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Men's Curling Recruiting Form
Personal Information:
First Name: Last Name:
Street Address: City:
Province/State: Postal/Zip Code:
Country: Email Address:
Date of Birth:
Home Phone: Cell Phone:

High School Information:
High School Name:
Street Address: City:
Province/State: Postal/Zip Code:
Country: Phone:

Athletic Background:
Name of Last or Current Team:
Name of Last or Current Coach:
Coach's Phone Number:
Position(s) Played:
Height:
Weight (NA if Not Applicable):
Number of Years Played:

Academic Information:
Area of Academic Interest - What do you wish to study?:
Current Academic Year (Grade):
Last Reported Cumulative GPA:
Intended Year of Graduation:
Have you applied, or will you apply to Wilfrid Laurier University? (Yes/No/Unsure):
To what other universities have you applied, or will you apply to?:
Security Code:
 Please enter the following text in the Security Code Box Below. This prevents automatically generated information from being created.

Captcha Security Code

Video:

 Hightlight video's are the best way for our coaches to see you in action. Please provide the coach with a link to highlight video or a DVD at your earliest convience. This is a requiement for Football.
Other Information:

 Use this selection to tell us anything else about yourself that you feel we should know.
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