Athletic Therapist Request Form

Athletic Therapist Request Form

Submission of this form is a request to have an athletic therapist work your game(s).Athletic Therapists that are assigned could be Sheridan Students (completed 3rd or 4th year), graduated but un-certified therapists, or fully certified athletic therapists.If you wish to have the AT tape your players prior to the game, the expectation is that you provide the AT with the tape.
COSTS

Costs will vary on a sport by sport basis.

For 2019-2020 School Year:

Single Game $60 (except football - $75)

Double Header $90 (except football - $130)

Triple Header $125

Tournament rate to be negotiated directly with assignor.
School *
Athletic Contact *

First Name Last Name
Athletic Contact E-mail *
Principal E-mail *
Sport *
If you selected "other" please identify the sport
Which teams do you require coverage for *

Jr Boys Jr Girls Sr Boys Sr Girls
Coverage requested for *

Individual Game Tournament
Game/event Date *

Month Day Year Date Picker Icon
Game/event location *
Start Time *

: Hour Minutes AM/PM Option
Coverage request details:
Multiple Dates, times, locations, special requests etc...
Should be Empty: