Registration

Interested in joining our group? Whether you’re an athlete, an academic, a parent or a sports fan, ALL supporters of racial equity in our sports community are welcome to join us. Members will gain access to:

• Opportunities for networking, mentorship, and employment.

• Promotional services for culturally inclusive sport organizations and businesses.

• Up to date information on racial justice in the Canadian sport community

BCCA Connects Application Name* *

First

Last

Sport

I Self Identify As: *BlackIndigenousPerson Of Colour (non Afro-mixed or Indigenous)Other i.e Ally

Please provide a brief summary of yourself, your work and achievements, and if you are part of an organization. *

I Am A: *Coach (Any Level)Athlete (Any Level)Community Member or Ally Black Owned Sport Business Owner

Are you 19 years of age or older? *YesNo

Please note: If you are under the age of 19 you will be required to complete an additional form granting parental consent in compliance with the Canada Age of Majority Act.

Email *

Contact Number *

Social Media Names* Twitter Instagram

Website or LinkedIn

Geographic Region (Location): *AlbertaBritish ColumbiaManitobaNewfoundland and LabradorNova ScotiaOntarioPrince Edward IslandQuebecSaskatchewanNew BrunswickNova ScotiaSaskatchewanThe Northwest TerritoriesNunavutYukonUSA

Headshot / Photo

Click or drag a file to this area to upload.

Website

Submit