Debate Team Notarized Permission Form

Dear Parents:

We want to provide a safe and successful tournament experience for the SPHS Debate Team. To do so, we ask you to read the following information carefully, and sign at the bottom, providing all the required insurance and contact information.  Thank you! We hope to see you at some of the tournaments this year. (We can always use judges!)

1.I understand that if my child breaks any of the rules in the school’s Student Code of Conduct or any rule set down by a coach or an adult judge, I may be called and asked to take my child home. This is true for overnight tournaments as well.

2. I verify that the health insurance below is current. I will notify the coach if there are any changes.  (The school insurance is required for all extracurriculars. Go to the web site www.k12studentinsurance.com to purchase it.)

3. I understand and agree to allow my student to travel in the car of an adult judge or driver. I agree to release the driver, Ms. Davis, and St. Petersburg High School from any and all liability. If you will drive your student to and from all tournaments, then you may cross this part out and initial it.

4. This form will serve as a permission slip for all Debate-related activities for the entire year, including fundraisers and out-of-town tournaments.

5. I agree to furnish the coaches with the necessary medical information about my child as needed.

6. I have thoroughly read and agree with the parent information form provided.

7. If I am picking my student up at the end of a tournament, I understand that I must do so on time. If I am 15 minutes late, I understand that my child will be placed in a taxi home at my expense.

I give my permission for my son/daughter, ___________________________________
to attend Debate activities with the St. Petersburg High School Debate Team.  I approve any emergency medical treatment by a hospital and/or a physician for my son/daughter named above. I will assume financial responsibility for any bills incurred.

 I also agree that photos of my child during Debate events may be used without identification on the team website and in class and parent presentations.

Print parent/guardian name clearly:_________________________________________________

Home phone:___________________________Work phone:_____________________________

Cell phone:____________________________________________________________________

Number to call if we MUST reach you:______________________________________________
                                                                        (Over)
Please specify any health problems your child has, or medications that your child must take:____________________________________________________________________________________________________________________________________________

Your Insurance Company__________________________________________________

Insurance address:________________________________________________________

Signature of parent/guardian_________________________________________________

Date:___________________________________________________________________

Notary Seal and signature:__________________________________________________

PLEASE ATTACH PROOF OF YOUR HEALTH INSURANCE AND PROOF OF YOUR SCHOOL INSURANCE