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  Cowichan 2018 BC Summer Games

Online Participant Application Form


You must complete all required fields and then hit Submit at the bottom of this form.

Personal Information

First Name * Gender *
Birth Date *  
Last Name *
Day Phone Cell Phone
Night Phone *
e-mail
Emergency Contact Name
Emergency Contact Phone BC Medical Number
Create Username *
Create Password *
(minimum 8 characters)
Confirm Password *  

Home Address Mail Address if different
Street 1 * Mail Street 1
Street 2 Mail Street 2
City * Mail City
Province * Mail Province
Postal Code * Mail Postal Code *
Country * Mail Country

Participant Information


 Event Participation

Role:  
Sport:    
Zone *
Coaching Cert. ID
Accommodation ? *
Travel is not required
Pick-up location for Travel TO the Games *
Drop-off location for Travel FROM the Games *

Additional Information

Is this person of Aboriginal ancestry-including First Nations,M├ętis, Inuit?    
Please select a school from the dropdown    
If the school attended until June 2018 is not in the list above, enter it here    

**
Terms and Conditions
Please indicate you have read and agree with the Terms and Conditions. You will NOT be able to register if you disagree.

Code of Conduct
Please indicate you have read and agree with the Volunteer Code of Conduct for the Games. You will NOT be able to register if you disagree.




Please hit submit only once. A successful application will take you to a "Registration Complete" page. If your application is not accepted please check for missing required fields - they will be noted in red. If an error occurs, please try again and if problems persist please send us an e-mail.