Athletic Registration Form

2018-2019 Athletic Registration Form

Student-Athlete Name: 

Grade: 

Birthdate (dd/mm/yy): 

Height: 

Gender: 

Shirt Size: 

Contact Information - To be used for team communication from coaches and athletic director and in case of medical emergency

Parent Name(s): 

E-mail Address: 

Home Phone: 

Cell Phone: 

Street Address:    

   City:    ZIP: 

Medical Clearance - In order to participate in St. Peter athletics, each student must have a certificate of physical fitness issued by a licensed physician not more than 395 days preceding any date of participation on file at the school (IHSA/IESA By-Law).

Date of your child's medical certificate of physical fitness on file at St. Peter (dd/mm/yy): 

If the date of your child's medical exam preceds 395 days, when is their next anticipated exam? 

Athletic Participation - Please check the sports your child plans to participate in this upcoming school year. 

Fall

Cross Country (6-8 Boys & Girls): 

Running Club (4/5 Boys & Girls): 

Volleyball (6-8 Boys & Girls): 

Winter

Basketball (5-8 Boys & Girls): 

Cheerleading (5-8 Girls): 

Spring

Track & Field (5-8 Boys & Girls): 

 



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