St. Mary Catholic Athletic Participation Form
Please submit a form for each child wanting to participate in sports for the year. You may sign up for multiple sports simultaneously per child.
Name of Athlete - please submit a form for EACH athlete
*
First Name
Last Name
Grade
2nd
3rd
4th
5th
6th
7th
8th
Parent/Guardian Name
First Name
Last Name
Sport (choose all that apply if you are registering for multiple sports simultaneously):
*
Fall - Girls Volleyball (Grades 6-8)
Fall - Coed Cross Country (Grades 3 - 8)
Fall - Girls Tennis (Grades 6-8)
Fall - Coed Soccer (Grades 6 - 8) *depends on interest
Early Winter - Cheer (Grades 4 - 8)
Winter - Girls Basketball (Grades 6-8)
Winter - Boys Basketball (Grades 6-8)
Spring - Boys Baseball (Grades 6 - 8)
Spring - Running Club (Grades 6-8)
Spring - Boys Soccer (Grades 6-8) *depends on interest
Spring - Boys Tennis (Grades 6-8) *depends on interest
Girls on the Run/Stride (note: enrollment will be done through the GOTR/Stride Program)
Year-Round - Fencing (Grades 2 - 8)
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent/Guardian Email
To be used for specific season and coaching updates
Parent/Guardian Phone Number
To be used by coaches to contact parents for general updates and emergencies
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Insurance Information
The following information must be completed and signed by the appropriate parent or guardian and turned in to the main office before participation in student athletic activities will be allowed. If the following information is not complete, this form will be returned to you. All students participating in student athletic activities at St. Mary must have their own medical coverage. Students will not be allowed to participate in student athletic activities unless the following information is submitted and the form is signed by the parent or the guardian of the student.
Insurance Company
Group Number
Policy Holder
Insurance Phone Number
Please enter a valid phone number.
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Waiver of Liability
We, the undersigned hereby certify that I am the parent or legal guardian of the student. I hereby give permission to the staff of St. Mary Catholic School to seek during the period of school athletic activities, appropriate medical attention and for the students to receive medical attention and treatment to be covered under the student’s insurance policy detailed above. I/We the undersigned, for ourselves, our heirs, our executor and administrator, waiver, release, and forever discharge St. Mary Catholic School and its staff, officers, agents, employees, representatives, successors and assigns from any and all liability claims, demands, actions, and causes of action whatsoever arising out of or related to any loss, personal injury or property damage that may be sustained or occur during participation in student athletic activities or while at school.
Signature
*
Date
-
Month
-
Day
Year
Date
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Parental Permission to Travel
I give my permission for my child to ride with other team parents during the 2024-2025 school year. I understand these parents will be driving their own private vehicles. St. Mary School assumes no responsibility for the driving performance of these parents. The parent driver is responsible for all automobile insurance coverage in case of an accident while driving students to and from games. Students will leave for away games from St. Mary School.In consideration for my child’s participation on this sports team, I agree to release and hold harmless from any legal liability and agree not to sue St. Mary Catholic School, its employees, agents, and representatives for any injuries, death, or personal property damage resulting from transportation by a parent volunteer to or from a competition.
Signature
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Payment
The fee for athletics will be due before uniforms are issued for each sport. The fee will help to defray the costs related to the sport (i.e. referees’ fees). Any family who has a child who would like to participate in St. Mary Athletics but who cannot pay the fee can talk to the Athletic Director about scholarship opportunities. We encourage online submission of athletic fees (link provided after submission).
Athletic Fees (Note GOTR/Stride registration is through the GOTR program website)
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( X )
Volleyball
$
50
Basketball
$
50
Baseball
$
50
Soccer
$
50
Cross Country
$
25
Cheer
$
25
Tennis
$
25
Fencing
Pay directly to Cape Fear Fencing*
$
25
Running Club
$
Free
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