Athletic Family Pass Questionnaire
Required to obtain an Athletic Family Pass. 1 Family pass = $50
Summerville Athlete's Full Name
Season 1 Sport (Choose 1)
Soccer - Boys
Soccer - Girls
Season 2 Sport (Choose 1)
Track and Field
List the Parent(s)/Guardian(s) Full Name(s)?
List all other full names of additional family members within the household, including siblings. (MUST live in the household with the above listed athlete).
Please list name and cell phone # of the adult that will be picking up and paying for the family pass.
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This form was created inside of Summerville High School.