Winter Sports Registration 2021/2022

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Athletic Office Contact Information:
Nate Gautsch, Athletic Director, 763-561-2120 x2100, ngautsch@bccs286.org
Jody Jetland, Athletic Administrative Asst., 763-561-2120 x2101, jjetland@bccs286.org
Dance - Agatha Dennis, adennis@bccs286.org
Breanna Robideau, brobideau@bccs286.org
Girls Basketball - David Jones, Sirdavidl.jones@yahoo.com
Middle School Girls Basketball - Liz Baumgartner, ebaumgartner@bccs286.org
Kendall Doom, kdoom@bccs286.org
Boys Basketball - Andre Gilbert, agilbert@bccs286.org
Middle School Boys Basketball - Lars Ericson, lericson@bccs286.org
Liz Baumgartner, ebaumgartner@bccs286.org
Wrestling - Nate Gautsch, ngautsch@bccs286.org
Winter Cheer - Christian Scott-Hills, cscott-hills@bccs286.org
Strength Training - Ben Vennes, bvennes@bccs286.org

Sports Eligibility Brochure: https://tinyurl.com/bccs-sports

Student Name (First & Last) *

Student Grade (2021/2022) *

Student Address *

School Email for Student *

Student Phone Number *

Student Date of Birth *

YYYY

Sport *

Date of Last Physical (Must be within 3 years). Please bring paper copy to Athletic Office. Sports Qualifying Physical Form: https://tinyurl.com/SQPF-BCCS *

Parent/Guardian Name (First & Last) *

Parent/Guardian Address *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Emergency Contact (Name & Phone Number) *

Student - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure: https://tinyurl.com/bccs-sports) *

YES

Parent/Guardian - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure: https://tinyurl.com/bccs-sports) *

YES

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