Student Information Form

Student Name

Student Email

Student Phone

Student Birthday

Month

Day

Year

Student Grade

Parent/Guardian Name

Parent Email

Parent Phone

Optional: Parent Employer (this information is utilized for outreach such as fundraisers or community partnerships for the team)

Are you a TUHSD approved volunteer?

Do you have an Arizona Fingerprint Clearance Card?

Parent/ Guardian #2 Name

Parent #2 Email

Parent #2 Phone

Optional: Parent #2 Employer (this information is utilized for outreach such as fundraisers or community partnerships for the team)

Are you a TUHSD approved volunteer?

Do you have an Arizona Fingerprint Clearance Card?

Does your student carry an EpiPen?

Yes

No

Please List Any Medical Allergies

Please list any other sports, clubs, extracurricular activities your student participates in (this information is utilized to connect students with supporting roles on the team throughout the year):

If your student is also working, please share where they work (this information is used to help plan team fundraising opportunities):

Can we include student and parent contact information in team directory?

Yes

No

Only Student Contact Information

If either or both parents would be willing to mentor team members who are interested in your field of work, please tell us what type of work you do: