Athlete Online Registration

West Bloomfield High School On-line Sports Registration

All students who participate in athletics at West Bloomfield High School and their parent(s) must complete this form.

This form is intended to be completed simultaneously by both the parent and the student-athlete.

This form should be completed for each sports season in which the athlete participates.

In addition to this online form, an athletic physical must be completed and turned in to coaches prior to the start of practice.

For those participating in Boys Lacrosse please click here.

Self-Funded Sports (Field Hockey, B/G Lacrosse, Figure Skating, Gymnastics, Equestrian, Snowboarding) need to be in contact with Coach of their respective team for payment options.

Section I: Student-Athlete information

1. Athlete's Name*

First Last

2. Sport Participation THIS SEASON*

2a. Football Risk Statement: You have been instructed in the proper techniques of blocking, tackling, running, kicking, passing, catching, and other fundamentals pertaining to your position. You have been warned that the improper use of these techniques can result in permanent injury, including paralysis. You have been notified that your helmet is NOCSAE approved within safey standards for football helmets and that you should report to your coach immediately any defects of your helmet or other equipment.*

Athlete and Parent have read and agree to the statement of risk for football participation

3. Athlete's Grade*

4. Date of Birth*

5. Athlete's Address*

Street Address City State ZIP Code

6. Athlete's Cell Phone

7. Student ID Number

8. Parent #1 Name*

First Last

9. Parent #1 Cell Phone*

10. Parent #1 Email*

This email will be sent a confirmation email.

11. Parent #2 Name

First Last

12. Parent #2 Cell Phone

13. Parent #2 Email

West Bloomfield Lakers

Athlete Online Registration

Athlete On-line Registration

Step 1 of 4

West Bloomfield High School On-line Sports Registration

Section I: Student-Athlete information

Section II: MHSAA Eligibility

Section III: Health, Safety, and Assumption of Risk

Section IV: Student Conduct and Sportsmanship

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