Acknowledgment Form

Athletic Code of Conduct

Please Print Full Name

STUDENT’S NAME____________________________________________ Class of:___________
Last First Middle (Year of Graduation)

Statement to be signed by student and parent/guardian:

I have received a copy of The Athletic Handbook and I have read the Athletic Code of Conduct covering participation in athletic programs offered by the Huron Valley Schools. I understand the guidelines and I accept my personal responsibility for following all rules contained therein. I understand this code applies to my entire athletic career as a Huron Valley athlete.

______________________________________________Date:_____/_______/______

(Student Signature)

I acknowledge receiving The Athletic Handbook and the Athletic Code of Conduct covering participation in athletic programs offered by the Huron Valley Schools. I accept my responsibility for helping my son/daughter live up to the guidelines. I understand this code applies to my son’s/daughter’s entire athletic career as a Huron Valley athlete.

______________________________________________Date:_____/_______/______

This form must be signed and placed on file in the Athletic Department office as a first condition of participating in athletic programs sponsored by the Huron Valley Schools

(Parent/Guardian Signature)