Deadline for entries is June 15, 2011

Your Information

Name:
Address:
City/town:
Province:
Postal code:
Birthdate:
Email:
Phone number:

Your Reference

A non relative, like a coach or teacher, who knows why you'll be a great choice!

Name:
Address:
City/town:
Province:
Postal code:
Email:
Phone number:

Tell us a bit about yourself and why you'd be a great choice for the 2011 "adventure" team:

Mention what you've done for the environment, your outdoor interests, hobbies, volunteer work and leadership experience. Also tell us what your plans are after high school including university and career goals.

   
 
 
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