Brain Injury Association of Colorado - How Can I Help?

How Can I Help? - Membership

Membership

Please join BIAC and become a valued member of our organization!
We need your support, we want your hear your ideas and we count on your strength to help us grow.

MEMBERSHIP BENEFITS
Subscription to BIAC’s New Heights Newsletter
Reduced registration rates for our Annual Conference
Ability to attend the Outdoor Adventure Challenge
Use of Peer Advocacy Services, Library & Resource Center
Participation in Support Groups
Announcements & Invitations to Special Events

YES, I would like to join BIAC and help sustain the Association’s mission of support, service and prevention!

First Name

Last Name

Professional Designation

Address

City

State

Zip

Phone Number

Basic Membership

$50

Survivor

Family

Friend

Basic Members in need of financial assistance with dues, please contact Linda Heesch at 303-355-9969, extension 310.

Professional Membership

$100

*Specialty

Corporate Membership

$500

Corporation Name

I am interested in:

	Sponsoring a BIAC Event
	Listing in the Resource Directory
	Advertising in New Heights
	Volunteering
	Advertising on the BIAC website

Donation

YES, I would like to support the Association’s important programs and services with a contribution.

My gift is in Honor of:

Please notify the Honoree at:

Total Amount Due

If you would rather apply by mail, we have prepared an easy mail-in form for you to print out.
Membership Application (PDF)

The form will open in it's own window for easy printing. When you've printed it out, simply close the form window to return to Biacolorado.org

Members of the Brain Injury Association of ColoradoMembers of the BIAC 24th Annual Conference Committee:
C.A. Brooks, Craig Hospital; Chris Callahan, Learning Services; Jane Crowley, Colorado Department of Health & Human Services, Mental Health; Char Jacobs, Children’s Hospital; Monica Kahn, Family Member; Jim Kittel; Karen McAvoy, Cherry Creek School District & BIAC Board of Director; Jan Nice, Craig Hospital; Sondra Pappas, Family Member; Dianne Primavera, Learning Services; and Jane Vagstad, Learning Services.

Outdoor Adventure Camp Scholarship Contributors:
Capmark Finance, Inc., Classic Companies, Ed Reinhardt and Tony Bruno Annual Golf Tournament; Friends and Family of Margaret Hall, George Herndon, Magic Moments, Parkhouse Foundation, Justin Suhn, Spalding Foundation, and St. Mary Land & Exploration Company.

Pikes Peak Challenge Committee:
Kathy Haynes, Erica Hutchinson, Joel Klein, Jenny Olson, Tad McClurg, Patricia Peterson, Kelli Romp, Mike Teger, Mike White and Chris Zwirlein.

Support Group Leaders:
Aurora: Vicky Council and Jen McCloskey; Boulder: Chris Carter, Jeannie Frazzel and Duncan Larsen; Brush: Elaine Prascher; Colorado Springs: Sally Layton; Denver: Rennie Hart and Matt Doty; Denver-Children & Parents: Jeanne Dise-Lewis, Ph.D. and Nomita Chabildas; Denver-Downtown: Jim Kittel and John Sanders; Denver Family: Kaye Teti, Sondra Pappas, and Fern Bechtel; Denver Mild Injury: Cathy Blake and Jan Herodes; Denver-North Metro: Karen DeBrine; Denver-Spanish: Martha Zobel; Email: Patrick Jones; Ft. Collins: Laura Burnett; Glenwood Springs: Carrie Fell Miller; Greeley: Michelle Sauder; Greeley Survivor/Family: Michelle Sauder; Longmont: Mary Anne Lessley and Cheryle Sullivan; Longmont Family: Mary Anne Lessley and Ruth Eastman; Longmont Lunch Break: Cheryle Sullivan; Otero: Desarenay & George Pfaff; Pueblo: Dr. Jim Evans and Gayanne Hotzel; Sterling: Judy Houser; Western Slope: Bill Queen

CIRCLE Network Facilitators:
Vigi Sekhar and Gwen Ellyn Ordquist for Denver; Cheryl Catsoulis and Kerrie Cargill-Hitchcock for Northern; Dr. Jim Evans and Bernadette Santistevan for Pueblo; and Debbie Prather and Geoff Peterson for Western Slope.

Volunteers:
Jim Kittel, Sondra Pappas, Sheila Pouraghabagher, Andy Spaulding, Martha Zobel

Musical Contributors:
The Ron Malpiede Band and Jacqueline Rock & Friends