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Lunenburg
Middle
/
High
School Athletic
Fee
Waiver
Application
All
participants
who
feel
they
qualify
must
complete
the
following application
prior
to
sign
ups
for
each
season
.
The
sign
up
schedule
is
as
follows
:
Fall
-
2nd
week
of
June
,
Winter
-
2nd
week
of November
and
Spring
-
2nd
week
of
March.
All
sign
up
dates
will
be
posted
in
the
school
and
on
the
website
.
When you complete this form and click submit, the application will be sent
the
Office
of
the
Principal for
approval
.
Once
your
application
has
been
processed
the
bottom
portion
will
be
sent
to
the
Athletic
Office
and
you
will
be
notified
by
email
if
your
application
was
approved
or
denied
.
Connectez-vous à Google
pour enregistrer votre progression.
En savoir plus
* Indique une question obligatoire
Email of parent/guardian submitting form
*
A receipt will be automatically sent to this email address upon submission
Votre réponse
First Name of Student
*
Votre réponse
Last Name of Student
*
Votre réponse
Sports Team
*
Votre réponse
Grade
*
6
7
8
9
10
11
12
Season
*
Fall
Winter
Spring
I
would
like
to
apply
for
an
Athletic
Fee
waiver
.
I
feel
that
I
qualify
for
this
waiver
for
the
following
reasons (check all that apply)
:
*
My son/daughter qualifies for free lunch (if approved the fee will be waived)
My son/daughter qualifies for reduced lunch (if approved will pay a nominal fee of $32.50 for High School Sport and $26.00 for Middle School Sports)
OTHER. Please explain below.
Obligatoire
If OTHER is checked above, please explain:
Votre réponse
*By typing your full name in the field below, you are acknowledging your acceptance of the
Lunenburg Middle/High School Athletic Fee Waiver Form
- Lunenburg Public Schools
for the child listed on this form
I, [type your full name below], legal guardian of the student named on this form, acknowledge acceptance of the
Lunenburg Middle/High School Athletic Fee Waiver Form
- Lunenburg Public Schools
for the child listed on this form
*
Votre réponse
Today's Date
*
JJ
/
MM
/
YYYY
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