Birthdate:

Please select one:

Sport:

Grade:

Sport:

Parents / Guardian Information:

Mother’s First Name:

Mother’s Last Name:

Father’s First Name:

Father’s Last Name:

Address / Contact Information:

Phone:

Cell:

Street:

City:

State:

Zip:

Email Address 1:

Email Address 2:

Emergancey Contact / Insurance Information:

Emergency Contact Name:

Emergency Contact Phone Number:

Is your child covered by Hopitalization / Insurance:

Name of Insurance Company:

Group #

The Athletic Association is not responsible for claims resulting from injury during athletic events.

Uniform Sizes:

Shirt:

Shorts:

Number:

Please read the following:

1. Our open monthly meetings are held the third Wednesday of every month
in the Franciscan Room @ 8:00pm throughout the school year. All parents are invited.

2. Abusive language and/or actions by players, coaches, or fans will not be tolerated during practice or games at any location. Offenses will be directed for action by the Board.

3. During the year all parents are expected to be active in the running of games. This includes Concessions, Door, and Cleaning. Your Coach will coordinate such activities.

I agree to volunteer my time during home games:

4. Parents of students participating in athletics are expected to support all Fund Raising activities.

5. Any questions, problems, or issues should be handled intially through your team coach. Please be sure to setup a time to speak with the Coach should problems or issues arise. The next step for problem resolution is the Board.

6. The 4th & 5th Grade level programs are considered instructional and given attendance at games, practices, participation and behavior, playing time should be equal for all players throughout the season.

7. In the 6th, 7th, & 8th Grade level programs given attendance at games, practices, participation and behavior, playing time should be expected for all players throughout the season, with the exception of play-off’s and tournaments.

Fees for participation in St. Christopher Athletics are as follows: Fees will be collected prior to the season start date by the assigned Coordinator.

I agree that I have read and understand all of the above and wish to sign my son or daughter up to play the Sport chosen above. This will serve as your electronic signature.

By submitting this form I agree that this will be used as an electronic signature of this form on my behalf.