RJSHS Athletic Registration 2024 - 2025
Prior to participating in an organized team activity, please complete this registration for your student.  In order to participate all athletes must:

1.  Complete this registration
2.  Be in good academic standing per the OSAA Handbook (a.  Having earned the minimum number of credits prior to sophomore, junior and senior year.  b.  Having passed at least 5 classes during the previous semester.)
3.  Have a valid Oregon Physical Examination (expires every two years) - Physicals are available at the Rainier
     School Based Health Center. 503-556-2178
4.  Payment of sports fees are required to participate at the high school level.

Please ensure accuracy with this information as the information is used for emergency purposes.  

Please contact your schools Athletic Director with any questions.

High School Athletic Director:       Greg Miller                     greg_miller@rsd.k12.or.us       
Middle School Athletic Director:   Shanda Wagner          shanda_wagner@rsd.k12.or.us
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Email *
Student Email (@rainierk12.org account) *
Parent/Guardian Email *
Student Last Name *
Student First Name *
Parent/Guardian Last Name *
Parent/Guardian First Name *
Student Birth Date *
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Student Grade Level (2024 - 2025 School Year) *
Mailing Address *
Parent Phone Number *
Student Phone Number *
Please choose the Sports your student will participate in during Season 1 (8/19 -11/15) Fall:
Please choose the Sports your student will participate in during Season 2 (11/18-2/28) Winter:
Please choose the Sports your student will participate in during Season 3 (3/3 - 6/6) Spring:
Please list your Insurance Provider: *
Please list your Insurance Policy Number: *
First Emergency Contact; Please list name, phone number, and relationship to student: *
Second Emergency Contact; Please list name, phone number, and relationship to student: *
Medications: *
Do you have a current and active physical? http://www.osaa.org/docs/forms/PhysicalExamination-English2017.pdf *
Do you understand the terms and conditions of the athletic code of conduct as described in the athletic handbook?   *
Do you and your student consent to have your student athlete participate in random drug testing? Failure to sign will nullify the opportunity to participate in athletics.       https://policy.osba.org/rainier/J/JFCIA%20D1.PDF    https://policy.osba.org/rainier/J/JFCIA%20R%201%20D1.PDF        https://policy.osba.org/rainier/J/JFCIA%20R%202%20D1.PDF *
Do you wish to grant permission for your student to ride home following contests with a family member over 18 or an adult over 21? If so please state those individuals (if consent is to be removed it must be stated in writing to RJSHS office). *
Parent Name: *
Student name: *
Todays Date:
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A copy of your responses will be emailed to the address you provided.
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