Parent Permission

Emergency Card

Mountain Camp

Emergency Form

By signing this form, the guardian is indicating that he/she understands that schools have no control over the potential risks that this type of activity involves and gives consent for emergency medical treatment to be performed on his/her student (unless stated otherwise).

What to Complete: Name of guardian; Name of student; Prohibitions; Guardian sign and date; Name of trip (soccer mountain camp); Time period (TBD)

Release Form

By signing this form, the guardian and student are agreeing to the conditions by which a student can participate in out-of-school activities for the Jefferson County School District.

What to Complete: Guardian sign and date; Student sign and date; Travel program (boys soccer); Sponsor name (Jeremy Vann)

Leave Blank: Sponsor sign and date

Arranged Absence Form

The student, parent, and teachers most complete this form.

Student Form

By signing this form, the student is agreeing to follow the Jefferson County Public Schools Code of Conduct while participating in the activity and accepts any consequences of not following this code.

What to Complete: Student sign and date; Guardian sign and date; Name of activity (soccer mountain camp); Dates (TBD)

Transportation Form

By sign this form, the guardian releases and discharges the Jefferson County School District and its representatives from any claim or cause of action, including costs, arising out of the activity in which his/her student may have elected to voluntarily participate.

What to Complete: Name of student; Guardian sign and Date; If guardian is willing to drive: Guardian insurance information; If guardian is willing to let his/her student drive: Student insurance information

Leave Blank: Principal sign and date; Authorized drivers; Sponsor sign and date

Value Statements

Mental Toughness

Formula For Success

Toughest Opponent

Winning is ...

Videos on Language Usage

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