Spring 2022 High School Sports Registration
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THIS FORM MUST BE COMPLETED IN ADDITION TO A SPORTS PHYSICAL AND HEALTH UPDATE FORM*.  PLEASE SEE NURSE AMY FULFORD FOR MORE INFORMATION OR EMAIL ATHLETIC DIRECTOR EVAN FARKAS AT efarkas@amityvilleufsd.org.
Student First Name *
Student Last Name *
Grade *
Sport *
Emergency Contact Name *
Emergency Contact Phone Number *
Additional Emergency Contact Name
Additional Emergency Contact Phone Number
I understand that for my child to participate in interscholastic athletics they must have a valid physical on file and receive final clearance by the school nurse.  **A health update form is also needed if a physical was conducted more than 30 days from the start of the season** *
I understand that my child must be academically eligible to participate in interscholastic athletics based on Board of Education policy. *
I understand that my electronic signature is my permission for my child to participate in interscholastic athletics. *
Parent/Guardian Signature *
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