Registration Form - University of Alberta Athletics

2015 University of Alberta Curling Program
Try-Out Registration Form
(Junior and Juvenile)
Dates: Junior Try-Out Saturday, March 28, 2015. Juvenile Try-Out Sunday, March 29, 2015.
Name of Applicant ________________________________________________________
Male
Female
Age _____ Birthday ______________________ (mm/dd/yyyy)
Trying out for:
Junior
Juvenile
Currently at the University of Alberta? Yes
No
*Applies to Junior Try-Outs only
Planning on Attending the University of Alberta in the Fall of 2015? Yes
No
Address __________________________________________________ City ______________________________
Province ________ Postal Code _______________
Parent____________________________________________ Phone Number ___________________________
Email ________________________________________________________ *All communication will be sent to this email
Years Curled _______
Preferred Position(s)______________________________________________________
Competitive Teams and Years ___________________________________________________________________
Curling Accomplishments and Experiences
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Deadline: March 23, 2015
For more information please contact Dana Ferguson, the Curling Development Coach with the University of Alberta.
Please send to: Dana Ferguson
Fax 780-492-1302
Email [email protected]
Phone: 780-248-1448