2017 Canada Summer Games Expression of Interest Application Form
This form is for those interested in representing Team BC at the 2017 Canada Summer Games in Winnipeg, MB from July 27th to August 5th, 2017 (note: The rowing portion of the event will take place in Kenora, ON). Complete all questions and select 'submit' when finished.
Personal Details
First Name
Your answer
Last Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Primary Email
Please ensure your email is spelt correctly and you use an email address you check regularly. We communicate entirely via email and it is important that you receive our email communications.
Your answer
Retype Email
Your answer
Primary Phone Number
Your answer
Current Home Address
e.g. Unit/Apt/House Number, Street Name, City, Province
Your answer
Current Postal Code
Your answer
Permanent Home Address
e.g. Unit/Apt/House Number, Street Name, City, Province
Your answer
Permanent Postal Code
Your answer
RCA Number
Your answer
Club/Coach Information
Current Coach First Name
Your answer
Current Coach Last Name
Your answer
Current Coach Email
Your answer
Current Club
Your answer
Rowing Preference
Choose all that apply
Required
Current Weight
Your answer
2,000m Ergometer Personal Best Time (coxswains write "Coxswain")
Your answer
2,000m Ergometer Personal Best Date Pulled (coxswains write "Coxswain")
Your answer
Notable Racing Achievements
Your answer
Emergency Contact Details
Emergency Contact Name
Your answer
Emergency Contact Phone Number
Your answer
Relationship to you
Your answer
Are you interested in attending a training camp on February 17th - 19th, 2017?
I have read and agree to abide by the Rowing BC Code of Conduct
Submit
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