JJIAA-E1-private-school-application
Completed by Parent/Guardian PRIVATE SCHOOL STUDENT APPLICATION FOR PARTICIPATION IN\ RSU 1 CO-CURRICULAR/EXTRACURRICULAR ACTIVITIES
The parent (or student if 18 years of age or older) must submit a separate application for each activity in which participation is desired.
STUDENT INFORMATION
Student's Name: Date of Birth:
Student's Address:
Parent/Guardian's Name:
Parent/Guardian's/Student's Phone Number:
Private School Attending: Students Grade:
Private School Address:
Private School Phone Number:
Private School Principal/Head's Name:
Student is Applying for Participation in the Following Activity DOCUMENTATION CHECKLIST OF ITEMS REQUIRED FOR VERIFICATION OF ELIGIBILITY TO TRY OUT FOR PARTICIPATION: Evidence that the student currently meets the same behavioral, disciplinary, attendance and other eligibility applicable to all students in RSU 1 Student's written agreement to comply with the same behavioral, disciplinary, attendance and other eligibility applicable to all students in RSU 1
Documentation of sports physical (if applicable) and clearance to play;
Documentation of immunization presented;
Evidence of insurance;
Documentation of age eligibility; and
Documentation of academic standing (grades or other evidence that
academic eligibility standards
have been met).
VERIFICATION OF ELIGIBILITY
I agree to provide to RSU 1 documentation of immunization, insurance and sports physical and clearance to play (if applicable) if such information is not maintained at (Private School Name).
Parent's Signature (or Student's, if 18 or older) Date
RSU 1 STUDENT PARTICIPATION AGREEMENT
I agree to comply with all RSU 1 policies, administrative procedures, and behavioral, disciplinary, attendance and other rules that apply to RSU 1 students participating in the co-curricular/extracurricular activity that is the subject of this application. Student's Signature Date