WORLD MINING COMPETITION 2017 (Delegate Registration)
Required information for all delegates signing up to compete in the World Mining Competition in October 2017. All answers will remain confidential. Please complete after your team has completed your Team Registration.

Contact info for registrations:
VP Canadian Delegate Relations: David Lipinski - david.lipinski@worldminingcompetition.com
VP International Delegate Relations: Jesse Burns- jesse.burns@worldminingcompetition.com

CO CHAIRS:
Jaedyn Matsalla: jaedyn.matsalla@worldminingcompetition.com
Dustin Wagner: dustin.wagner@worldminingcompetition.com

6TH ANNUAL WORLD MINING COMPETITION - REGISTER NOW.
University Name (school that the student is representing) *
Your answer
Student Name (First & Last Name) *
Your answer
Email address *
Your answer
Gender *
Required
Date of Birth (mm/dd/yyyy) *
Your answer
Allergies and Health Conditions *
Your answer
Emergency Contact Name & Relation *
Your answer
Emergency Contact Number & Email *
Your answer
Emergency Contact Number *
Your answer
Have you competed in the World Mining Competition previously? (formerly known as National Mining Competition) *
Study/Focus (i.e. Chemical Engineering, Finance, etc.) *
Your answer
Shirt Size (All in USA/CDN sizes) *
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