FSI Privacy Consent and Authorization

• You understand and agree that you are providing the Family Support Institute of BC (“FSI”) with personal information, either of yourself or on behalf of another individual regarding whom assistance is sought (the “Personal Information”). The Personal Information may include, but is not limited to, medical information, health care history, education information, financial information, employment information, and/or contact information.
• You represent and warrant that you have the authority to provide the Personal Information to FSI.
• You consent to the collection, use and disclosure of the Personal Information for the purpose of participating in the programs and/or activities of FSI. You understand and consent to this information being used to facilitate participation in the programs and activities of FSI, including, but not limited to, support programs; workshops & training; networking opportunities; and information and referrals.
• You understand and consent to the Personal Information being provided to FSI personnel, including, but not limited to Resource Parents and Resource Peers.
• You understand that FSI is collecting the Personal Information under the applicable provincial legislation and any questions about the collection, use or disclosure of the Personal Information may be directed to .
• By submitting the form, you agree that you understand the above consent and authorization and you represent and warrant that you have proper authority to provide such consent and authorization. You further understand and agree that you are providing consent and authorization to FSI concerning the Personal Information as set out herein.