Athletic On-line Registration 2017-2018 Athlete On-line Registration 2017-2018 Complete this form to register your son/daughter to participate in a sport at North Farmington Public Schools. Step 1 of 5 20% Farmington Public Schools On-line Sports RegistrationAll students who participate in athletics at Farmington Public Schools and their parent must complete this form.This form is intended to be completed simultaneously by both the parent and the student-athlete. This form should be completed for each sports season in which the athlete participates.In addition to this online form, an athletic physical must be completed and turned in to the athletic office prior to the start of practice.Section I: Student-Athlete information1. Athlete's Name* First Last 2. Sport Participation THIS SEASON*BaseballBasketball, BoysBasketball, GirlsBowling, BoysBowling, GirlsCompetitive CheerCross Country, BoysCross Country, GirlsFigure SkatingFootballGolf, BoysGolf, GirlsGymnasticsHockeyLacrosse, BoysLacrosse, GirlsSkiingSoccer, BoysSoccer, GirlsSoftballSwimming, BoysSwimming, GirlsTennis, BoysTennis, GirlsTrack & Field, BoysTrack & Field, GirlsVolleyballWrestling2a. Football Risk Statement: You have been instructed in the proper techniques of blocking, tackling, running, kicking, passing, catching, and other fundamentals pertaining to your position. You have been warned that the improper use of these techniques can result in permanent injury, including paralysis. You have been notified that your helmet is NOCSAE approved within safey standards for football helmets and that you should report to your coach immediately any defects of your helmet or other equipment.* Athlete and Parent have read and agree to the statement of risk for football participation 3. Athlete's Grade*121110094. Date of Birth* 5. Athlete's Address* Street Address City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code 6. Athlete's Cell Phone*7. Student Email* 8. Parent #1 Name* First Last 9. Parent #1 Cell Phone*10. Parent #1 Email* *This email will be sent an email notification with a copy of this completed form. 11. Parent #2 Name First Last 12. Parent #2 Cell Phone13. Parent #2 Email Section II: MHSAA Eligibility1. Have you attended another High School other than Farmington Public Schools in the last 12 months?*YesNo1a. If Yes, What was the previous school?2. Are you currently enrolled in any courses offered by a school other than Farmington Public Schools?*YesNo2a. If yes, which school?3. Have you ever accepted money or other valuables from any source for participating in sports?*YesNo4. How many classes did you pass LAST SEMESTER?*6543 or fewer5. Limited Team Membership: The MHSAA prohibits athletes from competing with non-school teams in the same sport during the school season. (e.g. - A Raider hockey player is not allowed to play with a travel hockey team during the high school hockey season.)* Athlete and parent agree to abide by MHSAA limited team membership policy Section III: Health, Safety, and Assumption of Risk1. Consent to Treat: By typing my name (parent) below, permission is hereby given authorizing emergency treatment by the team physician or attending physician in the event of an injury sustained by my son/daughter during athletic participation.*2. Assumption of Risk: Participation in sports requires an acceptance of risk of possible injury, including paralysis or loss of life. As an athlete you can help make athletics safer by not intentionally using techniques that are illegal and which can cause serious injury.* Athlete and parent have read and understand the inherent risks of sport participation Concussion Information Sheet 3. Concussion Awareness: Athlete and Parent acknowledge in accordance with Public Acts 342 and 343 of 2012 that I have received and reviewed the Parent's guide to Concussion in Sports provided by the National Federation of High Schools and Farmington Public Schools that is linked above.* Athlete and Parent Acknowledge receipt and review of Concussion Guide 4. You must have health insurance or sign a waiver to participate in sports.*My son/daughter has health insurance.I would like to purchase temporary insurance for my son/daughter.I would like to sign a waiver.4a. Name of Insurance Company*4b. Insurance Policy Number4c. Complete the attached form below and return with payment to the Farmington Public Schools Athletic Office.Student Supplemental Insurance 2015-20164d. By typing my name below, I (parent) am accepting risk of any injuries and agree to pay 100% of medical costs associated with injuries my son/daughter sustains while participating in athletics at Farmington Public Schools.5. Consent to Travel: By typing my name below, I (parent) hereby give my son/daughter permission to: be transported by bus, rental van, or personal vehicle to games, tournaments, and competitions when possible; leave from athletic events with a parent, relative, or authorized adult; and accompany the team as a member on its out-of-town trips.* Transportation Policy6. Transportation Policy* Athlete and Parent Agree to abide by the Transportation Policy Section IV: Student Conduct and SportsmanshipStudent Code of Conduct 1. Student Conduct Policy* Athlete and Parent Agree to abide by Student Conduct Policy 2. Expectation of Sportsmanship: The administration and staff of Farmington Public Schools wish to make it clear that school-sponsored sports are an educational activity. Athletes, parents, and friends must be aware of our school's expectations with regard to sportsmanship. Unlike professional sports, attendance at an educational activity does not entitle one to verbally abuse contestants, coaches, officials, or opponents. As a spectator, we expect that all will display good sportsmanship or refrain from from participating in or attending athletic events.* Athlete and Parent Agree to abide by sportsmanship expectations. 3. Authorization to Release Academic Information: I hereby authorize the release of my child's photograph or confidential academic information (e.g., GPA, ACT/SAT scores, class rank, etc.) for the purpose of being considered for athletic awards and/or recognition by nonschool organizations.* Athlete and Parent Authorization 4. Equipment Financial Responsibility: Each athlete at Farmington Public Schools is responsible of the equipment issued to them. This equipment is to be worn only for practice, coach designated demonstration, or school competitions in the sport for which it was issued. Equipment should be returned to the coach upon completion of the sports season. If the equipment is LOST, STOLEN, DAMAGED, or otherwise not returned, a fine will be issued and payment is received or the equipment is returned.* Athlete and Parent Agree to the Equipment Policy Fan Code of Conduct Fan Behavior Policy Parent Agrees to the Fan Behavior Policy Section V: Activity Fee Payment1 - If you have applied for and been approved for Reduced or Free Lunch (since July 1, 2017), check the box below.2 - If you would like to apply for Free or Reduced Lunch, please complete the form below and drop it off at the high school office. Free or Reduced Lunch3 - If this does not apply to you please click "SUBMIT" to see payment options and submit your online application.4 - If you would like to apply for Free or Reduced Lunch, please complete this process by clicking "SUBMIT" I have applied and been approved for Reduced or Free Lunch (since July 1, 2017). I have applied for Reduced or Free Lunch and it is currently pending.