Black Law Students' Association of Canada’s

Diversity Moot
2010 – 2011 OFFICIAL REGISTRATION FORM
Name of Law School:

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Supervisor:

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Participants (please indicate who is an Appellant (“A”), Respondent (“R”) or

Additional Participant (“AP”), if known):

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NAME SIGNATURE

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NAME SIGNATURE

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NAME SIGNATURE

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NAME SIGNATURE

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NAME SIGNATURE

The Participants acknowledge having read the Rules for the Competition, and have
agreed to be bound by them. The Participants also provide their consent, assignment or
waiver (as applicable) for the use of written materials, or oral arguments, by the
Diversity Moot Committee in a manner consistent with the Rules and Competition.

Contact Information of Supervisor:

Address:
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Phone: ________________ Email: ________________

Alternate Contact Information (preferably, one of the Participants):
Address:
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Phone: ________________ Email: ________________

Miscellaneous / Special Requests or Comments:

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Registration Fee per Law School Contingent: waived

Please ensure that this form is RECEIVED on or before

Monday, December 20th, 2010 by:

Professor Emir Aly Crowne-Mohammed,

Chair of the BLSAC Diversity Moot,
401 Sunset Avenue,
University of Windsor, Faculty of Law
Windsor, ON. N9B 3P4