7:300-E2 Parent/Student Contract

BATAVIA HIGH SCHOOL ATHLETICS

PARENT/STUDENT CONTRACT

Student Name (Last/First/Middle Initial):

_________________________________________________

Parent/Guardian Name (Last/First/Middle Initial):

__________ ________________________________________

Address:  ________________________________________________________________

Phone (Home):  ______________________________

Phone (Work):  ______________________________

Phone (Cell):  _______________________________

I/We have attended a mandatory meeting hosted by the Athletic Department on

(Date) _____________________.

I/We understand the philosophy and goals the Athletic Department is trying to achieve and give our son/daughter permission to participate in athletics for this school year.

Parent/Guardian Signature:  _________________________________________

Student Signature:  ________________________________________________

_________________________________________________________________

I, _____________________________________ parent/guardian of ______________________________ do hereby give permission for my son/daughter to receive emergency medical treatment in the event of an injury.  I further give permission for school officials to authorize emergency transportation to the nearest trauma center or emergency room for such treatment.

Parent/Guardian Signature:  _______________________________

Date:  _______________________________

Student Signature:  _______________________________________

Date Adopted:    06/24/2009