Mercer Island High School

Absences:206-236-3346 Phone:206-236-3350

Individual Forms

The forms below do NOT encompass an entire packet. If you are in need of an entire packet, please use the links above for the Initial and Repeat Packets.

These forms are listed separately here as sometimes only a particular form is needed.

Athletic Medical Emergency Authorization Form

ER Card.pdf 37.6 KB (Last Modified on June 24, 2019)

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Health / Physician's Form

06-07 health_prof.pdf 142.30 KB (Last Modified on July 17, 2012)

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Athletic Signature Page

2019-2020 Signature Page.pdf 240.23 KB (Last Modified on June 24, 2019)

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Concussion Policy & Information

Concussion_Policy.pdf 490.74 KB (Last Modified on August 9, 2017)

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Concussion Fact Sheet for Athletes

FactSheetforAthletes.pdf 92.39 KB (Last Modified on July 17, 2012)

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Concussion Fact Sheet for Parents

FactSheetforParents.pdf 90.94 KB (Last Modified on July 17, 2012)

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MIHS Concussion Return to Play Form

MIHS Concussion RTP Form as of 6-14-12.pdf 166.44 KB (Last Modified on January 6, 2016)

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Sudden Cardiac Arrest Information Sheet

SuddenCardiacArrestPamphlet.pdf 1.36 MB (Last Modified on August 8, 2017)

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MIHS Injury Return to Play Form

MIHS Injury RTP Form as of 6-11-12.pdf 285.21 KB (Last Modified on January 6, 2016)

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Athletic Code

Please visit the following website to review the MISD Athletic Code: http://www.boarddocs.com/wa/misd/Board.nsf/goto?open&id=9QRFCF12CCEE

BoardDocs Policy_ 2151 P Interscholastic Activities Procedure.pdf 156.33 KB (Last Modified on November 2, 2017)

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Release for travel with parents

Please use this form when your student athlete is traveling to or from an athletic contest with you (no carpools) and not on the bus

Release for Travel with Parents.pdf 164.09 KB (Last Modified on August 9, 2017)

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The Mercer Island School District does not discriminate in any programs or activities on the basis of sex, race, creed, religion, color, national origin, age, veteran or military status, sexual orientation, gender expression or identity, marital status, disability, or the use of a trained dog guide or service animal and provides equal access to the Boy Scouts and other designated youth groups. The following people have been designated to handle inquiries regarding the nondiscrimination policies: Harassment, Intimidation and Bullying (HIB) Coordinator: Erin Battersby, Senior Director, (206) 230-6227 erin.battersby@mercerislandschools.org Title IX Compliance Coordinator: Erin Battersby, Senior Director, (206) 230-6227 erin.battersby@mercerislandschools.org Section 504 & ADA Coordinator: Nova Williams, Assistant Director, (206) 236-4510 nova.williams@mercerislandschools.org Civil Rights Compliance Coordinator: Erin Battersby, Senior Director, (206) 230-6227 erin.battersby@mercerislandschools.org. All content copyright Mercer Island School District 2017.

Athletics

Individual Forms