Registration

Interested in joining our group? ALL supporters of racial equity for Black, Indigenous and Persons of Colour in our sports community are welcome to join us. Registration will get you access into:

• Opportunities for networking, mentorship, and employment.

• Promotional services and accessibility to Black owned sport affiliated businesses.

• Access to growing network of diverse individuals and allied individuals and organizations throughout our Canadian sport community.

• Quarterly newsletter with updates on BCCA members and organizations.

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): *Central Canada (QC, ON)The Atlantic ProvincesThe Prairie Provinces (MB, SAS, AB)The West Coast (B.C)The Northern Territories

Headshot / Photo

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