2017-2018 Muir Athletics Winter I and II Registration

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If you have more than one child participating in athletics you must register each one separately. You must also register your child each sports season (Fall - Winter I - Winter II - Spring) if they play multiple sports.

Please enter the email address of the parent/guardian completing this form. *

Please enter the student athlete's first name: *

For example, John.

Please enter the student athlete's last name: *

For example, Smith.

Please select the student athlete's gender: *

Male

Female

Please select the student athlete's current grade level: *

This is the grade the student athlete will be in during the 2017-2018 school year.

6th Grade

7th Grade

8th grade

Athletic Physical Required

I understand that my son/daughter is not eligible to participate in a tryout or start the sports season without an official medical physical on file with the coach or the athletic department. *

Yes

I also acknowledge that my son/daughter has passed a physical examination and is physically able to compete in athletic tryouts, practices and contests. A 2017-2018 athletic physical must be dated no earlier than April 15, 2017. *

Yes

Parent Information - Athletic Policies

Please navigate to:
http://www.hvs.org/schools/middleschools/muir/athletics/

I have read and agree to the HVS's Athletic policies below. By checking the boxes below you agree that it endorses your written signature and may be used to the full extent thereof. *

Student Code of Conduct

Student / Parent Concussion Form

HVS's Transportation Policy

Emergency Medical Information

MHSAA Athletic Insurance Information

HVS's Physical Form

Required

Student Information - Athletic Policies

Please navigate to:
http://www.hvs.org/schools/middleschools/muir/athletics/

I have read and agree to the HVS's Athletic policies below. By checking the boxes below you agree that it endorses your written signature and may be used to the full extent thereof. *

Student Code of Conduct

Student / Parent Concussion Form

HVS's Transportation Policy

Emergency Medical Information

HVS's Physical Form

Required

Pay to Participate Fee Information for District Funded. Parent/Guardian(s) qualifying for free and reduced lunch information listed below.

The Huron Valley School District, along with most school districts in Michigan, made significant cost reductions as a result of a reduction in per-pupil funding from the state. At the same time, operational costs including utilities, and insurance continue to rise at a rate much faster than incoming revenue. Rather than cut any of athletic programs, we want to maintain all sports, therefore, the district has implemented athletic participation fees.

Student-athletes in grades 6 through 12 will be required to pay a fee to participate in interscholastic athletics during the 2017-2018 school year.

Free and Reduced Lunch – Scholarships Available

The activity fee for families who qualify for the free or reduced lunch program will pay a discounted rate. Check the appropriate box indicated on the registration below. Scholarships may be available to students with financial hardships. Families with this concern should contact the athletic director’s office or speak with the coach - all information received will be kept confidential. If the fee is to be waived, a letter requesting the waiver must accompany the registration form.

Limited Financial Assistance is Available: Complete the Waiver request by summarizing your request in the box below.

• There will be no refunds unless the athlete does not make the team or an injury takes place prior to the second scheduled contest, in which a physician has deemed that athlete unable to participate for the remainder of the season. In an injury situation, a doctor’s authorization letter must be submitted.

Other:

• Family Cap for Middle School athletes is $450 or $720 which includes a combination of your middle school and high school athletes.

Please select the Winter sport that your son/daughter will participate in. *

Basketball (Boys)

Basketball (Girls)

Wrestling

Swim and Dive (Coed) (This is a cooperative sport between all 3 Huron Valley Middle Schools)

6th Grade Swim and Dive (This is a cooperative sport between all 3 Huron Valley Middle Schools)

6th Grade Wrestling

Required

Please indicate any and all sports the student athlete will participate in this sports season. *

Basketball - Boys - $75

Basketball - Girls - $75

Wrestling - $75

Swim and Dive (Coed) - $180 (This is a cooperative sport between all 3 Huron Valley Middle Schools)

6th Grade Swim and Dive - $90 (This is a cooperative sport between all 3 Huron Valley Middle Schools)

6th Grade Wrestling - $25

I qualify for the Free Lunch program - $10 Participation Fee

I qualify for the Reduced Lunch program - $20 Participation Fee

6th grade Free and Reduced program - $10 Participation Fee

I am applying for a Hardship Waiver (written request required - see box below).

I would like to donate $__________ to the Hardship Waiver Fund to help those families that can not afford the participation fee. Make your donation under the Muir Middle School Athletics Payschools category (Tax Deductible – Contact Athletic Department).

Required

Hardship Waiver Request

I have reviewed the 2017-2018 Huron Valley Schools’ participation fee plan and I understand that the fee I am paying does not guarantee playing time, control over any conditions of the team, and is not refundable except as indicated in the policy. *

I also understand that paying the fee does not alter Huron Valley Board of Education Student policies, Michigan High School Athletic Association regulations, the Huron Valley School District’s Athletic Code, and/or individual team rules.

Yes

Required

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