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Athletic Trainer Request Form
Athletic trainer will be here on Tuesdays and Thursdays from 11:30 - 1pm.
If you are coming from a class please notify the teacher ahead of time and receive your athletic trainer pass to class.
* Indicates required question
Email
*
Record my email address with my response
Name and Last Name
*
Your answer
Grade
*
Choose
6th
7th
8th
9th
10th
11th
12th
Is the time you chose during your lunch period?:
*
Yes
No
What sport do you play in this season?
*
Baseball
Basketball
Cross Country
Cheerleading
Soccer
Track and Field
Volleyball
Wrestling
What day will you be coming?
*
Tuesday ( 1:30 - 1pm)
Thursday (11:30 - 1pm)
Other:
Are you coming out of lunch or a class? (If you are coming from a class please notify the teacher ahead of time)
*
I am coming during my lunch period.
Other:
What is your injury? Please explain.
*
Your answer
A copy of your responses will be emailed to .
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