Athletic Registration Form

Christel House Online Athletic Registration: Athletes and Parents/Guardians must complete the online registration before trying out for a sport. Completion of this form does NOT guarantee the student-athlete will be a member of the team. Coaches will make decisions on final rosters for each sport upon completion of the tryouts.

A current physical must be on file with the Athletic Department office BEFORE any student-athlete will be allowed to try out or practice. The physical date must be between April 1 and the student’s first practice in preparation for interschool athletic participation.

If you need a new Athletic Physical form, please follow the link below. 

Printable IHSAA Athletic Physical Form

Physical Form - En Espanol

 

I am aware that playing or practicing to play any sport can be dangerous involving many RISKS OF INJURY. I understand that the dangers of playing or practicing include but are not limited to death, serious neck and spinal cord injuries which may result in paralysis, brain damage, serious injury to virtually all internal organs, bones, joints, ligaments, muscles, and all other elements of the skeletal/muscular system.

I recognize the dangers of practicing or playing and agree to assume the risk. I also recognize the importance of following the coaches and instruction regarding skills, safety, and team rules.

My son/daughter has my permission to play/practice in school-sponsored sports. The terms hereof shall serve as a release and assumption of risk for my heirs, estate, executor, administrator, assignees, and for all members of my family.

I will abide ball all school and team rules and will show respect to my teammates, coaches, teachers, administrators and opponents.  I understand that violation of said rules could result in reduction of playing time, suspension or removal from the team and that these punishments are at the discretion of the coach and athletic department.

I realize that in the case of an emergency it may be necessary to provide immediate medical care. I consent to allow my child to be treated at the nearest medical facility in the event of such an emergency.

I understand that it is my responsibility to maintain health insurance coverage for my student while engaged in all school-sponsored activities, including overnight trips. I hereby release, discharge, and hold harmless Christel House Indianapolis and its representatives from any and all medical and health-related expenses and/or claims that may be incurred by my child while participating in school-sponsored activities.

We also give our consent for the team physician, trainer, or coaches to use their own judgment in securing medical treatment in case the parents/guardians or emergency contacts listed above can not be reached.

Student-Athlete & Parent/Guardian - please read the attached fact sheets regarding concussion and sudden cardiac arrest and ensure that your student-athlete has also received and read these fact sheets. After reading these fact sheets, please ensure that you and your student-athlete sign this form.

Student-Athlete Concussion Fact Sheet
Parent/Guardian Concussion Fact Sheet

Student-Athlete Sudden Cardiac Arrest Fact Sheet
Parent/Guardian Sudden Cardiac Arrest Fact Sheet

IC 20-34-7 and IC 20-34-8 require schools to distribute information sheets to inform and educate student-athletes and their parents on the nature and risk of concussion, head injury and sudden cardiac arrest to student-athletes, including the risks of continuing to play after concussion or head injury. These laws require that each year, before beginning practice for an interscholastic sport, a student-athlete and the student athlete’s parents must be given an information sheet, and both must sign and return a form acknowledging receipt of the information to the student athlete’s coach.

IC 20-34-7 states that an interscholastic student-athlete, in grades 5-12, who is suspected of sustaining a concussion or head injury in a practice or game, shall be removed from play at the time of injury and may not return to play until the student-athlete has received a written clearance from a licensed health care provider trained in the evaluation and management of concussions and head injuries, and at least twenty-four hours have passed since the injury occurred.

IC 20-34-8 states that a student-athlete who is suspected of experiencing symptoms of sudden cardiac arrest shall be removed from play and may not return to play until the coach has received verbal permission from a parent or legal guardian for the student-athlete to return to play. Within twenty-four hours, this verbal permission must be replaced by a written statement from the parent or guardian.

By signing below you agree to the following:

Acknowledgement as a Student-Athlete
As a student-athlete, I have received and read both of the fact sheets regarding concussion and sudden cardiac arrest. I understand the nature and risk of concussion and head injury to student-athletes, including the risks of continuing to play after concussion or head injury, and the symptoms of sudden cardiac arrest.

Acknowledgement as a Parent/Guardian
I, as the parent or legal guardian of the above-named student, have received and read both of the fact sheets regarding concussion and sudden cardiac arrest. I understand the nature and risk of concussion and head injury to student-athletes, including the risks of continuing to play after concussion or head injury, and the symptoms of sudden cardiac arrest.

I have received and read both the fact sheets regarding concussion and sudden cardiac arrest. I understand the nature and risk of concussion and head injury to athletes, including the risk of continuing to play after a concussion or head injury, and the symptoms of sudden cardiac arrest. I have read & understand state laws (IC 20-34-7) and (IC 20-34-8). I understand that after sustaining a head injury a student athlete must have written clearance from a licensed health care provider trained in the evaluation and management of concussions and head injuries, and not less than 24 hours have passed since the student athlete was removed from play. I understand that an athlete removed from play for suspected symptoms of sudden cardiac arrest may not return to play until the coach has received verbal permission from a parent or legal guardian of the student athlete to return to play. Within twenty-four hours, this verbal permission must be replaced by a written statement from the parent or guardian.

