2019-20 Student Athlete Paperwork/Fee Checklist for Participation
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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
AbmaSpencerMx117-16-19xxxxxxxx$40
3
Abney ArsonloveFx115-25-19xxxxxxxx$45
4
AdamsJaylaF97-16-19
5
AdamsJoshMx116-6-19xxxxxxxx$40
6
Adams Henry M x106-21-19xxxxxxxx$40
7
Adams John Mx126-21-19xxxxxxxx$40
8
Adkins Kira F x125-2-19xxxxxxxx$40
9
AguirreLizbethFx116-5-19xxxxxxxx$40
10
Al-SaedyAhmedMx104-3-19xxxxxxxx$40
11
Alrefai Rami M x105-17-19xxxxxxxx$40
12
Alsalman
Mohammed
Mx96-19-19xxxxxxxx$40
13
Arnold Caroline F x104-18-19xxxxxxxx$40
14
BagaipoJoachimMx115-21-19xxxxxxxx$40
15
BaileyJulietFx96-27-19xxxxxxxx$40
16
BaisasHalleFx126-5-19xxxxxxxx$40
17
BakerBenjaminM106-15-19xxxxxxxx
18
BakerLaurenFx104-21-19xxxxxxxx$40
19
Ballard Erik M 94-17-19
20
BarrettTimothyMx95-29-19xxxxxxxx$40
21
Barth Conor M x116-16-19xxxxxxxx$5
will need to pay $35 if selected to team
22
BarveMihirMx107-3-19xxxxxxxx$40
23
BatesMollyF107-6-19xxxxxxxx
24
BeachamGabrielleFx95-29-19xxxxxxxx$40
25
BenningfieldAustinMx117-1-19xxxxxxxx$40
26
BetzConnorMx99-14-18xxxxxxxx$40
27
BibbyLoganF117-15-19xxxxxxxx
28
BiroEsther F x105-30-19xxxxxxxx$40
29
Bishop Ella F 113-27-19xxxx$40
30
BissmeyerSamuelM127-1-19xxxxxxxx
31
BlakeyElijahM117-16-19xxxxxxxx
32
Blakey Jeremiah M 98-2-18xxxxxxxx
33
BockoBaileyM117-2-19xxxxxxxx
34
BoganSarahFx127-22-19xxxxxxxx$40
35
Boggess Taylor Fx125-23-19xxxxxxxx$40
36
BohnAbigailFx116-18-19xxxxxxxx$40
37
BollerRodM115-21-19xxxxxxxx
38
BottorffMeganF107-13-19xxxxxxxx
39
BowdenJames Mx97-8-19xxxxxxxx$5
will need to pay $35 if selected to a team
40
Bowdy Aaron M x106-13-19xxxxxxxx$40
41
BowersMadelynFx115-16-19xxxxxxxx$40
42
BowmanNicholasMx96-12-19xxxxxxxx$40
43
Boyd Sydney Fx112-5-19
on file 18-19
xxxxxxxx$40
44
BoylanPhoebeFx96-22-19xxxxxxxx$5
will need to pay $35 if selected to a team
45
Breier Dylan F 105-20-19xxxxxxxx
46
Breitenstein Mark M x106-10-19xxxxxxxx$40
47
Breitenstein Mia F x126-11-19xxxxxxxx$40
48
Brightwell Amelia F x93-1-19xxxxxxxx$5
will need to pay $35 if selected to team
49
BrockmanEmmaFx105-23-19xxxxxxxx$40
50
BrownDariusM113-12-19
on file 18-19
xxxxxxxx
51
Bruce Jake M 115-1-19xxxxxxxx
52
Bryant Sophia Fx106-11-19xxxxxxxx$40
53
BuchananTyler Mx97-10-19xxxxxxxx$5
will need to pay $35 if selected to a team
54
Bunton Nya F x95-29-19xxxxxxxx$40
55
BusalehDinaFx117-2-19xxxxxxxx$5
will need to pay $35 if selected to a team
56
BynumHannahFx96-26-19xxxxxxxx$5
will need to pay $35 if selected to a team
57
Calderon Enrique M x106-27-19xxxxxxxx$40
58
CannonBraxtonM117-17-19xxxxxxxx
59
CarmonyCarolineFx97-9-19xxxxxxxx$40
60
CarmonyMacy Fx97-9-19xxxxxxxx$40
61
CarnsPaytonFx119-17-18xxxxxxxx$40
62
CarpenterAnnaFx106-17-19xxxxxxxx$40
63
CarrollSummerFx97-2-19xxxxxxxx$40
64
CarverTaylenM97-23-18xxxxxxxx
65
ChandlerCampbellMx126-5-19xxxxxxxx$40
66
CheathamMackenzie Fx109-10-18
on file 18-19
xxxxxxxx$40
67
ChennakesavulaRangaMx117-6-19xxxxxxxx$40
68
CherryAlinaF96-14-19xxxxxxxx
69
Childs MakenzieF7-10-18
on file 18-19
$40
70
ChongAdenMx117-11-18xxxxxxxx$40
71
Ciresi Katie F x105-10-19xxxxxxxx$40
72
ClarkTaylor Fx96-6-19xxxxxxxx$40
73
CollinsNaomiFx97-11-19xxxxxxxx$40
74
CordKaylaFx91-3-19xxxxxxxx$40
75
Corley Julian M 105-21-19xnot notarizedxxxxx
76
CouchOliviaFx117-17-19xxxxxxxx$40
77
Coulter Nathan M 114-7-19
on file 18-19
xxxxxxxx
78
Craycroft Thomas M x95-21-19xxxxxxxx$40
79
CrenshawJonahMx109-10-18
on file 18-19
xxxxxxxx$40
80
Crumpton Ella F x1012-12-18xxxxxxxx$40
81
CumminsKatherineFx114-25-19xxxxxxxx$5
will need to pay $35 if selected to team
82
CumminsMyaFx107-9-19xxxxxxxx$5
will need to pay $35 if selected to team
83
CunninghamGwynethF9xxxxxxxx$40
84
CurtisDeovanteM107-10-19xxxxxxxx
85
CurtisFrancisFx105-31-19xxxxxxxx$40
86
DashtiArmanMx96-18-19xxxxxxxx$40
87
DashtiImanMx106-18-19xxxxxxxx$40
88
DaughartyTrinityF107-15-19xxxxxxxx
89
DavidCarterFx106-25-18
on file 18-19
xxxxxxxx$40
90
DavidMorganFx106-25-18
on file 18-19
xxxxxxxx$40
91
DavisMakaylaF115-28-19xxxxxxxx
92
Davis Abigail F x127-5-19xxxxxxxx$40
93
Dawson Mark M x127-30-18
on file 18-19
xxxxxxxx$40
94
DelaneyCahillM98-20-19
95
DespaigneJanMx117-23-18xxxxxxxx$40
96
DickersonEric M106-18-18xxxxxxxx
97
Diehl Ella F x95-24-19xxxxxxxx$40
98
Dodds Lacy F 106-6-19xxxxxxxx
99
Dominguez-Grande
Valeria F118-14-18xxxxxxxx
100
DorseyDelquanM128-22-19
on file 18-19
xxxxxxxx
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