SIMSBURY HIGH SCHOOL
DEPARTMENT OF ATHLETICS AND STUDENT ACTIVITIES Dane Street, Director 34 Farms Village Road, Simsbury, CT 06070 860-658-0451 ext. 190
[email protected] Spring Sports Pay-to-Participate Form Date registration forms and fee due in the Athletic Office: Crew and Rugby: March 7, Baseball: March 14 All other spring sports: March 20
1) The pay-to-participate fee is $175.00 per season per athlete for each of the following sports. Make checks payable to Simsbury High School. ATTACH payment to this form. The fee must be paid in advance of any tryout or practice. If an athlete does not make the team his/her fee will be refunded. Circle one: Baseball Softball
Crew (Boys) Crew (Girls)
Rugby (Boys) Rugby (Girls)
Golf (Girls) Golf (Boys)
Lacrosse (Girls) Lacrosse (Boys)
Tennis (Girls) Tennis (Boys)
Track (Boys) Track (Girls)
Volleyball (Boys)
2) Complete this information: Print Student’s Name ____________________________________________ Print Parent(s)/Guardian(s) Name __________________________________ Parent(s)/Guardian(s) Signature____________________________________ DATE ________________________________________________________ 3) Student has a current physical examination on file with the Health Office 4) Please attach a signed copy of the Sports Contract 5) Please attach a completed Athletic Emergency Information Form, if student didn’t play a fall or winter sport.