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Registrant Information

Are you a new or renewing member? *

First Name *

Last Name *

Gender *

Male Female

Date of Birth (MAKE SURE THIS IS CORRECT) * (YYYY-MM-DD)

/ /

BC Medical Service Plan (MSP) Number *

Athlete Street Address *

City *

Postal Code *

Contact Email for Athlete (Please ensure this email is correct as all BC Team & Karate Canada correspondence will go to this email and will be deemed to have been received if sent to this email). DO NOT USE your coaches email address in this field. * Opt in to emails

Club Instructors Information

Club Instructors Name *

Club Instructor's Email - Important to use the correct coaches email so that they receive all the CWG Team information. * Opt in to emails

Parent/Guardian 1 - First and Last Name *

Parent/Guardian 1 - Phone Number * - International Number

Parent/Guardian 1 - Email * Opt in to emails

Parent/Guardian 2 - First and Last Name

Parent/Guardian 2 - Phone Number - International Number

Parent/Guardian 2 - Email Opt in to emails

Please list any injuries including concussions in the last 6 months that the coaching staff should be aware of

Athletes must meet AT LEAST ONE of the following requirements to be eligible for the Canada Games (Canada Games Technical 6.3.1): ● are a Canadian citizen; ● are an Indigenous person (registered under the federal Indian Act); ● are a permanent resident; ● have status in Canada and are applying for permanent residency and: ● – have submitted an application to Immigration, Refugees and Citizenship Canada (IRCC); -AND- ● – IRCC has confirmed they have reviewed the application and that you meet the eligibility requirements to apply; -AND- ● – the application has not yet been denied; Karate BC – Canada Games 2027 Selection Criteria 6 ● are a convention refugee or other protected person (as defined by Immigration and Refugee Board of Canada); ● Newcomers processed using temporary measures to facilitate them fleeing for safety due to a crisis. *

Division

Division *

Category *

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Consent Waiver

I hereby consent to my child/me being a part of the CWG Team and I agree to indemnify and save harmless Karate BC from any claims of liability whatsoever.

I have read and agree to the above *

Athlete Agreements and Code of Conduct

By checking this box, I have read and agree to the athlete agreements and code of conduct as explained in the the BC Team handbook and, and I am fully aware of the athlete's personal and financial commitments as a team member and athlete trying out for the team.

I have read and agree to the above *

Typed digital signature (type your name exactly as entered above "registrants name") *

2027 Canada Games Selection

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Registrant Information

Club Instructors Information

Division

Consent Waiver

Athlete Agreements and Code of Conduct

Please fix the following errors:

Registrant Information

Club Instructors Information

Division

Consent Waiver

Athlete Agreements and Code of Conduct

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