Athlete Medical Upload

This form is for athletes who have already completed their Competitive Membership with Muaythai Ontario, but need to submit or update their medical information. Annual Medical Declarations and blood work are only valid for 12 months from the date shown on the completed form.

Membership Processing Times

Effective immediately membership information will no longer be accepted within 1 business day of an event.

Membership information submitted to Muaythai Ontario takes 5 business days to process, review, and verify. Athletes, coaches, and officials must be diligent in submitting all membership information (including club forms, medical & lab tests, and vulnerable sector checks) at least 6 business days prior to an event in which they intend to participate. Members will have access to a mobile passport to present membership information at MTO sanctioned events.

Individuals submitting information between 2 and 5 business days prior to an event will be able to pay fee of $25 for rush processing

I understand that membership information submitted within 1 business day of an event will not be processed in time for competition, and that information submitted within 2 to 5 business days will be subject to a $25 rush fee.*

Yes

Medical Information Upload

Athlete Legal Name*

First Last

Athlete Email*

Athlete Age (Years)*

Upload the Annual Medical Declaration here

All athletes participating in full contact competition must have a completed Annual Medical Declaration that has been completed no more than 12 months prior to the competition date.

File types: .jpg, .jpeg, .png, .pdf
Maximum 20 MB.

Drop files here or

Upload the scans of the completed HIV, HEP B, and HEP C tests here

All athletes age 16 years and older participating in full contact competition must have HIV, Hepatitis B Surface Antigen, and Hepatitis C Antibody screening blood tests that have been completed no more than 12 months prior to the competition date.

File types: .jpg, .jpeg, .png, .pdf
Maximum 20 MB.

Drop files here or

Rush Information Processing*

Rush information processing is required when submitting information 2 to 5 business days prior to an event. Information submitted 1 business day prior to an event will not be processed.

I do not need Rush Processing ($0)
I need my information rushed to be processed within 5 business days ($25)

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Payment Information

Coupon

Total

CAD$ 0.00 CAD

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Cardholder Email*

Cardholder Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country