2018-2019 Winter Sports Registration

                                                          

                                                       

PLEASE BE SURE THAT YOUR CURRENT PHYSICAL IS ON FILE WITH THE SCHOOL NURSE. ALSO, HAVE BOTH YOUR  MEDICAL INSURANCE INFORMATION AND SCHOOL ID NUMBER OH-HAND, PRIOR TO BEGINNING THIS REGISTRATION. 

NOTE:  "PARTICIPANT INFORMATION" APPLIES TO THE STUDENT-ATHLETE YOU ARE REGISTERING.  ALL PARENT/GUARDIAN INFORMATION FOLLOWS THIS SECTION.

THE HEALTH HISTORY UPDATE QUESTIONNAIRE FORM MUST BE SUBMITTED EACH SPORTS SEASON. PLEASE PRINT AND RETURN TO YOUR CAMPUS NURSE.    

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Contact Us
Yvonne Carroll
Administrative Assistant
201-343-6000
yvocar@bergen.org
Jennifer Dale
Athletic Trainer
201-343-6000
jenhar@bergen.org
Will Muller
Athletic Director
201-343-6000
wilmul@bergen.org
Yvonne Kruse
Administrative Assistant
201-343-6000
yvokru@bergen.org
Locations
Bergen County Technical School
200 Hackensack Avenue
Hackensack, NJ, 07601
United States

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