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Wilfrid Laurier University Leaf
October 25, 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