Information to be collected from parents/guardians on behalf of minors who wish to participate in athletic activities at Cleveland High School, Portland, Oregon. Parents/guardians must ALSO provide a signed copy of the Parental Consent Form in order for the participant to attend, participate in and be photographed at the "Event" on the "Date of Activity."
The event sponsored by the Athletic Program at Cleveland High School, Portland, Oregon, that the participant wishes to attend.
If the activity covers multiple days, include the first day of the event
This the participant's current grade. If the activity is taking place during the summer, include the grade the participant will be entering in the fall.
Enter the participant's current age.
Include ALL phone numbers a coach could use to reach you or another responsible adult.
Location or person this phone # belongs to (e.g., home, mother, neighbor, etc.
List the full name of the company that provides participant's medical insurance for hospitalizations.
(e.g., numbers listed on participant's medical card)
List anything that might possibly affect participant's performance while participating in this event.