Membership Application | Grande Prairie Friendship Center

Grande Prairie Friendship Centre Membership Form

A membership to the Grande Prairie Friendship Centre is a fun way to stay involved and connected to the Indigenous community of Grande Prairie and surrounding areas.

Memberships are available to everyone and includes:

Quarterly Newsletter Updates
Annual General Meeting
Annual Family Picnic
Annual Volunteer Appreciation Banquet
Annual Holiday Events
National Indigenous Peoples Day
Orange Shirt Day
Sisters in Spirit Vigil
MMIWG2S+ Walk/Run
Annual Day of Friendship
Invites to GPFC Events and Programs
Volunteer Opportunities

"Like" us on Facebook @Grande Prairie Friendship Centre "Follow" us on Instagram @gpfriendship

Consent of Release Information

The information we are requesting is for internal use only. All information that is gathered is used to better understand the purpose of your visit to the Grande Prairie Friendship Centre, and to ensure that we assist you effectively and efficiently. This information will never be used in connection with your name, or shared with any third party, without your consent. Only specific information about you will be shared with the Grande Prairie Friendship Centre’s relevant program(s) and service(s) that are providing you with assistance.

NOTE: If your mailing or email address change, it will be your responsibility to call us at 780-532-5722 or email triciaplante@gpfriendship.com.

Adult 1 Information

* indicates required field

First Name:*

Last Name:*

Email Address*

Address:*

City:*

Province:*

Postal Code:*

Phone Number:*

Date of birth:*

Gender*

Indigenous Status:*

Language:*

Specified Language:

On Reserve:*

Home Community:*

Please tell us your home community:*

Who referred you to the GPFC?*

Personal Information Release

I consent to the release of my personal information to the Grande Prairie Friendship Centre for internal use:*

Website & Social Media Consent

I give permission to the Grande Prairie Friendship Centre to use my photo or child/s photo on our social media accounts and reports:

Emergency Contact Information

First Name:*

Last Name:*

Phone Number:*

Adult 2 Information

Optional information for spouse, partner etc.

First Name:

Last Name:

Phone Number:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us your home community:*

Child 1 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 1's home community:*

Child 2 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 2's home community:*

Child 3 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 3's home community:*

Child 4 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 4's home community:*

Child 5 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 5's home community:*

Child 6 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 6's home community:*

Child 7 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 7's home community:*

Child 8 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 8's home community:*

Child 9 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 9's home community:*

Child 10 Information

Name:

Date of birth:

Gender

Language:

Specified Language:

Indigenous Status:

Home Community:

Please tell us Child 10's home community:*

Grande Prairie Friendship Centre Membership Form

Memberships are available to everyone and includes:

Consent of Release Information

Adult 1 Information

Personal Information Release

Website & Social Media Consent

Emergency Contact Information

Adult 2 Information

Child 1 Information

Child 2 Information

Child 3 Information

Child 4 Information

Child 5 Information

Child 6 Information

Child 7 Information

Child 8 Information

Child 9 Information

Child 10 Information

Thank you for your application!