Section One, The Basics:

Name:

Competition Level:

Junior Men's/Women'sClub-Level Senior Mixed WheelchairMore than one category

Club affiliation:

Position on team: Skip Vice skip Second Lead Alternate Coach Whatever the skip tells me to play

Team members:

Birthdate: January February March April May June July August September October November December   1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year

City/State you were born in:

Hometown:

Marital status: Single Married

Education:

• Name of high school you graduated from:
• Name of college you graduated from:      
• If a college graduate, degree received: in what field:

Employment:

• Employer:
• Job title: 
• Dream job:

When did you start curling, and where:

Curling accomplishments:

Section 2, The Fun Stuff (optional):

My hero is:

Favorite sports besides curling:

Favorite color:

Do you have a rival in your sport? If yes, who and why:

Personal website address:

Favorite CD:

Favorite movie:

Coolest city you've ever lived in:

Hobbies:

Favorite type of music:

Favorite book:

Favorite actor and/or actress:

Favorite TV show:

Favorite food:

Dream curling team members:

I'd love to see a curling club form in ... i.e. Honolulu, Miami, Jamaica

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