Lac Courte Oreilles Ojibwe School

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Migiziwag Athletic Participation Forms

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Student Contact Information

Primary Parent Contact Information

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Secondary Parent/Emergency Contact Information

Family Doctor

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the above-named student. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that an attempt will be made by the attending physician and coach to contact me in the most expeditious way possible. If said physician is not able to communicate with me, the treatment necessary for the best interest of the above-named student may be given.

Permission is also granted to the Certified Athletic Trainer or Coach to provide the needed emergency treatment prior to the student’s admission to the medical facilities.

The Athlete's Pledge


Individual and team success in sports results from commitment.  The extent to which young athletes are able to make such commitments reflects their maturity as well as their dedication to family, friends, school, and team.  Your coach already has made a similar commitment.  For these reasons, we ask you to read and agree to the following Pledge.



As a Student/Athlete I promise:


To be a worthy representative of my teammates and coaches, abiding by school and community expectations and reflecting my team’s values of commitment and hard work.


To maintain my health and fitness levels by following the training rules as prescribed by the Athletic Director and/or Coach.


To reflect the knowledge that a commitment to victory is nothing without the commitment to hard work in practice


To attend every practice unless excused by my coach.


To understand that my future as a responsible adult relates more to my academic than my athletic activities.


To find the time to satisfy my family relationships and responsibilities.


To accept the responsibilities of team membership:  Cooperation, Support of my Teammates, Shared Responsibilities, Positive Interaction, and Mutual Respect.


To reflect good moral standards by expressing my feelings and ideas intelligently and appropriately.


To reflect my belief that true strength involves gentleness and that even the toughest athlete is sensitive to others.