SMS 2020-2021 Sports Interest
Parents/Guardians, please complete the form below, if your child is interested in playing a sport at Stewart Middle School, during the 2020-2021 school year.
Note: The form must be completed by a parent/guardian with the most updated parent/guardian contact information.
We are planning optional conditioning opportunities and need to gather this information during our planning process. We will send additional information and guidelines for participation once this information is gathered.
Please read the following message carefully:
*Students must provide their own water bottle for conditioning. We are not able to provide them with water, due to current guidelines. We recommend a minimum of 1 gallon. Athletes will not be allowed to participate in workouts if they do not bring their own water.
*Students must have individual rides to and from conditioning. Students are NOT allowed to ride home with non-household members, due to current guidelines.
*Student's temperature will be taken each day to determine if the student will be allowed to participate in conditioning.
Student First and Last Name
Grade (Entering 2020-2021 School Year)
Parent/Guardian First and Last Name
Parent/Guardian Phone Number(s)
Parent/Guardian Email Address(s)
Check all that Apply: Student Health History
Asthma/Use of Inhaler/Medicine Related to Asthma
High Blood Pressure
Cough, Wheezing, or Difficulty Breathing during Exercise
Become Sick while Exercising in the Heat
None of the Above
Is the student's physical on file at Stewart Middle School? (If NO, a copy of the most recent physical must be provided prior to participation in conditioning. )
Check all that Apply
The student uses a brace, orthotics, or other assistive device
The student wears glasses or contact lenses
The student wears protective eyewear, such as goggles and face shields
None of the Above
Date of Student's Last Physical (if available)
Never submit passwords through Google Forms.
This form was created inside of Douglas County School System.