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Champ Chat Request Form
Alyson Coleman
2018-11-30T18:00:58+00:00
2019 Champ Chat Request Form
I'm interested in getting involved as a:
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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)
Contact Information
Name
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First
Last
Email
*
Phone
*
Address
*
Street Address
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Postal Code
Company / Organization
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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?
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Yes
No
Have you planned/hosted a Fast and Female event before?
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Yes
No
Champ Chat Specific Questions
Community Partner's Name (club or sport organization)
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A Champ Chat typically takes 3 months to plan. What time frame works best for you?
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Winter (Jan 2019-Feb 2019)
Spring (March-May 2019)
Summer (June-Aug 2019)
Fall (Sept-Nov 2019)
Winter (Dec 2019-Feb 2020)
My schedule is flexible, I could work any 3 months in the year
Potential Champ Chat Date
Potential Champ Chat Location
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City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Province
Potential Champ Chat Venue
What age range would your Champ Chat target? (check all that apply)
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8-10 year olds
11-12 year olds
13-14 year olds
15-18 year olds
How many participants do you anticipate will attend this Champ Chat?
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30-49 participants
50-99 participants
100-149 participants
150+ participants
Additional Information
Why do you want to host a Champ Chat? Why is this initiative important to you?
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Any additional information you'd like to share with us?
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I agree