Quebec Federation of Home and School Associations

560-3285 Cavendish, Montreal, QC, H4B 2L9, Off.: 514-481-5619 Fax: 514-481-5610 Email: Web: qfhsa.org

QFHSA INDIVIDUAL Membership Application 2016-2017

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note: if joining a local association (school) please use the family H&S membership form and submit payment to that Home & School organization

Applicant Information
First Name: / Last Name:
Phone: Home: ( ) -
Cell: ( ) - / E-mail:
Address (Appt.#, Civic#, Street name):
Ex: 301-3445 School St
City: / Province: / Postal Code:
Membership Type: q Primary - $18
For individual members, please make cheque payable to QFHSA Inc. / # of Children :
Elementary: ______
High School: ______

OPtional applicant information

Preferred Communication: q Phone q E-Mail q Other (Please specify): ______
Occupation:
Are you a member of a parent’s committee? q Yes q No
If yes, please specify:
Special Skills:
Hobby:
Other Interests:

optional Spouse Information

Name:
Occupation:
Special Skills:
Hobby:
Other Interests:

Signatures

Signature of applicant: / Date:

Privacy Policy

The Quebec Federation of Home and School Association (QFHSA) is a non-profit organization and acts in accordance with the Commission d'accès à l'information du Québec
Any personal information collected is used solely by QFHSA in order to provide the services we offer and will not be given/sold/traded to a third party.