LYMAN MEMORIAL HIGH SCHOOL
ATHLETIC DEPARTMENT
STUDENT AND PARENT CONSENT FORM
PLEASE PRINT
Complete Legal Name______(First) (Last)
Date of Birth ______
(Month/Day/Year)
STUDENT PARTICIPATION
This application to participate in athletics at Lyman Memorial High School is voluntary on my part and is made with the understanding that I will abide by all the eligibility rules set up by Lyman Memorial High School and the Connecticut Interscholastic Athletic Conference. I have read and will adhere to the rules and regulations in the Lyman Memorial High School Athletic Handbook for Students and Parents and the Lyman Memorial High School Handbook for Students and Parents.
______
(Sport-Can be Multiple Sports) (Signature of Student)
PARENT OR GUARDIAN CONSENT
I hereby give my consent for the above high school student to engage in interscholastic athletics at Lyman Memorial High School during the current school year and to accompany the team as a member on its out-of-town trips. I understand that my son/daughter will be expected to adhere firmly to all established academic and athletic policies of Lyman Memorial High School and the Connecticut Interscholastic Athletic Conference. I have read and will adhere to the rules and regulations in the Lyman Memorial High School Athletic Handbook for Students and Parents and the Lyman Memorial High School Handbook for Students and Parent.
I understand that athletic activity involves the potential for injury which is inherent in all sports. Even with the best coaching, use of the most advanced protective equipment, and strict observance of rules, injuries are still a possibility. On rare occasions, these injuries can be so severe as to result in total disability, paralysis or even death. I agree not to hold the school or anyone acting in its behalf responsible for any injury occurring to the above named student in the course of such athletic activities or travel.
______
(Date) (Signature of Parent)