St. Mark Sports Participation Form - 2022-2023
Please use this form to register your child(ren) to participate in the St. Mark School athletic program for the 2022-2023 school year. 
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Email *
STUDENT INFORMATION
Please fill out information for each student in your family who will participate in a sport for St. Mark School.
Student 1 First Name *
Student 1 Last Name *
Student 1 - Date of birth *
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Student 1 Grade in 2022-2023 *
Required
Student 2 First Name
Student 2 Last Name
Student 2 Date of Birth
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/
DD
/
YYYY
Student 2 Grade in 2022-2023
Student 3 First Name
Student 3 Last Name
Student 3 Date of Birth
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/
DD
/
YYYY
Student 3 Grade in 2022-2023
Parent Permission for Sports Participation
Parent/Guardian 1 First Name
Parent/Guardian 1 Last Name
Parent/Guardian 2 First Name
Parent/Guardian 2 Last Name
Home Street, City, State, Zip
*
Primary Parent/Guardian Phone Number with AREA CODE (this will be used for all communication from the Athletic Department & Coach including in Team Snap/Game Changer if applicable) *
Primary Parent/Guardian Email (this will be used for all communication from the Athletic Department & Coach including in Team Snap/Game Changer if applicable) *
Second Parent/Guardian Email (this will be used for all communication from the Athletic Department & Coach including in Team Snap/Game Changer if applicable) *
EMERGENCY INFORMATION
In case of an emergency and I can not be reached, call:
Emergency Contact Name 1, Phone Number, and relationship to student (ex: Jane Smith, 716-123-4567, grandmother) *
Emergency Contact Name 2, Phone Number, and relationship to student (ex: Jane Smith, 716-123-4567, grandmother) *
MEDICAL INFORMATION & CONSENT FOR TREATMENT
Parents will be provide a secure link to upload the child's physical.   Students may not participate in any practice or game until they have a current physical on file with the school nurse.  No exceptions.
My child has received medical release per his/her physician's report on file in the school health office to participate in the sports selected below and he/she has been in good health since this release with no accidents or major health Issues *
Please use the space below to explain any health related conditions/allergies for your child that the coach should be aware of.
Family Physician Name & Phone Number *
CONSENT FOR TREATMENT
By typing my initials below, if I cannot be reached, I give my permission for the coach or a responsible school representative to have my child treated by a physician.
Parent Initials *
PARENTAL PERMISSION
My child has my permission to participate in sport(s) at St. Mark.
Please call or email me, I am interested in coaching or being an assistant coach
ACKNOWLEDGEMENT OF EXPECTATIONS for PARTICIPATION in St. Mark 2022-2023 sports teams.
By typing my name below, I understand that my son/daughter will be expected to attend all scheduled practices and games. If needed, I understand that my son/daughter is responsible for all equipment/uniforms issued, and if any of the equipment/uniforms issued are not returned in proper condition, I am liable for their replacement value.
Parent First Name and Last Name *
PLAYER CODE OF CONDUCT & SPORTS ETHICS
Please review with your child and e-sign the code of ethics for each student.
I agree to abide by the following: *
Required
By checking the boxes above and writing my name in this box, I am acknowledging that I have read this with my parents/guardians and I understand what is expected of me as an athlete and student at St. Mark School.  (Please review with each student listed and type each student's name) *
PARENT/GUARDIAN CODE OF CONDUCT ACKNOWLEDGEMENT
Please review & e-sign.
I hereby pledge to provide positive support, care and encouragement for all children participating in youth sports by following this Parent Code of Ethics:   *
Required
By checking the boxes above and writing my name in this box, I am acknowledging that I have read this  and I understand what is expected of me as a parent and role model to an athlete and student at St. Mark School.   *
All physicals must be submitted before the first practice - NO EXCEPTIONS.  Students are not able to play or practice if they do not have a physical on file.
Physicals can be emailed to forms@saintmarkschool.com
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