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Online Sports Enrollment
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  • This form must be filled out by a physician once a year. You may upload the completed form here or turn it in to Mrs. Thompson at the front office. (required)

    Download here: Sports Physical Form

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    (allowed file types: doc, gif, jpeg, jpg, pdf, png)
  • By providing my full name, I agree that it will be the electronic representation of my signature for all purposes when I use it on documents, including legally binding contracts - just the same as a pen-and-paper signature.

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  • This form MUST be notarized and kept on file at SMB once per academic year. You may turn in the notarized form here, or turn it in to Mrs. Thompson.

    Mrs. Ballesteros is a notary!***

    Download here: Transportation Form

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    (allowed file types: doc, docx, jpeg, jpg, pdf)
  • DRIVER INFORMATION

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  • When using a privately-owned vehicle, the insurance coverage is the limit of the insurance policy covering that specific vehicle. Policy Note: The minimal acceptable liability limit is $100,000/$300,000.

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  • I certify that the information given on this form is true and correct to the best of my knowledge. I understand that as a volunteer driver, I must be 25 years of age or older, possess a valid driver's license, have the proper and current license and vehicle registration, and have the required insurance coverage in effect on any vehicle used to transport students.

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  • EMERGENCY INFORMATION

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  • Alternate emergency contact (in case parent/guardian cannot be reached):

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  • Insurance/Health Information:

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  • I, the parent/guardian of the student(s) named above, request that the school allow my child(ren) to participate in the C.Y.A.A. after school sports program at St. Mary-Basha Catholic School. I understand that this will include travel to other schools in private vehicles.

    Also due to costs, there is a $80.00 fee per child paid through this form via my FACTS account. This is non-refundable to those who drop out of the program, those who are suspended, and those who are academically ineligible due to grades or conduct. The participants are responsible for the uniforms and maintaining the condition in which they were given. If lost or damaged  an additional $40 replacement fee will be charged to your FACTS account.

    We hereby release St. Mary-Basha Catholic School or any and all of its employees from any and all liability for any harm arising to my/our son(s)/daughter(s) as a result of participating in the C.Y.A.A. after school sports.

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