Athlete Registration This form is designed to be filled out TOGETHER by both parent and athlete.Athlete's Name * Required First Last Athlete's Grade as of Fall 2023 * Required 9th (Freshman) 10th (Sophomore) 11th (Junior) 12th (Senior)Athlete's Date of Birth * RequiredMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Athlete's Address * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Athlete's Cell PhoneAthlete's Student Email * Required Parent/Guardian #1 Name * Required First Last Parent/Guardian #1 Cell Phone * RequiredParent/Guardian #1 Email * Required This email will be sent a confirmation emailParent/Guardian #2 Name First Last Parent/Guardian #2 Cell PhoneParent/Guardian #2 Email Has this athlete transferred to MSHS from another high school within the past calendar year? * RequiredNoYesTransfer DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Previous School * RequiredMARQUETTE SENIOR HIGH SCHOOL ATHLETIC TRAINING RULES/ELIGIBILITY AGREEMENT * Required I have thoroughly read and understand the training rules and scholastic eligibility criteria for participation in Marquette Senior High School athletics. I also agree to the terms outlined in the Athletic Code of Conduct, located in the Student/Parent Handbook.Student/Parent Athletic Handbook (PDF) Student/Parent Athletic Handbook (RTF)CONCUSSION AWARENESS EDUCATIONAL MATERIAL ACKNOWLEDGEMENT FORM * Required By my name and signature below, I acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Concussion Fact Sheet for Parents and/or the Concussion Fact Sheet for Students provided by MARQUETTE AREA PUBLIC SCHOOLS ATHLETIC DEPARTMENT.STUDENT and PARENT ACKNOWLEDGEMENT OF RISK AND RELEASE * Required Our signatures hereby acknowledge that we, the student athlete and parent or guardian, understand that by participating in athletics at Marquette Area Public Schools the student athlete will be exposed to the risk of serious injury, including but not limited to, the risk of sprains, fractures and ligament and/or cartilage damage which could result in a temporary or permanent, partial or complete impairment in the use of limbs; brain damage; paralysis; or even death. Having been so cautioned and warned that these injuries are possible, it is still our desire to have the student athlete named below participate in athletics. We hereby further acknowledge that the student athlete named below will be participating with full knowledge and understanding of the risk of serious injury to which they are exposing themselves by participating in athletics at Marquette Area Public Schools. I hereby release, discharge, and/or otherwise indemnify Marquette Area Public Schools and their employees against any claim by me on my behalf as a result of participation in MAPS athletics.HIPAA Privacy and ATS FAST Track Authorization I authorize UPHS and UP REHAB SERVICES Athletic Trainers/Medical Professionals to use and disclose protected health information pertaining to the above student during the 2023-2024 academic year. In addition, I authorize the release of my student's medical form, information and any injuries related to his/her care in order to treat, consult, track and share information with other medical professionals using the ATS FAST Track System.Pay to Participate * Required I have read, understand, and agree to the Pay to Participate policy. (Please click below to view PTP fees and policies.)Pay to Participate Fees and Policies (PDF) Pay to Participate Fees and Policies (RTF)Student Signature (required) * RequiredBy typing your name here, you are signing this registration form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.Parent/Guardian Signature (required) * RequiredBy typing your name here, you are signing this registration form electronically. You agree your electronic signature is the legal equivalent of your manual signature on this form.PaymentIf you are unsure of the level (Freshmen, JV, Varsity) that you will be participating in, please just select whatever you believe is most likely. If a fee change takes place from a move to a different level, you will be notified of any remaining balance or reimbursed anything that has been overpaid.Fall 2023 Sport * Required Cross Country - Boys - $175 Cross Country - Girls - $175 Football - Varsity - $250 Football - JV - $250 Football - Freshman - $225 Tennis - Girls - $175 Volleyball - Varsity - $225 * Volleyball - JV - $200 Volleyball - Freshman - $200 Dance - $150* Soccer - Boys - $0** Sideline Cheer - $100 Mountain Biking - Boys - $0** Mountain Biking - Girls - $0**Will this athlete be participating in a second Fall 2023 Sport?NoYesFall 2023 Sport * Required Cross Country - Boys - $175 Cross Country - Girls - $175 Football - Varsity - $250 Football - JV - $250 Football - Freshman - $225 Tennis - Girls - $175 Volleyball - Varsity - $225 * Volleyball - JV - $200 Volleyball - Freshman - $200 Dance - $150* Soccer - Boys - $0** Sideline Cheer - $100 Mountain Biking - Boys - $0** Mountain Biking - Girls - $0*** Additional fees may be incurred as a result of participation in this sport. ** Participation fee will be designated and collected by the sport coordinator.Total $0.00 Credit Card * RequiredAmerican ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name