Panther Pass - Season 3
Mesa Public Schools Junior High Athletics 
Permission to Participate Acknowledgement Form
Sign in to Google to save your progress. Learn more
Student's First Name (No Nick Names Please) *
Student's Last Name *
Student's ID # *
Student's Grade *
Required
Please select the current sport(s) your child will be trying out for: *
Required
I give permission for my child to participate/tryout in the sports program(s) checked above.  Participation in tryouts does not guarantee a place on a team or require a registration fee.  I/we understand all risks and hazards incidental to such participation and do hereby waive, release, absolve, indemnify and hold harmless Mesa Public Schools and the school from any claim arising out of any injury to my child. *
Required
I understand that Jr High Athletics will enforce an eligibility policy each season.  Jr High Athletics requires a $100 registration fee that will be due prior to the first athletic contest of the season.  At a minimum, all students must be passing all classes at the progress report time. Students that are failing a class will sit out a minimum of one athletic contest.  Students must provide the Athletic Director and coach proof that they have raised the failing grade to a passing grade to regain eligibility.  Please speak with the Athletic Director for more information regarding the eligibility policy at your respective school. *
Required
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian  Email Address *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mesa Public Schools.

Does this form look suspicious? Report

Google Forms