Jackson County Central Schools
PARENTAL INSURANCE WAIVER                                                                                                                                      The Jackson County School District DOES NOT provide any type of health or accident insurance for injuries incurred by your child participating in school sponsored athletics or activities.
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STUDENT'S NAME and Grade: *
Please read the following before typing your signature:
• We have adequate insurance to protect our son/daughter in case of an accident.
• We accept the financial responsibility for our son/daughter for any medical or other costs in case of an accident if we are uninsured or under-insured.
Parent / Guardian's Typed Signature & date *
Jackson County Central School District Free & Reduce Lunch Waiver
I do hereby grant the Jackson County Central Business Office permission to release my child's/children's meal eligibility status to the Jackson County Central Athletic Department. This information will be used to determine if your child/children will qualify for a reduced fee in 7th -12th grade activities. Failure to sign the waiver will not affect eligibility or participation in activities.
Student Name(s) & Grade(s): *
Parent/Guardian Typed Signature and Date: *
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