ATHLETIC CODE SIGNATURE PAGE This signature page must be completed and returned to the Jr./Sr. High office prior to 1st practice in which student-athlete participates Student Name _____________________________________ Date ___________ Extracurricular Code Of Conduct I have read, understand and agree to abide by the procedures and guidelines set forth in the Athletic Code in the Morrisonville Jr./Sr. High Student Handbook. I further understand that my signature indicates my/my child's acceptance and willingness to abide by the athletic code during the school year in which they will participate in Interscholastic Athletics. This form must be signed by both the student & one of his parents! Student Signature _______________________________________ Parent/Guardian Signature ________________________________ WAIVER OF INSURANCE I understand that adequate health insurance is a necessary requirement to participate in Jr./Sr. High sports. Our family is covered by an insurance policy and as a result decline the group insurance made available by the district. I, the parent or guardian of the student listed at the top of the page, assume all responsibility for medical treatment for accidents incurred as a result of interscholastic athletics at Morrisonville Jr./Sr. High. I have checked the box below if I will permit a member the school coaching staff to authorize emergency medical treatment if I am not present. In the event of an emergency, I allow the coaching staff of Morrisonville Jr./Sr. High to authorize treatment of injuries in the event I am not available to give that permission. Parent/Guardian Signature _____________________________ |
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