Online Medical/Code of Conduct Form

Please complete the following form to be submitted online to Elgin Park Athletics. This constitutes printable forms #1 and #2.

If you do not wish to complete the form online, a printable version of the Medical Form and Athlete Code of Conduct Form can be found under the "Printable Forms" tab in the menu bar.

Regardless of the format, it is vitally important that this form is completed as many of the sports offered at Elgin are contact sports which may result in injury. Please be assured that all teams will be provided with first aid supplies appropriate to the sport. Coaches have also been made aware of safety procedures and protocols to follow in case of any injury.

All athletes must complete the "Higher Risk - Consent and Liability Form" and the "Player Information Form".

Athlete Medical Information & School Code of Conduct Acknowledgement

* Indicates required field

Students Name *

First

Last

Grade *

Birthdate (DD/MM/YYYY) *

Care Card Personal Health # *

Name of Parent/Guardian *

Home Number *

Cell Number *

Business Number *

Emergency contact other than parents

Name *

Phone Number *

Medical Concers/Allergies & Treatment *

I, the parent/guardian of the above named student, have submitted accurate information and give permission to my child to participate in Elgin Park's Athletic Program. I understand that there is the potential of injury and that safety procedures are in place to ensure the well being of my child. I also agree to give permission to the coach to find and provide appropriate medical care to my child if required. *

Agree

Acknowledgement of code of Conduct

By checking the box below, you acknowledge that both the athlete and their parent/guardian have read and agree to the Student-Athlete Code of Conduct (click below to read) *

We agree to the Student-Athlete Code of Conduct

Please indicate which sport student is participating in *

Submit

Student-athlete Code of conduct