Victoria Wheelchair Sports

Register online in 2 easy steps!

First Name
Last Name
Phone Number
E-mail Address
Address
Postal Code
Gender
Sport(s)/Program(s) Interested In
- Athletic Therapy
- Basketball
- Rugby
- Sledge Hockey
- Strength and Conditioning
- Tennis
Birthdate (MM/DD/YY)
Emergency Contact
Contact Phone No.
By applying for membership in the Victoria Wheelchair Sports Club and by signing this form, I am confirming that I understand the risks inherent in wheelchair sport, these risks arising from engaging in various sports that include contact and that are played in a variety of weather conditions with a variety of other persons of different levels of skill, and I agree to take responsibility for these risks and my safety. I further agree to release the Victoria Wheelchair Sports Club and all its members, directors, and affiliates from any duty of care and I waive my right to sue the Victoria Wheelchair Sports Club, its directors, members or its affiliates.
- I Agree
Submit

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Providing Adapated Sport Opportunities to the Greater Victoria Area