ML Ultimate Frisbee Club at Eldorado PK8, Spring 2023
Please complete the following info below if you are interested in joining the Ultimate Frisbee Club. Spring season goes from Thursday, April 6 to May 11: Mondays and Thursdays after school on the back field (near the blacktop) from 3:45-5:00pm

Even if your student can only join some of the dates, not all, please sign up so I have emergency contact information.  Looking forward to seeing you all in a few weeks.  For any further info, please reach out to Mrs. Brauner directly via email: jennifer.brauner@bvsd.org.
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Email *
Student Last Name *
Student First Name *
Student  age *
Student SOAR teacher *
Grade (middle school only) *
Parent/Guardian full name *
Parent/Guardian email *
Parent/Guardian phone number *
Emergency Contact #1: Name and relation *
Emergency Contact #1: phone number *
Emergency Contact #2: Name and relation
Emergency Contact #2: phone number
HEALTH INFORMATION: List any significant or on-going health conditions relevant to school or athletics (severe allergies / epi pen, asthma ,A.D.D., birth defect, diabetes, epilepsy, heart disease, vision or hearing problem, medications, etc.) I hereby give my consent for medical treatment deemed necessary by physicians for any illness or injury resulting from his/her athletic participation. I understand this authorization will only be enforced when I cannot personally be contacted and provided for immediate treatment. PLEASE LIST any relevant health conditions IN THIS SPACE. Write N/A if there are no health relevant conditions. 
*
Family Doctor and phone number *
Family Dentist and phone number *
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