Champ Chat Request Form - Fast and Female

2019 Champ Chat Request Form

I'm interested in getting involved as a:*

Community Partner (I'm an organized, connected member of my community and I want to bring an F&F event to our girls). Plus I have/I am the Presenting Partner (able to support the event financially).
Community Partner (I'm an organized, connected member of my community and I want to bring an F&F event to our girls). I don't have a Presenting Partner.
Fast and Female Ambassador (I have a club/sport organization I want to work with)
Fast and Female Ambassador (I don't have a club/sport organization in mind, open to Fast and Female's suggestions)

Name*

First Last

Email*

Phone*

Address*

Street Address City Province Postal Code

Company / Organization*

If you are with a national or provincial sport organization (NSO/PSO), please indicate which one.

Have you attended a Fast and Female event before?*

Have you planned/hosted a Fast and Female event before?*

Community Partner's Name (club or sport organization)*

A Champ Chat typically takes 3 months to plan. What time frame works best for you?*

Potential Champ Chat Date

Potential Champ Chat Location*

City Province

Potential Champ Chat Venue

What age range would your Champ Chat target? (check all that apply)*

How many participants do you anticipate will attend this Champ Chat?*

Why do you want to host a Champ Chat? Why is this initiative important to you?*

Any additional information you'd like to share with us?

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