Wrestling Interest Form for ELMS

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Please complete this form if you have a child interested in wrestling at ELMS.

Student's First Name *

Student's Last Name *

What grade is your child in for the 2021-2022 school year? *

Is your child interested in wrestling? *

Yes

Name of Parent Guardian *

Best Contact Number for Parent Guardian *

Parent Guardian Email Address

Do you have a Parent Portal Account set up? If no, please contact the school at 919-776-8441 or email vholshouser.elms@lee.k12.nc.us. *

Yes

Name of Emergency Contact #1 *

Phone Number for Emergency Contact #1 *

Name of Emergency Contact #2

Phone Number for Emergency Contact #2

Does your child have any health concerns or conditions? If yes, please explain. *

Does your child have a current physical that covers the fall sports season? If no, please set up a doctors appointment to get your child an up-to-date physical before they come to football workouts. Physicals can be emailed to the athletic director, Nick Melillo at nmelillo.elms@lee.k12.nc.us. Students will not be allowed to participate without a physical on file. Links to Physical Form: https://www.lee.k12.nc.us/cms/lib/NC01001912/Centricity/Domain/38/LCS%20Athletic%20Checklist.pdf (English) https://www.lee.k12.nc.us/cms/lib/NC01001912/Centricity/Domain/38/ATHLETIC%20FORMS%20Translation.pdf (Spanish) * *

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