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Dunsmuir Athletic Participation Form

1 Current: Consent
2 Student's Detail
3 Emergency Contacts
4 Parent’s Directions
5 Complete

This is to certify that the student proposes to participate in competitive interschool athletics at Dunsmuir Middle School.

Student Name

First Name

Middle Name

Last Name

The sport concerned is

Coach’s Name

Your child participates with your full knowledge

You and the student named above have reviewed rules regarding their participation

You know of no medical reason which would prohibit such participation

Ⓒ 2022 Sooke School District

3143 Jacklin Rd, Victoria, BC V9B 5R1