OFCP MEMBERSHIP APPLICATION FORM

OFCP MEMBERSHIP APPLICATION FORM
Types of OFCP Memberships

Lifetime Membership - Individuals with cerebral palsy:

Lifetime Memberships for individuals with cerebral palsy are required to pay a one-time fee of $10.00

Individuals with cerebral palsy that have Canada-Ukraine Authorization for Emergency Travel (CUAET) are eligible to waive the $10.00 Lifetime Membership fee. CUAET Lifetime Membership fee waivers require additional supporting documentation.

Individuals who have cerebral palsy are members or clients of an organization that has an active OFCP Group Membership will have their Lifetime Membership fee of $10.00 waived.

OFCP's Lifetime Membership is open to all people with cerebral palsy. Lifetime Members are eligible to access personalized system navigation services and apply for funding assistance from the OFCP. Funding assistance can be directed towards things like equipment, vacations, travel expenses, and accessing community based programs. This membership does not expire and present member benefits can be accessed in perpetuity - based on their availability. Lifetime Members will also receive up-to-date information on the OFCP as well as new funding, services, and research opportunities.

Individual Membership: Individuals that do not have cerebral palsy:

Individuals that do not have cerebral palsy and would still like to support OFCP and access OFCP Membership rights (exluding funding applications) are able to purchase an Individual Membership.
Individual Members are required to pay an annual membership fee of $20.00 managed through a PayPal subcription service.
OFCP's Individual Membership allows an individual to support the OFCP and access personalized system navigation services and mail-outs concerning OFCP and CP related information. This membership is perfect for parents, guardians, family members, professionals, and community supporters.

Group Membership - Groups that support clients with cerebral palsy:

Groups that provide a service to individuals that have cerebral palsy and would still like to support OFCP and access OFCP Group Membership rights (exluding funding applications) are able to purchase a Group Membership.

As a Group Member, individuals associated with your group are eligible for Lifetime Memberships with the $10.00 fee waived.

Group Members are required to pay an annual membership fee of $100.00 managed through a PayPal subcription service.

OFCP's Group Membership is perfect for non-profit organizations who provide services to people with cerebral palsy. Group Membership grants the organization a dedicated page on OFCP’s website, the ability to promote services, programs, and events on OFCPs website. This membership also grants fee-less Lifetime Memberships for all applicable individuals associated with the Group Member.

If you have any questions regarding Memberships, Documents, or Payment, please contact Membership Services.

email: membership@ofcp.ca

phone: 416-936-6007

toll-free: 1-877-244-9686 Ext 221
I would like to:

Apply for a new OFCP MembershipUpdate existing contact information
OFCP Individual Membership number:
If known (we can look it up)
Date of Application*

YearMonthDay
Todays date
OFCP Membership Type:*

Lifetime Membership (Person with cerebral palsy)Lifetime Membership with CUAET (Canada-Ukraine Authorization for Emergency Travel)Individual Membership (Person without cerebral palsy)Group Membership (Group that supports individuals with cerebral palsy)
APPLICANT INFORMATION

Regardless of age
Name*

Applicants First NameApplicants Last Name
Date of Birth*

YearMonthDay
Applicants Date of Birth
Gender

MaleFemaleOther
Applicants Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant Primary Phone Number*
Please enter your home phone number.
Applicants Email*
example@example.com
Please add me to the OFCP electronic mailing list

Add me to OFCP e-mail list
CONTACT PERSON

(If applicant is under 18 years of age and/or requires communication assistance)
Name

Contact First NameContact Last Name
Relation to Applicant
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Contact Primary Phone Number
Please enter a home phone number.
Contact Email
example@example.com
Note:
- A person employed by the OFCP is ineligible for membership.
- A person employed by an OFCP Member Group is ineligible for membership.
Membership Fees and Payments:

OFCP Membership Payment Portal LINK
- Lifetime Members are required to pay a one-time fee of $10.00 for a lifetime membership (exeption for Canada-Ukraine authorization for emergency travel program applicants).
- Individuals who are members of the OFCP Member Groups and have cerebral palsy are automatically considered members of the OFCP but must still complete the membership application form.
- A Individual Membership requires a yearly payment of $20.00 managed through a PayPal subscription.
- A Group Membership requires a yearly payment of $100.00 managed through a PayPal subscription.
If you have any questions, please contact Membership at (416) 936-6007 or 1-877-244-9686 ext. 221 or email membership@ofcp.ca
Disclaimer

The OFCP collects, uses and discloses personal information related to this application only for the purposes of assessing, processing and administering this application for individual membership with the above-mentioned applicant/contact person. I consent and (as applicable) confirm the user’s consent to this collection, use, disclosure of personal information. For additional information regarding the OFCP Privacy policy please refer to the OFCP website, www.ofcp.ca
Signature of applicant or designated contact person:

Clear
I confirm that I have entered correct information into the form above to the best of my ability.*

I confirm
Cerebral Palsy diagnosis document (file)

Browse your computer and select the file(s) to upload here
Cancelof
Please check that you have completed the following items before submitting your application:

Upload supporting documents
Should be Empty:

OFCP MEMBERSHIP APPLICATION FORM

Types of OFCP Memberships

Lifetime Membership - Individuals with cerebral palsy:

Individual Membership: Individuals that do not have cerebral palsy:

Group Membership - Groups that support clients with cerebral palsy:

APPLICANT INFORMATION

CONTACT PERSON