Athletic Participation Form & Athletic Code Acknowledgement
Student's Name
Your answer
Date of Birth
MM
/
DD
/
YYYY
Grade
Year of Graduation
Your answer
Primary Household Parent Name
Your answer
Primary Household Address w/ City
Your answer
Primary Household Phone Numbers
Your answer
Primary Household E-mail
Your answer
Secondary Household Parent Name
Your answer
Secondary Household Address w/ City
Your answer
Secondary Household Phone Numbers
Your answer
Secondary Household E-mail
Your answer
I hereby give my son/daughter/dependent permission to participate in athletics at Brewer High School as indicated below
Athletic Fee
Please note there is a $15 athletic fee for each sport an athlete participates in at Brewer High School. This fee needs to be turned in to the Main Office.
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