PGOSA - Membership Application Form

Welcome to our new ONLINE membership application form!

Can't remember if you have already renewed or can't find your card? Email us for confirmation of your status and a replacement card.

After submitting the form, you will be directed to PayPal.  If you decide to cancel prior to completing payment, your membership application will not be complete.  Once you complete the payment, you will receive a "welcome member" email.  PGOSA will have received your funds.  Please contact Shelley at  if you have any questions or problems with this process. 
You will note that the final payment amount you will be charged using this online membership application is a little higher than the membership fee posted elsewhere on the website. This is because your payment will be made through PayPal, who charge a small handling fee on all payments.  if you wish to avoid this small fee, we invite you to submit your membership application in person at the PGOSA Table.  Check out the dates, times and location for the PGOSA Table on the PGOSA Calendar.  
You can also use this form to order a PGOSA name badge, which can be either mailed to you via Canada Post or held for you to pick up at the PGOSA table. 
Your membership card will still be required in order for you to be eligible to participate in PGOSA activities or to receive any discounts offered by the Friends of PGOSA.  You can receive the card via Canada Post or you can receive the card via email for you to display on your smart phone or print off as a wallet card.
PGOSA runs on volunteer power!  Please consider volunteering in one of the categories listed. Or, if you are not sure or have a particular skill to share, please note it in the Volunteer Role details field.
 Fields marked (Required) are required fields and must be completed in order for you to submit your application.

Personal Information

Please let us know your name

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Address

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Contact Information

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Please enter your email address here...

With which area can you volunteer?

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Membership According to Age

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Membership Card Delivery Options

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Name Badge

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Visit the PGOSA Table

Please note that the PGOSA Table has returned to Parksville Community Park, at the picnic shelter. 

it will be there until the end of August, on Friday mornings from 9:30 to 11:00 am.

Now that the table is open again, you can pick up your name badge, or just head over to meet and chat with the membership team.  Refer to the PGOSA Calendar for times and location.

Canada Anti Spam Legislation

Canada's anti-spam legislation (CASL) requires all organizations that use electronic communications such as email to obtain explicit consent from anyone receiving the electronic communications. We require your consent to communicate with you further using email.

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I understand that participating in a Sports Activity could result in injury.  I understand it is up to me to decide whether to participate in any PGOSA Activity.  I understand that the parties responsible for managing and organizing PGOSA activities assume no responsibility for personal injury to me or loss of or damage to my personal property. In consideration of participation in PGOSA, I hereby release and waive all liability for any claims that I have, or may have in future. for any loss, damage, injury or expense that I may suffer as a result of my participation in or presence at any PGOSA activities.  I declare that I have read, understood and agree to the contents of this WAIVER in its entirety and I accept it freely and voluntarily without any inducement.

Participants who wish to part in PGOSA activities need to agree to the PGOSA Liability Waiver.

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*NOTE*
Once you click "submit", you will be taken to PayPal.  You do not need a PayPal account, just scroll down to find other options.

You can continue to payment as "Guest", which does not require you to create a PayPal account. You will be required to submit an email address in order for your receipt to be emailed to you. 

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