| Athlete Name: |
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| Date of Birth: |
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| Street Address: |
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| City: |
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| Province: |
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| Camp: |
Whistler BC: June 12th, 2010
Whistler BC: July 10th, 2010
Whistler BC: August 14th, 2010
Whistler BC: September 11th, 2010
Calgary AB: April 24, 2010 - SOLD OUT
Calgary AB: May 29, 2010
Calgary AB: June 20, 2010
Calgary AB: July 24, 2010
Calgary AB: August 29, 2010
Calgary AB: September 11, 2010
Calgary AB: September 25, 2010
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| Phone Number: |
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| Fax Number: |
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| Email: |
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| Emergency Contact: |
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| Phone Number: |
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| Sex: |
Male Female |
Athletic History:
(Outline your involvement
in sports) |
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| How did you hear about the Luge Recruitment Camp?: |
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Do you have any medical conditions that we should know about
(i.e. allergies, knee or back injuries etc)?: |
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