Home
Participation Waivers & Authorization Forms
These forms have been formatted with space at the top to allow for printing on district letterhead.
Agreement For Activity Participation (Students K-12)Used for all Student Activities, Clubs, and/or Special Classes (including after-school programs or classes involving special risks of harm or injury, including ROP/work experience classes) Before a K-12 student participates in extracurricular or "risky"/"dangerous" curricular classes, this form should be executed acknowledging the risks associated with such activities (including risks of injury during transportation to and from off-site events), the student’s and parent’s agreed compliance with districts safety rules, and the authorization to administer emergency care in the case of injury. |
|
|
Contract For Adult Activity ParticipationUsed for all Adult Education/Vocational Rehabilitation, etc. Classes involving special risks of harm or injury, including off-site training or work experience activities Before an adult education student participates in a class or program involving potentially "risky"/"dangerous" activities, this form should be executed acknowledging the risks associated with such activities (including risks of injury during transportation to and from off-site events), the adult student’s agreed compliance with districts safety rules, and the authorization to administer emergency care in the case of injury. |
|
|
Agreement For Team ParticipationUsed for all Team Sports (CIF and Intramural), Band, Cheerleading, and Dance Team Before a student tries out for, participates in practices or training sessions, or is actually involved in team/group events, this form must be signed acknowledging the risks associated with such activities (including risks of injury during transportation to and from off-site events), the student’s and parent's agreed compliance with districts safety rules, and the authorization to administer emergency care in the case of injury. The form also requires information regarding statutorily required insurance the student must provide, absent financial circumstances requiring that such insurance/coverage be obtained through other sources. |
|
|
Sports Physical Examination FormUsed for all Team Sports (CIF and Intramural), Band, Cheerleading, and Dance Team Before a student tries out for, or participates in, any of the listed |
|
|
Student Field Trip AuthorizationUsed for all In-State Field Trips (Whether or not Overnight) While the Education Code provides immunity for field trip activities, the form requires parents to acknowledge the immunity laws, and the risks associated with the activity, as well as providing authorization to administer emergency care in the case of injury. |
|
|
Student Field Trip (Outside California) AuthorizationUsed for all Out-of-State/Foreign Field Trips In addition to the issues covered under the standard field trip form, this form also notes the limitations on payment for travel-related costs and expenses and the risks of financial loss to the student/parent if the trip is cancelled for some reason. |
|
|
MS Word (.doc) available in the following languages: