• Saint Theresa Catholic School Athletics Paperwork

  • Please fill out one set of forms each year, for each child participating in the Saint Theresa Athletic Program. Before the winter and spring seasons, you will be contacted to confirm your child's interest in that sport.
  • Note: Students may not participate in practice or games until all forms and fees are signed, completed, and turned into the office.
  • ➤ The "Transportation of Minor" form must be completed for each athlete.
    ➤ All School Sports Physical Pre-Participation Examination forms must be dated on or after June 1st.
    ➤ If you haven't completed your sports physical by the due date, please submit all other required forms. Then, submit the physical form before the first practice.
  • NOTE: Your child will NOT be eligible to play sports until all forms have been completed and submitted.
  • Thank you for completing and signing all forms!
  • Forms to be Printed and Submitted

  • The following four forms must be printed, completed in full, and submitted to the Athletic Director before participation can be approved. Please ensure that all required information and signatures are provided on each form.

  • Saint Theresa Catholic School Athletics Permission Form

  • I/We, the parent(s)/guardian(s) of ____________________, request that the school allow my child to participate in the Saint Theresa Catholic School after-school sports program in the sports marked below during the school year. I understand that I am responsible for providing or finding transportation for my child to and from away games. Also, due to league fees, uniform updates, and the cost of officials, I agree to complete all forms and understand that I will be billed the required sport fee through FACTS at the beginning of each sport's season. This fee is non-refundable for those who drop out of the program, are suspended, or are academically ineligible due to grades or conduct. If a team is canceled, refunds will be reimbursed through FACTS. The participants are responsible for maintaining the uniforms and returning them to school in the condition they were given. The participant will be charged $25 to replace each uniform piece if lost or damaged. I understand that pants and socks are required for softball and baseball. I understand that student medications kept in the school nurse's office may NOT be accessible after school, and it is the responsibility of the parent/guardian to supply any medication that may be required by a student during any after-school activities.
  • As parent and/or legal guardian, I remain legally responsible for any personal actions taken by the above-named minor ("participant"). I agree on behalf of myself, my child named herein, or our heirs, successors, and assigns, to hold harmless and defend St. Theresa Parish, St. Theresa School, its officers, directors and agents, and the Diocese of Phoenix, coaches, chaperons, or representatives associated with the event, arising from or in connection with my child attending the event or in connection with any illness or injury or cost of medical treatment in connection therewith, and I agree to compensate the parish, school, its officers, directors and agents, and the Diocese of Phoenix, coaches, chaperons, or representatives associated with the activity for reasonable attorney's fees and expenses arising in connection therewith.
  • I/We also understand that all practices will end no later than 6:00 pm, except on game days or unless otherwise notified. I/We also understand that it is my/our responsibility to pick up or make arrangements for my/our child after that time. I/We release and hold harmless Saint Theresa Catholic School or any and all of its employees and volunteers from any and all liability after this time. https://www.cdc.gov/heads-up/communication-resources/index.html
  • Please check ALL sports your child will participate in this year. A confirmation form will be sent out via email before each season.
  • Fall:
  • Winter:
  • Spring:
  • Date*
     - -
  • Format: (000) 000-0000.
  • I am interested in volunteering in the following ways:
  • Role of the Student-Athlete

