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Athletic Clearance Forms

These forms will need to be completed and submitted to the school before your student can participate in a sports program. We suggest you schedule a physical with your primary care physician (or another qualified health care provider) well in advance of the school year starting to not delay the ability to participate in any desired sport. 

Attention: If you cannot get into your primary care physician, most Chiropractors can complete the physical evaluation form and are easier to get into. 

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Ben Holt Athletics
2026-2027
Board Members:

President: Heather Mompean

Vice President: Chantelle Bower

Treasurer: Emelina Logan

Secretary: Tamika Smith

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Main Sport(s) of Interest

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Email: holtathelticbooster@gmail.com

Ben Holt Booster Club is a registered 501(c)(3).

Tax ID#  82-2677087

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