Alternate Year Athletic Permit Form (Page 2 of 2) in pdf

SECTION 2: ATHLETIC GUIDELINE AGREEMENT

We, the parents/guardians of _____________________________, have received, read and understand, and have discussed

the De Soto School District’s Athletic Code of Conduct with our son/daughter. We further agree to permit our son/daughter to

participate in athletics with the conditions as set forth in the Athletic Code of Conduct. We understand that the Athletic Code of

Conduct is in effect for twelve months from the date listed below.

Athlete Signature: x______________________________________________________ Date: _____________________________

Parent/Guardian Signature: x_______________________________________________ Date: _____________________________

SECTION 3: NOTIFICATION OF RISK OF INJURY

Participation in any athletic sport carries with it an increased possibility of injury, some of which could be serious and

permanent nature, or even death. While coaches will utilize the most current, medically sound conditioning methods and teach only

safe, competitive techniques in preparing athletes, the possibility of serious injury still exists. Athletes also have responsibilities to

exercise caution and use only approved, safe playing techniques in practice and competition. In addition, all athletes should avail

themselves of off-season strength training and conditioning programs available in the schools and community in preparation for their

specific sports seasons.

Having been so cautioned and warned about the possible risk of injury in athletic participation, it is still my desire to

participate in athletics, and I hereby further acknowledge, with my signature below, that I do so with the full knowledge and

understanding of the risk of serious injury to which I am exposed during all athletic participation.

As the parent/guardian of the above athlete I acknowledge, with my signature below, that I fully understand the possibility of

the risk of serious injury involved in athletic participation and do hereby grant my son/daughter permission to participate in the sports

listed below.

________________________________

_________________________________

__________________________________

Fall Sport

Winter Sport

Spring Sport

x____________________________________________________

Athlete’s Signature

x____________________________________________________

Parent/Guardian Signature

__________________________________________

Date

*PLEASE RETURN THIS FORM TO YOUR ATHLETIC DIRECTOR

Alternate Year Athletic Permit Form Page 2