2023-2024 Athletic Registration Forms
Battle Creek Athletics Ministry at Battle Creek Academy

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Athletic Website: https://www.battlecreektigers.com
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Email *
Student Athlete Name *
Student Athlete Birthdate *
MM
/
DD
/
YYYY
Grade *
Student Athlete Address (ex: 480 Parkway Drive, Battle Creek, MI 49037) *
Student Athlete Phone Number *
Student Athlete Email Address *
Consent to Treatment, Permission to Participate: I/we are aware that by my child participating in this activity, there is a possibility that there may be a need for emergency medical treatment as result of accident or sickness. In the event that urgent emergency treatment becomes necessary for my child, we grant authority to the coaches, assistants or designee(s) to obtain such emergency medical treatment.  We further grant authority and permission to the medical care provider to administer emergency medical treatment to the above named student athlete. We consent to the participation of our named child in the Battle Creek Athletics ministry program at Battle Creek Academy. We consent to our child being transported to and from the events by private car, school owned vehicle or other means for the above stated activity. *
Required
Guardian Signature: By typing your full name you accept the consent statement as written above *
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