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World Games 2005 - Player Application

The 2005 World Games will be held on July 14-24, in Duisburg, Germany. Canada will be sending a mixed team (6 men and 5 women) to compete in the Ultimate portion of this competition, which will take place July 22-24. The gender ratio and format still has to be determined.

All Canadian Ultimate players are invited to apply for the team. Applications must be received by 5 pm EST on December 1, 2004. The team will be selected by the National Team Selection Committee by late January 2005 December 20, 2004.

Player Application for 2005 World Games
Name:
Address:
Phone(s):
Email:
Birth Date (yr,mo,dy):
Height:

Are you willing to abstain from using illegal drugs, as defined by GAISF and IWGA, from Jan 1, 2005 until the end of the tournament (this includes both first-hand and second-hand marijuana smoke):

Years played at a Competitive Level (include team names and tournament placings):
Typical Role (eg, handler, striker):
Past National/World level experience:
Any other relevant information or assets:

Please provide three (3) references (list e-mail addresses and phone numbers where references can be reached):

Please email the CUPA Executive Director, with the above information, at by Wednesday, December 1, 2004 by 5 pm EST.

Shiellah can also be reached by fax at 1-888-691-1080 or by snail mail at: 30 Marlow Avenue, Toronto, Ontario CANADA M4J 3T9