EMMAUS LUTHERAN SCHOOL

Form: Athletics Permission Slip

Form: Athletics Permission Slip

Student Information

Parent or Guardian Information

Medical Information

Sports Information

$
Transportation

Coaches, parents, and students will work together to insure that all students can be transported to away games. The use of private care will be a necessity, and proper paperwork will be completed by all drivers and returned to the office upon departure. The coaches will notify parents/students at least twenty-four (24) hours in advance of ride assignments, departure and arrival times, and location/maps of activities.

Payment Information

$
Make Check Payable to:
Emmaus Lutheran School

Mail your Check to:
Emmaus Lutheran School
40 South Almansor Street,
Alhambra, California 91801

Authorization Information

The undersigned hereby requests and gives permission to allow: above mentioned student to participate in the above mentioned sports activity.

I, the undersigned, waive and release any and all rights and claims for damages I may have against Emmaus Lutheran School and all staff members of the 2017-2018 Sports Program. I acknowledge that I am aware of the risk involved and that the above participating student is in good health and in case of medical emergency I authorize the coaching/school staff to obtain medical/dental care for the participant named above.

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Emmaus Lutheran School | 840 South Almansor Street, Alhambra, Ca. 91801 | 626-289-3664