Fee Waiver Request Form

  • Fall 2019-20 Athletics Participation Fee Waiver Request Form

    This form must be completed for each student and in each athletics season that an athletics participation fee waiver is being requested.

    Waiver requests must be submitted at least two (2) days prior to the due date for payment of athletics participation fees (August 5 for football; August 7 for all other sports).Completed forms can be turned in to the MSHS Athletics Office (1203 W. Fair Avenue) or submitted via e-mail to atiseo@mapsnet.org.

  • Student Information

  • Address * Required
  • Has this student transferred to MSHS from another high school within the past calendar year?
  • Does this student qualify for the free/reduced lunch program and has the required information been filed for 2019-20?
  • Parent/Legal Guardian Information

  • For partial waiver requests, please specify what percentage of athletics participation fee will be covered by parent/legal guardian * Required
  • Athletic Training Rules/Eligibility Agreement
  • Concussion Awareness Educational Material Acknowledgement
  • Student and Parent Acknowledgement of Risk and Release
  • HIPAA Privacy and ATC FAST Track Authorization
  • Pay-to-Participate Policy Acknowledgement * Required
  • Signatures