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Student Information

 
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  Activity 
     
     
     
     
     
     
     
 

 

PARENT/GUARDIAN INFORMATION

 

 
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AUTHORIZED PERSON TO CONTACT IN CASE OF AN EMERGENCY 
(GRANDFATHER, GRANDMOTHER, FAMILY FRIEND, ETC.)

 

 

 
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PRIMARY CARE DOCTOR INFORMATION


 
 
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MSHSL ANNUAL SPORTS HEALTH QUESTIONNAIRE

 
  Check off any boxes where the answer is YES. Since your last Sports Qualifying Physical Exam or Sports Health Questionaire:  
     
     
     
     
     
     
     
     
     
     
     
     
     
     
     
 
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  * I do not know of any existing physical or additional health reason that would preclude participation in sports. I certify that the answers to the above questions are true and accurate and I approve participation in athletic activities.
     
 
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  Check each box to move forward 
     
     
     
     
     
     
 

 
  Student Code of Responsibilities 
     
     
     
     
     
     
     
 
We, the undersigned, feel we have adequate insurance protection for our Son/Daughter while practicing or participating in Interscholastic Sports.  
 
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SIGNATURE AND AUTHORIZATION

By clicking SEND on this form, you authorize that you are the legal parent of the student named in this form and that you recognize that this is your legal and binding electronic signature and that any fraud or inaccuracy will void this student's eligibility.
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  Send a copy of the completed form to this email address : 





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Contact Info
Superintendent's Office
(651) 345-2198
300 South Garden Street
Lake City, MN 55041


Lincoln High School
(651) 345-4553
300 South Garden Street
Lake City, MN 55041


Lincoln Attendance
(651) 345-4472

Lincoln High School Fax
(651) 345-5894
Bluff View Elementary 
(651) 345-4551
1156 West Lakewood Ave.
Lake City, MN 55041


Bluff View Attendance 
(651) 345-4528

Activities Director
(651) 345-2850
300 South Garden Street


Community Education 
(651) 345-7006
300 South Garden Street