Athletic Participation Form for Non-attending Students

This form must be filled out and signed by any student-athlete and their parents/guardian who do not attend the Jefferson County School for which the student-athlete wishes to participate in athletics at any time during the school year. This form will be turned into the participating school’s Athletic Director and participation must be approved by the District Athletic Office of Jefferson County Schools prior to the student-athlete beginning any formal, in-season workouts with any team. Any required transfer paperwork, if applicable, must accompany this form.

School of Participation *

Student's First Name *

Student's Last Name *

Student's Address *

City *

State *

Zip *

Parent/Guardian Name *

Parent/Guardian Email *

Grade fevel in the fall *

Name of School Attending *

City *

State *

High School Sport(s) student wishes to participate in:

Fall

Winter

Spring

If Student will be in grade 10, 11, or 12:

School attended last year

City

State

High School Sport(s) student participated in last year: School

Fall

Winter

Spring

Upload Current Class Schedule *

Upload Current Transcript

I verify that the information on this form is correct under potential penalty of ineligibility and restriction from state playoff competition for the athlete and/or team.

Student Signature (By typing my name below, I understand and agree that this form of electronic signature has the same legal force and affect as a manual signature.) *

Parent Signature (By typing my name below, I understand and agree that this form of electronic signature has the same legal force and affect as a manual signature.) *