Soldier On Registration Form w/ Verification Request

SOLDIER ON WELCOMES YOU!

Soldier On Membership Form
It takes a tremendous amount of courage to seek support for your permanent mental health and/or physical injury/illness. Acceptance and reaching out for support is an important step in your recovery.

We salute you for making the decision to Soldier On towards an active and healthy lifestyle.

Let's get started!

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SECTION 1: ELIGIBILITY CRITERIA AND PROOF OF ELIGIBILITY

This Registration Form is SECURE (https). Information will not be shared without the member's written consent.
Who is eligible to register with Soldier On?

Any still-serving member or veteran who sustained a permanent mental health and/or physical injury/illness while they were serving in the Canadian Armed Forces; whether or not the injury/illness is attributable to service.
What type of permanent injury/illness do you have? (Select one)
ELIGIBILITY CRITERIA: There are many ways you can be eligible. Select all that apply.

Other
What document will you be uploading today? A document must be provided in order for membership to be approved. Please ensure your document clearly indicates one (1) of the eligibility criteria listed above.

Other
Browse Files
You must upload your eligibility document to complete your registration. Cancelof
SECTION 2: MEMBER INFORMATION
Service Number
Full Name (if you have a preferred name or nickname, please entre your full name and indicate your preferred name in (brackets)
First Name
First Name
Last Name
Last Name
Full Name (if you have a preferred name or nickname, please entre your full name and indicate your preferred name in brackets)

First NameLast Name
Environment (Select one)
Rank
Rank
Serving or Retired (Select one)
Date of Birth

DayMonthYear
Gender
Mailing Address
Street Address
Street Address
City
City
Country
Province
State / Region (If outside Canada)
Postal Code
Mailing Address

Street Address

Street Address Line 2

CityProvince

Postal CodeCountry
Please select the nearest city or zone most fitting for your location. This will help Soldier On organize and deliver events more efficiently to all of our members.
Contact Phone Number

Area CodePhone Number
Contact E-mail (Civilian)
SECTION 3: ACTIVITY INTERESTS
Which sports, recreational, or creative activities interest you the most?

Other
Which creative activities interest you the most?

Other
As part of our commitment to a respectful and inclusive community, all Soldier On members are expected to adhere to our Code of Conduct.
Once you click 'Submit Form', we will begin the verification process.
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SOLDIER ON WELCOMES YOU!