2022 CANUSA VOLUNTEER REGISTRATION

2022 CANUSA VOLUNTEER REGISTRATION

Flint, Michigan - August 5th to 7th
All information must be completed and submitted by July 22nd . Volunteers signature must be present or Volunteer will not be eligible to participate in the CANUSA GAMES.

Questions may be directed to the CANUSA GAMES Office at 905-546-2424 ext 2537

If you require time to complete this form, your answers will be saved and can be revisited at a later time.

PRIVACY STATEMENT

All information submitted electronically is encrypted and only accessible by select CANUSA Games Staff.

Personal information contained in this form is collected for the sole use of CANUSA Games.

The CANUSA Games will not use this information for any purpose other then to carry out the functions required on your behalf.

CEREMONIES

64th CANUSA GAMES: Opening Ceremonies in Flint (Venue TBA) at 1:00pm on Friday, August 5th 2022 & Closing Ceremonies in Flint (Venue TBA) at 9:00am on Sunday, August 7th, 2022.

Rowans Law

Concussion Safety
Ontario is a national leader in concussion management and prevention. Rowan’s Law (Concussion Safety),January 1st 2022 makes it mandatory for CANUSA to:

Ensure that athletes under 25 years of age,* parents of athletes under 18, coaches, team trainers and officials confirm every year that they have reviewed Ontario’s Concussion Awareness Resources.
Concussion Awareness for Ages 15 and up
Please visit the link below to learn how to prevent, identify and manage concussions.

Ontario Government Official Concussion Awareness Website
Thank you for completing your review of the Concussion Awareness Resource.

• Under Rowan’s Law, your sport organization will ask you to confirm that you reviewed one of the Concussion Awareness Resources in this website (Ontario.ca/concussions) before you can register/participate in a sport.

• You must review one of the resources once a year, and then confirm that you have completed the review every time you register with a sport organization. If you want to use this form to show that you have reviewed the concussion awareness resource, you can provide the completed form to your sport organization(s).

• If you would like to have a record of your review of the concussion awareness resource,you can complete this form and keep it as a receipt to remind you of the date on whichyou reviewed it.

• Once you complete this form, an attachment will be sent to the email you provided you can also choose to print this page to share with your sport organization and/or to serve as a reminder of when to review the Concussion Awareness Resources again next year.
Receipt of review
I First Name* Last Name* confirm, that I have reviewed the Concussion Awareness Resources
Signature *

Clear
Date *

Month Day Year
Date

TO BE COMPLETED BY ALL VOLUNTEERS
Participation category

Coach Coordinator Volunteer Board Of Director
Volunteer name *

First Name Last Name
Volunteers official name on passport *

First Name Middle Name Last Name
Sport *
Division *
Age *
Birth Date *

Month Day Year
Date
Address *

Street Address

Street Address Line 2

City Province

Postal Code
Volunteers Cell *
Please enter a valid phone number.
Volunteers Email *
example@example.com

2022 CANUSA VOLUNTEER REGISTRATION

Rowans Law

Receipt of review

TO BE COMPLETED BY ALL VOLUNTEERS

CANUSA 2022