After School Participation Form

Dear Parents,

Please read this form thoroughly before signing them.

Voluntary Participation:

I, the undersigned, acknowledge that my son/daughter is voluntarily participating in the AFTER SCHOOL SPORTS PROGRAM.

Assumption of Risk:

I am aware that after school sport activities are physically strenuous and hazardous activities and that no medical practitioner is on hand for the games. My son/daughter is voluntary participating in these activities with my knowledge of the dangers involved. I hereby agree to accept any and all risks of injury, and verify this statement by placing my signature below.

Insurance:

We strongly recommend that parents carry health or accident insurance for their son/daughter. The Sunnyvale School District neither carries accident or health insurance to cover sports-related injuries, nor does it accept liability for such injuries.

Consent/Transportation:

I hereby give my permission for my son/daughter to participate in the AFTER SCHOOL SPORTS PROGRAM at Sunnyvale Middle School and to be transported to and from athletic events by the district personnel or parents drivers. In case of an emergency and I cannot be reached, I authorize the school personnel to grant medical treatment for my son/daughter.

I agree to all the rules & regulation written on any pages of the 2004 –2005 Sunnyvale Spartan Athletics packet.

Students Name _________________________ Date _______________

Parent/Guardian Signature _______________________

Home Phone__________________ Work Phone ________________

Emergency Contact Person and Phone #_______________________________

Physician’s name and Phone #__________________________________

Are You Available for Transportation? Yes No

(If yes, please fill out the “School Driver Certification Form”)