RSU 23 Athletic Participation Form 
All the information requested in this form must be completed and submitted prior to the start/participation in any kind of practices and games. 

Please refer to the rsu23 website for policies pertaining to athletics at https://rsu23.org/school-board/policies/
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Last Name *
First name *
Grade *
Date of Birth *
Home address *
Home Phone *
Parent/Guardian 1 Name *

Parent/Guardian 1 Work Phone

 *

Parent/Guardian 1 Cell Phone

 *

Parent/Guardian 1 Email

 *

Parent/Guardian Guardian 2

Parent/Guardian 2 Work Phone

Parent/Guardian 2 Cell Phone

 *

Parent/Guardian 2 Email

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