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Last Name First Name MI Grade Student No. MILL CREEK HIGH SCHOOL ATHLETIC PARTICIPATION FORM ALL HIGHLIGHTED AREAS ON 5 PAGES MUST BE COMPLETED PRIOR TO STUDENT PARTICIPATION IN ATHLETICS PARTICIPATION

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All highlighted areas refer to the specific sections or fields on a form that need to be completed or provided with information.

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The individual or entity named as the filer or responsible party is required to fill out all highlighted areas on the form.

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