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Midland Middle School Athlete Registration
This registration form is only good for one student. If you have multiple students in your home that will participate, each one will need to be logged individually by clicking submit another response at the end of this form. If the student is in high school, you'll need to go back to the presentation and click on the MHS link to complete the high school athlete registration.
Student's Name: *
Your answer
Parent's Name: *
Your answer
Address: *
Your answer
Parent's phone number: *
Your answer
Emergency contact information: *
In case we can't reach you, who can we call?
Your answer
Student's birthday *
Your answer
Grade entering Fall 2017 *
Midland Middle School Athlete Registration
Midland Middle School Handbook
My student athlete and I have read and understand the policies set forth in the Midland Middle School Athletic Policy. https://docs.google.com/document/d/1VH7hQ52V4L63jaDNENb0dao-geGdRYnpnd2bu6caSVg/edit?usp=sharing *
Required
Illinois Elementary School Association Concussion Guidelines
My student athlete and I have read and agree to the IESA concussion form. *
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