Elite Athlete Application

Please fill in all blanks!

Applying for:	Individual Elite Hosting (all nationalities) Scotiabank International Team Challenge (Canada, UK, USA and Mexico only)
Athlete First Name:
Last Name:
Gender:
Date of birth:	Month: Day: Year:
Email:
Address:
City:
Prov/State:
Country:
Postal/Zip Code:
Daytime Phone:	include area code
Evening Phone:	include area code
Citizenship:
Canadian Resident Status:	Citizen Landed Immigrant Refugee regularly domiciled in Canada None of the above
Which event (distance) are you applying for?	Half Marathon Full Marathon
Running Bio, including recent performances (event & date, time, placing) and records held (maximum 500 characters):

Form submitted by:	(name)
Relationship to athlete:	Coach Manager Athlete
Email: