Fall Sports 2022 Forms and Information

 
 
 Emergency Notification & Registration Information 
Please note that all fields are required for any student to participate in any sport at James Caldwell High School (JCHS). All questions about athletic programs at JCHS should be emailed to Athletic Director Dan Romano at dromano.cwcboe.org. All questions about the below required information can be sent to School Nurse Danielle Ciccaglione at dciccaglione@cwcboe.org.

 
  The deadline for ALL paperwork to be turned in is: July 15th Failure to turn in ALL necessary pre-participation physical exams, registration and consent forms and impact test will result in a MINIMUM of 7 days to process" I hereby acknowledge failure to turn in ALL necessary pre-participation physical exams, registration and consent forms and impact test will result in a MINIMUM of 7 days to process. Example: Paperwork turn in August 17th the EARLIEST you will be cleared will be August 24th
   
1.
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I acknowledge that I have read and agree to the terms outlined in the JCHS Deadlines for fall sports participation. IMPORTANT: TYPING YOUR NAME SIGNIFIES THAT YOU HAVE READ THE ABOVE, REPRESENTS YOUR SIGNATURE AND CONSENT AND IS LEGALLY BINDING.
 

 

 
   
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I acknowledge that I have read and agree to the terms outlined in the JCHS Deadlines for fall sports participation. IMPORTANT: TYPING YOUR NAME SIGNIFIES THAT YOU HAVE READ THE ABOVE, REPRESENTS YOUR SIGNATURE AND CONSENT AND IS LEGALLY BINDING.
 

 

 
   
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  Select Date
mm/dd/yyyy
   
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ex: 123-456-7890
 
   
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(optional)
 
   
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Please use address at which student resides.
 
   
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xxx-xxx-xxxx
 
   
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xxxxxxxxxx
 
   
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xxx-xxx-xxxx
 
   
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(First and Last Name)
 
   
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Please enter the telephone number at which the emergency contact can best be reached. xxx-xxx-xxxx
 
   
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Please enter all known allergies and known reaction, Please enter "None" if the student has no known allergies.
Enter at least 1 response.
 

 

 
   
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List all medications that the student is taking. Enter "None" if there are no known medications.
 
   
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28.
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I HEREBY give my permission for my son/daughter (listed above), to undergo medical treatment for any injury or illness he/she may sustain or acquire while engaged in interscholastic athletics at James Caldwell High School. I understand that medical personnel of James Caldwell High School, including athletic trainers, nurses, and team physicians will perform only those procedures that are within their training, credentialing, and scope of professional practice to prevent, care for, and rehabilitate athletic injuries. In the event that more serious medical procedures are required, such as surgery or invasive procedures, I understand that attempts will be made to contact me for my consent. I understand that if my child suffers a potentially life threating injury or illness, and in the event I am unable to be contacted within a reasonable period of time, that I authorize any duly licensed medical practitioner to perform such procedures as may be medically necessary to alleviate the problem. I have had the opportunity to ask questions regarding this release and all of my questions have been answered to my satisfaction. Having understood the above agreement, I freely sign this permission to provide medical treatment. IMPORTANT: Typing your name signifies that you have read and answered all questions correctly to the best of your knowledge.
 

 

 
   
 
 
 
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