2018-19 Whitko Athletic Eligibility
Whitko Jr/Sr High School REQUIRES information and consent to be submitted by parents and students for athletic eligibility each school year. This form should be completed in the presence of Parent AND Student. --
THERE ARE 3 PARTS to SUBMIT:

PART 1: The IHSAA Pre-Participation Physical Evaluation Form MUST BE PRINTED from our web site and received as hard copy only. The IHSAA form includes a page that a PHYSICIAN ONLY (NP signature not accepted) must complete. Physical must be completed on/after April 1, 2018.

PART 2: This electronic document fulfills requirements including:
* Code of Conduct
* Concussion and Sudden Cardiac Arrest Acknowledgement
* Athletic Fee Program for Athletics/Activities
* Parkview Sports Medicine - Consent for Athletic Training Services

PART 3: The Athletic Fee for Grades 9-12 of $80.00 or the Athletic Fee for Grades 7-8 of $50.00 will need to be payed one week prior to the first scheduled team event. (Please make checks payable to Whitko Jr/Sr High School for the $80 or $50 fee ONLY.) Any other fees for lunches, team socks, apparel, etc. should be on a separate check.

Please complete these questions to complete PART 2- for Athletic Eligibility in Whitko Jr/Sr High School Athletics for 2018-19 school year.
Complete all pages, then SUBMIT button.

Untitled Title
Untitled Title
Student Athlete - (FIRST Name) *
Your answer
Student Athlete - (LAST Name) *
Your answer
Date of Birth *
Your answer
Gender *
Year of Graduation from High School - (Student) *
Your answer
1st Parent Name *
Your answer
Street Address *
Your answer
City *
Your answer
1st Parent Cell Phone *
Your answer
1st Parent Email *
Your answer
2nd Parent Name
Your answer
2nd Parent Cell Phone
Your answer
2nd Parent Email
Your answer
Emergency Contact Name/Phone Number (other than parent) *
Your answer
Preferred Hospital *
Your answer
Has this student athlete transferred to Whitko Jr/Sr High School from ANOTHER high school? *
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