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Safety Guidelines for Secondary Interschool Athletics in Alberta

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APPENDIX A - Sample <strong>Secondary</strong> <strong>Interschool</strong> Athletic Activity Parent<br />

In<strong>for</strong>mation Letter<br />

This is a sample letter to provide parents/guardians of student athletes with <strong>in</strong><strong>for</strong>mation they require to<br />

provide <strong>in</strong><strong>for</strong>med consent about their child’s/ward’s participation <strong>in</strong> an <strong>in</strong>terschool athletic program.<br />

Parents should be <strong>in</strong><strong>for</strong>med to read and reta<strong>in</strong> this <strong>in</strong><strong>for</strong>mation <strong>for</strong> their reference while return<strong>in</strong>g the<br />

<strong>for</strong>m with contact <strong>in</strong><strong>for</strong>mation, medical history and consent signatures to the school. If the student<br />

athletes will be travell<strong>in</strong>g to <strong>in</strong>terschool athletic activities the letter and <strong>for</strong>m can conta<strong>in</strong> the<br />

transportation <strong>in</strong><strong>for</strong>mation and transportation consent. If the student athletes are not go<strong>in</strong>g off-site, this<br />

can be omitted.<br />

To Parent(s)/Guardian(s)<br />

Please read the contents of this <strong>in</strong><strong>for</strong>mation letter be<strong>for</strong>e sign<strong>in</strong>g and return<strong>in</strong>g the attached medical<br />

history <strong>for</strong>m and consent <strong>for</strong>m. Clarify any concerns with the teacher/coach or pr<strong>in</strong>cipal be<strong>for</strong>e sign<strong>in</strong>g.<br />

If the consent <strong>for</strong>m is not signed and returned to the school by (day/month/year), the student athlete<br />

named below will not be allowed to participate <strong>in</strong> the <strong>in</strong>terschool activity. Please keep this letter <strong>for</strong> your<br />

future reference.<br />

Description of <strong>Interschool</strong> Activity:_____________________________________________________<br />

Practice Location(s):_________________________________________________________________<br />

Practice Schedule:___________________________________________________________________<br />

Competition Schedule and Locations:<br />

The ___________Team will be compet<strong>in</strong>g at the follow<strong>in</strong>g schools/sites:<br />

Date Time Location<br />

Teacher/coach In Charge: ______________<br />

Phone:________________<br />

E-mail:________________<br />

Other Teachers/Coaches:_________________<br />

Phone:____________________<br />

E-mail:____________________<br />

Cont<strong>in</strong>ued on next page<br />

68<br />

<strong>Safety</strong> <strong>Guidel<strong>in</strong>es</strong> <strong>for</strong> <strong>Secondary</strong> <strong>Interschool</strong> <strong>Athletics</strong> <strong>in</strong> <strong>Alberta</strong> - February 2012

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