Sports Registration Form

Emergency Contact Information

Información de contacto de emergencia
Parent/Guardian 1*
Mom's/Female Guardian name*

First NameLast Name
Mom's Phone Number*
Mom's E-mail*
example@example.com
Dad's/Male Guardian Name*

First NameLast Name
Dad's Phone Number*
Dad's E-mail*
example@example.com
Parent/Guardian 2
Mom's/Female Guardian name*

First NameLast Name
Mom's Phone Number*
Mom's E-mail*
example@example.com
Dad's/Male Guardian Name*

First NameLast Name
Dad's Phone Number*
Dad's E-mail*
example@example.com
In case we cannot reach a parent/guardian, please list an additional emergency contact person.

En caso de que no podamos comunicarnos con un padre, por favor enumere una persona de contacto de emergencia adicional.
Name/Nomre:*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Relationship to you:*
Informed Consent/General Release

PLEASE READ CAREFULLY AND SIGN BELOW TO INDICATE YOUR AGREEMENT.
NOTE: THIS FORM INCLUDES A RELEASE OF LIABILITY.

Authorization:
I hereby authorize Cristo Rey Jesuit High School and its representatives to call 911 and seek medical attention in the even of an emergency while my child is a participant in any activity associated with this sport, including making medical decisions in my absence.

Autorizo:
Autorizo a Cristo Rey Jesuit High School y sus representantes a llamar al 911 y buscar atención médica en caso de una emergencia mientras él / ella es un participante en cualquier actividad asociada con este deporte, incluso tomar decisiones médicas en mi ausencia.

I have read this Informed Consent/General Release, fully understanding its terms, and sign it voluntarily.

He leído este Consentimiento Informado/Liberación General, entendiendo plenamente sus términos, y firmándolo voluntariamente.
Physician Care/Cuidado del médico*

NO, Our son/daughter has no known physical issues or allergies that would affect his/her ability to play this sport. NO, Nuestro hijo / hija no tiene problemas físicos conocidos o alergias que puedan afectar su capacidad para practicar este deporte.YES, Our son/daughter has a physical issue, allergy or is taking medication that coaches should be aware of. SÍ, nuestro hijo tiene un problema físico, alergias o está tomando medicamentos que los entrenadores deben tener en cuenta.
Explanation of Medical Care or Allergies:*
Nuestro(a) hijo(a) está tomando el siguiente medicamento y/o está en tratamiento por las siguientes condiciones incluyendo alergias.
DO NOT E-SIGN UNTIL YOU HAVE READ THE ABOVE STATEMENT.

NO FIRME ELECTRÓNICAMENTE HASTA QUE HAYA LEÍDO LA DECLARACIÓN ANTERIOR.

By my eSignature below, I certify that I have read, fully understand and accept all terms of the foregoing statement. Please signify your acceptance by entering your full name in the box below.

Por favor, signifique su aceptación introduciendo su nombre completo en el cuadro de abajo.voluntariamente.
Waiver of Liability*

I accept the terms listed in the agreement above
Parent's Signature*

Clear

Insurance Information/Información de seguro médico:
Do you have medical insurance for your child?*

Yes/SíNo
Policy Holder Name:*

First NameLast Name
Insurance Company:*
Insurance Policy Number:*

Policies/Polizas

Please click any of the links below to review policies and documents related to sports participation at Cristo Rey Jesuit High School. Clicking will not take you out of the registration process.

Por favor, haga clic en cualquiera de los siguientes enlaces para revisar a las pólizas y documentos relacionados con la participación deportiva en Cristo Rey Jesuit High School. Al hacer clic no lo sacará del proceso de registro.
HANDBOOK ACKNOWLEDGEMENT

Sports Handbook Manual de Deportes

Parent Acknowledgement: I am the legal parent or guardian of the student named on this form. The Sports Handbook is available here and on the school website. It can be viewed online at www.cristorey.net, printed out, or my child can request a copy from the Athletic Director. I agree to the rules and will work with the school to support these policies. I give permission for my child to participate on this team.

By clicking 'YES' you agree to the rules found in the Sports Handbook and give permission for your child to participate on this team.

Aceptación por parte del padre/apoderado: Yo, el padre o apoderado del estudiante nombrado en esta forma, estoy de acuerdo con las reglas del Manual de los Deportes que esta disponible en el sitio www.cristorey.net. Puedo verlo en el sitio, imprimirlo, o mi hijo/a puede pedir una copia a el Director de Deportes. Colaboraré con el departamento de Deportes apoyando las reglas. Doy permiso para que mi hijo participe en este equipo.

Por elige "Sí" apoyare las reglas del Manual de Deportes y da permiso para que su hijo participe en este equipo.
Yes, I accept/Sí, acepto.*

YES

IHSA CONCUSSION CONSENT AND ACKNOWLEDGEMENT
By signing this form, we, the parents acknowledge we have been provided information regarding concussions and the IHSA Performance-Enhancing Testing Policy. We also acknowledge that we are providing consent to be tested in accordance with the procedures outlined in the IHSA Performance-Enhancing Testing Policy.*

Clear
Parent Signature
By signing this form, I, the student athlete acknowledge we have been provided information regarding concussions and the IHSA Performance-Enhancing Testing Policy. We also acknowledge that we are providing consent to be tested in accordance with the procedures outlined in the IHSA Performance-Enhancing Testing Policy.*

Clear
Student Athlete Signature

SPORTS PHYSICAL
Every student must have an up-to-date physical on file before the start of their chosen season. Most physicals are good for 1 year. Any student who does not have and updated physical on file before the start of the first day of practice will be withheld. Questions about physicals can be directed via email or Teams chat to Mr. Jason Dillon.

*FRESHMEN* The School Physical you turn into the Front Office covers you for sports. Make sure you have submitted it with your Medical Forms AND THAT IT IS SIGNED. A separate Sports Physical is not necessary if you have done that.

Please see the sample below to ensure your physical is filled out correctly before submitting it. All highlighted sections MUST BE COMPLETED in order for the physical to be valid.
What is the status of your Sports Physical?*

I do not have one yet, I need to make an appointment.I do not have one yet, but my appointment is scheduled.I already uploaded my physical with my medical forms for the Front Office.I already have a current physical on file.I have one to upload now.
PLEASE NOTE: You will be unable to begin practice without a current and approved physical on file.
PLEASE NOTE: I will double check your physical on file and notify you if there are any issues.
PLEASE NOTE: You will need to return to the Athletics Page once your receive your physical to upload a copy. Please use the PHYSICAL UPLOAD form to avoid having to complete the whole registration form again.
PLEASE NOTE: The physical you submitted will need to be reviewed. You will receive an e-mail with either a confirmation of approval or request for completion e-mail. A request for completion occurs when a signature or other important information is missing from your physical.
PLEASE NOTE: I will need to review the physical you submit today. I will e-mail you either a confirmation of approval or request for completion e-mail. A request for completion occurs when a signature or other important information is missing from your physical. You can double check the document shown above to ensure you have all necessary signatures and information before you upload your documents.
Please Upload EACH page of your Sports Physical.

Cancelof
Should be Empty:

Cristo Rey Sports Registration Form

Sport Registration by Season

Emergency Contact Information

Insurance Information/Información de seguro médico:

IHSA CONCUSSION CONSENT AND ACKNOWLEDGEMENT