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Athlete Information
Athlete Information
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Basic Information
Gender
*
Female
Male
Squad
*
Which squad(s) are you currently a part of?
MNT
WNT
MNT SDS
WNT SDS
MNT JDS
WNT JDS
First Name
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Last Name
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Pronunciation of full name
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Capitals for dominant syllables. E.g. For Nathan Johnson: "NAY-thun JONN-sun"
Nickname
Position
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Select the position you play most frequently
Goalkeeper
Defender
Midfield
Forward
Height
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In centimeters
Weight
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In kilograms
Clothing Size (Top)
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For internal use only
XS
SM
MED
LG
XL
Clothing Size (Bottom)
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For internal use only
XS
SM
MED
LG
XL
Date of Birth
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Make sure to select year
Birthplace
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Where were you born? Enter CITY, PROVINCE
Hometown
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Where do you call home? Enter CITY, PROVINCE
Residence
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Where do you live for the majority of the year? Enter CITY, PROVINCE
Did you move to Canada?
If so, when, from where, and why?
Languages
Which languages are you fluent (able to do interviews) in other than English?
Club Teams
In addition to the National Program, where do you play the majority of your games throughout the year? E.g. UBC, India FHC, etc.
High School
*
List your high school and year of graduation (or anticipated graduation). Example: Field Hockey Secondary (2010)
University/College
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List all universities, colleges or technical schools you have attended and year of graduation (or anticipated). Example: University of British Columbia, Bachelor of Science, Major in Chemistry (2011)
Contact Information (for internal use only)
Primary e-mail address
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Secondary e-mail address
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Phone number
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Primary/cell phone
Hometown address
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Street, number, city, province, postal code, etc.
Vancouver address (for centralized athletes)
Street, number, city, province, postal code, etc.
Current address (for non-centralized athletes)
Street, number, city, province, postal code, etc.
Father's e-mail
Mother's e-mail
Travel Information (for international use only)
First Name
*
As it appears on your passport
Last Name
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As it appears on your passport
Passport Number
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Passport Issue Date
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Passport Expiry Date
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Passport Place of Issue
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Aeroplan Number
Seat Preference
Aisle, window, etc.
Nutritional preference
Vegan, halal, gluten-free, etc.
Emergency Contact (for internal use only)
First Name
*
Last Name
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Relationship to you
*
Address
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Street, number, city, province, postal code, etc.
Primary phone number
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Secondary phone number
Primary e-mail address
Medical Information (for internal use only)
Health Card Number
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Health Card Province
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Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland & Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
Quebec
Saskatchewan
Yukon
Allergies
Medications
Medical Conditions
Do you have a Therapeutic Use Exemption (TUE)?
*
Yes
No
Doctor's Name
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Doctor's phone number
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Date of last tetanus shot
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Background Information
This information will be used to develop your player profile at fieldhockey.ca, to create feature content for the website, and to pitch stories to media. Please fill out as thoroughly as possible.
How, when, and why did you start playing field hockey?
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Describe yourself as a field hockey player?
Your style of play, etc.
List your proudest field hockey accomplishments
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List other proud accomplishments
Field hockey in the family
Do you have family members who played field hockey? If so, who and when/where did they play?
What are your field hockey career goals?
Have you played other sports competitively?
If so, when/what/where and list any notable accomplishments.
1st senior international appearance
Year in City vs. Opponent (E.g. 2011 in Vancouver vs. Chile)
1st junior international appearance
Year in City vs. Opponent (E.g. 2011 in Vancouver vs. Chile)
Twitter handle
Instagram handle
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