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Hays Speech & Debate and UIL Team Paperwork
This e-form must be filled out by every student enrolled in Hays Speech and Debate classes.  Forms are electronic versions of the mandatory travel paperwork required by Hays CISD for all student participants in extracurricular activities.  Please email gina.lozano@hayscisd.net with any questions.
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Email *
Student Last Name *
Student First name *
Class Period
Grade Level
Clear selection
Student Cell Phone Number *
In which class is the student enrolled? *
If you are in more than one class, choose the option that corresponds best with the event in which you compete.
What is the student's mailing address?
Who is the student's primary caregiver? *
Who do you live with during the week?
Primary caregiver's name *
Primary caregiver's cell phone number *
Primary caregiver's email address *
Secondary caregiver's name *
Secondary caregiver's email address *
Secondary caregiver's cell phone number *
Permission to Travel
The section below grants permission for the student to travel to the tournaments listed on the team website.
My child has permission to attend any tournament or competition on the Hays High School UIL Academics / Speech and Debate team's season schedule located on the Hays Speech and Debate website, or the Hays UIL Academics website. *
I have looked at the season schedule.  I understand that the schedule is subject to change, and changes will be posted on the competition calendar on the above-referenced website as the coaches become aware of them. *
I understand that details of each tournament, including the team's itinerary will be posted on the above referenced website or communicated to my child by their coach the week of the tournament, and that no paper copies of the itinerary will be sent home.  Should I desire a paper copy of the tournament details, it is the responsibility of my child to print one for me and bring it home. *
I understand that a student may attend tournaments as a spectator, but not all students will be chosen to compete.  Decisions as to which students compete are at sole the discretion of the coaching staff.
Clear selection
I understand that should my child back out of participating in a tournament after registration is submitted, they will be held responsible for repaying their registration fee, plus any applicable drop fees.  Unpaid debts will be submitted to the school bookkeeper; debts must be cleared prior to graduation. *
(Registration is finalized on Friday of the week prior to the tournament date - for example, registration for the LaVernia TFA tournament being held on September 6th will be finalized on Wednesday, September 4th.  Students will sign up to be considered for competition no later than the previous Friday.)
I authorize the superintendent or a designated representative to secure any and all emergency medical care and treatment for my child for acute illness suffered or injury sustained while participating in tournaments attended by the Hays High School Speech and Debate team.  I understand that, while student safety is a high priority for the district, under state law, the school is not responsible for medical costs associated with student illness or injury. *
IN CONSIDERATION FOR MY CHILD’S PARTICIPATION IN TOURNAMENTS ATTENDED BY HAYS HIGH SCHOOL'S SPEECH AND DEBATE TEAM, I EXPRESSLY HOLD HARMLESS FROM AND WAIVE AGAINST THE DISTRICT, ITS TRUSTEES, EMPLOYEES, AGENTS, AND ASSIGNS, ANY AND ALL CLAIMS FOR MEDICAL EXPENSES, LOSS OF SERVICES, INJURY TO PERSON OR PROPERTY, DEATH, OR OTHER CLAIMS, ACTIONS, OR LIABILITIES MADE AGAINST IT OR THEM ON BEHALF OF MY CHILD, REGARDLESS OF THE CAUSE OF SUCH CLAIMS, ACTIONS, OR LIABILITIES OR ANY CONCURRENT OR CONTRIBUTING FAULT OR NEGLIGENCE OF IT OR THEM AS SUCH MAY RESULT FROM MY CHILD’S PARTICIPATION IN THE TRIP OR ACTIVITY. *
IN FURTHER CONSIDERATION FOR MY CHILD’S PARTICIPATION IN TOURNAMENTS ATTENDED BY HAYS HIGH SCHOOL'S SPEECH AND DEBATE TEAM, I ALSO AGREE TO INDEMNIFY AND HOLD HARMLESS THE DISTRICT, ITS TRUSTEES, EMPLOYEES, AGENTS, AND ASSIGNS, FROM AND AGAINST ANY AND ALL SUITS, ACTIONS, LOSSES, DAMAGES, CLAIMS, OR LIABILITIES OF ANY CHARACTER, TYPE, OR DESCRIPTION, INCLUDING ATTORNEY’S FEES AND COURT COSTS, MADE BY THIRD PARTIES AGAINST IT OR THEM WHICH MAY RESULT FROM MY CHILD’S PARTICIPATION IN THE TRIP OR ACTIVITY. *
I understand that the district, its trustees, employees, and agents are not waiving any sovereign or governmental immunity, which it or they have under federal or Texas law. *
By e-signing my name below, and dating my response, I certify that I have read and understand this release and sign it voluntarily and with full knowledge of its significance. *
Extracurricular Code of Conduct
All Hays CISD students participating in extracurricular activities are expected to uphold the guidelines presented in the Extracurricular Code of Conduct.  Students and parents can access the code at the following link: https://sites.google.com/site/haysspeechanddebate/wikispaces-page/extracurricular-code-of-conduct
Student Signature *
By typing my name below, I certify that I understand and agree to abide by all the provisions of the Hays CISD Student Extracurricular Code of Conduct.  
