Student Participation and Parental Approval Form

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This application to compete in interscholastic athletics for the above school is entirely voluntary on my part and is made with the understanding that I have not violated any of the eligibility rules and regulations of the Florida High School Activities Association or the Palm Beach County Catholic Schools Athletic League.

Student First Name *

Student Last Name *

Fourth Grade

Fifth Grade

Sixth Grade

Seventh Grade

Eighth Grade

Third Grade

Second Grade

First Grade

Kindergarten

Pre-K

Other:

Student Signature *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *

I Agree

Required

Parent's or Guardian's Permission

I hereby give my consent for the above named student: (1) to represent his/her school in athletic activities with the exception of any activities not approved for my child by his/her doctor and so stated below; (2) to accompany any school team of which he/she is a member on any local or out of-town trips.

I authorize the coach to obtain, through a physician of his/her own choice, any emergency medical care that may become reasonably necessary for the student in the course of such athletic activities or such travel. I also agree not to hold the school or the Palm Beach County Catholic Schools Athletic League or anyone acting on their behalf responsible for any injury occurring to the above named student in the course of such athletic activities or such travel, (3) I also understand that it is my responsibility to transport my child or secure transportation (cleared by the Dioceses of Palm
Beach) to all games and practices.

Parent Signature *

I understand that checking this box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance. *

I Agree

Required

Sport(s)

Please check ANY and ALL sports you plan to tryout for this year.

Flag Football

Volleyball

Cross Country

Soccer

Swimming

Basketball

Cheerleading

Cheer Clinic

Softball

Baseball

Track and Field

Golf

Run Club

Other:

Required

Primary Emergency Contact Name *

Primary Emergency Contact Number *

Secondary Emergency Contact Name *

Secondary Emergency Contact Number *

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