BCSSA Covid Cup Week 3 Registration Requests
Please use this form to request registration for all those in your household (using 1 screen) to register for our WEEK 3 Covid Cup sessions.

Heart Rate Monday: Victoria Day! But we will still have a cardio session!
Coach David (Coquitlam Sharks)
2 PM: Div 1-2
4 PM: Div 3-4
6 PM: Div 5+ **
** If registrations support hosting a 3rd session **

Teaching Tuesday: Neuro-diversity on our team!
Coach Brett (Vancouver Vikings)
4 PM: all Divisions together

Werk It Wednesday: Breaststroke Flexibility
Coach Jaren (Penticton Pikes)
2 PM: Div 1-2
4 PM: Div 3-4
6 PM: Div 5+ **
** If registrations support hosting a 3rd session **

Coaches Corner Thursday: Athlete Neuro-diversity & Inclusion
Coach Brett (Vancouver Vikings)
4 PM: One session, all for adults, breakout groups may be used.

FUN Friday:
Join us for an (un-moderated) social chat with your age division!
4 PM: age 12 and under, please have an adult supervising
6 PM: age 13+, adults please use discretion on whether to supervise or not


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Email *
Last Name of participants *
Participant #1 First Name *
Participant #2 First Name
Participant #3 First Name
Participant #4 First Name (if more than 4, please list all additional names here)
Waiver completed? (Waiver found at: https://forms.gle/zkFNpxYQQLJWUwqr7) *
Which club are you a member at? *
Please indicate which of the WEEK 3 workshops you are registering each individual into. Please pay attention to the different times and age divisions for each workshop.
Participant #1
Participant #2
Participant #3
Participant #4
Participant #5+
Monday 2 PM (Div 1-2) Cardio Session
Monday 4 PM (Div 3-4) Cardio Session
Monday 6 PM (Div 5+) Cardio Session
Tuesday 4 PM (All Div.) "Neuro-diversity"
Wednesday 2 PM (Div 1-2) Breaststroke Flexibility
Wednesday 4 PM (Div 3-4) Breaststroke Flexibility
Wednesday 6 PM (Div 5+) Breaststroke Flexibility
Thursday 4 PM (Adults) Neuro-diversity
Friday 4 PM (12 and under) Social Chat
Friday 6 PM (13+) Social Chat
Any questions or concerns? Suggestions for future topics? Feedback?
A copy of your responses will be emailed to the address you provided.
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