Edmonton Invitational Bantam Tournament of Champions

SCHOLARSHIP PROGRAM

 NOMINATION FORM

Players Name:     ________________________________________________________________

Team Name:        ________________________________________________________________

Address:              ________________________________________________________________
                                      

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                                       (City)                       (Province)                        (Postal code)

Telephone No.: (      ) _____________________________ DOB (MM/DD/YY): ___________________

School: _____________________________________________________________________

Grade: ___________________________________

Overall Average: ___________________________

Education Ambitions: _________________________________________________________________

                                   ________________________________________________________________

Career Ambitions: ___________________________________________________________________

                              ___________________________________________________________________

Interests/Hobbies: ___________________________________________________________________

                              ___________________________________________________________________

Memberships: ______________________________________________________________________

                        ______________________________________________________________________

Team and Individual Awards: __________________________________________________________