Volunteer Registration
Northern Adapted Sports Association currently facilitates Wheelchair Basketball, Wheelchair Rugby, Para Sports and Para Ice Hockey programs in Prince George. Volunteers are welcome at all sessions, the schedule will be provided. Registration may include purchase of annual memberships* to: BC Wheelchair Sports Association, BC Wheelchair Basketball Society, SportAbility & Engage Sport North (*required for insurance purposes)
Sign in to Google to save your progress. Learn more
Email *
Full name *
Phone number *
Full mailing address *
Date of Birth *
MM
/
DD
/
YYYY
Emergency contact person *
Emergency contact phone number *
Do you have any health issues we should be aware of? (asthma, allergies etc) *
If yes, please specify
Do you have a disability? *
If yes, please provide brief description of disability
I give permission to have my personal information shared with BC Wheelchair Sports Association, BC Wheelchair Basketball Society, SportAbility & Engage Sport North for the purpose of registering with each organisation as applicable. *
Required
I give permission for use of my name and/or photograph/image in connection with Northern Adapted Sports Association publications, website & other promotional materials. *
Required
TERMS: By completing this Participant Registration form with Northern Adapted Sports Association, I am confirming that I understand the risks inherent in adapted sport, these risks arising from engaging in various sports that include contact and that are played in a variety of conditions with a variety of other persons of different levels of skill, and I agree to take responsibility for these risks and my safety. I further agree to release the Northern Adapted Sports Association and all its members, directors, and affiliates from any duty of care and I waive my right to sue the Northern Adapted Sports Association, its directors, members or its affiliates. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Northern Adapted Sports Association. Report Abuse
Google Forms