TIJE. CHURCH OF
SAINT RAPHAEL
CATHOLIC SCHOOL
North Suburban Parochial School League
Athletic Permission Waiver Sheet
Saint Raphael Catholic School "4HG"
Co-Curricular Activities 2026-2027 School Year
Please fill out this form and return the player fee.
Please note students may not leave the school grounds before or after practices or games without adult supervision.
Name of Student
First Name
Last Name
Grade
Home Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent Home or Cell Phone
Format: (000) 000-0000.
Email address(es)
example@example.com
We, the parents of the above named student, hereby give our approval for our son or daughter to participate in the NSPSL's sport's program as a representative of his or her school. We assume all risks or hazards incidental to such participation, including transportation to and from the activities and do hereby waive, release, absolve, indemnify and agree to hold harmless the league, its organizers, sponsors, supervisors, participants, and persons transporting our son or daughter to and/or from activities. We have also read the St. Raphael Athletic Handbook as a family, and will adhere to the positive action plans or activities the department has in place for this school year.
Parent or Guardian
First Name
Last Name
Please submit a check for the player fee ($60.00). Make checks payable to the Saint Raphael Athletic Association. If uniform is not returned and in good condition, a $100 fee will be charged to your TADS account.
Student Fee: $60.00
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