Batavia High School-Department of Athletics- Sports Registration 2024-2025  
PARENT & ATHLETE CONSENT FORM 2024-2025 Batavia High School Athletics

Completion and submission of this form assumes consent to all Batavia High School
Athletic Department required forms and documents. These documents are available on the athletics registration webpage.

IN ADDITION TO COMPLETING THIS REGISTRATION PAGE
YOU MUST ALSO PAY THE PARTICIPATION FEE & PROVIDE BHS WITH A CURRENT IHSA PHYSICAL.

PAYING THE FEE THROUGH POWERSCHOOL DOES NOT REGISTER YOUR CHILD FOR ATHLETICS.

THIS FORM MUST BE COMPLETED AND SUBMITTED IN ADDITION TO FEE PAYMENT & SCHOOL REGISTRATION.

Please review all documents carefully before submitting this form.
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Student-Athlete Name *
FORMAT: Last Name, First Name EXAMPLE: Smith, David
Student-Athlete Gender *
Select Below
Home Address *
FORMAT: Street, City, Zipcode
Athlete's Cell Phone (or N/A) *
FORMAT: XXX-XXX-XXXX
Athlete's BPS Email Address *
Athlete's Date of Birth *
MM
/
DD
/
YYYY
Student's Year in School 2024-2025 *
select from list below
BHS Sports Athlete is Planning on Participating in 2024-2025 *
Check all that apply (this can be changed prior to each season)
Required
Parent Contact Information
If options do not apply please type N/A in box.
Mother Name *
FORMAT: Last Name, First Name EXAMPLE Smith, Mary
Mother's Cell Phone *
FORMAT: XXX-XXX-XXXX
Mother's Email *
Please enter only one email address/best address to reach Mother
Father's Name *
FORMAT: Last Name, First Name EXAMPLE Smith, Mary
Father's Cell Phone *
FORMAT: XXX-XXX-XXXX
Father's Email *
Please enter only one email address/best address to reach Father
Emergency Contact Information and Treatment Authorization
In the event a Parent/Guardian can not be reached.
Emergency Contact Name *
FORMAT: Last Name, First Name EXAMPLE: Jones, David
Emergency Contact Cell Phone *
FORMAT: XXX-XXX-XXXX
Emergency Medical Treatment Authorization *
If I cannot be reached and if in the judgment of school personnel immediate medical attention is required, I authorize responsible school  and/or medical personnel to send my child to an available doctor/hospital.
Pre-Existing Condition *
Does the student-athlete have a pre-existing medical condition that the Athletic Trainer, Head Coach & Athletic Department need to be made aware of?
Parent & Athlete acknowledgement and consent
Please verify that you and your student-athlete have read and discussed
these documents:

1. PARENT/ATHLETE: Consent to Batavia High School Code of Conduct for Extra-Curricular Performance Based Activities
LINK: https://www.bps101.net/bps101-student-handbook/code-of-conduct/

2. PARENT/ATHLETE: IHSA Sports Medicine Acknowledgement & Consent Form
includes: concussion information, performance enhancing drug information and asthma medication consent.
LINK: https://goo.gl/KRVyaN

3. PARENT/ATHLETE:  We have viewed the IHSA Concussion video
LINK: https://www.ihsa.org/multimedia/articulate/concussion/presentation.html

4. Parent and athlete agree to attend one seasonal open house regarding code of conduct and other training rules.
PARENT: Acknowledgement & Consent *
I (Parent) have reviewed the above.
Required
ATHLETE: Acknowledgement & Consent *
I (Student) have reviewed the above.
Required
PARENT: Parent Consent to Allow Child to Participate in Athletics at Batavia High School *
I have accurately completed this registration form, consented to all required documents, and understand the Illinois High School Association and Batavia School District rules and regulations regarding athletic eligibility and participation.  I give my child permission to participate in the above selected sports. PARENT: PLEASE TYPE YOUR FULL NAME BELOW TO GIVE CONSENT
Date Consent Form Completed *
Please record the date you are submitting this completed document
MM
/
DD
/
YYYY
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