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YHS XC/Track & Field 2022-2023 Registration and Emergency Contact Form
Please fill out this digital form of your emergency card for the coaches.
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* Indicates required question
Athlete First Name
*
Your answer
Athlete Last Name
*
Your answer
Gender
Male
Female
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Grade
*
9th
10th
11th
12th
Athlete E-Mail
*
Your answer
School You Will Attend for the 2022-2023 Academic Year
*
Yorktown High School
H-B Woodlawn
Arlington Tech.
Other:
Which season(s) do you plan to participate in? *check all that apply
*
Cross-Country
Indoor Track and Field
Outdoor Track and Field
Required
Any known food allergies?
Your answer
Eligibility
*
I have completed my VHSL Physical AFTER May 1, 2022 and submitted to
yhsphysicals@apsva.us
I have NOT completed my VHSL Physical AFTER May 1, 2022
Did you participate on the outdoor track and field team at Yorktown during the following seasons? *check all that apply
*
2020-2021
2021-2022
This is my first season
Required
Home Address
*
Your answer
Primary Parent/Guardian Contact (First Name / Last Name)
*
Your answer
Primary Parent/Guardian Contact Cell Phone
*
Your answer
Primary Parent/Guardian Contact E-Mail Address
*
Your answer
Parent/Guardian Contact #2 (First Name / Last Name)
*
Your answer
Parent/Guardian Contact #2 Cell Phone
*
Your answer
Parent/Guardian Contact #2 E-Mail Address
*
Your answer
Friend or Relative (First Name / Last Name)
*
Your answer
Friend or Relative Cell Phone
*
Your answer
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