2016-17 Student Athlete Paperwork/Fee Checklist for Participation
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ABCDEFGHIJKLMNOP
1
LAST NAMEFIRST NAMEGENDER
CLEARED TO
PARTICIPATE
CLASSPHYSICAL
DATE
CONCUSSION
STATEMENT
JCPS
RELEASE
SAFETY
VIDEO
STUDENT
SAFETY
VIDEO
PARENT
TRANSPORTATION
WAIVER
PARENT
COMMUNICATION
AGREEMENT
SOCIAL
MEDIA
PHOTO
RELEASE
INSURANCE &
TRAINER FEE
NOTES
2
AbdullahiAhmedMx97-11-16xxxxxxxx$40
3
AbmaTrevorMx106-8-16xxxxxxxx$40
4
AbrilFernandoMx127-2-16xxxxxxxx$40
5
AbrilSebastianMx95-26-16xxxxxxxx$40
6
Abu ShwiemehHedayahFx112-13-17xxxxxxxx$40
7
AckersonMaxwellMx96-8-16xxxxxxxx$40
8
AdamovAlecMx116-8-16xxxxxxxx$40
9
AdamsClaireFx105-10-16xxxxxxxx$40
10
AdamsKristinFx117-7-16xxxxxxxx$40
11
AdamsSamM93-1-16xxxxxxxx$40
12
AddisonHarperFx105-27-16xxxxxxxx$40
13
AditiKannanFx111-13-17xxxxxxxx$5
will need to pay $35 if selected to a team
14
AdkinsKiraFx99-22-16xxxxxxxx$40
15
AdwellCarsonMx95-17-16xxxxxxxx$40
16
AguirreEmilioMx125-20-16xxxxxxxx$40
17
AlDuLaimiAliMx107-28-16xxxxxxxx$40
18
AliFayhaFx111-17-17xxxxxxxx$40
19
AliZuhayrMx1011-16-16xxxxxxxx$40
20
AllenHeatherFx97-6-16xxxxxxxx$40
21
AllenTaylorFx118-2-16xxxxxxxx$40
22
AllgeierCatherineFx107-7-16xxxxxxxx$40
23
AlliSarayuFx95-18-16xxxxxxxx$50
24
AlluriNarenM92-17-16xxxxxxxx$40
25
AlmadiNadeenFx98-23-16xxxxxxxx$40
26
AlvarezAmandaFx99-20-16xxxxxxxx$40
27
AndersonAmayaFx97-19-16xxxxxxxx$40
28
AndersonErinF1211-23-15xxxxxxxx$40
29
AnilNehaFx101-2-17xxxxxxxx$40
30
AnkemAmulyaFx1011-25-16xxxxxxxx$5
will need to pay $35 if selected to a team
31
AppleberryHelenFx96-14-16xxxxxxxx$40
32
AppleberryJohnMx116-20-16xxxxxxxx$40
33
ArmstrongMollyFx105-10-16xxxxxxxx$40
34
ArnoldElizabethFx105-19-16xxxxxxxx$40
35
AshbyChloeF105-27-16$5
will need to pay $35 if selected to a team
36
AshleyJoshuaMx129-7-16xxxxxxxx$40
37
AthanasakesEvanM102-25-16xxxxxxxx$40
38
AtiehAngelinaFx91-10-17xxxxxxxx$40
39
AvetisianAnnaFx94-25-17xxxxxxxx$45
40
AwbreyClaytonMx105-10-16xxxxxxxx$40
41
BackBryanMx97-14-16xxxxxxxx$40
42
BagawathkumarDharshiniFx91-6-17xxxxxxxx$40
43
BaisasHalleF93-30-16xxxxxxxx$40
44
BakerAndrewMx106-28-16xxxxxxxx$40
45
BakerEmmaFx121-11-17xxxxxxxx$40
46
BallanceMaddieFx115-31-16xxxxxxxx$40
47
BallardJoleneMx106-9-16xxxxxxxx$40
48
BallardTerranceM121-15-16xxxxxxxx$40
49
BanksCierraFx109-18-16xxxxxxxx$40
50
BarberMerrisFx127-12-16xxxxxxxx$40
51
BarberNathanMx115-10-16xxxxxxxx$40
52
BarthDylanMx126-7-16xxxxxxxx$40
53
BeckerAudreyFx109-10-16xxxxxxxx$40
54
BedellAustinMx116-16-16xxxxxxxx$40
55
BellJacksonMx95-27-16xxxxxxxx$40
56
BensonAnnikaFx97-12-16xxxxxxxx$40
57
BensonHayleyF93-12-17no student signatureno signatures
58
BerryDaciaFx109-20-16xxxxxxxx$40
59
BhaleraoAmoghMx108-7-16xxxxxxxx$40
60
BiggsDanielMx105-31-16xxxxxxxx$40
61
BiggsSarahFx125-31-16xxxxxxxx$40
62
BilyeuKeenanMx126-16-16xxxxxxxx$40
63
BissmeyerSamuelMx95-27-16xxxxxxxx$40
64
BlackburnAsherM91-9-17x
65
BlackfordNilaFx105-10-16xxxxxxxx$40
66
BlakeyMarisaFx115-10-16xxxxxxxx$40
67
BobbLindseyFx126-29-16xxxxxxxx$40
68
BoganSarahFx96-16-16xxxxxxxx$40
69
BoggessTaylorFx95-31-16xxxxxxxx$40
70
BoldinKeelyFx115-10-16xxxxxxxx$40
71
BollingerBrookeFx105-2-16xxxxxxxx$40
72
BosoBlantonFx108-9-16xxxxxxxx$40
73
BoutellBenjaminMx1211-2-16xxxxxxxx$40
74
BowenKendell$5
will need to pay $35 if selected to a team
75
BoylanJackMx95-29-16xxxxxxxx$40
76
BrackneyLillyFx115-10-16xxxxxxxx$40
77
BradleyGraceF114-24-16
expired
xxxxxxxx$40
78
BratcherJacobMx115-10-16xxxxxxxx$40
79
BrayJustinMx115-10-16xxxxxxxx$40
80
BridgesAustinMx126-15-16xxxxxxxx$40
81
BridgesKiManiF94-28-16
missing page 2
xxxxxxxx$5
will need to pay $35 if selected to a team
82
BrightMyeciaFx96-14-16xxxxxxxx$40
83
BrightwellSebastianMx910-1-16xxxxxxxx$40
84
BrittWilliamMx125-10-16xxxxxxxx$40
85
BroderickJadeF11need pages 3 & 4xxxxxxxx
86
BrooksDe'ArraFx99-8-16xxxxxxxx$40
87
BrownAlizaFx117-25-16xxxxxxxx$40
88
BrownMakaylaFx126-15-16xxxxxxxx$40
89
BrownZacharyMx98-5-16xxxxxxxx$40
90
BrummettSaraFx116-8-16xxxxxxxx$40
91
BurzynskiRebeccaFx107-18-16xxxxxxxx$40
92
BushMadisonFx97-19-16xxxxxxxx$40
93
BynumQuintinMx1210-26-16xxxxxxxx$40
94
ByronJoshuaMx1210-18-16xxxxxxxx$40
95
CagginsKaileiFx116-17-16xxxxxxxx$40
96
CaldwellChancellorMx1211-4-16xxxxxxxx$40
97
CaldwellJacobMx1010-25-16xxxxxxxx$40
98
CambronEleanorFx127-18-16xxxxxxxx$40
99
CammackEmmaFx108-9-16xxxxxxxx$40
100
CanedyCameronMx115-30-16xxxxxxxx$40
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