Permission to Access, Receive and Release Protected Health Information

I understand that Christel House Academy (CHA), IU Health and its affiliates provide and support the athletic trainer(s) and/or team physician(s) providing healthcare coverage for CHA student athletes and may access and request protected health information regarding the athlete’s health status from healthcare providers, and I hereby give my permission for the access, receipt and release of this protected health information as it pertains to my child’s ability to safely participate in athletics. The protected health information pertains to past and present health. Permission for a healthcare provider to access and release medical information and/or records to another healthcare provider is given to allow for monitoring the health of and timely treatment of my child should it be necessary. I also give my permission to release this information to coaches and other school officials when it relates the athlete’s ability to participate. This request is to facilitate access and open communication between CHA, IU Health, athletic trainers, other healthcare providers and school officials in order to optimize the delivery of care to the athlete and to monitor the athletes’ physical health. This information cannot and will not be released to any other parties without first being approved by the parent or guardian of the athlete. This consent will expire upon (a) the athlete’s eligibility to participate in school sports, according to school and IHSAA policies, as amended from time to time or (b) revocation of the consent. I understand that I have the right to revoke this consent at any time by informing the CHA athletic director, in writing, of my intent to do so and that in doing so the student-athlete may be declared ineligible to participate in athletics at CHA. In the event I revoke consent, it will not have any effect on actions taken by CHA, IU Health, athletic trainers or other health care providers who obtain access based on this consent prior to receipt of the revocation. I have thoroughly read and understand the information above and consent to all provisions set forth. I have had the opportunity to ask questions.

Please visit the following link to view all of the IHSAA Eligibility Guidelines:
IHSAA Athletic Eligibility 

Your signature indicates that you have read and you are aware of your responsibilities as a Christel House Watanabe Manual High School student-athlete. Likewise, the parent(s) and/or guardian(s) signature indicates an acknowledgment of the responsibilities of a Christel House Watanabe Manual High School athlete.

 

Your son/daughter has indicated that they are going to participate in a sport for Christel House Schools.  Practices and meets can be held off site and and the students must get their own transportation when that happens.

The School will provide transportation to AWAY events.  Athletes are required to travel to and from athletic contests and special events in school approved vehicles under adult supervision provided by Christel House Schools. Any special requests should be submitted in writing to the Head Coach for review 24 hours prior to the day in question.

At times, students could also be drivers for practices and contests and should have the following written acknowledgement on file in the athletic office stating that the parents understand that the student may be transporting others to practices or games.  Also, students may on extreme occasions be allowed to drive their own cars to away events.

On these occasions the following guidelines are required: • The parent must give permission below if they are allowing their student to do the following. Students must always wear seat belts.

Please, select all below as to your wishes for transporting your athlete to practice and home games. Please keep in mind that you are allowed to transport your athlete at any time to practice, but that written permission needs to be submitted to the Coach if you are transporting to and from games.

Both parenting and coaching are extremely difficult vocations. By establishing an understanding of each position, we are better able to accept the actions of the other and provide a greater benefit to your child. As parents, when your child becomes involved in an athletic program, you have the right to understand what expectations are placed on your child. This begins with clear communication for your child’s coaches.

Communication you should expect from your child’s coach:

1. Philosophy of the coach.

2. Expectations the coach has for your child and the team.

3. Locations and times of all practices and contests.

4. Explanation on any major changes in role.

5. Team requirements, i.e. fees, special equipment, off-season conditioning, criteria for lettering.

6. Procedures should your child be injured during participation.

Communication coaches expect from parents:

1. Concerns should always be expressed directly to the coach, not to other parents or players.

2. Notification of any schedule conflicts well in advance.

3. Specific concern in regard to a coach’s philosophy and/or expectations

Appropriate concerns to discuss with coaches:

1. The treatment of your child, mentally and physically.

2. Ways to help your child improve.

3. Concerns about your child’s behavior.

Issues not appropriate to discuss with coaches:

1. Playing time, position(s) played, etc.

2. Team strategy

3. Other student athletes

Procedure for conference with coaches:

1. Make sure your child has met with his coach(s) first.

2. Call the coach to set up an appointment.

3. Do not attempt to confront a coach before or after a practice or contest (Use the 24 Hour Rule). These can be emotional times for the coach and parent. Meetings of this nature do not promote resolution, only conflict.

4. If the coach does not respond in a reasonable amount of time, please contact the AD.

Next Steps:

What can a parent do if the meeting with the coach did not provide a satisfactory resolution?

1. Call and set up an appointment with the Athletic Director and head coach to discuss the situation. Please do not contact the Principal without prior contact with the AD.

2. At this meeting the appropriate next step can be determined.

By signing below, I acknowledge that all information is correct and that by typing/signing in your name (Parent/Guardian & Student-Athlete) in this registration form, you signify that your electronic signature represents the person named and acknowledges a full understanding & acceptance of all information.