Semester Fee: XCG 125

Payment can be made by bank transfer to MCB Account 52395204 or in person at the Main Office by card.

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Student’s First Name (Required.)

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Student’s Last Name (Required.)

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Grade (Required.)

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Date of Birth (Required.)

Date

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Email (Required.)

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Sport

Emergency contact info

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Name

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Relationship to Athlete

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Home Phone Number

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Cell Phone Number

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Work Phone Number

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Doctor's Name

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Doctor's Phone Number

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Medical conditions

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If yes, please explain

Parent /Guardian
I, the undersigned, hereby agree to the participation of my son/daughter in ISC Junior Varsity & Varsity sports program.

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Name (print) (Required.)

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 100% of survey complete.

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