OUA/CIS ELIGIBILITY CERTIFICATE The University of Western Ontario SPORT: Women's Lacrosse YEAR: 2018-19 A - Addition * - Inactive A/* # FIRST NAME LAST NAME ELIG YR COURSE YEAR HOMETOWN PROV LAST TEAM Emma Bertucci 4 BMOS 4 Orillia ON Orillia Lady KIngs Lacrosse Lauren Bristoll 1 Social Sciences 2 Caledon ON Caledon Coyotes Hockey Calaina Brooke 4 Kinesiology 4 Toronto ON Toronto Beaches Lacrosse Katy De Snoo 3 Kinesiology 3 Oshawa ON Clarington Gaels Lacrosse Mackenzie Deleary 1 Health Sciences 1 Melbourne ON Six Nations U19 Keira Gowan 2 Kinesiology 2 Toronto ON Toronto Beaches Lacrosse Hannah Hackett 2 Kinesiology 3 Cheshire CT Nor'easter Lacrosse Erin Heidecker 1 Health Sciences 1 Dundas ON Oakville Hawks Lacrosse Maya Koudmani 1 Sciences 1 Calgary AB Cardinals Taylor Marsh 1 BMOS 2 Halifax NS Oshawa Lady Blue Knights Maegan McCrory 5 Kinesiology 4 Oshawa ON Oshawa Lady Blue Knights Kyra Meredith 2 Sciences 2 Huntsville ON Orillia Lady Kings Lacrosse Samantha Mikulik 2 Education 2 Orangeville ON Orangeville Northmen 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: Women's Lacrosse YEAR: 2018-19 Stephanie Orlando 4 IMS 4 Toronto ON Toronto Beaches U19 1 Claire Palmer 5 Graduate Studies 1 Aurora ON Oakville LadyHawks Fawn Porter 3 Kinesiology 3 Hagersville ON Six Nations Warriors (Box Lacrosse) Amy Rawlings 5 Health Sciences 4 Sarnia ON Brampton Sr. Lacrosse Rachel Reynolds 1 Kinesiology 1 Toronto ON Toronto Beaches Girls Field Lacrosse Jordan Rozich 1 Social Sciences 1 Georgetown ON Excelsior Brampton Maya Summers 2 Health Sciences 2 Calgary AB Junior Cardinals Lacrosse Victoria Verhaeghe 2 Brescia College 3 Waterdown ON Hamilton Bengels lacrosse Taylor Wiebe 2 Social Sciences 2 St. Catharines ON St. Catharines Athletics Alexia Zolis 1 Brescia College 1 Oakville ON Oakville Hornets 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 .