Future Grizzly Student-Athlete Form

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GENERAL INFORMATION

Primary sport you are interest in *

First Name *

Last Name *

Email address *

Address 1 *

Address 2

City *

Cell Phone Number *

Postal Code

Gender *

male female

Date of birth

ACADEMIC INFORMATION

High School (or previous academic institution) *

High School Graduation Year *

Academic Program of interest at Georgian

Have you applied to Georgian *

Yes No

Other sports of interest

Position (if applicable)

Height

Weight (Men Only)

Current Team (High School and/or Club)

Coaches Name

Coaches Phone #

Athletic honours in career (All-Star, MVP, etc.)

Team highlights in career

Other information

If you’re planning to attend Georgian in the future or just checking your options, please fill out the Future Grizzly student-athlete form. If you have any issues submitting or have further questions please contact jeff.harris@georgiancollege.ca

* required field