Join the Squad - Online enrollment form

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* 1. Stollery kid #1:

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* 2. Stollery kid #2 (if applicable):

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* 3. What school system is your Stollery kid(s) enrolled in?

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* 4. Stollery story (a brief description of what brought your child to the Stollery and how they're doing today):

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* 5. Siblings (if applicable)

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* 6. Parent/guardian #1:

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* 7. Parent/guardian #1: preferred method of communication?

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* 8. Parent/guardian #2:

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* 9. Parent/guardian #2: preferred method of communication?

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* 10. Please indicate which opportunities you’re interested in: (Please check all that apply)

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* 11. Do you have any other connections with the Stollery? (Please check all that apply)

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* 12. Expressed Consent to Email

In order for the Stollery Children’s Hospital Foundation to communicate with you via email and continue sending you electronic news and information pertaining to the Foundation and the Stollery Children’s Hospital, please provide your expressed consent below.

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* 13. Would you like to receive our monthly email newsletter, Bear Facts?

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