Athletic Participation Consent Forms
Student Name *
Student Grade *
I DO/DO NOT give permission for my child to be baseline tested for concussion *
Student Date of Birth *
MM
/
DD
/
YYYY
Parent Name *
Parent Cell *
Parent Transportation Consent Form-My child has permission to drive themselves to and from athletic activities and/or practices. *
Student-Athlete & Parent Participation Agreement-We have read the Student-Parent Athletic Handbook that is on the athletic page of the website and have discussed the responsibilities of team membership.  We agree to fully commit and accept all the responsibilities for team membership.  By clicking Yes below, both the student athlete named above along with her parents/guardian are agreeing to the statement above.  This will serve as both of your electronic signatures. *
Name of Insurance Carrier *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of St. Dominic High School. Report Abuse