LISA PUBLIC SCHOOLS ATHLETIC DEPARTMENT ATHLETIC CONSENT FORM
I hereby give my consent for ____________________________________________________
to compete in interscholastic sports, participate in related practice sessions and
to travel with the team/coach for such functions. I acknowledge that even with
proper instruction and supervision, proper use of equipment and strict
observance of the rules, injuries and accidents are still a possibility. I
understand that the LISA School District or its employees will not be liable if
an injury or accident occurs. I give my consent for treatment at the best
medical facility available in case of injury, accident or illness. I understand
that I am required to have Primary Insurance Coverage. LISA Public Schools does
not provide Insurance Coverage for any participants. I understand that the LISA
Public School District will not be responsible for payment of any medical bill
that the family’s personal policy does not pay. I also agree to be responsible
for the return of any athletic equipment issued to the above named student in
quality condition.
I have read the LISA Athletic Handbook and do hereby agree to comply and follow
the guidelines set forth in order to participate in LISA Public School
Athletics.
I ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE ABOVE STATEMENTS.
____________________________________________________________
Signature of Parent/Guardian Date
___________________________________________________________
Signature of Athlete
NOTE:
This form must be signed and returned to the Athletic Director before an athlete
may participate in any athletic activity. Please sign, detach and return to your
Coach.