Huskies #MIKidsCan Player of the Game

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Michigan Tech Athletics and Blue Cross & Blue Shield of Michigan have teamed up to promote the #MIKidsCan Campaign. If you are in the grades K-8 you have a chance to become a Huskies #MIKidsCan Player of the Game.

Please fill out the registration form below and share with us why you should be a Huskies #MIKidsCan Player of the Game. We also want to know how you have been staying active and healthy throughout the summer. Participants will be randomly selected from the results of this form.

Each lucky participant has a chance to be part of Michigan Tech home hockey and basketball games.

Good luck!

Email *

Huskies #MIKidsCan Player of the Game Sponsored by Blue Cross & Blue Shield of Michigan

Child's Name *

Grade and School *

Parent Name & Cell Number *

Parent Email *

I have permission from my parents to participate

Chose which sport you want to be Huskies #MIKidsCan Player of the Game *

Favorite Michigan Tech Student-Athlete *

Jersey/Shirt Size *

Parent Disclaimer-I understand that by filling out this registration, it does not automatically qualify my child to participate in this promotion. I also understand I will have to sign a waiver of liability if my child is chosen.

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Michigan Technological University. Report Abuse

Forms