Merryhill After School Sports Permission Form

The following are the necessary requirements each student must adhere to, in order to participate in after school sports.

  1. Have all forms completed and signed by parent or guardian (i.e. Permission Slip and Medical Release Form, code of conduct contract)
  2. Maintain at least a C average in every class. Players who are found ineligible will then miss the following two weeks of practice and/or games.
  3. Adhere to disciplinary standards set by MerryhillSchool
  4. Attend ALL practices and team meetings (unless excused by the coaching staff)
  5. Wear safety equipment and/or appropriate clothing (as instructed by the coaching staff)

Noncompliance of any of the above rules may result in the removal or suspension from the game(s).

If your child has after school care there is a $150.00 fee to participate in the 2014 Football/ Volleyball season. If your child does not have after school care the cost is$250.00.The feeincludes the cost to cover transportation, game officials, necessary gym time, uniforms and the Athletic Awards Night.

Checks are due no later than Friday, September 10th, 2014.PLEASE WRITE A CHECK MADE OUT TO MERRYHILL SCHOOL.

Thank you for your cooperation with these policies. If you have any questions, please contact your child’s coach or the front office.

I hereby give permission for my child ______

In Room/Portable ___ to participate in the after school football/volleyball program.

Parent Signature ______Date ______

Merryhill After School Sports Medical Release Form

In the event of injury or illness, I hereby authorize MerryhillSchool to provide all emergency dental or medical care prescribed by a duly licensed physician (MD) or dentist (DDS). This care may be given under whatever conditions are necessary to preserve the life, limb, or well being of my dependent.

Parent Information

______/ ______
Parent / Guardian / Parent / Guardian
______/ ______

Home Phone Number

/ Home Phone Number
______/ ______
Work Phone Number / Work Phone Number

Additional Emergency Information

In case of emergency (when we cannot reach parent or guardian), list two alternate emergency contact names and phone numbers:

______

______

Allergies

My child is allergic to: ______

Medications currently taking: ______

Other relevant health problems: ______

Student’s Name: ______

Parent Permission Form for Sports Participation

My child, , is eligible to participate in school-sponsored activities at a location away from the school building. These activities will take place under the guidance and supervision of employees from MerryhillSchool.

The MerryhillSchool van and/or chaperone drivers will provide transportation.

Parents Signature______Date______

Email Address______