Track and Field

PARENT INFORMATION

Parent Email REQUIRED Please fill out this field. Please enter an email address.

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

EMERGENCY CONTACT: This contact is in addition to parent completing form.

1st Emergency Contact First and Last Name REQUIRED Please fill out this field. Please enter valid data.

1st Emergency Contact Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

2nd Emergency Contact First and Last Name REQUIRED Please fill out this field. Please enter valid data.

2nd Emergency Contact Phone Number REQUIRED

Please fill out this field. Please enter a phone number.

PERMISSION AND LIABILITY WAIVER

By completing this form and clicking the "Submit" button, I indicate my permission for my child/ren, named above, to participate in this school activity. I attest that my child/ren are in good health and are able to participate in athletic activities and that they have not experienced any serious illness or injury since their last examination by a physician. I understand my child/ren will be under the supervision of a volunteer coach. I understand that this statement indicates my consent and release of liability. I understand that I remain fully responsible for any legal liability which may result from any/all personal actions taken by my child. I understand that submitting this electronically-signed waiver document will be valid and enforced in the same manner as a hand-signed document that exists in physical form.

By typing my name into this box, I acknowledge the above statement. REQUIRED Please fill out this field.

STUDENT INFORMATION