SAMPLE
XYZ Charter
719
555/555-1234
ATHLETIC HANDBOOK FORM
All parents of students participating in athletics must complete this form annually.
Student
Name _____________________________________ Grade ___________________________
Parent
Name_______________________________________________________________________
Please
indicate which method will allow us to have the best communication possible
with you.
Day Phone
_______________________ Evening Phone _______________________
EMail
____________________________Cell Phone __________________________
Please
check how you will support the XYZ Charter School Athletic Program. (You may check more than one.)
Please
join the Booster Club by enclosing your check made payable to XYZ Charter. Write booster club in memo section. Membership is $__________ per person per
year.
We have read and understand the XYZ Charter Athletic Handbook. My student athlete and I will adhere to the policies and rules written in the handbook.
___________________________________ ____________________________ _______________
Student signature Parent signature Date
II. 13