MHS Athletic Registration 2017-18
Please fill out the following information below. If you have multiple children involved in Athletics you will need to fill out separate forms for each. All information collected by this form will be confidential, will not be shared with any outside third party, and will be used only for the purpose of meeting WIAA and DPI requirements for students to participate in athletics. Parents still have the option to fill out hard copies of each required document, which includes the following: Athletic Permit, Concussion Form, WIAA Eligibility Form, and Marathon Athletic Code. Completing this online form fulfills the requirements of all of the above forms. Your child may still need a Physical, and also will need to pay the $25 Participation fee to the office. Any questions please contact Curt Miller, Athletic Director at 715-443-2226 x4303 or cmiller@marathon.k12.wi.us.
Email address
Parents First Name
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Parents Last Name
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Students First Name
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Students Last Name
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Students Grade
Students Date of Birth
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Students Current Age
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Sports the student intends to participate in (please list all)
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Present Address
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Parents Telephone (best contact number)
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Parents Email
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Parents Place of Employment
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Family Physician
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Family Dentist
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Name of Private Insurance Carrier
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Insurance Carrier Telephone
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Subscriber Member Name (Primary Insured)
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