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Fill out our student athlete information form and email it to us using the SUBMIT button below. Required information is outlined in red

Please check off the sports you would be interested in playing at ÎçÒ¹av)

Cross Country Baseball
Tackle Football Men's Soccer/Football
Women's Soccer/Football Women's Hockey
Men's Volleyball Women's Volleyball
Men's Basketball Women's Basketball
Women's Rugby Ringette
Dance eSports
  Other
OTHER

Contact Information

First Name:
Last Name:
Email:
Twitter (optional):
Home Phone:
Street Address:
City:
Province:
Postal Code:
Cell Phone:

Vital Statistics

Height:
Weight:
Date of Birth (YY/MM/DD):
Gender:
High School:

Athletic History

Sport 1

Most Recent Team:
Year:
Level of Play:(A, AA, AAA etc)
Coach's Name:
Position:
Sport:

Sport Highlights:(Awards, Recognition, Team Championships, etc)

Sport 2

Most Recent Team:
Year:
Level of Play:(A, AA, AAA etc)
Coach's Name:
Position:
Sport:

Sport Highlights:


Academic Goals

What program(s) of study interest you at ÎçÒ¹av? 

 

Thank you for your interest in the Holland Hurricanes' Athletic Program.

140 Weymouth Street, Charlottetown, Prince Edward Island, Canada C1A 4Z1
Tel: 1-800-446-5265 | Fax: 902-629-4239