WRHS Athletics - SPRING 2024 Sports Signups

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Woodland Athletics Online Permission Packet

Review the following forms which are also available on the WRHS Website:

Parent Permission Form

Woodland Athletic Handbook

Concussion Informed Consent form

Sudden Cardiac Informed Consent form

Exertional Heat Illness Informed Consent form

Athletic Emergency Form

A valid physical must be on file dated 5/15/23 or later to ensure it is valid for the duration of the 2024 Spring sports season.
All athletes must do an online impact test to join a Woodland sports team. Impact tests are valid for two years, to complete impact test go to https://impacttestonline.com/testing and enter customer code GNs2NJHKY3

Student Last Name *

Student First Name *

Student Date of Birth *

YYYY

Student Town *

Student Street Address *

Student Email *

Student Grade *

Sport Chosen - ONLY CHOOSE ONE
*

Strength and conditioning opportunities may occur before, during and after the season

Guardian 1 Name *

Guardian 1 Address *

Guardian 1 Email *

Guardian 1 Mobile Phone *

Guardian 1 Alternate Phone

Guardian 2 Name

Guardian 2 Address

Guardian 2 Email

Guardian 2 Mobile Phone

Guardian 2 Alternate Phone

Alternate Emergency Contact Name *

Alternate Emergency Contact Phone *

In the event that reasonable attempts to contact me (Parent/Guardian)or any of the other names listed have been unsuccessful, I hereby give my consent for the administration of any emergency treatment necessary by the available licensed physician, dentist, or emergency medical responders. This consent does not cover major surgery unless the medical opinions of two other licensed physicians or dentists are obtained prior to the performance of such surgery. *

To be completed by parent/guardian

Yes

Allergies *

List any allergies and treatments. (OR reply n/a) To be completed by parent/guardian.

Important Info of which Coach/Woodland athletics should be aware (or reply n/a) *

Medications *

List any medications, whether taken at home or School, and what they are used for. To be completed by parent/guardian (or reply none)

I (we), as a parent or guardian, give consent for the athlete identified herein to engage in athletics as a representative of Woodland Regional High School and to accompany the team as a member on its many trips. *

To be completed by parent/guardian

Yes

I (we), as a parent or guardian, give consent to the examination and participation of my child(ren) in athletics conducted by Woodland Regional High School and in games against other schools as a member of a school team. It is my understanding that my own insurance will be used to pay for injuries to my child and that if and when costs exceed my own insurance limits, a claim, subject to policy limitations, will be submitted to the School's Athletic Insurance carrier. *

To be completed by parent/guardian

Yes

I (we} have read the warning and release outlined in the Parent Permission Form and understand its terms. I understand that all sports can involve many RISKS OF INJURY, including, but not limited to, those risks outlined. (see attached documentation for details). and to include risks associated with contracting disease during close contact. (see attached documentation for details). *

To be completed by parent/guardian

Yes

I (we) acknowledge that I have read the 𝐒𝐭𝐮𝐝𝐞𝐧𝐭-𝐀𝐭𝐡𝐥𝐞𝐭𝐞 𝐇𝐚𝐧𝐝𝐛𝐨𝐨𝐤 and understand the Athletic Rules and Regulations and will adhere to all guidelines (see attached documentation for details). *

To be completed by parent/guardian

Yes

I understand that by having my child(ren) participate, they may be photographed and/or videoed. These photos and videos may be used in the final presentation which will be seen by the public. *

To be completed by parent/guardian

Yes

As parent/guardian, I have read and understand this document the "𝐒𝐭𝐮𝐝𝐞𝐧𝐭 & 𝐏𝐚𝐫𝐞𝐧𝐭 𝐈𝐧𝐟𝐨𝐫𝐦𝐞𝐝 𝐂𝐨𝐧𝐬𝐞𝐧𝐭 (𝐜𝐚𝐫𝐝𝐢𝐚𝐜) 𝐅𝐨𝐫𝐦" and understand the severities associated with sudden cardiac arrest and the need for immediate treatment of any suspected condition. (see attached documentation for details). *