  • STUDENT CODE OF CONDUCT AND RESPONSIBILITIES

  • 1. Student athletes must maintain a minimum grade of a "C" in all subjects.
    • Grade checks will occur at mid-term and at the end of the term.
    • If a student is found to be ineligible, they will be placed on a probation period of up to two weeks, in which they must reach the minimum requirement or be dismissed from the team.
    • During the two-week probation period, the student will go to all practices. On game days, the student will go home or to tutoring to work on their schoolwork. (It is the athlete's responsibility to set up a meeting with the teacher to discuss how to improve their grade.)
    • The student will return to the team as soon as the teacher notifies the Athletic Director that the athlete's grade has reached the minimum requirement.
    • If the student-athlete receives three (3) lunch detentions, the student-athlete will be suspended for one (1) game.
    • If a 4th lunch detention is received, it will result in an after-school detention and a suspended game.
    • If the student athlete receives (5) lunch detentions in one season, the athlete will be dismissed from the team.
  • 2. Participating students must commit to their team to attend all practices and games.
    • School sports should be the first priority. Any conflicts with outside activities, including club ball, need to be resolved with coaches, and a written excuse must be submitted before the event.
    • Students are required to attend daily practice sessions as scheduled and bring appropriate equipment and water.
    • Excused absences are allowed when the coach is notified prior to the absence or when the student is ill.
    • The player (or parent) is responsible for informing the coach of the upcoming absence. Fellow teammates should not be expected to shoulder this responsibility. Any player who leaves it up to a teammate to provide notification of their absence will receive an unexcused absence for that practice or game.
    • The athlete will put 100% effort into practices and games.
    • The athlete will compete without placing undue pressure on themselves or teammates.
    • Students absent for more than 4 hours during a school day cannot participate in that day's extra-curricular activity.
    • Students who miss P.E. due to illness or injury will not be allowed to participate in the scheduled games the same day.
  • 3. Athletes will respect all coaches, players, and officials on and off the court/field and maintain the Code of Conduct.
    • Athletes will accept guidance.
    • Athletes will respect the decision made by officials.
    • Athletes will exhibit positive sportsmanship at all times and refrain from the use of offensive language and actions.
    • Athletes will respect the strengths and weaknesses of all teammates.
    • Social media will be used to promote Saint Theresa and will not be used to discuss issues or concerns.
    • Disrespectful athletes may be "benched" at the discretion of the head coach.
  • Please be sure both the parent and student sign this form
  • Role of the Parent/Guardian

  • PARENT/GUARDIAN CODE OF CONDUCT AND RESPONSIBILITIES

  • Prioritizing School Sports

  • Parents are expected to prioritize their time and their child's time to support the commitment required for participation in St. Theresa's athletic program.
  • Timely Submission of Paperwork and Fees

  • In order for a student to participate, all required forms and athletic fees must be submitted by the designated deadlines.

  • Prompt Pick-Up After Practices and Games

  • Parents must arrange for their child to be picked up immediately following practices or games. Coaches will remain with athletes for 15 minutes after the scheduled end time. After that, students will be escorted to Extended Care, and parents will be responsible for any incurred fees.

  • Transportation to and from Away Games

  • Parents are responsible for arranging transportation to and from away games. Those who volunteer to drive must carry valid auto insurance with a minimum liability coverage of $100,000/$300,000.


    After away games, athletes will be brought back to the St. Theresa campus and escorted to Extended Care, unless written permission has been provided for them to leave with another driver. With prior written permission, athletes may also leave directly from the game.

  • Supportive Spectator Behavior

  • Parents are expected to model respectful and sportsmanlike behavior. Specifically, parents will:
    • Cooperate and respect the decisions of coaches and officials.
    • Avoid any physical contact with other spectators, officials, or staff.
    • Refrain from discussing player-related concerns with other parents.
    • Refrain from using offensive language or gestures.
    • Remain positive and encouraging during games.
  • Responsible Use of Social Media

  • Parents are encouraged to use social media to celebrate the team and share their child's athletic accomplishments. However, social media platforms and public forums are inappropriate venues for expressing concerns or addressing issues related to St. Theresa or its athletic program. Concerns should be communicated directly and respectfully through appropriate school channels.
  • Date*
     - -
  • Roman Catholic Diocese of Phoenix
  • HEALTH AND EMERGENCY INFORMATION FORM

  • Date of Birth*
     - -
  • Sex*
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Alternative Emergency Contacts - If Parents Cannot be Reached

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Student Health & Medical Information

  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • Format: (000) 000-0000.
  • All students will receive basic first aid and emergency care as needed. By signing this form, I consent to these services being given to my student. I further agree that if emergency service involving medical action or treatment is required and the parent(s) or guardian(s) cannot be contacted, I hereby consent for the Student to be given medical care by the doctor or hospital selected by the School. I hereby give and grant unto any medical doctor or hospital my consent and authorization to render such aid, treatment or care to said student as, in the judgment of said doctor or hospital, may be required, on an emergency basis, in the event the Student should be injured or stricken ill. I authorize the School to release medical information about my student to his/her care provider. I authorize the School to release care and custody of my student to the emergency contacts listed above. It is understood that the consent and authorization given hereby are continuing and apply throughout the current school year. It is further understood that insurance or parent of student will pay any expenses incurred. Payment of such expenses is not a school responsibility.
  • Date*
     - -
  • Permission for Student to Self-Release from Extended Care

  • I give permission for the Extended Care Attendance Supervisor to sign out the following student(s) and release them to attend the After-School Sports Program:
  • Reminder: Parents must email Mrs. Reagan Atkinson at ratkinson@stcs.us each day their child needs to transition from Extended Care to sports practice or a home game.
  • Date
     - -
  • Should be Empty: