INDEPENDENT SCHOOL DISTRICT 196
Rosemount-Apple Valley-Eagan Public Schools
Educating our students to reach their full potential
Series Number 604.4.1.3.2P
Title
Adopted July 1986
Revised
January 2013
Parent Request Form: Middle School Student Participation in High
School Junior Varsity or Varsity Athletic Activities—Gifted Athlete
Student’s name ____________________________________________________________________
Address ___________________________________________________________________________
Phone (_______) _____________________ Sport ________________________________________
1. How do you feel about your child possibly competing at the high school level?
2. Are you aware of any special requirements, transportation needs or other issues
that you or your child would find to be a problem?
3. Does your child participate in this sport outside of school? If yes, identify where
and the extent of participation.
4. How successful do you feel your child will be in competing at the high school level?
Please share any information that causes you to believe this.
5. Will continued participation at the middle school level be harmful, embarrassing or
detrimental to your child or his or her teammates if placement at the high school
level does not occur? Please explain.
6. Are there any other comments you wish to make regarding this recommendation?
Thank you in advance for sharing this information and your perceptions.
Please return the completed form to your child’s middle school principal.
__________________________________________________ ______________
Parent or guardian signature
Procedures/604.4.1.3.2P/1-4-13
Date