OUA/CIS ELIGIBILITY CERTIFICATE The University of Western

SPORT: Frisbee YEAR: 2015-16

A - Addition * - Inactive

A/* # First Name Last Name ELIG YR COURSE YEAR HOMETOWN PROV LAST TEAM Anika Ballent 2 Graduate Studies 2 Long Beach CA CSULB Women's Ultimate Izabela Batko 2 Sciences 2 King City ON Western University Jake Bedore 2 Graduate Studies 4 London ON Western University Ultimate Teagan Boyle 2 Arts 2 Midhurst ON Toronto Overdrive Campbell Brooks 1 Social Sciences 2 North Vancouver BC Sentinel ultimate Karissa Chan 1 Engineering 1 Richmond Hill ON High School Andrew Chau 2 Social Sciences 3 Vancouver BC Vancouver College Celia Qian Chen 2 Kinesiology 4 Scarborough ON TUC Philip Cheung 3 Kinesiology 4 Toronto ON UWO Sharks Ethan Chochinov 3 Business 4 Winnipeg MB Grant Park High School Keith Chow 1 Social Sciences 1 Vancouver BC Alpha, Tribe Agnes Chu 3 Kinesiology 3 Thornhill ON Lotus Ultimate Ruoqi Lucy Chu 3 BMOS 3 Richmond Hill ON Bayview SS Ultimate Frisbee Team Sophie Cooke 1 Sciences 1 Toronto ON Humberside Collegiate Institute Jessica Duke 1 Kinesiology 4 Waterloo ON N/A Braden Flaherty 1 Sciences 2 Peterborough ON Peterborough Smoke Connor Gould 2 Nursing 4 Sarnia ON Maverick / Western

Director of Athletics or Designate: Date: ______

Registrar or Designate: ______Date: ______

Coach:______Date:______

*The information collected in this form is used and disclosed by Canadian Interuniversity Sport (“CIS”) in accordance with the terms of CIS’ Student Athlete Acknowledgement Form and CIS’ Personal Information Protection Policy. For further information about CIS’ collection, use and disclosure of personal information, see our Personal Information Protection Policy at www.universitysport.ca SPORT: Ultimate Frisbee YEAR: 2015-16

Griffin Hale 2 Sciences 2 Toronto ON Toro A Samantha Hale 2 Sciences 4 Toronto ON London Ultimate Club Jielun He 2 BMOS 2 North York ON Western Ultimate Winnie Hu 2 Social Sciences 2 Vancouver BC Prince of Wales Ruckus Joseph Ip 2 Kinesiology 2 Scarborough ON Uproar Jacob Jones 3 Sciences 4 St. George ON High school Christine Jurychuk 3 Arts 4 Toronto ON TUC Jason Lin 1 Kinesiology 1 Hamilton ON Skerj Andy Lu 3 Business 4 Vancouver BC Western Sharks Brandon Lue 1 Kinesiology 4 St. Thomas ON London Ultimate Club David Lundy 3 Engineering 4 Richmond Hill ON ROY, Maverick Iain Mackenzie 3 Engineering 4 Peterborough ON Goat Stuart Maiden 3 Business 4 Toronto ON Western Sharks Jacqueline Man 2 Nursing 4 Markham ON PPF, Tribe, Univsersity of Guelph Emma-Tyme Mayrand 2 Social Sciences 4 Chatham ON Ursuline College Chatham Neal Mckinnon 2 Graduate Studies 4 Mississauga ON N/A Matthew O`Brien 3 Kinesiology 4 Kanata ON Western University Ultimate Chris Paroshy 2 Engineering 2 Welland ON Hydra Ultimate Julia Peden 2 IMS 2 Brechin ON TORO touring for Junior Women Caitlin Pitblado 2 Social Sciences 2 Vancouver BC Western Mustangs Carla Rawson 1 IMS 1 Thornhill ON Thornhill SS Kayla Ryan 2 Graduate Studies 4 London ON London Ultimate Club

Director of Athletics or Designate: Date: ______

Registrar or Designate: ______Date: ______

Coach:______Date:______

*The information collected in this form is used and disclosed by Canadian Interuniversity Sport (“CIS”) in accordance with the terms of CIS’ Student Athlete Acknowledgement Form and CIS’ Personal Information Protection Policy. For further information about CIS’ collection, use and disclosure of personal information, see our Personal Information Protection Policy at www.universitysport.ca SPORT: Ultimate Frisbee YEAR: 2015-16

Derek Safnuk 1 BMOS 1 Vancouver BC BC Provincial Team Geoffrey Seeman 3 Social Sciences 2 Toronto ON Northern Secondary School Faizaan Shajani 1 BMOS 1 Burnaby BC Bonfire Viviana Shiffman 1 Kinesiology 1 Toronto ON Harbrod tigers and catch d'em all Raphaela So 2 Sciences 3 Markham ON Toronto Ultimate Club - Rec League Wesley Tin 3 Medical Sciences 4 Thornhill ON Duneswood Elementary Prep Sabrina Trung 2 Kinesiology 3 Maple ON TORO Junior Women's Jake Turcotte 1 Business 3 Toronto ON York University Philip Turner 2 BMOS 3 Toronto ON High school team Lucas Van Natter 2 BMOS 2 Barrie ON OverDrive Janet Wan 2 Business 4 Markham ON Western Mustangs Ultimate Adalia Yang 2 BMOS 3 Markham ON Western Mustangs, Stall 9 Hammers Ryan Yip 3 Medical Sciences 3 Vancouver BC Misfit Ultimate

Director of Athletics or Designate: Date: ______

Registrar or Designate: ______Date: ______

Coach:______Date:______

*The information collected in this form is used and disclosed by Canadian Interuniversity Sport (“CIS”) in accordance with the terms of CIS’ Student Athlete Acknowledgement Form and CIS’ Personal Information Protection Policy. For further information about CIS’ collection, use and disclosure of personal information, see our Personal Information Protection Policy at www.universitysport.ca