Ritenour High School Athletic Consent Form 2021-2022
Below is the information needed by the Athletic Office for student athletes to obtain an eligibility card needed for practice and game competition.  By filling out this form, students and parent/guardians are entering into an agreement, confirming that all information provided is accurate/up-to-date, rules and regulations will be followed, and that authorization has been given to participate in RHS sponsored sports/activities.

PLEASE NOTE: PHYSICALS ARE STILL TURNED INTO ATHLETIC OFFICE
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Email *
Student Last Name: *
Student First Name: *
Student Email: *
Gender: *
Grade: *
FALL Sport: *
WINTER Sport: *
SPRING Sport: *
Address (Street, City, Zip Code): *
Birth Date *
MM
/
DD
/
YYYY
Parent/Guardian #1 Name: *
Parent/Guardian #1 Phone Number: *
Parent/Guardian #1 Email: *
Parent/Guardian #2 Name:
Parent/Guardian #2 Phone Number:
Parent/Guardian #2 Email:
Emergency Contact Person: *
Emergency Contact Phone Number: *
Emergency Contact Email: *
Insurance Company: *
Policy Number (Found on Insurance Card): *
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