CSCM Visiting Athlete Form
To be completed by those requesting short term servicing/support form CSCM.
For example, a Manitoba connected athlete home visiting.
First Name
Your answer
Last Name
Your answer
Your answer
Primary Canadian Sport Centre or Institute
Dates requesting servicing/support for
Your answer
Servicing/Support being requested
Your answer
Your answer
Primary Phone
Your answer
Preferred Method of Contact
Questions? Contact Stephanie
204.474.7382 or
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