NEBO REGISTRATION SHEET - Nebo School District
NINTH GRADE PARTICIPATION IN HIGH SCHOOL ATHLETICS Sibling Exception: Sibling’s Name__________________________ In accordance to Nebo School District’s Student Enrollment and School Transfer Policy (JECB), Section 6.7: “Ninth grade students can only participate on the high school teams and programs in which boundaries the student resides. The student’s resident school is determined by the address of their custodial parent(s)/legal guardian(s) and the school boundary area associated with that address.”
STUDENT NAME:
Employee Exception: Parent’s Name_______________________
STUDENT #
Date of Birth: ______ / ______ / ______
M F
GRADE:
Home Phone: (____) _______________Cell Phone: (____) _______________ Date Enrolled:
Physical Address:
City:
Zip:
Mailing Address (if different than address):
Physical Custodial Parent(s) / Guardian(s): Please check applicable box 1. I am the parent (biological or adopted) of this child and the child lives with parent(s). 2. I am the parent (biological or adopted) of this child and am not currently living with the other parent, but I have been awarded physical custody/guardianship through the court. (Please provide us with a copy of the most current legal documents) 3. I am the parent (biological or adopted) of this child and am not currently living with the other parent. I have not been awarded physical custody through the court. 4. I am not the parent (biological or adopted) of this child. I am a relative or friend. (If selected, please choose one of the following): a. I have been awarded legal guardianship of this child through the court. (Verification of court order or DCFS placement must be provided prior to student playing up) Please see “Note” below, #2. b. I have NOT been awarded legal guardianship of this child through the court. 5. I am a foster parent. (DCFS placement documentation must be provided prior to student playing up) 6. I am a proctor parent with an agency licensed with the state. (legal documentation must be provided prior to student playing up) 7. None of the above statements describe my relationship to this student. (Please explain your relationship to this child)
Section 2 (Document must show current address)
Section 1
All applicants (except for Sibling or Employee exceptions) shall submit at least one (1) document from Section 1 and one (1) from Section 2. Copy of Mortgage Agreement AND/OR record of most recent Legal Affidavit from landlord affirming tenancy AND record of most mortgage payment. recent rent payment, if available, or a statement in body of Affidavit Copy of Lease/Rental Agreement AND/OR record of most that the family is living there free of charge and for what period of recent rent payment. time. Dated within the past sixty (60) days: Valid driver license. Letter from approved government agency, such as assisted Current vehicle registration. housing, food stamps, or unemployment payments. Valid Utah photo identification card. Payroll stub. Valid passport. Bank or credit card statement. Voter registration documentation. Utility bill or work order such as: Church or religious records. Gas bill. Dated within the past year: Electric bill. W-2 form. Home telephone or cell phone bill. Excise (vehicle) tax bill. Cable bill. Property tax bill. Change of address form for U.S. mail.
Current Jr. High
Sport
High School
Student Signature:
Date: Printed Name
Signature
Parent/Legal Guardian Signature:
Date: Printed Name
Signature
Coordinator of School Services Approval (For Sibling and Employee Exceptions only): ____________________________ Date: ______________ Note: In accordance to the UHSAA Guidelines, the following rules apply: 1. Participation at the resident high establishes First Entry and Initial Eligibility. 2. An exception created for students seeking legal guardianship is intended to apply only to those situations in which a bona fide guardian has been appointed by a court of competent jurisdiction for the best interests of the student. Should it appear that a guardian has been appointed or established for the purpose of avoiding the transfer rule; the Association may ignore the guardianship and examine the transfer as if no guardian existed. The document must indicate the date of appointment, powers conferred and whether the guardian was appointed due to death, incompetence, or unsuitability of the parents. For the purposes of this athletic eligibility, a power of attorney does not suffice, nor does a district or school guardianship. 07/2016
STUDENT NAME:
Employee Exception: Parent’s Name_______________________
STUDENT #
Date of Birth: ______ / ______ / ______
M F
GRADE:
Home Phone: (____) _______________Cell Phone: (____) _______________ Date Enrolled:
Physical Address:
City:
Zip:
Mailing Address (if different than address):
Physical Custodial Parent(s) / Guardian(s): Please check applicable box 1. I am the parent (biological or adopted) of this child and the child lives with parent(s). 2. I am the parent (biological or adopted) of this child and am not currently living with the other parent, but I have been awarded physical custody/guardianship through the court. (Please provide us with a copy of the most current legal documents) 3. I am the parent (biological or adopted) of this child and am not currently living with the other parent. I have not been awarded physical custody through the court. 4. I am not the parent (biological or adopted) of this child. I am a relative or friend. (If selected, please choose one of the following): a. I have been awarded legal guardianship of this child through the court. (Verification of court order or DCFS placement must be provided prior to student playing up) Please see “Note” below, #2. b. I have NOT been awarded legal guardianship of this child through the court. 5. I am a foster parent. (DCFS placement documentation must be provided prior to student playing up) 6. I am a proctor parent with an agency licensed with the state. (legal documentation must be provided prior to student playing up) 7. None of the above statements describe my relationship to this student. (Please explain your relationship to this child)
Section 2 (Document must show current address)
Section 1
All applicants (except for Sibling or Employee exceptions) shall submit at least one (1) document from Section 1 and one (1) from Section 2. Copy of Mortgage Agreement AND/OR record of most recent Legal Affidavit from landlord affirming tenancy AND record of most mortgage payment. recent rent payment, if available, or a statement in body of Affidavit Copy of Lease/Rental Agreement AND/OR record of most that the family is living there free of charge and for what period of recent rent payment. time. Dated within the past sixty (60) days: Valid driver license. Letter from approved government agency, such as assisted Current vehicle registration. housing, food stamps, or unemployment payments. Valid Utah photo identification card. Payroll stub. Valid passport. Bank or credit card statement. Voter registration documentation. Utility bill or work order such as: Church or religious records. Gas bill. Dated within the past year: Electric bill. W-2 form. Home telephone or cell phone bill. Excise (vehicle) tax bill. Cable bill. Property tax bill. Change of address form for U.S. mail.
Current Jr. High
Sport
High School
Student Signature:
Date: Printed Name
Signature
Parent/Legal Guardian Signature:
Date: Printed Name
Signature
Coordinator of School Services Approval (For Sibling and Employee Exceptions only): ____________________________ Date: ______________ Note: In accordance to the UHSAA Guidelines, the following rules apply: 1. Participation at the resident high establishes First Entry and Initial Eligibility. 2. An exception created for students seeking legal guardianship is intended to apply only to those situations in which a bona fide guardian has been appointed by a court of competent jurisdiction for the best interests of the student. Should it appear that a guardian has been appointed or established for the purpose of avoiding the transfer rule; the Association may ignore the guardianship and examine the transfer as if no guardian existed. The document must indicate the date of appointment, powers conferred and whether the guardian was appointed due to death, incompetence, or unsuitability of the parents. For the purposes of this athletic eligibility, a power of attorney does not suffice, nor does a district or school guardianship. 07/2016
