Sport Manitoba - Bison Transport Sport LeadHERship Registration

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Bison Transport Sport LeadHERship Day February 16

No upcoming class

Friday 1:00 PM - 9:00 PM

February 16, 2024

University of Brandon- Healthy Living Centre

2010 Louise Avenue Brandon Manitoba

Registrations ended on February 14, 2024 11:59 PM.

If you are a educator/coach registering a student/athlete your information goes under respondent, and the student/athlete information goes under participant. If you are registering multiple students/athletes please complete this form for each person.

If you registering yourself, your information is input under respondent and participant.

Respondent

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First name *

Last name *

Email *

Mobile

Participant Information

First name *

Last name *

Date of birth *

Grade *

Emergency Contact

Relationship

First name *

Last name *

×

Mobile *

Other phone

Are you... *

Student (learned about the event through school) Athlete (learned about the event through sport) Coach Educator

Gender Identity *

Female Male Two-Spirit Transgender Female Transgender Male Non-Binary Genderqueer/Gender Non-Conforming Prefer not to Declare

Prefer to Self Declare

What school do you attend? *

What sport(s) do you participate in? *

Are there any additional services or supports that you may require.

ASL Interpreter Wheelchair Acccessibility other

If you selected other, please provide details

If you have dietary restrictions please indicate below.

Vegetarian Vegan Celiac (Gluten free) Other

If you selected other, please provide details

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