Wallkill Valley Regional High School District
10 Grumm Road, Hamburg, NJ 07419
Phone (973) 827-4100 Fax (973) 827-8318
Edward Bolcar-Superintendent
Taryn
Benacquista David Carr John J. Mayer
Interim Vice Principal Assistant
Principal Director of student Personnel Services
Athletic Contract
I recognize my responsibilities if I try out for (sport)_____________________________________.
I realize that physical hazards may be encountered with my participation and I
acknowledge that the possibility of injury always exists. I will make it a point to so
govern myself that the connection with the sport will bring honor to it and the school
and expect to be asked to withdraw from the team in case i do not. If extended
the privilege,
I shall:
- Train consistently as advised by the coach and refrain from the use of tobacco, alcohol and prescribed or illegal drugs.
- Make a serious endeavor to keep up my studies.
- Abide by the rules and regulations of the department of athletics and the school district.
- Conduct myself at all times, whether home or away, in a manner that will bring only credit to my team and my school.
_____________________ ___________________________________
Date
Student signature
Parent/Guardian Consent:
I hereby consent to allow my son/daughter to participate
in the above program sponsored by
Wallkill Valley Regional High School and
further authorize the school physician to examine my child.
I/We acknowledge that even with the best coaching, use of
the most advanced protective equipment and strict observance of rules,
the
potential for injury is inherent in all sports. On rare occasions these injuries
can be so severe as to result in total disability,
paralysis or even death. I/We
acknowledge that I/we have read and understand this warning
_________________
____________________________________
Date
Parent/Guardian Signature
Back