| ALSD
ATHLETIC CODE OF CONDUCT
INFORMED CONSENT AGREEMENT
Student
Name: ____________________________________________ Grade: __________________
As a Student:
- I understand and agree that participation in Athletic activities is a privilege
that may be withdrawn for the violation of the Athletic Code of Conduct, hereinafter
Code of Conduct.
- I have read the Code of Conduct and thoroughly
understand the consequences that I will face if I do not honor my
commitment to the Code of Conduct.
- I understand and realize that there is
a risk of injury in participating in Athletic activities.
- I understand that I must show proof of
insurance in participating in Athletic activities.
- I understand that when I participate
in any Athletic program, I am subject to the Austintown Local School’s Drug and Alcohol Testing Policy for Student
Athletes and that I will be subject to initial, random and reasonable cause urine
drug testing. If I refuse testing, I will not be allowed to practice or participate
in any Athletic activities.
- I have read the drug testing policy and
the Code of Conduct and agree to be tested pursuant to the conditions
outlined in the policy.
- I further acknowledge that this policy
addresses only my right to participate in the school’s Athletic
Programs and I remain subject to the School District’s other
published rules of conduct. I have read the consequences form and
agree to its terms.
- This consent shall be valid for a period
of one form the date of execution
Student’s Signature _______________________________________________
Date ________________
As a Parent / Guardian / Custodian
- I have read the Code of Conduct and understand
the responsibilities of my son/ daughter/ ward as a participant in
athletic activities of Fitch High School.
- I pledge to promote healthy lifestyles
for all student athletes of Austintown Schools.
- I understand and realize that there is
an assumed risk of injury involved for my son/ daughter/ ward as
a participant in athletic activities.
- I understand that my son/ daughter/ ward must provide proof of health insurance
coverage to be eligible to participate in any practices or events as a Student/
Athlete of Austintown Fitch High School.
- I understand that my son/ daughter/ ward,
when participating in any Athletic program will be subject to the
terms of the Austintown Local Schools’ Drug
and Alcohol Testing Policy for Student Athletes and that Athlete will be subject
to initial, random and reasonable cause urine drug testing. If the Student/ Athlete
refuses, the student will not be allowed to practice or participate in any Athletic
activities.
- I have read the drug testing policy and
the code of conduct and agree to permit my son/ daughter/ ward to
be tested pursuant to the terms and conditions outlined in the policy
consent form and agree to its terms.
- I further acknowledge that this policy
addresses only my right to participate in the school’s Athletic
programs and my child remains subject to the School District’s
other published rules of conduct.
This consent will be valid for a period
of one year from the date of execution.
Parent / Guardian /
Custodian Signature _______________________________________________
Date ________________ |