Middle School Co-Ed Track & Field Sign Up 2022-23

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Please fill out the fields below if you plan to join Middle School Track & Field for the Spring 2023 season. Practices begin Monday April 3, 2023. Please contact Coach Holli Peckens 517-404-3068 with questions. All student-athletes MUST have a current sports physical on file dated on or after April 15, 2022 before participating. Athletic Handbooks and Working Deposits are due if required for your student no later than Monday April 10. Forms are available near the Main Office and in the District Office.

Student-Athlete FIRST Name *

Student-Athlete LAST Name *

Grade *

Please select one *

Male

Female

Other:

Parent/Guardian # FIRST and LAST NAMES *

Parent/Guardian #1 Phone Number *

Parent/Guardian #2 FIRST and LAST Names

Parent/Guardian #2 Phone Number

Do you live in a split household? This is important to help ensure proper communication. *

Yes

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