Mendenhall Middle School Athletics Registration
Please complete this form for the 2022-2023 school year. 

Athletes will be cleared to participate once:

 1) The Parent Consent & Waiver of Liability has been submitted. 

 2) The physical form signed by a Doctor is submitted. 

3) Parent has received email notification of athlete clearance from the Athletic Director.

AND

4) Student has received "Golden Ticket" from the office.
Students can pick up their "Golden Ticket" in the office on Tuesday's & Thursday's. The "Golden Ticket" will be shown to Coaches to prove clearance on the first day of sports season/tryouts.

Please allow two days to process Athletic Registrations. 

Any questions? 

Vist the Athletics page on the Mendenhall Middle School website  
Contact the Athletic Director at dbutler@lvjusd.org

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El. paštas *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email  *
Student Last Name *
Student First Name *
Student Grade *
Student Email *
Which sport(s) is your student interested in for the 2022-2023 school year?
PLEASE SELECT ALL THAT APPLY
Cross Country (Coed)
Boys Basketball 6th/7th/8th
Girls Basketball 6th/7th/8th
Boys Volleyball A/B 
Girls Volleyball 6th/A/B
Track & Field (Coed)
Wrestling (Coed)
Golf (Coed)
Types of Teams
TRYOUT SPORTS (Cuts will be made): Basketball & Volleyball (girls/boys), Golf (co-ed) 
PARTICIPATION SPORTS: (No cuts made): Cross Country, Wrestling, Track (all co-ed)
Sports Donation

As way of managing the cost of extracurricular activities without having to cut other important areas, Mendenhall Middle School is encouraging the families of students who participate in athletics and extracurricular activities to provide support, if possible, by making a fair share donation that would go directly to the athletic programs. Donations are purely voluntary and no student will be denied access to or participation in any sport or extracurricular activity, or penalized in any way, based on whether or not his/her family chooses to make a donation or the amount of any such donation.

Please make checks payable to Mendenhall Middle School and turn in to the Athletic Director box in the office. Donations can also be made online on the school website. 

Your support is greatly appreciated.

Online Athletic Donation
Sports Donation
Athletic Eligibility/Student Requirements (IMPORTANT)
  1. A “Current Year Physical Form” with verification of an annual physical must be on file with the Athletic Director..

  2. Students must maintain a 2.0 GPA and be passing in ALL classes with a ‘D’ or better for each grading period.

    Each grading period students must maintain a 2.0 GPA, and be passing all classes with a D or better. A student is not eligible with an “F”. Eligibility is determined from each trimester report card distribution to the next trimester report card distribution. Boys’ basketball/Cross Country eligibility for 7th and 8th grade will be determined by the previous year’s final report card. Per District Policy you may request “one time” probation for one grading period. This must be in writing from the student and parent and can be used once during your middle school athletic years. This request will be kept in your permanent file for reference.

ABSENCES: An athlete must attend school for at least 4 periods to be eligible to participate in that days competition.

STUDENTS CAN ONLY PARTICIPATE IN ONE SCHOOL SPORT AT A TIME IF THE SEASONS CONFLICT.

PARENT CONSENT & WAIVER OF LIABILITY

I hereby give my consent for the below named student to compete and participate in the Livermore Valley Joint Unified School District approved activity program referenced on this form and to travel with the school representative on authorized school trips, if applicable. I, the undersigned, hereby release and discharge the Livermore Valley Joint Unified School District, officers, employers, agents, servants and volunteers (herein collectively referred to as “District”) from all liability arising out of or in connection with the previous described activity or all liabilities associated with any and all claims related to such activity that may be filed on behalf of or for the below named minor. For the purposes of this agreement, liability means all claims, demands, losses, causes of action, suits or judgments of any and every kind that occurs during the above described activity and that results from any cause including the active or passive conduct and or negligence of the District.

I also acknowledge on my behalf and on the behalf of the below named minor that there are risks that are inherent in the above described activity, including the risk of serious injury that may occur through the conduct of other participants, coaches, District, including conduct that may not be part of the ordinary risks of the activity itself. For example, injury may occur through conduct that is not authorized by the rules and regulations of the activity. This release and waiver as set forth in the above paragraph shall also apply to this type of conduct and any resulting injury.

I have carefully read this waiver and release of liability and fully understand its terms & conditions, and understand that by signing this document that I have given up substantial rights for the named minor and myself.


PLEASE PRINT & SIGN (STEP 1 OF 3)

PARENT CONSENT & WAIVER OF LIABILITY


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