2019-2020 GOLF Registration  
By completing this form, you are registering your son/daughter for 2018-2019 athletics.  You must still turn in a current physical to either the coach or the athletic office or have a current physical on file in the Athletic Office prior to tryouts.  A physical is considered current for 13 calendar months from the date it was obtained.

Please fill out only ONE form for your child and check all sports that apply.
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Athlete Last Name *
Athlete First Name *
Date of Last Physical *
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DD
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YYYY
Grade(Current grade now) *
Golf (5th - 7th)
Athlete Birthday *
MM
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DD
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YYYY
Parents First Name *
Parents Last Name *
Parents Email *
Parent Phone Number *
Handbook Acknowledgement *
As parents of a sports participant, we fully support rules that are in the Athletic Policy and feel that they are necessary in the guidance of our child.  We will do everything we can to assist our child, the coaches, and the school in producing a fine team.  We also ensure the Homer Community Consolidated School District 33-C that we have medical accidental insurance coverage for our child.   By typing my name below, I am electronically signing the Athletic Code Acknowledgement.  I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
Concussion Acknowledgement *
I have read and discussed the Concussion Information Sheet found in the Athletic Handbook with my son/daughter.  By typing my name below, I am electronically signing the Concussion Information Acknowledgement.  I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
Activity Fee Acknowledgement *
I understand that my student will be assessed a $40 fee for every sport that he/she participates in.   By typing my name below, I am electronically signing the Activity Fee Acknowledgement.  I understand that an electronic signature has the same legal effect and can be enforced in the same way as a written signature.
Name of insurance carrier *
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