Soldier On Registration Form w/ Verification Request

SOLDIER ON WELCOMES YOU!

Soldier On Registration Form
It takes a tremendous amount of courage to seek support for you 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!

(* indicates mandatory field)
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)*

Mental HealthPhysicalMental Health and/or Physical
ELIGIBILITY CRITERIA: There are many ways you can be eligible. Select all that apply.*

I am a VAC recipient of a Disability Pension or an AwardI have a Permanent Medical Category (PCat)My release item is 3A or 3BOther
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.*

VAC Decision Letter indicating your VAC Pension or Award.Release / Transfer Notification Message (RTNM) indicating your Release Item.Member Personnel Record Résumé (MPRR) indicating your Release Item.Application for Records of Service (DND 2380) indicating your Release Item.Reserve Force – Release Understanding indicating your Release Item.Other
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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 NameLast Name
Environment (Select one)*
Rank*
Rank*
Serving or Retired (Select one)*
Date of Birth*

MonthDayYear
Gender*
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 and recreation activities interest you the most?*

Alpine SkiArcheryBaseballBasketballBiathlonBobsleigh/LugeBowlingCanoeCross-Country SkiCurlingCyclingEquestrianFishingGlidingGolfHikingHockeyKayakMartial ArtsParachutingRock ClimbingRowingRunningSailingScuba DivingSnowboardSoccerPaddleboardSwimmingTennisTrack and FieldTriathlonVolleyballWaterskiYogaOther
Which creative activities interest you the most?*

CookingDrumsGardeningGuitarKnitting/CrochetLeatherworkModel-BuildingPianoPhotographySinging/VocalsWoodworking and CarpentryOther
Once you click 'Submit Form', we will begin the verification process.
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SOLDIER ON WELCOMES YOU!