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2021 Fall Athletics Registration

Student First Namerequired

Student Last Namerequired

Graderequired

Parent/Guardian A Namerequired

Parent/Guardian A Phone Numberrequired

Parent/Guardian A Email Addressrequired

Parent/Guardian B Name

Parent/Guardian B Phone Number

Parent/Guardian B Email Address

Fall Sport (click all that apply)

Soccer Cross Country

Alternate Emergency Contact Name:required

Alternate Emergency Contact Phone Number:required

There is a $150 fee per season associated with participating in Westside School Athletics.

It is important to us that no student at Westside feel barred from participation in the Westside School Athletics program because of a fee. Families receiving tuition assistance will receive an automatic discount, and we ask that any family who feels the fee is an undue burden, please reach out to Director of Finance & Operations, Laura Anderson, at lauraa@westsideschool.org for assistance. We want everyone to play!

Payment for Westside's athletic fee must be made by credit or debit card and includes a $5 processing fee. Please note that we do not accept payment via AMEX.

Pay Online Via Credit Card ($155)

I agree that my child is in good health and is able to participate in the Westside School Athletics program. I authorize all first aid, medical, dental, surgical, diagnostic and hospital procedures as may become necessary for my child while he/she is participating in the Westside School Athletics program. I acknowledge that I am responsible for any and all medical expenses due to my child’s injury or illness and hereby assume all risk of injury or loss to which he/she may be exposed.

Parent/Guardian Signaturerequired

Please send a confirmation email to the address below*: