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ANALY HIGH SCHOOL

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As a condition of membership in the CIF, all schools shall adopt policies prohibiting the use and abuseof androgenic/anabolic steroids. All member schools shall have participating students and their parents,legal guardian/caregiver agree that the athlete will not use steroids without the written prescription of afully licensed physician (as recognized by the AMA) to treat a medical condition (Bylaw 524).By signing below, both the participating student-athlete and the parents, legal guardian/caregiver herebyagree that the student shall not use androgenic/anabolic steroids without the written prescription of afully licensed physician (as recognized by the AMA) to treat a medical condition. We also recognizethat under CIF Bylaw 200.D., there could be penalties for false or fraudulent information. We alsounderstand that the Analy High School/WSCUHS District policy regarding the use of illegal drugs willbe enforced for any violations of these rules._______________________________________________Signature of Athlete______________________Date_______________________________________________Signature of Parent/Caregiver________________________DateVERIFICATION OF INSURANCE FOR ATHLETIC PARTICIPATIONI certify that the named student is covered by insurance.The name of the insurance company is _____________________________________________I have either purchased the extra insurance for football coverage offered through the school, or I amsatisfied with the coverage that my insurance provides. I hereby give authorization for my son/daughterto participate in athletics, including traveling with the coach to athletic events__________________________________________Parent/guardian signature______________DateVERIFICATION OF LEGAL RESIDENCEI certify that the address listed here is the correct legal residence of the above student._____________________________________________________________________________Street Address___________________________________________________________________________City, State, Zip_______________________________________Parent/Guardian signature_________________Date

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