Version 1.3.17 | Home | 55+ BC Games |
  Nanaimo 2025 55+ BC Games - Online Registration

Online Participant 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
Emergency Contact Name
Emergency Contact Phone 1 Emergency Contact Phone 2
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 *

Participant Information


 Event Participation

Add Role / Sport / Event
Role:
Sport:  
Event:  
Team/Partner Name Add To List
Click the to remove an item from the list.
Role Sport Event Name Category SubCategory Team/Partner  
Zone *
Waiver Signed *
Do you need transportation at the Games? Select Yes or Not Required. *
Is this person a new member? Yes or No. *

Additional Information

Is this person of Indigenous ancestry-including First Nations, Métis, Inuit? Y or N    
   

**
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.