Parent Signature *
By typing my name below, I certify that I understand and agree to support all the provisions of the Hays CISD Student Extracurricular Code of Conduct.
Hays Speech and Debate Handbook
The Hays Speech and Debate Handbook contains important information about expectations for students in the classroom and on tournament trips.  A hard copy of the handbook was provided to students the first week of classes.

Student Acknowledgement *
By typing my name in the space below, I certify that I have read the Hays Debate Handbook.  I am fully aware of and understand the policies as articulated and promise to abide by them fully.  If I violate said policies, I understand that disciplinary action, resulting in possible suspension from travel and team privileges, or dismissal from the team and class, will result.  I also understand that violating any Hays High School or Hays CISD rule will result in further disciplinary actions as warranted by coaches and/or school district personnel. In addition to this handbook, I have also read and signed the Hays High School Extracurricular Code of Conduct.  I understand that a violation of a guideline covered in both places will result in whatever disciplinary action is most severe, be it from the coaches and/or school district personnel.
Parent Acknowledgement *
By typing my name in the space below, I certify that I have read the Hays Debate Handbook.  I am fully aware of and understand the policies as articulated.  If I my student violates said policies, I understand that disciplinary action, resulting in possible suspension from travel and team privileges, or dismissal from the team and class, will result.  I also understand that violating any Hays High School or Hays CISD rule will result in further disciplinary actions as warranted by coaches and/or school district personnel. In addition to this handbook, I have also read and signed the Hays High School Extracurricular Code of Conduct.  I understand that a violation of a guideline covered in both places will result in whatever disciplinary action is most severe, be it from the coaches and/or school district personnel.
Medical Information
General Medical Release *
Realizing that an injury or illness could occur to the above named student during competitive academic team activities and realizing that such an injury or illness could require diagnosis, emergency medical and/or surgical treatment:
Required
Agreement to Update Medical Information *
Required
Health Insurance Company
If you do not have an insurance company, please answer N/A
Health Insurance Policy Number
Please enter your policy number, or answer N/A
Health Insurance Group Number
Please enter your group number, of answer N/A
Date of Last Tetanus Shot: *
When did the student receive their last tetanus shot?
Medication Allergies: *
Is the student allergic to any medications?  If so, please list them.
Specific Medical Conditions:
Has the student ever been treated for any of the following? (Please check all that apply.)
Additional Medical Information:
Please provide any additional medical information that may be pertinent if your child requires medical treatment.
Primary Care Physician
Who is the student's primary care physician?
Primary Care Physician's Phone Number
Current Medical Conditions
Please list any medical conditions the student is being treated for
Current Medications
Please list any medications currently being taken by the student
Permission to Administer OTC Medications *
 HHS competitive academics coaches have my permission to administer the following medication(s) to the student in accordance with school procedures and using the product instructions.
Required
Recreational Activities on Overnight Trips
On occasion students have "down time" at the hotel.  The student has permission to engage in the following activities during that time:
E-signature of Parent or Guardian *
By typing your full, legal name below, you are certifying that the information included in this document is accurate and complete to the best of your knowledge.
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