Fall Sports Registration 2021/2022
Season Begins: August 16, 2021
Athletic Office Contact Information:
Nate Gautsch, Athletic Director, 763-561-2120 x2100, ngautsch@bccs286.org
Jody Jetland, Athletic Administrative Asst., 763-561-2120 x2101, jjetland@bccs286.org
Chauncy Williams-Barefield, Head Football, cwilliams-barefield@bccs286.org
Ramon Martinez, Head Volleyball, rmartinez@bccs286.org
Julie Hart, Head Cross Country, jhart@bccs286.org
David Afolabi, Head Boys Soccer, davidafolabi19@gmail.com
Heidi Peluf, Head Girls Soccer, hpeluf@bccs286.org
Ted Harding, Head Girls Tennis, tharding@bccs286.org
Christian Scott-Hills, Head Fall Cheer, cscott-hills@bccs286.org

Sports Eligibility Brochure: https://tinyurl.com/bccs-sports
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Student Name (First & Last) *
Student Grade (2021/2022) *
Student Address *
School Email for Student *
Student Phone Number *
Student Date of Birth *
MM
/
DD
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YYYY
Sport *
Date of Last Physical (Must be within 3 years).        Please bring paper copy to Athletic Office. Sports Qualifying Physical Form: https://tinyurl.com/SQPF-BCCS *
Parent/Guardian Name (First & Last) *
Parent/Guardian Address *
Parent/Guardian Email *
Parent/Guardian Phone Number *
Emergency Contact (Name & Phone Number) *
Student - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure: https://tinyurl.com/bccs-sports) *
Parent/Guardian - I have read, understand, and will follow all MSHSL and BCCS Guidelines for participation in athletics. (Sports Eligibility Brochure: https://tinyurl.com/bccs-sports) *
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