24-25 Basketball Permission Slip

ST. TIMOTHY CATHOLIC SCHOOL BASKETBALL REGISTRATION & PERMISSION FORM

1515 Dolan Avenue • San Mateo, CA 94401

(4th - 8th Grade Boys and Girls)

PLEASE COMPLETE BOTH SIDES

Welcome to the St. Timothy School 2024-2025 basketball season. Boys and girls in grades 4-8 who attend St. Timothy School, the St. Timothy Parish and the St. Luke Parish Faith Formation Programs, or the faith formation program of another neighboring Catholic parish that does not have a school (with consent of both pastors and principal) are eligible to participate. The basketball program will begin in November/December. Typically there will be two practices and a game each week when the season begins.

To register your child, please read and sign both sides of this form and return it to the school office by Friday, October 20.

General Information:

Participation in St. Timothy’s basketball begins in November and runs through March
Please understand that we may have evaluations as we approach the season, to help us build our rosters.
Your signed registration form/permission slip must be returned to the school by Friday, October 18
Payments will be automatically deducted via FACTS under incidental billing in November.
Coaches are needed! All coaches will be submitted to the school and Sports Club Members for review and must complete background checks and fingerprinting.

Cost:

The participation fee is $140 ($50 less than last year) which goes towards covering any league costs, as well as program specific equipment. Fundraising efforts will be made to help minimize costs moving forward.
We will be purchasing uniforms this year and all families that return their uniforms in good repair will receive a discount for the following year. (This will help us move to a more cost-effective system in which the school owns the uniforms and loans them out each season.)

beehively-posting-id

Uniforms (Jersey Size)*

Youth XS Adult SYouth S Adult MYouth M Adult LYouth XL Adult XXL

Uniforms (Short Size)*

Youth XS Adult SYouth S Adult MYouth M Adult LYouth XL Adult XXL

Player/Parent Participation Agreement

All parents and players must read, agree to, and initial all items on the Player/Parent Participation Agreement.

We Acknowledge and Agree to the Following*

	Player Initials	Parent Initials
It is an academic requirement of St. Timothy School that each student maintains a “C-” or higher in all academic subjects and a “2” or higher in Learning Skills and Behavioral Expectations to be eligible to participate in the sports program.
Transportation to and from practices and games will be the full obligation of the parents (not coaches).
I agree to pay for equipment lost, damaged by neglect, misused by me/my child.
I agree to participate in all the games in the FULL team uniform provided. No substitutions of alternate attire will be accepted. I understand that not complying with uniform policy may result in being removed from the team without warning.
Coaches are all volunteers and require the full support, cooperation, and participation of both players and parents. Coaches will follow a “positive coaching” model.
It is my/our responsibility to follow all school and Archdiocesan rules while representing St. Timothy School -- including all COVID-19 protocols and good sportsmanship -- as a member of a team.

Preffered Family Email*

example@example.com

Phone Cell*

Please enter a valid phone number.

Secondary Email

example@example.com

Player Signature*

Parent Signature*

ACTIVITY (Describe in detail, including time, place, and transportation):

St. Timothy Catholic School 2024-2025 Basketball Program. Practices and games: November 2024-March 2025.

Child's Name*

Parish

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Home Phone

Please enter a valid phone number.

School

Grade (In Fall 2024)

Birth Date*

PARENT/GUARDIAN'S NAME(S):

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone

Please enter a valid phone number.

Name*

Phone*

Please enter a valid phone number.

I, the parent/guardian of the above-named child, hereby give my permission for his/her participation in the activity named above. I agree to direct my child to cooperate and conform with the directions and instructions of the parish, school, or Archdiocesan personnel responsible for the activity.

I agree, to the extent permitted by law, that in the event my child is injured as a result of his/her participation in the above-named activity, including but not limited to transportation to and from the activity, whether or not caused by the negligence (active or passive) of the parish/school or Archdiocesan youth activities program, or any of its agents or employees, recourse for the payment of any resulting hospital, medical, or related costs and expenses will first be had against any accident, hospital or medical insurance, or any available benefit plan of mine or of my spouse.

I am not aware of any medical condition of my child which would render it inappropriate for him/her to participate in any such activity.

I hereby give permission to the physician selected by the youth activities supervisory personnel then present to render medical treatment deemed necessary and appropriate by the physician.

Further, I hereby waive any and all rights to, or compensation for, any photographs, videotapes, motion pictures, recordings, or any other record of this event or activity which may be made by the Archbishop/Parish/School/Agency and affiliate organizations.

Parent/Gurdian's Signature*

Date*

Other Parent/Guardian's Signature(if applicable)

Date

ST. TIMOTHY CATHOLIC SCHOOL BASKETBALL REGISTRATION & PERMISSION FORM

PLEASE COMPLETE BOTH SIDES

General Information:

Cost:

THE ARCHDIOCESE OF SAN FRANCISCO

Person (Other Than Parent/Guardian) To Notify In Case Of Emergency