date

I HAVE REVIEWED THE CODE OF CONDUCT AND UNDERSTAND MEMBER EXPECTATIONS. This MUST be accepted and checked off to submit the form:
YES

Consent of Parent or Legal Guardian

Parent/Legal Guardian #1

Parent or Guardian #1's First Name*:

Parent or Guardian #1's Last Name*:

Relationship to Applicant*:

Street Address*:

City*:

Province*:

Postal Code*:

Daytime Phone*:

Evening Phone*:

Parent/Legal Guardian #2

First Name:

Last Name:

Relationship to Applicant:

Street Address:

City:

Province:

Postal Code:

Daytime Phone:

Evening Phone:

FAVA Member's Health Information

Doctor's Name*:

Doctor's Phone*:

Applicant's Alberta Health Care Number:

Allergies & Medical Conditions:

Parent's/Guardian's Name:

By clicking this box, I hereby consent to my child/ward joining FAVA and consider this my signature.

Yes