• 50+ Application Form

    50+ Application Form

    for Winter 2026 Activities

  • Before you begin.....

  •  PROCESS FOR WINTER 2026 

    Fiftyplus Winter 2026 activities begin on the week of January 26, 2026. 

    Please read the following instructions carefully.

    To Join Winter Activities:

    • Submit your application and payment by December 31, 2025
    • If your application is late (after December 31):
      You’ll need to wait until January 26, 2026  to apply online again.
      You won’t be able to attend the first two weeks of activities
    • Important: The FiftyPlus office cannot accept late applications. Please do not drop off or mail anything after December 31. You’ll need to wait and apply online starting January 26, 2026.
    • REVIEW the 50+ Activities: You can see full descriptions and the activity schedule on our website: 👉 Visit the 50+ Activities Website 50+ website.
    • ✏️ Making Changes to Your Application:
      • If you need to make changes after submitting, just fill out a new application form with all your original and updated choices.
      • We’ll only keep your most recent submission and discard earlier versions.
      • Please make sure any changes are sent before December 31.
    • ❗Helpful Tips:

    A red asterisk (*) next to any question means it’s required — you must fill it in.

    • Need help? Just email us at:📧 helpdesk@fiftyplusbrockville.ca

     


  •

  • BEWARE

    You have entered an email which ends in @sympatico.ca or @bell.ca or @bell.net and may experience inconsistent delivery of the confirmation email from our application. Sometimes the confirmation email will make it through but sometimes it will not.

    If you don't receive your confirmation email after 10 minutes you could:

    1) Use a different email address and resubmit another application. Or,

    2) Resubmit another application.  As stated, sometimes the confirmation makes it through and sometimes it does not.  Or,

    3) You can contact your email provider and ask why you did not receive the email.  Tell them the specific time you completed the application and that it would have originated from Jotform.com and it is not being delivered to your email account. Or,

    4) If you still can't receive your confirmation email you can send an inquiry to helpdesk@fiftyplusbrockville.ca and ask if your application has been received.

  • 🎯 Choosing Your Activities

    All activities are grouped into nine categories.
    To explore them:

    1. Click on a category name — a list of activities will appear underneath.
    2. Read through the list and find the ones you’re interested in.

     

     How to Select an Activity
    Each activity has a Priority drop-down menu.

    This is where you tell us how much you want to be in that activity:

    P1 (Top Choice) – Your #1 activity. You can only choose one.
    P2 (Second Choice) – Your next favourite. You can only choose one.
    P3 (Third Choice) – Your third favourite. You can only choose one.
    P4 (Interested) – You’re interested in this activity, but it’s not a top priority. You can choose as many P4s as you like!

     ⚠️Important Notes
    Some activities will only offer a P4 option. This means either:

    • You’re guaranteed a spot, so there’s no need to rank it higher, or
    • The leader will use a lottery to select participants.

    In both cases, you’re protected from wasting one of your limited P1–P3 priority picks.
     ⚠️If you try to select more than one activity as P1, P2, or P3, the system will not let you submit your application.

    IF you are a leader or AAA of an activity,

    you can use a Priority 4 for that activity.

    • YOGA 
    • TAI CHI 
    • SPORT 
    • DANCE 
    • EXERCISE 
    • ART 
    • LANGUAGES 
    • MUSIC 
    • SPECIAL INTEREST 
    •  

    • STOP:  YOU HAVE ENTERED A PRIORITY VIOLATION

      You have violated the priority selection principals.  Please revise your activity selections and make sure you only select: a single P1, and/or a single P2, and/or a single P3 and as many P4's as you wish. 

      The Priority Violation must be resolved for this application to be submitted. 

      If you need assistance please contact the   helpdesk@fiftyplusbrockville.ca .

    •  

       

      STOP:  YOU HAVE NOT SELECTED ANY ACTIVITIES. 

      You must select at least one activity in order to submit this application. If you need assistance please contact the helpdesk@fiftyplusbrockville.ca .

       

       

    • PAYMENT INFORMATION

      Your payment must be received by the 50+ office no later than Dec 31, 2025.

      You will find payment details in any of the following locations:

      • On the Thank You page when you submit this application, and / or
      • In the application acknowledgment email you will receive, and / or
      • You can go to the  Payment Terms  page on the 50+ website.

      NOTE THE CORRECT E-TRANSFER EMAIL ADDRESS

       payments@fiftyplusbrockville.ca

    • PARTICIPANT WAIVER OF LIABILITY AGREEMENT

      I, the undersigned participant in one or more Brockville 50+ Activity Centre activities, as a condition of my participation, hereby for myself, my heirs, executors and administrators, waive any and all claims, in connection with or arising out of my participation or any injury to myself related hereto, I may have now or in the future against the Brockville 50+ Activity Centre, its class or activity organizers, instructors, leaders, and other volunteers.

      I, the undersigned participant, also understand that it is my responsibility to report any accident or personal injury to the 50+ office within 24 hours of occurrence (This is to ensure compliance with government health and safety regulations.)

      I, the undersigned participant, also understand it is my responsibility to ensure I have the ability and stamina to participate in the activities for which I am applying.

      I also hereby authorize the Brockville 50+ Activity Centre to routinely correspond with me using the email address already on file or as provided on the current registration form.

    • NOTE:  ONLY THE APPLICANT OF THIS FORM CAN ENTER THEIR OWN SIGNATURE in the following signature panel.   A person who may be assisting you does not have the legal authority to sign a waiver for you.  If using a PC use your mouse, if using a mobility device use your finger tip.  Do the best you can, it won't be perfect.

    • Clear

    • Review Before Submitting

      If you have selected at least one activity and do not have a Priority Violation you will now be able to push the Review Answers Button to make sure all your information and selections are correct.

      After reviewing your information you can either use the Back to Form button to correct any information or click the Submit button to complete the application.

    • Should be Empty: