2020 FIBA Olympic Qualifying Tournament - Victoria/Tournoi de qualification olympique de la FIBA 2020 – Victoria

Online Participant Application Form


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

Personal Information

First Name/ Prénom * Gender/Genre *
Age as of / Âge le Jun 23, 2020   *
Last Name/Nom *
Cell Phone/Téléphone mobile
Primary Phone/Téléphone principal *
Email/Courriel
Emergency Contact Name
Emergency Contact Phone BC Medical Number
Create Username/Créer un nom d’utilisateur *
Create Password/Créer un mot de passe *
(minimum 8 characters/minimum de 8 caractéres)
Confirm Password/Confirmez le mot de passe *  

Resident Address / Adresse du domicile Mail Address if different / Adresse postale (si elle est différente)
Resident Address 1 (including Suite/Apt)/Adresse du domicile 1 (y compris le no d’appartement) * Mail Street 1/Adresse postale 1
PO Box/Boîte postale Mail Street 2/Adresse postale 2
City/Ville * Mail City/Ville postale
Province/Province * Mail Province/Province postale
Postal Code/Code postal * Mail Postal Code/Code postal
Country/Pays * Mail Country/Pays de messagerie

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,Métis, Inuit?    
Please select a school from the dropdown    
If the school attended until June 2014 is not in the list above, enter it here    

**
Terms and Conditions / Conditions générales
Please indicate you have read and agree with the Terms and Conditions. You will NOT be able to register if you disagree. /
Veuillez indiquer que vous avez lu et que vous acceptez les conditions. Vous NE pourrez PAS faire votre inscription si vous ne les acceptez pas.

Code of Conduct / Code de conduite
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. /
Veuillez indiquer que vous avez lu et que vous acceptez le Code de conduite des bénévoles. Vous NE pourrez PAS faire votre inscription si vous ne les acceptez pas.




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.