Record Your Participation

Want to record the participation of a group for one of your events?
Leader Login
Please note that your personal information will not be posted online but will only be used to contact you if you win a prize. We are committed to maintaining your privacy – for more information, please check out our privacy policy.

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Indicates required field
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Indicates field required to be eligible to win prizes
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First Name
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Last Name
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Province or Territory
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City or Town
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Street Address
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Postal Code
 
Phone Number
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Email Address
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Gender
Male     Female
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Age Group
 
 
Métis      First Nation      Inuit
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Event Details
Did you participate in an event that was already registered on the SummerActive website?
 
 
Yes       No
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Province or Territory of Event
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Name of Event
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Event or Activity
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Province or Territory of Event
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City/Town/Community
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Type of Activity
(Check all that apply)
Physical Activity
Sport Participation
Healthy Eating
Avoiding Tobacco
 
Suitable Age Groups
(Check all that apply)
All Ages
Children Under 10
Youth 11-15
Young Adults 16-19
Adults 20-40
Mid-Aged Adults 41-54
Pre-Retirement Adults 55-64
Older Adults 65+
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Date of Participation
 
 
[+] Add another date
What did you try to achieve/what was the goal of this event?
Please provide us with some feedback about the event you participated in.
By registering and providing my personal information on the SummerActive website, I hereby consent to the use of my name and phone number for the purpose of a phone call to ask me follow-up questions about the long-term effectiveness of the SummerActive initiative. In addition, I hereby give permission for my provincial/territorial SummerActive representative to be notified if my event has been selected for posting online and he or she may contact me if additional information is needed about my event.
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I have read and understand the Privacy Policy which applies to this form.
 
 
SummerActive is brought to you by the Government of Canada in collaboration with provincial and territorial governments.