Cony High School Athletic Permission Form

The following forms are to be completed by both the Parent/Guardian and Student of any interested athelete. Please read the following statements before electronically signing below.

ELIGIBILITY

1. Must be regularly enrolled in school and have passed three full-time academic subjects for the previous quarter in order to be eligible to compete during the next quarter. Deficiencies may be made up through summer school. (available through Adult Ed)

2. Is eligible for eight semesters after he/she first enrolls as a freshman.

3. Becomes ineligible on his/her twentieth birthday or upon graduation from high school.

4. Primary allegiance is to his/her school team. Any participation in non-school sports activities may come only after his/her obligations to the school team have been met.

5 Have a complete medical examination upon entering Cony

INSURANCE

The student’s family is the primary insurer. The Augusta Board of Education does provide secondary health insurance for all students. Although the protection is liberal, there are specific policy limitations that should be carefully noted. (See student accident Medical Expense insurance plan pamphlet.)

INJURY AWARENESS

One should realize that there is a risk of being injured that is inherent in all sports. The injury may be severe, including fractures, brain injuries, paralysis or even death.

ATHLETIC POLICIES

CONY ALL SPORTS BOOSTER STATEMENT

To help insure that our athletes are provided with the safest and best equipment, the All Sports Boosters will be soliciting your help to work concessions, 50/50, and other major fundraisers.

PARENT/GUARDIAN PERMISSION

I hereby give my consent for the above named student (1) to represent his/her school in athletic activities provided that such athletic activities are approved by the State Association; (2) to accompany any school team of which he/she is a member on any of its local or out-of-town trips. I authorize the school to obtain, through a physician of its choice any emergency medical care that may become reasonably necessary for the student in the course or such activities or such travel. I also agree not to hold the school or anyone acting in its behalf responsible for any injury occurring to the above-named student in the course of such athletic activities or such travel

Athletic Permission Form

21 Questions

This form is to be completed by the parent/guardian and signed. The student athlete will also need to sign.

Please indiciate what fall sport the student wishes to particpate in (if any)

Please indiciate what winter sport the student wishes to particpate in (if any)

Please indiciate what spring sport the student wishes to particpate in (if any)

Proof of Physical Exams may be faxed (207-626-2541) by your doctors office directly to the Nurse's office at Cony.

I the Parent/ Guardian have read the Cony High School Athletic Handbook & the coach’s guidelines
I am aware of the eligibility requirements, insurance coverage, injury risk and athletic policies.

I hereby give my consent for the above named student (1) to represent his/her school in athletic activities provided that such athletic activities are approved by the State Association; (2) to accompany any school team of which he/she is a member on any of its local or out-of-town trips.

Signature
I understand that my typed signature is the legal equivalent of my handwritten signature on this document.

I authorize the school to obtain, through a physician of its choice any emergency medical care that may become reasonably necessary for the student in the course or such activities or such travel. I also agree not to hold the school or anyone acting in its behalf responsible for any injury occurring to the above-named student in the course of such athletic activities or such travel.

Signature
I understand that my typed signature is the legal equivalent of my handwritten signature on this document.

I have read the Cony High School Athletic Handbook and Coach’s guidelines and will abide by them and do everything to help my team achieve success. INJURY AWARENESS: I realize that there is a risk of being injured that is inherent in all sports. I realize that the risk may be sever, including the risk of fractures, brain injuries, paralysis or even death.

Signature
I understand that my typed signature is the legal equivalent of my handwritten signature on this document.