Student Athlete Disciplinary Code*     

I have received a copy of the guidelines and procedures and I understand the guidelines as outlined in that policy.  I also understand that student and parent signatures are required and this form must be returned to the school prior to student participation in an interscholastic and/or extracurricular activity.

Parent/Guardian Signature:________________________________

Student Signature:_______________________________________

Date:_________________________________________________

*Copies to be received from the Coach