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Membership Application

PLEASE NOTE: Submit only one form per applicant. If applying for multiple members, please complete a separate form for each individual aged 18 or older. Submitting more than one applicant per form may result in system errors. Additionally, each member must provide their own unique email address.

Applicant Declaration & Referral Information

I confirm that I am applying solely in my personal capacity as an individual. I am not applying as a representative or in any official role on behalf of a local, provincial/territorial, or federal investigative or enforcement agency.*

Yes

Were you referred to our community? *

Yes

If yes, please provide the member's full name. If no, please let us know how you heard about us.*

Applicant Personal Information

First name*

Last name*

Birth date*

Email*

Phone*

Location (City, Province)*

Number of children to be included in this community.*

Name(s) and age(s) of child(ren)

**For children over 18 that would like to be part of the community, please complete a separate application.

How do you feel joining this PMA will benefit you? What benefits are you seeking?

Are you a service provider or have a healthcare background? If so, please describe.

Are you able to provide support in any of the following areas? Please select all that apply:

Childcare

Delivery & Transportation

Friendly Connections

General Labour (e.g., Tradesperson, Yardwork, Handyperson, etc.)

Administrative Support

Childcare at Events

Donations

Event Support

Printing and/or promotional

Venue space for workshops and events

Pet Care (e.g., pet sitting, dog walking)

Meal Preparation or Food Support

Technical Support (e.g., computer help, IT troubleshooting)

Mentorship or Skills Training

Health and Wellness Support (e.g., wellness checks, fitness instruction)

Translation or Language Support

Other

Stay Connected!

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If you don't receive an email with your joining link, please check your junk/spam folder. To ensure you don't miss future communications, we recommend adding our email address to your contacts.

Health Education, Support and
Advocacy for:

Respiratory and chronic health conditions
Alternative cancer protocols
Autoimmune conditions
Gut, liver, and gallbladder health
Parasite, liver, and heavy metal detoxification
COVID recovery, vaccine-related injuries, and long COVID
Plus much more!

825-863-5621

APPLY NOW