Athletic Team Permission & Payment Form Fall Teams

Important information to note:

Practices and contests may sometimes take place off-site. These venues include opposing schools, running trails, fields, and others.
Athlete MUST be in 100% BVG attire at ALL practices and contests. Should your child require a sweatshirt/jacket or pants at practice, these must also be Bayview Glen track suits or sweatshirts and sweatpants. No other clothing will be allowed. Full Track suits MUST be worn for all games (home and away).
For Soccer and Basketball, it is STRONGLY recommended that athletes wear a mouthguard.
Athletes must attend all practices, games, playoffs and championships, excluding illness absences and pre-approved absences.

Player Information

Player First Name: *

Player Last Name: *

Date of Birth * +

Player Grade *

Player Team: *

Parent 1 Name *

Parent 1 Phone Number: *

Parent 2 Name

Parent 2 Phone Number:

Emergency Contact Name: *

Emergency Contact Phone Number: *

Parent Email Submitting Form "Payment Receipt Emailed To This Address" *

Permission to Participate in Bayview Glen's Athletic Program: *

Give Consent

Decline Consent

Health Card Number: *

My child has suffered a concussion in the past, if yes, please describe the details, date, and severity of the injury. *

Yes my child has suffered a concussion in the past

No my child has never suffered a concussion

Please provide details, indicate the date and severity *

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Anaphylaxis/Epipen Necessary? *

Yes

No

If Yes, Please Indicate Allergies *

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Asthma: *

Yes

No

Inhaler expected to be with child at all times? *

Yes

No

Other Pertinent Medical Information

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The following non-parent individuals are authorized to collect my child from practices or contests:

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Please indicate other dismissal arrangements (for example- authorized to take the TTC, leave school on their own, etc.):

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