Team NS Acceptance Form – Intermediate Skills Challenge

Participant Information

By completing this form, I am accepting my space on Team Nova Scotia and committing to participating in the 2025 NL Intermediate Skills Challenge

Participant Legal Name (Required for your plane ticket)*

First Middle Last

Preferred Name (Name printed on attendance badges, etc)

Date of birth*

Are you under 19 years of age?*

Yes
No

Parent/Guardian Name*

First Last

Parent/Guardian Phone*

Parent/Guardians Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

What pronouns do you use?

He/Him
She/Her
They/Them

Emergency Contact

Emergency Contact Name*

Emergency Contact Number*

Emergency Contact Email*

Relationship*

Additional Information

Provincial Health Card Number*

Health Card Expiry Date*

Accessibility

Do you have any dietary restrictions?*

Yes
No

Please provide details of your dietary requirements here.

Do you have any medical conditions or allergies that we should be aware of?*

Yes
No

Please provide details of your medical condition and/or allergies here.

Do you identify as having a disability?

Yes
No

Please indicate if you have any accommodation or accessibility requests, including but not limited to:

Additional details if required:

Please note, while it is the goal of SCNS to work with competitors to ensure equitable access for all, considerations such as prohibitive costs, safety, and health measures will determine whether we can accommodate.

School Information

Are you a student?*

Yes
No

Teacher/School Information

School Name*

Teacher Name*

First Last

Teacher Contact Email*

Teacher Contact Phone Number*

Hotel Accommodations and Travel

Skills Canada – Nova Scotia is committed to providing an inclusive, welcoming, safe, and comfortable environment for all members of Team Nova Scotia while travelling and staying in accommodations. By signing below, I agree to listen to, follow, and respond promptly to all instructions provided by Skills Canada – Nova Scotia staff and designated chaperones throughout the duration of travel and accommodations during the trip.

Participant Signature*

Parent/Guardian Signature*

Team NS Acceptance Form – Intermediate Skills Challenge