Preseason Wheelchair Form
School Year
*
Please Select
2024-25
2025-26
2026-27
2027-28
School
*
Name of Athlete
*
First Name
Last Name
Gender
*
Male
Female
Grade
*
Please Select
Freshman
Sophomore
Junior
Senior
Wheelchair Track & Field Physician's Form is on file at School
Yes
No
WIAA Wheelchair Physician's Form
Track & Field Guidelines for Student Athletes in Wheelchairs
Name of Individual Completing the Form
*
First Name
Last Name
Email
*
example@example.com
Submit
Should be Empty: