This form to be completed by the parents/guardians of every new and returning team member every semester. You may use this form for both, or each may submit a form.

Student Name *
Student Name
Primary Parent/Guardian Contact *
Primary Parent/Guardian Contact
Cell Phone *
Cell Phone
Home Phone *
Home Phone
Address *
Address
Secondary Parent/Guardian Contact
Secondary Parent/Guardian Contact
Cell Phone
Cell Phone
Home Phone
Home Phone
Address
Address