Registration Form

To access the English version of this page, please click here.

I choose to become a Member and I sign the Ethical Charter

I wish to become a Member and I check the corresponding box

Member

I take note of the Ethical Charter of the Association

ETHICAL CHARTER OF THE HÔPITAL DE CAMPAGNE ASSOCIATION

Our nonprofit Association wishes to build Field Hospitals, in France as well as internationally, in areas where medical deserts can be found. Our Association provides its help to people in suffering, notably children, as far as its capacities permit. Our international humanitarian caritative activities are led by our “Saint Elizabeth Teams”. Inside each Field Hospital, the Association puts in place a School, which has the goal to train the local medical personnel in order to make them qualified to continue this work. Our Association inspires itself from the values of the Catholic Church and therefore puts in place a Chapel inside each Field Hospital. All our Field Hospitals are built under the vocable of Saint Joseph. Our nonprofit Association provides its help to all people, regardless of their country of origin, regardless of their condition, regardless of their religion, and regardless of their philosophical or political opinions. Our Association operates in all countries of the world. The duration of our Association is unlimited.

I acknowledge that I took note of the Ethical Charter of the "Hôpital de Campagne" Association and I have agreed to its content.

If you prefer to fill in a paper version of this form, you can also print it and fill it in then send it by e-mail to the address:
hopital.de.campagne@gmail.com

Or either send it to the mailing address:
Hôpital de Campagne Association
53 avenue de Ségur, 75007 PARIS – France

The information collected is necessary for your subscription as a Member of the Hopital de Campagne Association. It is subject to data processing and is meant for the secretariat of the Hôpital de Campagne Association. In application of articles 39 and following of the modified law of January 6th 1978, you benefit from a right to access and correct the information regarding you. If you wish to exercize this right of information, modification or retractation, and obtain the communication of the information regarding you, please send us an e-mail at : hopital.de.campagne@gmail.com

ADMISSION PROTOCOL, AS STIPULATED IN OUR STATUTES, AND DESCRIBED IN DETAIL ON OUR WEBSITE

Once the Board of Directors will have received your Registration form, an application file will be sent to you by mail, as Applicant Member in one of the three categories of Members: Registered Member, Benefactor Member, or Religiously Committed Member.

You will have to return this file to us with the requested elements, as well as the precision of your choice of Member category.

The status of Member grants the right to vote during the General Assemblies of the Members, and the right to present one's application to the position of Representative of the Members at the Board of Directors.

Once the Board of Directors will have decided on your application file, a membership card will be sent to you with a definitive member number, corresponding to the category of Member that you will have chosen.