Community Unit School District #7 Parental Consent Form UJHS 2018-2019
Email address *
Field Trips *
I have read and understand the information pertaining to field trips in the handbook. My child has permission to participate and attend field trips sponsored by the school district. District officials are authorized to seek immediate medical attention or assistance at the nearest medical facility, if the need is deemed appropriate.
Required
Student last name *
Your answer
Student first name *
Your answer
Parent/Guardian Last Name(s) *
Your answer
Parent/Guardian First Name(s) *
Your answer
Grade *
Required
Field Trips *
I have read and understand the information pertaining to field trips in the handbook. My child has permission to participate and attend field trips sponsored by the school district. District officials are authorized to seek immediate medical attention or assistance at the nearest medical facility, if the need is deemed appropriate.
Required
Use of Internet *
I have read and understand the information in the handbook pertaining to use of computer resources in Unit Seven Schools and agree that it is the responsibility of the student to follow the rules and regulations.
Required
Consent for Photo *
I have read and understand the information pertaining to the consent for disclosure and the use of picture, voice, and name by photograph, videotape, and audiotape. This includes, but is not limited to school and district websites.
Required
Student Handbook *
I have read and understand the contents of the student handbook.
Required
PG Movies *
I have read and understand the information related to viewing PG rated movies from the handbook and consent for my child to view such movies at school.
Required
Athletic Code Participation Agreement *
I have read and fully understand the athletic code in the handbook; I hereby give my consent for the above named student to represent Unit Seven Schools in school athletic activities, including team travel for local or out of town events.
Required
Insurance Waiver *
I have medical and hospital insurance to my cover son/daughter for athletic injuries.
Required
Insurance Policy Name
Complete only if you checked "agree" to medical/hospital insurance.
Your answer
Insurance Policy Number
Complete only if you checked "agree" to medical/hospital insurance.
Your answer
Special Athletic Insurance Purchase
If applicable
Your answer
IHSA Steroid Testing *
I have read and understand the information pertaining to Steroid Testing. By signing below I consent to random testing in accordance with the IHSA Steroid Testing Policy. I also understand that no student/athlete may participate in IHSA sanctioned events unless consent is given for random testing.
Required
IHSA - CONCUSSION INFORMATION *
I have read and understand the information pertaining to "CONCUSSIONS". By signing below I understand that my son/daughter will be removed from the athletic event he/she is participating in if he/she is suspected of having suffered a concussion.
Required
Electronic Signature - Type Full Name *
This Electronic Signature Verification Statement is intended to document a physical copy of my signature.
Your answer
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