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PSO MEMBERSHIP FORM

 
PSO membership is free for people who experience mental health and/or substance use challenges.
 
Please read PSO Code of Conduct prior to registration.
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Image by Thanuj Mathew

PSO Membership 2026-2027

Date of Birth
Month
Day
Year
PSO Can send me a birthday card!
Yes (Please ensure address is entered)
No
I give PSO consent to leave me a detailed voicemail
Yes
No
PSO can leave a voicemail but without any details
I give PSO consent to send me a text message for reminders, cancellations, and other announcements
Yes
No
Province
I would like to receive the monthly PSO Update (choose all that apply)
I would like receive the Family Peer Support Newsletter by email
Yes
No
I give permission to PSO to call or email me for special events
Yes
No
I would like to volunteer with PSO
Yes
No
 Additional Sociodemographic Data

We collect demographic information so that we can continue to support our peer communities effectively. All fields are optional and completely voluntary.

Which of the following best describes your racialized group? (select all that apply)
Do you identify as someone with disabilities?
Yes
No
Do not know
Prefer not to answer
Were you born in Canada?
Yes
No
Do not know
Prefer not to answer
If you were not born in Canada, when did you arrive in Canada?
Less than 5 years ago
5-9 years ago
10 years ago, or more
Do not know
Prefer not to answer
What was your total family income before taxes last year (among adults 16 and older)?
0 to 19,999
20,000 to 39,000
40,000 to 59,999
60,000 to 79,999
80,000 to 119,999
120,000 to 149,999
150,000 or more
Do not know
Prefer not to answer
What is your gender identity? (select all that apply)
Do you identify as transgender?
Yes
No
Do not know
Prefer not to answer
Which category (or categories) describes your sexual orientation? (select all that apply)

Thank you for your responses. The information you share is kept confidential, only reported as anonymous statistics for the purpose of securing funding for PSO programming. Thank you for your support!

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