To be completed by parent/guardian

Yes

As parent/guardian, I have read and understand this document the "𝐒𝐭𝐮𝐝𝐞𝐧𝐭 & 𝐏𝐚𝐫𝐞𝐧𝐭 𝐈𝐧𝐟𝐨𝐫𝐦𝐞𝐝 𝐂𝐨𝐧𝐬𝐞𝐧𝐭 (𝐜𝐨𝐧𝐜𝐮𝐬𝐬𝐢𝐨𝐧) 𝐅𝐨𝐫𝐦" and understand the severities associated with concussion and the need for immediate treatment of such injuries. (see attached documentation for details). *

To be completed by parent/guardian

Yes

As parent/guardian, I have read and understand the document "Dehydration and Other Heat Illness Information" and understand the severities associated with dehydration and heat illness and the need for immediate treatment of such condition. (see attached documentation for details)
*

To be completed by parent/guardian

Yes

To be completed by parent/guardian

Yes

I, as student-athlete, have read and understand this document the "𝐒𝐭𝐮𝐝𝐞𝐧𝐭 & 𝐏𝐚𝐫𝐞𝐧𝐭 𝐈𝐧𝐟𝐨𝐫𝐦𝐞𝐝 𝐂𝐨𝐧𝐬𝐞𝐧𝐭 (𝐜𝐨𝐧𝐜𝐮𝐬𝐬𝐢𝐨𝐧) 𝐅𝐨𝐫𝐦" (above) and understand the severities associated with concussions and the need for Immediate treatment of such Injuries. *

𝐓𝐨 𝐛𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐛𝐲 𝐬𝐭𝐮𝐝𝐞𝐧𝐭

Yes

I, as the student-athlete, I have read and understand this document the "𝐒𝐭𝐮𝐝𝐞𝐧𝐭 & 𝐏𝐚𝐫𝐞𝐧𝐭 𝐈𝐧𝐟𝐨𝐫𝐦𝐞𝐝 𝐂𝐨𝐧𝐬𝐞𝐧𝐭 (𝐜𝐚𝐫𝐝𝐢𝐚𝐜) 𝐅𝐨𝐫𝐦" (above) and understand the severities associated with sudden cardiac arrest and the need for immediate treatment of any suspected condition. *

𝐓𝐨 𝐛𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐛𝐲 𝐬𝐭𝐮𝐝𝐞𝐧𝐭

Yes

I, as the student-athlete, I have read and understand this document the "Dehydration and Other Heat Illness Information" (above) and understand the severities associated with dehydration and heat illness and the need for immediate treatment of such condition.
*

𝐓𝐨 𝐛𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐛𝐲 𝐬𝐭𝐮𝐝𝐞𝐧𝐭

Yes

I (we}, as parents/guardians, have read the warning and release outlined in this online registration form and understand its terms. I understand that all sports can involve many RISKS OF INJURY, including, but not limited to, those risks outlined in the included attachments, including risks associated with contracting disease during close contact.
*

To be completed by parent/guardian

Yes

I, as student-athlete, have read the warning and release outlined in this online registration form and understand its terms. I understand that all sports can involve the RISKS OF INJURY, including, but not limited to, those risks outlined. I also hereby acknowledge that I have read the Student-Athlete Handbook which can be found on the region 16 website at www.region16ct.org and understand the Athletic Rules and Regulations and will adhere to all aforementioned guidelines.
*

𝐓𝐨 𝐛𝐞 𝐜𝐨𝐦𝐩𝐥𝐞𝐭𝐞𝐝 𝐛𝐲 𝐬𝐭𝐮𝐝𝐞𝐧𝐭

Yes

We understand that a medical physical examination must be performed by a licensed physician to clear a student-athlete for participation and that physicals are valid for 13 months from the date of exam.
*

Yes

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