Please print this and fill it out and submit it to the office prior to the sport you are registering for. Thank you!
T.E.A.M.
PARTICIPATION AND CONSENT FORM
*PLEASE PRINT CLEARLY
Name of Athlete:__________________________ School: _________________ Grade:___
Athlete Signature: _________________________ Date: ___________________ Gender M/F Age:
I, the undersigned parent/guardian of the child named above, hereby give my consent for such child to participate in the sports programs indicated, which are being offered by the Traverse City Elementary Athletic Members (T.E.A.M.) for the current school year.
I hereby hold T.E.A.M. it's employees, and agents harmless for injuries sustained by such child as a result of participation in the sports programs. I agree to assume full financial responsibility for medical treatment necessary as a result of any such injury.
The undersigned does hereby grant to the individuals (name of coach and one other adult) listed below the responsibility for care of the child.
______________________________ _____________________________
Name of Coach Name of Responsible Adult
Or, in the event neither of these individuals is available, I grant the attending hospital emergency room physician and/or nurse the limited power of attorney to act for me and to give the required consent and authorizations for the delivery of medical care, diagnosis and treatment, including surgical intervention, if necessary, on behalf of my minor child named above.
Parent/Guardian Signature: __________________________Phone # ____________
Name of Parent/Guardian: _____________________ Work Phone # ____________
Address: ______________________________ Emergency Phone # ____________
Emergency Contact Person: _________________ 2nd Emergency # ____________
Private Physician: _______________________ Physician's Phone # ____________
Insurance Company: ______________________ Policy #: ____________________
Date of Last Tetanus immunization: __________ Known Allergies/Significant Medical History: __________________________________________________________________
__________________________________________________________________
Circle Sport: Cross Country Girls Basketball Boys Basketball
Co-Ed Volleyball Track and Field
Pay to play fee: $25.00
Make checks payable to T.E.A.M. (no cash please). All fees are nonrefundable.
The Participation/Consent form and Payment must be turned in to your coach before the athlete can practice. By signing this Participation Form, the student and parent/guardian agree to follow all school and T.E.A.M. participation rules and guidelines.
Traverse City Elementary Athletic Members
T.E.A.M.
"Together Everyone Achieves More"
Welcome, over the past few years, T.E.A.M. has stepped up in its sportsmanship efforts in an effort to emphasize what is truly important in educational athletics. As a result, we feel our coaching staff, our student-athletes and the student body in general have benefited. All of these groups display exemplary behavior at our events. We have raised their expectations.
But there is one group, which we need to intensify our sportsmanship efforts with-- parents. It seems that over time, parents have lost sight or have never known that the true meaning of educational athletics is to do just that-- educate. It's not about championships or the remote pipe dream of earning an athletic scholarship to college. It's about learning. And learning the values taught by athletics, especially respect, is what set school sports apart of other levels of competition. It's why school sports exist.
As a society, we are constantly bombarded with the message that winning is everything. Not everyone can win every game, or finish first in every race. But everyone can practice the Golden Rule-- treating others the way they wish to be treated, with fairness and respect. That is the true value in playing school sports.
Please take a few moments to review the participation guidelines below; stating the example T.E.A.M. expects a participant to display at athletic events. As a representative of your school, your actions are viewed by family, friends, opposing fans, the local community and the media. Displaying good sportsmanship will show the most positive things about you and your school; and hopefully, remind us that sport is meant to be FUN.
T.E.A.M. Participation Guidelines
All participants will learn and practice good sportsmanship.
All participants will respect and support coaches, officials, players and fans at all times.
All participants will never publicly criticize other coaches, officials, players, or fans from any team.
Swearing, cursing or put downs of any kind will not be tolerated.
All Participants will cheer and support outstanding effort by all teams in a positive-only manner.
All Participants will maintain self control and demonstrate proper behavior at all times.
All Participants will try and learn the rules of the sport to have a better understanding of what happens on the playing field.
A Participant is any Parent, Guardian, Coach, Player, Official or Fan.
Always remember that good sports are WINNERS
TEAM looks forward to serving you in the year ahead, and appreciates your continued support.