Sport Manitoba - ASL Interpretation Services Request Form

ASL Interpretation Services Request Form

Sport Manitoba provides ASL interpretation services to support Manitoba athletes participating in integrated sport programming.

Please review the below Provincial Sport Organization (PSO) listing prior to completing the below information to ensure the program is recognized by Sport Manitoba.

PSO Listing - https://www.sportmanitoba.ca/partners/

Please complete the information below to allow for program tracking of all ASL interpretation services provided.

Respondent

You will receive a confirmation by email.

First name *

Last name *

Email *

Mobile

Participant Name *

Participant Name

Participant Age *

Participant Age

Which Sport are you requesting ASL Interpretation Services for? *

Which Sport are you requesting ASL Interpretation Services for?

Name of Program/club/league *

Name of Program/club/league

Provide an explanation of the program *

Provide an explanation of the program

Location of Program *

Location of Program

Date of Program *

Number of Sessions (# of weeks, days etc) *

Number of Sessions (# of weeks, days etc)

Number of Participants the interpreter is for *

Number of Participants in program *

Number of Interpreters Required *

Detailed Cost Breakdown(ie. 10 sessions X $45= $450) *

Detailed Cost Breakdown(ie. 10 sessions X $45= $450)

Total Projected Costs *

Total Projected Costs

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Email or mobile

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