M Factor 2021
Sign in to Google to save your progress. Learn more
Athlete's Last Name *
Athlete's First Name *
Grade Level (2021-22) *
Sports Involved In: *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email Address *
Emergency Contact & Number *
T-Shirt Size *
Disclaimer and Waiver of Liability: This program is athletic training in nature and non-contact by definition. However, it is impossible to avoid all injuries of an athletic nature.  Therefore, you as a guardian are being notified of the fact that the possibility of injury does exist.  Be assured that our staff will take all the necessary precautions to reduce the risk to our athletes. In order for your athlete to participate, you must acknowledge your understanding of these risk factors and sign below. *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Rockwood R-6 School District. Report Abuse