Living Quilt Membership Application

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Living Positive Through Positive Living Society of Alberta

The Living Quilt Membership Application

The Living Quilt is “HOPE become Tangible” and a terrific display of resilience and strength. The Quilt is a tangible reminder that living with HIV is not only possible, but most likely in developed countries, but not always easy. The majority of Albertans living with HIV are able to lead everyday, typical lives involving family, friends, work, school, hobbies, and dreams.  By helping make hope tangible The Living Quilt emphasises that we are “Living Positive.”

Still, a diagnosis of HIV can create emotional, spiritual, psychological, and yes, even physical barriers for people living with the virus. Such road blocks can be overcome, The Living Quilt is proof of this. This creation of symbol of resilience emanates strength provided by those whose names adorn the Quilt.  The Living Quilt is a source of inspiration for all.

NAME:*
PHONE:*
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Email address at which you may be contacted:*
E-mail confirmation:*
NAME TO APPEAR ON THE LIVING QUILT *
DATE OF THIS APPLICATION and the MONTH & YEAR OF DIAGNOSIS: (MM/YYYY) *
CHOICE OF RIBBON COLOUR: (Choose only one colour)*