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Sports Registration

Fill out the form below to register your child.

Athletics Registration Form

Participation Information

Prior to Filling out this form, please fill out all the student physical forms @ https://aiaonline.org/files/16936/forms-157-a-d.pdf and upload the completed forms to this Registration form at the bottom.
Student Name(Required)
Gender(Required)
MM slash DD slash YYYY

Participation Fee:

A $30.00 participation fee per sport must be paid at the front office prior to the start of each season/sport. PDSD accepts cash, credit cards and money orders.

Please select the activities your child wishes to participate in for the 2024-2025 school year:(Required)

Parent / Guardian Contact Information:

Parent/Guardian Name:(Required)
Address(Required)

Secondary Contact

Name

Student Medical Information

Student Uses Inhaler

Parent/Guardian Consent

Parent/Guardian Signature(Required)
By Filling this out, you acknowledge parent/guardian consent. You will receive a verification email of the above submission for your records.
Max. file size: 256 MB.
This field is for validation purposes and should be left unchanged.

Jeff Ploederl is the Athletic Director at the Phoenix Day School for the Deaf. Originally from Manitowoc, Wisconsin, he graduated from Lincoln High School and later earned his degree from Gallaudet University in Washington, D.C. Jeff is dedicated to supporting students through sports and promoting an active, inclusive environment for all. Jeff is actually a Deaflympic champion with a bronze medal in tennis and a gold medal in basketball!

If you have any questions, please feel free to contact Jeff at [email protected].

Jeff Ploederl

Athletic Director, PDSD Roadrunners