ACS Athens Physical Activity Participation Form
This form must be completed before the named student may participate in any school sports or athletic activities (within the curriculum or after school).

This form MUST be completed for each student in the household within in the first two weeks of school.

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Student's Last Name *
Student's First Name *
Student's Grade Level *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent verification of physical well being
This is to verify that my son/daughter has been deemed fit to participate in competitive/recreational athletic activities for the current school year, by having had a COMPLETE MEDICAL EXAMINATION by a doctor within the last calendar year. This medical examination must be submitted to the school nurse within the first week of the beginning of the year.

By selecting the check box and submit below, I allow my son/daughter to:
1. Use the weight room after school
2. Participate in swimming classes (during school or after school)
3. Use the wall climbing
4. Participate in approved athletic activities sponsored by ACS Athens
5. Receive emergency medical care, if and when needed

Any restrictions to the above have been listed below:
Parent Permission for Participation:  By its nature, participation in athletic activities includes risk of injury, which may range in severity from minor to severe.  Although serious injuries are not common in supervised athletic activities, it is impossible to eliminate the risk.  Participants have a responsibility to help reduce the chance of injury.  Participants must obey all safety rules, report all physical problems to their coach, follow proper conditioning programs and inspect their own equipment daily.  By signing this permission form, I acknowledge that I have read the above information. I further agree not to hold the school, or anyone acting on its behalf, responsible for any injury occurring to the named student during the participation in sports activities. *
Your submission is complete once the box is checked and you select Submit.
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This form was created inside of ACS Athens Apps.