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  Westborough Public Schools

2012-2013 School Activity Participation Registration Form

Register Now....Pay After Tryouts or Activity Selection....  

What are the fees:

Westborough High School Students:  $200 per activity 

Gibbons Middle School Students:  $200 per activity

Maximum Family Contribution:  $500 per family

 

  All New Procedures:

All students who attend the Gibbons Middle School or the Westborough High School must submit an Activity Participation Registration Form in order to participate in any athletic or school related activity (including intramural sports at the Middle School).  Please Note:  Activity Fee Payments Do Not have to be paid prior to tryouts.   The District Billing Coordinator will send Activity Fee Invoices based on rosters and attendance records from coaches.  All activity fee payments must be received within 30 days of the date on your invoice or your child will not be permitted to participate in his/her activity.  Students with an outstanding balance from previous activities will be unable to participate until the balance is paid.

Health Forms for 7th and 8th grade students should be brought/sent directly to the Gibbons Middle School and health forms for 9th - 12th grade students should be brought/sent directly to the Westborough High School.  Please make sure you direct these forms to the school nurse. 

 

 






Items denoted with a red asterisk * are required.
 *  
 
What Spring 2013 activity / sport are you trying out for or signing up for?
 * Participant Last Name:
 
 * Participant First Name
 
 * Grade in '12-'13
 
 * Home Address:
 
 * Home Phone Number:
 
 -  - 
(XXX)-XXX-XXXX
Cell Phone Number:
 
 -  - 
(XXX)-XXX-XXXX
 * Parent Email Address:
 
Student Email Address:
 
 * Participant D.O.B.
 
Mother's Name:
 
Father's Name:
 
 * In case of emergency, please contact:
 
 * Emergency Contact's Home Phone:
 
 -  - 
(XXX)-XXX-XXXX
 * Emergency Contact's Work/Cell Phone:
 
 -  - 
(XXX)-XXX-XXXX
 
 
CONSENT AND RELEASE FORM
*Each participant must affirm acceptance of the contents of the Consent and Release form prior to participation. I do hereby consent to my/my child’s participation in voluntary athletic or activity programs of the Westborough Public Schools. I also agree to forever release the Westborough Public Schools, the Westborough Community Education Program, the School Committee, and all individuals and organizations assisting or participating in voluntary athletic or activity programs of the Westborough Public Schools (“the Releasees”) from any and all claims, rights of action and causes of action that may have arisen in the past, or may arise in the future, directly or indirectly, from personal injuries to my child or property damage resulting from my child’s participation in the Westborough Public Schools voluntary athletic or activity programs. I also promise, to indemnify, defend, and hold harmless the Releasees against any and all legal claims and proceedings of any description that may have been asserted in the past, or may be asserted in the future from my child’s participation in the Westborough Public Schools voluntary athletic or athletic programs. I further affirm that I have read this CONSENT AND RELEASE FORM and that I understand the contents of this form. I understand that my child’s participation in these programs is voluntary and that my child and I are free to choose not to participate in said programs. By signing this form, I affirm that I have decided to allow my child to participate in the Westborough Public School’s athletic or activity programs with full knowledge that the Releasees will not be liable to anyone for personal injuries and property damage my child or I may suffer in voluntary athletic or activity programs. In addition, I herby give my consent for the above named student: 1. To represent his/her school in approved activities; 2. To accompany any school group of which she/he is a member on its local or out-of-town trips; 3. To receive, thorough a medical doctor of the school's choice, emergency medical care which may become reasonably necessary in the course of activities or travel. I further agree not to hold the school or anyone acting in its behalf responsible for any injuiry occurring to the above named student in the proper course of activities or travel.
 *  
 
Consent and Release Affirmation of Acceptance

WPS Student Athlete Handbook
 
By checking "Yes" below, parents and student athletes acknowledge they have read the WPS Student Athlete Handbook found on the WHS Athletics Website.
 * WPS Student Athlete Handbook Acknowledgement
 


Concussion Education
 
By checking "Yes" below, parents and student athletes acknowledge they have been provided educational materials regarding concussions on the WHS Athletics Website.

 * Concussion Education Provided
 


Parents/Guardians please digitally sign by typing in your full name.
 
 
 
Print a copy of this form now, then press "send". Please retain a copy for your records.

Receipts will be mailed at least 24 hours before the first tryout.