ABOUT THE STUDENT
I give permission to the school nurse to share information relevant to my child’s health condition with appropriate school and/or emergency medical personnel when needed to meet my child’s health and safety needs. I give permission to exchange information with my child’s primary care physician for the purpose of referral, diagnosis and treatment. I give permission for emergency medical treatment.
AUTHORIZATION AND PERMISSION TO FIELD TRIPS
I, the parent guardian of:
PARENT/GUARDIAN PERMISSION TO PARTICIPATE IN PHYSICAL EDUCATION AND ATHLETICS PROGRAM
Medical documentation of participant’s restrictions is required.
In order to be accepted onto a team and participate in practice and sports events, a student is required to have a current physical exam, less than one year old, that states he/she may participate fully in sports and specifies any limitations.
STUDENT DEMOGRAPHIC INFORMATION
Schools are required to annually report race and ethnicity data of students to the State/ Schools are asked by the Massachusetts Department of Elementary and Secondary Education to request parents/guardians or students to self-identify on the basis of race and ethnicity. However, this identification cannot be required of a parent, guardian, or student. Completion of this form is voluntary.