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Wilfrid Laurier University Leaf
July 29, 2014
 
 
Canadian Excellence

Participant Information Form for International Activities



For a printable version of this form see under "forms" on the Laurier International website  


Participant Information Form for International Activities

 

Name of Activity: _________________________               Location of Activity: _______________     

 

Activity Coordinator: _____________________                 Activity Leader: ___________________

 

Start Date: ____________________                                                End Date:_________________________

 

Participant Name

 

WLU ID Number

WLU email address

Emergency Contact Name

Emergency Contact Phone Number