Interested in attending Bishop Ludden for the 2018-19 school year? Call (315) 579-0086 for information on how to apply!

Bishop Ludden Junior-Senior High School

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Athletics Registration

Please complete the form below. Mandatory fields marked *

Student Information
  1. Male Female
  2. mm/dd/yyy
Parent/Guardian Information
Emergency Contact Information
Medical/Dental Information
  1. Please Read and Agree to the Following Statement:
  2. I hereby give my consent for medical/dental treatment deemed necessary by physicians designated by school authorities and/or for transportation to a hospital emergency room for treatment for any illness or injury resulting from his/her athletic participation. I understand this authorization will only be enforced when I cannot be personally contacted and provide for immediate treatment.

HEALTH INFORMATION: Please ist any significant or on-going health conditions relevant to school or athletics (severe allergies/epi-pen, asthma, ADD, birth defects, diabetes, epilepsy, heart disease, vision or hearing problems, medications, etc.) Please enter N/A for no health issues.

Insurance Information * I have purchased an accident insurance plan from or am covered under a family medical plan.
I DO NOT have insurance, and I will assume responsibility for payment of expenses incurred in the event of injury to my son/daughter. Bishop Ludden Junior Senior High School will not be held responsible for any medical bills or debts resulting from any injury to the above named athlete while participating in any scrimmage or contest.
Statement of Agreement and Digital Signature
  1. Parent Statement:
  2. I UNDERSTAND THAT MY SON/DAUGHTER MAY BE INJURED WHILE PARTICIPATING IN SCHOOL SPONSORED ATHLETICS. I HEREBY GRANT PERMISSION TO THE TEAM PHYSICIAN AND CERTIFIED ATHLETIC TRAINER TO ADMINISTER ANY PREVENTATIVE, FIRST AID OR EMERGENCY TREATMENTS THAT THEY DEEM REASONABLY NECESSARY TO THE HEALTH AND WELL-BEING OF MY STUDENT ATHLETE. I UNDERSTAND THE CERTIFIED ATHLETIC TRAINER MAY OFFER MY STUDENT ADVICE CONCERNING NUTRITION, HYDRATION, ULTASOUND, ELECTRICAL STIMULATION, AND WHIRLPOOL TREATMENT.
  1. Student Statement:
  2. I UNDERSTAND THAT I MAY BE INJURED WHILE PARTICIPATING IN SCHOOL SPONSORED ATHLETICS. I HEREBY GRANT PERMISSION TO THE TEAM PHYSICIAN AND CERTIFIED ATHLETIC TRAINER TO ADMINISTER ANY PREVENTATIVE, FIRST AID OR EMERGENCY TREATMENTS THAT THEY DEEM REASONABLY NECESSARY TO MY HEALTH AND WELL-BEING.