GSH Membership Request

CFB Shilo

GSH Membership Request Form
Online registration is available for those who have an active GSH Membership.

If you are looking to register for a program and do not have a membership please call the GSH Gym Attendant at 204-765-3000 ext 258-4312.
Name*

First NameLast Name
Address*

Street Address

P.O. Box Number (if applicable)

CityProvince

Postal Code
Phone Number*

Area CodePhone Number
Email*
example@example.com
Alternate Email
example@example.com
Gender*
Birthdate*

MonthDayYear
Date
Emerg. Contact:

First NameLast Name
Emerg. #

Area CodePhone Number
Category*

Canadian Forces (CF)Canadian Forces Family (CF-F)Veteran (V)Veteran Family (V-F)Foreign Fighter (FF)Foreign Fighter Family (FF-F)Extended Security & Defence Team (D)Extended Security & Defence Team Family (D-F)Pensioner Defence Team (P)Pensioner Defence Team Family (P-F)Associates [civilians with no CAF affiliation] (AC)
Service Number
Please upload a picture of yourself from the torso up, using a plain backdrop (white wall). This will be used as your membership card picture.*

Cancelof
Do you have a partner or dependents you wish to add to your account?*

YesNo

Partner's Information
Partner's Name

First NameLast Name
Military Member

NoYes
Partner's Service Number
Phone Number
Please enter a valid phone number.
Email
example@example.com
Partner's Gender
Birthdate

MonthDayYear
Date
Please upload a picture of your partner from the torso up, using a plain backdrop (white wall). This will be used for the membership card.

Cancelof

Dependent #1
Dependent's Name

First NameLast Name
Dependent's Gender
Dependent's Birthdate

MonthDayYear
Date
Dependent's picture for membership card. Please take from the torso up against a plain background.

Cancelof
Do you have more dependents you wish to add to your account?

YesNo

Dependent #2
Dependent's Name

First NameLast Name
Dependent's Gender
Dependent's Birthdate

MonthDayYear
Date
Dependent's picture for membership card. Please take from the torso up against a plain background.

Cancelof
Do you have more dependents you wish to add to your account?

YesNo

Dependent #3
Dependent's Name

First NameLast Name
Dependent's Gender
Dependent's Birthdate

MonthDayYear
Date
Dependent's picture for membership card. Please take from the torso up against a plain background.

Cancelof
Do you have more dependents you wish to add to your account?

YesNo

Dependent #4
Dependent's Name

First NameLast Name
Dependent's Birthdate

MonthDayYear
Date
Dependent's Gender
Dependent's picture for membership card. Please take from the torso up against a plain background.

Cancelof
Do you have more dependents you wish to add to your account?

YesNo

Dependent #5
Dependent's Name

First NameLast Name
Dependent's Birthdate

MonthDayYear
Date
Dependent's Gender
Dependent's picture for membership card. Please take from the torso up against a plain background.

Cancelof

Payment
Select payment option

Debit/Credit/Cash In person at the GSH Front Desk Monday-Friday 8am-7pm, Saturday and Sunday 9:30am-3:30pmCredit Card over the phoneFor 1y memberships only, Monthly deduction. (Reg Force pay, NPF Full-Time Employee pay, Bank or Credit Card)
Once you submit your application, we will contact you shortly regarding your account set up and payment if applicable.

Please note your membership is not valid until payment has been received.

Thank you!
Should be Empty:

CFB Shilo