Varsity Athletics Student-Athlete Registration Form

2022-23 Season

Please complete all sections on the form.

First Name *

Middle Initial

Last Name *

Sex *

Sport *

Student Number *

College Program *

Year in Program *

Social Insurance # *

Height (feet and inches) *

Are you a Canadian Citizen? *

Yes

If no what is your citizenship

Date of Birth:

Month *

Day *

Year *

Age *

Preferred E-mail *

Phone # *

Cell:

Home Address *

City *

Postal Code *

Address While at School (if different)

City

Postal Code

High School Attended *

High School Location (City/Prov)