General Information General Eligibility Rules (Page 4 of 4) in pdf

General Information General Eligibility Rules Page 4

I have been provided the UIL Parent Information Manual regarding health and

safety issues and my responsibilities as a parent/guardian. I understand that failure

to provide accurate and truthful information on UIL forms could subject the

student in question to penalties determined by the UIL.

Your signature below gives authorization that is necessary for the school district, its

trainers, coaches, associated physicians and student insurance personnel to share

information concerning medical diagnosis and treatment for your student.

To the Parent:

Check any activity in which this student is allowed to participate.

□ Baseball

□ Golf

□ Softball

□ Tennis □ Wrestling

□ Football

□ Basketball

□ Swimming & Diving

□ Track & Field

□ Cross Country □ Soccer

□ Team Tennis

□ Volleyball

Date_________________

Signature of Parent or Guardian_____________________________________

Street Address_____________________________________

City/State/ZIP__________________________________

Home area code and telephone________________________________

Business telephone______________________

The student’s signature is required on the reverse side of this form.

“Students who sustain an injury requiring a hospital or doctor’s visit must

receive written clearance from the physician before further participation in

Athletics is allowed. Written clearance from the physician should be submitted to

the Athletic Trainer.”

General Information General Eligibility Rules Page 4