40.30.3.3.4 - ELIGIBILITY CERTIFICATE University: Queen's University Sport: Nordic Ski - F Year: 2009-2010

Student #

Firstname Veronica Julie Audrey Danae Katrina Haley Julie Kara Jessica Ramona Haley Rebecca Leah Emily

Lastname Allan Engelhardt Hagberg Krahn MacDougall Magee McVicar McWatters Metuzals Neferu Robinson Ronaghan Timmermann Turner

Pos

Hgt 5-3 5-9 5-5 5-7 5-7 5-9 5-9 5-6 5-7 5-3 5-1 5-7 5-9 5-3

Wgt

Elig. Yr. 1 4 2 1 2 1 4 3 1 1 1 2 1 2

DOB 04/05/1990 19/12/1988 21/07/1988 21/10/1987 02/09/1989 22/02/1988 26/06/1988 20/02/1989 25/08/1991 09/07/1991 26/02/1990 19/04/1990 24/08/1989 12/04/1990

Course Kinesiology Physical and Health Education Chemical Engineering Medicine Civil Engineering Medicine Physical and Health Education Life Sciences Life Sciences 1st year Engineering Health Studies Women's Studies Health Studies Fine Art

If presently ineligible, please indicate Study Yr. Home Town Prov. University Last Team with an "X" 2 Shallow Lake Ont. Queen's 4 Gatineau Que. Queen's 4 Deep River Ont. Queen's 5 Huntsville Ont. Queen's 2 Deep River Ont. Queen's 4 Caledon Ont. Queen's 4 Kanata Ont. Queen's 3 Brampton Ont. Queen's 1 Ottawa Ont. Queen's 1 Kincardine Ont. Queen's 2 La Ronge Sask. Queen's 2 North Vancouver B.C. Queen's 3 Carp Ont. Queen's 2 Haliburton Ont. Queen's

Signature of Director of Athletics or Designate

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Date

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Signature of Head Coach

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Date

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Signature of Registrar or Designate

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Date

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Expected date of eligibility for Transfer or Professional