Please Print Name: _______________________________ Student ID _____________________

Office use only:

Emergency/Physical: Yes � No � Academics: Yes � No �

Eligibility/Parent Permission/Athl Code: Yes � No � ASB C ard: Yes � No �

Everett School District No. 2

BASKETBALL SAFETY GUIDELINES

High/Middle School

This school strives to protect each student from possible injury while engaging in school activities. The guidelines

and/or practices identified below have been established fo r this activity in order to protect the student and others

from injury and/or illness. Participants and their parents should recognize that conditioning, nutrition, proper

techniques, safety procedures, and well - fitting equipment are important aspects of this training program. Each

participant is expected to follow the directions/standards of the coach.

Travel to and from off - campus facilities shall be in accordance with the directions of the activity coach.

Guidelines are as follows:

1. Make certain that you wear all equipment that is issued by the coach. Advise the coach of any

poorly fitted or defective equipment.

2. Advise the coach if you are ill or have any prolonged symptoms of illness.

3. Advise the coach if you have been injured.

4. Engage in warm - up activities prior to strenuous participation.

5. Be alert for any physical hazards in the locker room or in or around the participation area.

Advise coach of any hazard.

6. Recognize the possible danger from such actions as "undercutting" a p layer, hanging on the

basket, and throwing a "wild" pass.

The above information has been explained to me and I understand the list of rules and procedures. I also

understand the necessity of using the proper techniques while participating in the basketb all program.

_______________________________________________ Date: ____________________

Athlete's Signature

_______________________________________________ Date: ____________________

Parent or Guardian's Signature

High/Middle School

Revised 7 /26/02