(as of 01.15.10) PLEASE NOTE: Current student/athletes who will be attending Holy Trinity HS during this upcoming school year are asked to copy this form and to mail the completed item to the attention of the Athletic Director, Mr. Poprawski. HT Athletic Information & Registration form (as of 01.15.10) PLEASE FILL OUT COMPLETELY and CLEARLY!! Print if possible. Last Name: ____________________ First Name:____________________ Adress: ___________________________________ Class (graduation year): ______________ City: _________________________ Zipcode: _______________ Date of birth: __________________ Phone no.: _______________________ E-mail address: _____________________________________ Emergency Phone no.: _____________________________ Cell Phone no.: ______________________________ Height ___________ Weight: _____________ Date of last physical exam: ________________________ (last sports physical). Please note: ALL HT student/athletes MUST have a COMPLETED sports’ physical on file in the Athletic Office each year of participation. A physical is “good” for a period of one year; ie: June 15, 2009 thru June 15, 2010. At this time, student/athletes are required to set-up an appointment with their own doctor to complete this process. Individuals may use either the IHSA medical form or one that their doctor would have on hand. LISTED BELOW ARE CURRENT HT SPORTS’ OFFERINGS: FALL: _______Boys Soccer _______Girls Volleyball _______Coed Flag Football _______Girls/Boys Cross Country(club status) WINTER: _______ Boys Basketball _______Girls Basketball SPRING: _______Boys Baseball _______Girls Softball _______Girls/Boys Track & Field _______Boys Volleyball OTHER SUGGESTED SPORTS: _____________________________________________ _______ Bowling (club) _______ Chess (club) _______ Not interested in signing up for any sports at this time. Holy Trinity HS Athletics 1443 W. Division St. Chicago, IL. 60642 attn: Mr. Poprawski, AD