Ontario Membership

First Name*

Last Name*

Address*

City*

Province*

Postal Code*

Phone Number*

Email*

Date of Birth*

Gender*

Male
Female

Please choose a membership category:*

Competitive: Youth 17-19/Senior/Junior/Master ($95)
Youth under Age 17 (as of December 31) OR first year Trial membership ($65)
Family Membership: Competitive membership, Youth and Junior up to age 21 (Junior); Up to 2 parents and 3 children per family ($130)
Supporting Member, Coach ($30)
Recreational Membership* ($30)
Corporate Membership ($250.00)

Membership is valid from January 1^st to December 31^st, 2021. Please check box for membership required.

* Recreational membership allows for participation in 1 Invitational Competition (does not include a Provincial Championship or National Championship) or any number of Clinics. Note competition & clinic entry fees will apply for events.

Additional Donation

Please indicate amount.

Offline Payment

I do not wish to pay online

You will be contacted by Pentathlon Ontario for instructions on making the payment.

Do you allow your contact information to be shared with other Pentathlon Ontario members?*

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