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Christian Brothers Academy Winter Session II Sports 2019-2020
This form ~MUST~ be completed by Parent or Legal Guardian
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Student Information
First Name
*
Your answer
Last Name
*
Your answer
Age
*
Your answer
Home Phone #:
*
Your answer
Birthdate
*
MM
/
DD
/
YYYY
Gender
*
Male
Female
Grade
*
7
8
Date of Last Physical (if known)
*
If you do not know the date of your last physical, please contact Lori Walker (
lori.walker@cbasyracuse.org
). Your child will not be allowed to participate if their last physical was over 1 year ago, per NYS law.
MM
/
DD
/
YYYY
Gym class restrictions
*
Does your child currently have restrictions on their participation in Gym class?
Yes
No
Sport
*
Girls 7th Grade Basketball
Girls 8th Grade Basketball
Girls JV Basketball (8th graders only)
Boys Modified Wrestling
Boys 7th Grade Basketball
Boys 8th Grade Basketball
8th Graders must be granted approval to be allowed to tryout for a JV team. Please contact
fcariseo@cbasyr.org
for more information. Below please list your previous basketball experience,
*
Your answer
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