Intake Form | Friendship Centre

About Us
Programs
Donate
Digital Library
Events
Language
Volunteer
Jobs
Feedback
Contact
More

Intake Form

Universal Consent

Personal Information Notice and Consent

Release of Liability, Waiver of Claims and Indemnity Agreement

Gender

Male

Female

Undisclosed

Date Of Birth

Status / Identity

First Nations

Status

Non Status

Metis

Inuit

Non-Indigenous

Unknown

Thanks for submitting!

Call: 905-871-8931

Email: reception@fenfc.org

796 Buffalo Road, Fort Erie, Ontario