PLEASE PRINT CLEARLYAthlete Agreement • September 12th, 2008 • Ontario
Contract Type FiledSeptember 12th, 2008 JurisdictionFirst Name: Middle Initial: Last Name: Current Address: City Province Postal Code Home Phone: Cell Phone: Fax #: Email Address: Calendar Year: Male θFemale θ Language of Preference: English θ French θ Date of Birth (month/day/year): Grade and School: School Coach’s Name: School Coach’s Email and Phone Number: Current Citizenship:Canadian θ Other θ Passport #: