Fall Sports (Aug-Oct)
Bowling (co-ed) - Mr. Kim (vaccination req.)
Cross Country (co-ed) - Ms. Abrams & Ms. C. Reglas
Fencing (co-ed) - Mr. Lopez
Soccer (girls) - Mr. Tyler
Soccer (boys) - Mr. Wierzbicki
Tennis (girls) - Ms. Reglas
Volleyball (girls) - Ms. Plaia (vaccination req.)
Winter Sports (Oct-Mar)
Full Vaccination Required for Participation
Basketball (boys) - Mr. Wierzbicki
Basketball (girls) - Mr. Woodhouse
Co-Ed Wrestling - Mr. Weeks
Spring Sports (Mar-May)
Baseball (boys) - Mr. Wierzbicki
Softball (girls) - Ms. Goldman
Golf (co-ed) - Mr. Cohen & Mr. Mora
Required Prior to Participation:
Complete information at the top of the form in pen.
PARENT initials should be placed in pen after each of the 13 statements.
Parent should print AND sign name and date.
Medical provider should complete page 3, stamp, sign and date and student should return form.
Please direct any general questions to