Basketball Registration 2017-2018
Student's Grade *
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Student's Name *
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Parent 1's Name *
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Parent 1's Email *
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Parent 1's Contact Number *
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Parent 2's Name
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Parent 2's Email
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Parent 2's Contact Number
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Does your child have asthma? ________ If your child has asthma an inhaler will need to be available at all meets and practices. *
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*Any other health conditions that the coaches should be aware of that may affect the safety/health of the student? *
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Players WILL NOT be able to participate in practices or games if the student does not have a current physical (completed within 13 months of the sport's start date) on file in the nurse's office. Physicals dated prior to November 13, 2016 MUST BE UPDATED before a student can participate. *
By entering your name below, the parent acknowledges that permission slips, fees, signed codes of conduct, and up-to-date physicals must be on record before a student may participate in the practices, including the first practice, or games. *
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