Boys Basketball Registration 2022/2023
Season Begins: November 21, 2022
Athletic Office Contact Information:
Nate Gautsch, Athletic Director, 763-561-2120 x2100, ngautsch@bccs286.org
Jody Jetland, Athletic Administrative Asst., 763-561-2120 x2101, jjetland@bccs286.org
Head Coach: Andre Gilbert, agilbert@bccs286.org
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Student First Name *
Student Last Name *
Student Grade (2022/2023) *
School Email for Student *
Student Phone Number *
Student Date of Birth *
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Date of Last Physical (Must be within 3 years).        Please bring paper copy to Athletic Office. Sports Qualifying Physical Form: https://drive.google.com/file/d/1Rly8mrDjPv6x7eZq_sOy_I_sYyTKz2_C/view?usp=sharing *
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Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Emergency Contact (Name & Phone Number) *
Student - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure): https://drive.google.com/file/d/12DBvExuVofR-_pN8ZaijJl1McQmLZpBG/view?usp=sharing) *
Parent/Guardian - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure): https://drive.google.com/file/d/12DBvExuVofR-_pN8ZaijJl1McQmLZpBG/view?usp=sharing) *
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