The below information must be completed by the parent/guardian of any student wanting to participate in Extra-curricular or Athletic Program. NOTE: if you answered YES on the student registration process then you do not need to complete this form.
Student First - Last Name
The athletic handbook contains the guidelines and procedures by which athletes are to follow including code of conduct. The handbook is consistent with the Board of Education policies and contains information regarding, but not limited, to: attendance, academics, behavioral and expectations. The athletic handbook is published on the school website and available in each school office. I have read and understand the entire handbook, including the student code of conduct. I understand the rights and responsibilities pertaining to the athletes and agree to support and abide by the rules, guidelines, procedures and policies.
Please review the Athletic Handbook (
) and answer the following question.
I have reviewed the Athletic Handbook and I agree
Please review and complete the Ohio High School Athletic Association Physical Form and upload the document below. Copy of the Physical form can be downloaded here:
Bryan City Schools is required to keep on record a hardcopy of the completed Ohio High School Athletic Association Physical Form.
I will bring it in
Participation in athletics is a privilege, not a right. In consideration of this privilege, athletes and their families are required to maintain insurance coverage sufficient to cover the risk of injury associated with athletic participation. The athlete listed above has adequate insurance coverage, thereby releasing Bryan City Schools of any financial responsibility in case of injury.
Please review the Insurance Rate informational PDF and answer the following statement (
I have reviewed the policy and understand its implications
Yes, I have insurance
No, We need to purchase student insurance
Parent/Spectator Code Conduct
I have read and understand the parent/spectator code of conduct and understand that attending school district athletic events and extracurricular activities is a privilege. I agree to conduct myself in a manner that demonstrates the standards of the Bryan City School District Board of Education and the spirit of good sportsmanship and fair play in interscholastic athletics. I understand that if disciplinary actions are taken by school personnel in order to enforce this agreement, I have the opportunity to speak with the Superintendent about the decision and the Superintendent will have the final word on any action that is taken.
Please review the Parent/Spectator Code Conduct and answer the following statement. (
I have reviewed the Parent/Spectator Code Conduct and I agree
Please review the Concussion Policy and answer the following statement. (
I have read the Ohio Department of Health's Concussion Information Sheet and understand that I have a responibility to report my child's symptoms to coaches, administrators and healthcare provider. I also understand that my child must have no symptoms before return to play can occur.
I have reviewed the Concussion Policy and I agree.
Sudden Cardiac Arrest and Lindsay's Law
Please review the Sudden Cardiac Arrest and Lindsay's Law and answer the following statement. (
I have reviewed the Sudden Cardiac Arrest and Lindsay's Law and I agree.
Drug Testing Policy
Please review the Drug Testing Policy and answer the following statement. (
I understand and agree that participation in athletic or extra-curricular activities is a privilege that may be withdrawn for violations of the Bryan City Schools Drug Testing policy. I have read the Drug Testing Policy and thoroughly understand the consequences that I will face if I do not honor my commitment to the Drug Testing policy. I understand that when I participate in any athletic program or extra-curricular activity I will be subject to random urine drug & alcohol testing, and if I refuse, I will not be allowed to practice or participate in any athletic activities or extra-curricular activities. I have read the informed consent agreement and agree to its terms. I understand the policy applies to me while I am a student in grades 7-12 in the Bryan City School District.
I have read the Bryan City School District drug testing policy and understand the responsibilities of my son/daughter/ward as a participant in athletic or extra-curricular activities in the Bryan City School District. I understand that my son/daughter/ward, when participating in any athletic program or extra-curricular activity, will be subject to random urine drug and alcohol testing, and if he/she refuses, will not be allowed to practice or participate in any athletic or extra-curricular activities. I have read the informed Consent Agreement and agree to its terms. I understand this agreement is binding while my son/daughter/ward is a participant in athletics or extra-curricular activities in 7-12 in Bryan City School District.
We have reviewed Drug Testing Policy and we agree
The electronic signatures below, and all of its related fields, replaces a handwritten signature on paper and is legally binding.
I affirm that the information provided is true, correct and complete, to the best of my knowledge and belief. This electronic signature below and its related fields are treated just like a handwritten signature on a paper form.
I, the Parent/Guardian Agree
I, Student Agree
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This form was created inside of Bryan City Schools.