Prospective Athlete Form

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NOTICE: If you are interested in becoming a part of a Fanshawe Falcons Varsity team, please fill out the below form to the best of your ability. 
Are you an international student? *
(if applicable)
(if applicable)
Hand Dominance:
Foot Dominance:
(if applicable)
Are you applying or registered in an apprenticeship program?: *
Are you applying or registered in a collaborative program?: *
Are you applying to residence?:
Do you have a valid passport?:
Have you ever previously played any varsity sport for any University or College?: *
Have you ever previously played professionally? *
Level of Playing Experience:
NOTICE: The personal information on this form is collected under the authority of the Ministry of Colleges and Universities R.Sc. 1980 C272. The personal information will be used to record student participation in varsity and extramural sports, determine eligibility and academic performance, maintain OCAA and CCAA records, notify emergency contact, international travel (US Customs) plan athletic programs, determine administration for media promotion and marketing. Questions about the collection should be directed to the Manager of Athletics.
CONSENT: Pursuant to section 39 of the Freedom of Information and Protection of Privacy Act, I have read the above statement and I, the undersigned, herby authorize the disclosure of necessary information to the above mentioned parties.
* required field