Fill out this form to join the Hero Family Bridge Foundation

Completing this membership form enrolls you in the Hero Family Bridge and makes your family eligible for assistance following a LODD

By checking this box, I provide express written consent to be contacted by the Hero Family Bridge via phone, email, or text/SMS/MMS, including automated or prerecorded messages, even if you phone number is on a Do Not Call list. Message frequency varies, message & data rates may apply. Text HELP for assistance, reply STOP to opt out. I acknowledge that this enrollment provides membership in the Hero Family Bridge Foundation - First Responders Project, a 501(c)(3) nonprofit, and includes eligibility for its Line-of-Duty Death (LODD) benefit. Fundraising benefits are available only to active members at the time of death, and 100% of funds raised for a qualifying LODD are paid directly to the member's family.

By checking this box, I consent to receive marketing and promotional messages including special offers, discounts, new product updates among others, from Hero Family Bridge at the phone number provided. Frequency may vary. Message & data rates may apply. Text HELP for assistance, reply STOP to opt out.

First Name *

Last Name *

What department/agency do you work for? *

Phone *

Please provide your personal cell phone number

Personal Email *

Provide your personal email address, not a department issued address

Presenter: Tim Brown