Recruitment Questionnaire

(THIS QUESTIONNAIRE IS CURRENTLY
NOT WORKING FOR MORE INFO PLEASE
E-MAIL LWOODS@UOTTAWA.CA)

Name:
Date of Birth:
Address:
City/Town:
Postal Code:
Phone (home):
Fax Number:
E-Mail Address:
School:
Club Team:
Graduation Date:


Number of years attending Dig This programs:
E-Mail:


Positions You would like to play during the program:
(hold down your shift key if you would like to make multiple selections)

Please provide a brief resume of your playing history and then your playing goals for the next few years of volleyball so we can accurately place you in a motivating and relevant group

In Case of Emergency

Emergency Contact:
Relationship (eg: mother):
Phone (day-time):
Health Card #:

Selection of Program and Payment Option

Combination special
* If you sign up for two or more programs, add the total cost of the programs you wish to attend, then deduct 10% of that total to calculate your net fee for the year.

Program choices
* Please "click" on the programs that you wish to attend.
(Hold down your "Ctrl" key if you would like to make multiple selections)

Total of programs I have selected:
Minus 10% value, if multiple programs selected:
My total fee for 2001 will be:

Please send 60 % of the total amount owing at this time & the balance
of the payment will be due on the first day of a given camp or program

Send payment to:
Gee-Gees / Dig This Volleyball Camps
University of Ottawa Sports
125 University Ave.
Ottawa - ON
K1N 6N5