Athlete Information - Field Hockey Canada

Basic Information

Gender*

Squad*

Which squad(s) are you currently a part of?

MNT
WNT
MNT SDS
WNT SDS
MNT JDS
WNT JDS

First Name*

Last Name*

Pronunciation of full name*

Capitals for dominant syllables. E.g. For Nathan Johnson: "NAY-thun JONN-sun"

Nickname

Position*

Select the position you play most frequently

Height*

In centimeters

Weight*

In kilograms

Clothing Size (Top)*

For internal use only

Clothing Size (Bottom)*

For internal use only

Date of Birth*

Make sure to select year

Birthplace*

Where were you born? Enter CITY, PROVINCE

Hometown*

Where do you call home? Enter CITY, PROVINCE

Residence*

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*

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*

Secondary e-mail address*

Phone number*

Primary/cell phone

Hometown address*

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*

As it appears on your passport

Passport Number*

Passport Issue Date*

Passport Expiry Date*

Passport Place of Issue*

Aeroplan Number

Seat Preference

Aisle, window, etc.

Nutritional preference

Vegan, halal, gluten-free, etc.

Emergency Contact (for internal use only)

First Name*

Last Name*

Relationship to you*

Address*

Street, number, city, province, postal code, etc.

Primary phone number*

Secondary phone number

Primary e-mail address

Medical Information (for internal use only)

Health Card Number*

Health Card Province*

Allergies

Medications

Medical Conditions

Do you have a Therapeutic Use Exemption (TUE)?*

Doctor's Name*

Doctor's phone number*

Date of last tetanus shot*

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?*

Describe yourself as a field hockey player?

Your style of play, etc.

List your proudest field hockey accomplishments*

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