JCPS Athletic Forms and Instructions
STUDENT INSTRUCTIONS FOR INITIAL ATHLETIC PARTICIPATION
The following forms and fees must be submitted completed in their entirety to Manual’s athletic office prior
to the beginning of the student’s athletic participation. The forms,
along with the safety video, are available on the athletics page of the
school website – www.dupontmanual.com/sportsforms.htm.
• KHSAA Physical Form
* physicals are valid for one calendar year from date of examination
* must be signed as “cleared to participate” by physician
• JCPS Addendum to the Physical
* must be signed by physician
• Parent Student-Athlete Concussion Statement
* Concussion Reference Card is available on school website under “Sports Forms”
• JCPS Parent Permission/Release Form
* must be notarized
• JCPS Safety Video Signature Form
* must be signed by parent and student
* video is available on school website under “Sports Links”
• Transportation Waiver
* must be notarized
• Parent Communication Agreement Form
REQUIRED FEES
Each
student-athlete is required to pay the insurance/trainers fees listed
below to participate. Student-athletes pay this fee one time per school
year. Make checks payable to Manual High School.
• Tryout Fee - $5.00
• Make Team - $35.00
• Total - $40.00
Please make sure all forms are submitted by the dates listed below:
FALL SPORTS – All forms and fees submitted by July 2, 2012
WINTER SPORTS – All forms and fees submitted by September 28, 2012
SPRING SPORTS – All forms and fees submitted by February 1, 2013
SPIRIT TEAMS – All forms and fees submitted 2 weeks prior to first tryout date
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