Middle School Athletic Parental Consent Form

Student Name*

First NameLast Name

Student Grade*

678

Sport*

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

Parent/Guardian Phone Number*

Please enter a valid phone number.

Emergency Contact Details:

Please provide the information of an alternate person who may be contacted in case of an emergency.*

First NameLast Name

Emergency Contact Relation*

Primary Emergency Contact Phone Number*

Please enter a valid phone number.

Secondary Emergency Contact Phone Number

Please enter a valid phone number.

PARENT CONSENT: I hereby give my consent for my child {name4} to participate in the intramural/interscholastic {typeA9} (sport) program sponsored by The Abraham Joshua Heschel School.

I understand that interscholastic sports are designed to instill values such as respect, self-worth, cooperative effort, and ethical decision-making in students. To that end, I understand the importance of practice attendance to my child’s growth, development, and success on the team, as well as to earning playtime.

I also understand that by joining a sports team, my child has committed to adhering to the guidelines and discipline set by the coaches and Athletic Department. I understand that behavioral expectations encompass the following values and actions: Respect, Sportsmanship, Teamwork, Accountability, Responsibility, and Commitment. I understand that violations of team/school policy or failure to maintain good academic standing may result in appropriate intervention including, but not limited to:

Verbal warning from the coaching staff
Loss in starting role or playing time
Parental meeting
Suspension from game or practice
Dismissal from team for repeated or severe violation as determined by coaching staff and school administration

I understand that playing time is earned and is at the coaches’ discretion. Playing time and players’ roles are not set and may vary throughout the course of a season.

I also understand that it is necessary for my child to have an approved medical certificate for school competition on file in the school before trying out, practicing, or competing in intramural/interscholastic athletic activities. While the coaching staff and other responsible school officials will do everything within reason to protect my child against injury, I understand that injuries may occur and on a very rare occasion, may be serious. I understand that in the event that my child becomes sick, or receives an injury during athletic participation, all reasonable efforts will be made to contact me and obtain any required consent for medical care. In situations where I cannot or be contacted for specific consent to treatment, and such delay creates risk to my child's life or health, I hereby authorize the school representatives to obtain appropriate medical care and treatment for my child, including temporary pain relief to the extent deemed medically appropriate by the treating physician. I also authorize the school representatives to receive and release medical information regarding my child to the extent necessary for medical care and to inform the school of any change in my child's medical or physical condition that develops or is discovered at any time after the date this document is signed.

I am also aware that athletic participation may involve travel for practices and games. All participants are required to travel with their teams to and from all contests. Please check the conditions that will apply to this student for dismissal from practices and games.

By signing this consent form, I {parentguardianName} have read the expectations and acknowledge the importance of the discipline and values the Athletic Department aims to foster, which contribute to a positive and enriching Heschel experience for my child.

MIDDLE SCHOOL STUDENT-ATHLETE CODE OF CONDUCT CONTRACT

As a participant on the {typeA9} team I pledge to:

Maintain my eligibility and academic standing in compliance with the Heschel School Student Handbook.
Abide by the school and athletic attendance policy and make every effort to attend all practices, games, and team meetings unless excused by a coach (for a family event, school-related activity, or doctor’s visit), who should be notified about the absence well in advance. Please note:
- Attending practice is vital to individual growth as an athlete, to the development and success of the team, and to earning playing time.
- In order to participate in any game or practice, players must be in attendance on that day. Exceptions can be given by the athletic director or an administrator.
- Injured athletes are still part of the team and are expected to attend and observe the practices/games. Exceptions are given to injured athletes who are physically unable to be in attendance.
Demonstrate respect for teammates, game officials, opponents, and fans by:
- Refraining from harassment, bullying, and physical or verbal intimidation of teammates, opponents, or officials.
- Exercising self-control and avoiding any physical or verbal confrontation before, during, or after a contest.
- Following standards of good sportsmanship.
Demonstrate commitment to the team and follow health, fitness, and safety protocols.
- Your well-being is important to us. Athletes must follow all reasonable requests made by the athletic director and coaches, especially those involving practice, rest, and competition, including hydration, sleep, and nutrition.

Playing Time*

I understand that playing time is earned and that playing time will vary throughout the course of a season. Determining playing time is at the coaches’ discretion. If I have questions about playtime or role on the team, I should first discuss it with the coaches.

Upholding Team Expectations*

I understand that coaches will review their teams’ expectations and consequences at the beginning of each season. Violations of team standards will result in progressive disciplinary actions. This may include, but is not limited to, the loss of a starting role, reduction in playing time, suspension from one game, or removal from the team. Coaches, Athletic Directors, and school administrators may impose athletic consequences at their discretion.

Please check the conditions that will apply to this student for dismissal from practices and games.

Student has permission to go home independently from the Heschel School building.Student has permission to go home independently from Meet Sites or Away Games.

* Any deviation from these procedures will only be allowed if specified on a signed note from a parent/guardian.

Signature*

Date*

Date