Sioux Valley Extra-Curricular Activities Information & Sign Off Form 2020-21
Please complete the following form for each student athlete and push submit when finished. Thank you.
Student-Athlete First Name *
Student-Athlete Last Name *
Student-Athlete Date of Birth *
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DD
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Activities the Student-Athlete is participating in. *
Student-Athlete Grade *
Emergency Contact Information (Mother) Name/Cell *
Emergency Contact Information (Father) Name/Cell *
Emergency Contact Information (Relative/Friend) Name/Cell *
List student-athlete allergies *
My son/daughter and parent has completed and/or viewed the following items/information. (If not, please contact Mr. Ruesink) *
Required
Signature- Please list the parent name completing this below. This will act as an electronic signature that you have completed and viewed all the necessary documents. *
Submit
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This form was created inside of State of South Dakota K-12 Data Center. Report Abuse