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  Nanaimo 2025 55+ BC Games - Online Registration

Online Games Family Member Application Form


You must complete all required fields and then hit Submit at the bottom of this form.

Personal Information

First Name * Gender *
BirthDate *
Last Name *
Cell Phone
Home Phone *
e-mail
Create Username *
Create Password *
(minimum 8 characters)
Confirm Password *

Home Address Mail Address if different
Home Address * Mailing Address
Home Address 2 Mailing Address 2
City * City
Province * Province
Postal Code * Postal Code *
Country *

Games Family Information

Role Function
Affiliation Companion Accred #
Title Companion Name

**
Security Policy *
Please indicate you have read and agree/disagree with the Security Policy

Terms and Conditions
Please indicate you have read and agree with the Terms and Conditions. You will NOT be able to register if you disagree.
Code of Conduct
Please indicate you have read and agree with the Volunteer Code of Conduct for the Games. You will NOT be able to register if you disagree.



Please hit submit only once. A successful application will take you to a "Registration Complete" page. If your application is not accepted please check for missing required fields - they will be noted in red. If an error occurs, please try again and if problems persist please send us an e-mail.