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Groves Winter Athletic Registration
Groves Winter Athletic Registration


 
If you need help with any question, please click on the next to the item below. Many fields have required responses (indicated by *).
Price: $155.00 or $175.00


Product Code: 2017-18GRATHW

General Student Information

Student First Name*:


Student Last Name*:


Gender*:
  

Date of Birth*:
mm/dd/yyyy

Grade*:
  

School*:
  

Does The Student Have an Epi-Pen?*:
  

Does The Student Have an Inhaler?*:
  
Sports Information

Winter Sport*:
  
Details regarding fees.
Don't see your Unified team?  Click here.

Seasons*:
  

Position(s):

Phone Numbers

Home Phone #:


Student Cell #:


Mom/Guardn Cell:


Dad/Guardn Cell:

Email Addresses

Student Email:


Mom Email:


Dad Email:

Pre-Participation Physical Exam

Physical Exam*:
  
Physical Form (Completed After 4/15/2017)
Concussion Awareness

Parent/Guardian Agreement*:
  

Student Agreement*:
  
Athletic Participation Parental Approval Form

I Carry Accident/Health Insurance*:
  

Insurance Company Name:


Parent/Guardian Agreement*:
  

Student Agreement*:
  
Groves Student Athlete Code of Conduct

Parent/Guardian Agreement*:
  

Student Agreement*:
  
Athletic Fee and Agreement

Pay to Participate Fee*:
  

Parent/Guardian Agreement*:
  

Student Agreement*:
  

Description
 
Groves Winter Athletic Registration


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