High School Track Form

High School Track

Open to all Catholic homeschooled high schoolers who will be in 9th to 12th grade in the fall while their parent(s) are in attendance at homeschool conference. Registration includes lunch. One form per teen.
Early bird registration ends May 18, 2023: $20

Standard registration ends June 24, 2023: $25
Teen Name*

First NameLast Name
Teen grade 2023/24*
Parent/Legal Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Legal Guardian Cell Number*
E-mail*

Confirmation Email
Parish*

Medical Release Form

Teens will not be admitted without this completed form.
Parent/Legal Guardian: {parentlegalGuardian143}

Cell phone: {parentlegalGuardian4}
Emergency Contact:*

First NameLast Name
Relationship to Teen:*
Contact's Cell Phone Number:*
The undersigned PARENT/LEGAL GUARDIAN (hereafter the “Parent”) hereby agrees to the following:
1. GENERAL RELEASE AND LIABILITY: Parent/Legal Guardian releases SCCHE (hereafter “SCCHE” including its officers, directors, employees, volunteers and other agents), St. John the Baptist Catholic Church, and the Bishop and Diocese of Orange from any liability for injuries or other damages the participating child/youth suffers arising out of or connected with the youth’s participation and attendance at the SCCHE High School Track.
2. FIRST AID: Parent/Legal Guardian hereby grants SCCHE permission to give or obtain for the participating youth emergency first aid treatment and any other treatment reasonably necessary under the circumstances. This includes permission to engage professional assistance and treatment, such as ambulance, urgent care, hospital, and physician care, all at the undersigned’s cost and expense. In such event SCCHE will make reasonable efforts to contact the parent/legal guardian or other emergency contact person listed.
3. HEALTH HISTORY: in the designated area below, please note any special or medical conditions that your youth has that we should be aware of.
List Teen's allergies:*
food, medication, etc.
Has Teen ever had a Tetanus Shot?*

YesNo

TETANUS SHOT
Date of last Tetanus Shot:*

MonthDayYear

INSURANCE
Medical Insurance Co.*
Insurance Co. Phone Number*
Group Name*
Policy Number*
Parent/Legal Guardian Signature:*

Clear

AGREEMENTS
AGREEMENTS
Parent Agreement:

I, {parentlegalGuardian143}, the undersigned and parent/legal guardian of {teenName}, give permission for my teen to attend the SCCHE High School Track exclusively for Catholic home-school high school students at St. John the Baptist Catholic Church on July 8, 2023, from 9:30 a.m. - 3:00 p.m. I will review the Student Agreement (below) with my teen, and I understand if my teen is found to have any alcoholic beverages, drugs, or weapons, or is not following behavior standards in the Agreement, I will be notified and make arrangements to have my teen picked up immediately.
Check one:*

I will be attending the SCCHE Conference and staying the entire day. I will sign my teen in and sign my teen out.I will not be attending the SCCHE conference the entire day and designate another person (below) to be responsible for my teen during the high school track, and to sign out and leave the conference with my teen not later than the conclusion of the event.

TEEN AGREEMENT
Check all:*

I understand that I, or the designated person listed above, will be at the High School Teen Track sign-in/out area between 3:00 and 3:15 p.m. to sign out my teen.I have filled out the Medical Information & Release Form and believe the information to be correct.I give permission for my teen’s photograph to appear on the SCCHE website or other SCCHE promotional materials.
Teen Agreement:

I, {teenName}, agree to take responsibility for myself and follow the rules and regulations given by the adult leaders of the SCCHE High School Track. I understand that this is an event for Catholic students, and I agree by signing below and participating in this event that I am in agreement with all teachings of the Roman Catholic Church. I understand that no drugs, alcohol, or weapons will be brought, purchased, or consumed by myself or any participant. I understand that if I break these rules or am disruptive, vulgar, or disrespectful, my parents will be notified, and that disciplinary action will be taken by the adult leader(s) present.
Teen Signature*

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PAYMENT
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High School Track

Medical Release Form

AGREEMENTS

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