Indigenous Coaches and Officials Program Participant Profile Form

Workshop Information
Name of Workshop*
Sport*
Please specify the sport this course is for. If for multi-sport, please enter multi-sport.
Course Date*
Date Format: MM slash DD slash YYYY
Location
Learning Facilitator
Participant Information
Name*
First Last
NCCP #
Address
Street Address Address Line 2 City Province Postal Code
Phone
Email*
Birth Date*
Date Format: MM slash DD slash YYYY
Gender*
Voluntary Self-Identification*
- Status First Nations
- Non-Status First Nations
- Métis
- Inuit
*This information will assist the Coaches Association of Saskatchewan with determining eligibility and will be used in follow-up reporting. All information will be kept confidential.
Email Updates
Would you like to be added to an email list to receive information on upcoming workshops and other Coach Professional Development opportunities?
- Yes, I would like to receive email updates.

If you have questions or would like more information, contact

Garett Mathiason

Coaches and Officials Development Coordinator

Workshop Information