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