	Version 1.3.15 \| Home \| BC Games Society \|

	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	^* Required Field	Gender	^* Required Field
		Birth Date	^* Valid date required
Last Name	^* Required Field


Day Phone		Cell Phone
Night Phone	^* Required Field
e-mail	Must be a valid email address
Emergency Contact Name
Emergency Contact Phone		BC Medical Number
Create Username	^* Required FieldUser name Exists

Create Password	^* Password Required Password too short (minimum 8 characters)
Confirm Password	^* Passwords do not matchConfirm Password RequiredConfirm Required

Home Address		Mail Address if different
Street 1	^* Required Field	Mail Street 1
Street 2		Mail Street 2
City	^* Required Field	Mail City
Province	^* Required Field	Mail Province
Postal Code	^* Required Field	Mail Postal Code *
Country	^* Required Field	Mail Country
My Mail Address is the same as my home

Participant Information

Event Participation

Role:	Required Field
Sport:	Required Field

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,Métis, 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.

I Agree

I 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.

I Agree

I 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.