Athletics Registration – Danvers Public Schools

Student Information - To be completed by either student or parent/guardian
Student Name * Required
First Last
Home Address * Required
Date of Birth * Required
MM slash DD slash YYYY
Gender * Required
School Affiliation * Required
Year of Graduation * Required
Current Grade Level * Required
Sport
Sport
Sport
Contact Information (Non-Emergency)
Contact Name * Required
Typically a parent or guardian.
First Last
Relationship * Required
Contact Phone * Required
Contact Email * Required
The receipt and confirmation for this registration will be sent to this email address at completion of the process.
Emergency Contacts
In case of emergency, please contact: * Required
Must list at least two emergency contacts. Click the (+) button to add more.
NAME PHONE RELATIONSHIP
Insurance Information
Family Health Insurance Plan/Provider * Required
Policy Number * Required

Save and Continue Later

Athletic Program Guide - To be completed by both student and parent/guardian
Download (PDF, 160KB)
Click the checkbox to continue * Required
- I have read and understand the content of this page.

Save and Continue Later

Clearance Procedure - To be completed by both student and parent/guardian
Download Clearance Form or Open Clearance Form in Browser
Click the checkbox to continue * Required
- I have read and understand the content of this page.

Save and Continue Later

Activity Fees - To be completed by both student and parent/guardian

INTERSCHOLASTIC - SPORTS	FEE
Football	$245.00
Ice Hockey	$245.00
Swimming	$245.00
Golf	$245.00
Girls’ Lacrosse	$245.00
Boys’ Lacrosse	$245.00
Wrestling	$245.00
Baseball	$185.00
Softball	$185.00
Girls’ Basketball	$185.00
Boys’ Basketball	$185.00
Field Hockey	$185.00
Gymnastics	$185.00
Girls’ Soccer	$185.00
Boys’ Soccer	$185.00
Boys’ Spring Track	$155.00
Girls’ Spring Track	$155.00
Girls’ Winter Track	$155.00
Boys’ Winter Track	$155.00
Ice Hockey Cheerleaders	$155.00
Basketball Cheerleaders	$155.00
Football Cheerleaders	$155.00
Boys’ Tennis	$155.00
Girls’ Tennis	$155.00
Cross Country	$155.00
Volleyball	$185.00
Middle School Field Hockey	$100.00
Middle School Cross Country	$100.00
Middle School Outdoor Track	$100.00

Please pay online or make your check payable to “Danvers Public Schools” and submit to the athletic director or the co-curricular advisor before the start of the program.

If the activity fee will create a financial hardship for your family, send a note to your child’s building principal explaining your hardship. All requests for waivers will be kept confidential.

Below are the guidelines adopted by the School Committee:

FAMILY MAXIMUM
Seven hundred and forty dollars ($740) per family. The burden of control is on the family. Each family is responsible for notifying the business office at 978-774-4800 when the maximum has been realized.

REFUNDS
No refunds will be given under the following conditions: Interscholastic – after making the team and attending one practice. Intramural – after participating in one game. Fine Arts Activities – after making the production and attending one practice.

PLAYING TIME
Paying an activity fee does not guarantee any amount of playing time.

MINIMUM NUMBER OF PARTICIPANTS
The school administration may terminate an activity when there is an insufficient number of participants. In the event an activity is terminated, the activity fee will be refunded.

We regret having to impose these fees, however, we feel this is a better alternative than terminating school athletics and fine arts activities.

If your child does not make a team and chooses not to participate in another sport during that season, the family may request a refund of the registration fee by emailing the Athletic Office at morgansitarz@danvers.org.
Click the checkbox to continue * Required
To find these activity fees again, you may visit our activity fee page at any time.
- I have read and understand the content of this page.

Save and Continue Later

Parent Permission Form - To be completed by parent/guardian
Participation in athletics is inherently dangerous. Even when all reasonable precautions are taken, students can be and, indeed, may be injured. All students participate in athletics voluntarily with the permission of their parents. Along with this participation, the students and their parents accept the inherent risks to which the students expose themselves.

In order that there be no misunderstandings as to policy of the Danvers Public Schools with regard to the treatment of athletic injuries; the following statement of policy is issued:

The School Department does not assume liability for expenses, medical or otherwise, incurred as a result of participating in interscholastic sports. Precautions are taken for the safety of students, including the providing of high quality safety equipment.

We the undersigned father and mother or guardian(s) of above student, a minor, do hereby consent to his/her participation in voluntary athletic programs and do forever RELEASE, acquit, discharge, and covenant to hold harmless the Town of Danvers, a municipal corporation of the State of Massachusetts, and its successors, departments, officers, employees, servants, and agents, of and from any and all actions, causes of action, claims, demands, damages, costs, loss of services, expenses and compensation on account of, or in any way growing out of, directly or indirectly, all known and unknown personal injuries or property damage which we/I may now or hereafter have as the parent(s) or guardian(s) of said minor, and also all claims or right of action for damages which said minor has or hereafter may acquire, either before or after he/she has reached his/ her majority resulting or to result from his/her participation in the voluntary athletic programs of the Danvers Public Schools’ Department of Athletics; FURTHERMORE, we/I hereby agree to protect the Town of Danvers and its successors, departments, officers, employees, servants and agents against any claim for damages, compensation or otherwise on the part of said minor growing out of or resulting from injury to said minor in connection with his/her participation in the voluntary athletic programs of the Danvers Public Schools’ Department of Athletics, and to INDEMNIFY, reimburse or make good to the Town of Danvers or its successors, departments, officers, employees, servants and agents any loss or damage or costs, including attorney’s fees, the Town or its representatives may have to pay if any litigation arises from said minor’s intentional, grossly negligent, or reckless acts or omission while participating in said sports programs.

Also, by signing this form, we acknowledge that we have read and understand the Danvers High School Athletic Department rules, regulations, and policies.
Parent/Guardian Name * Required
First Last
Relationship * Required
The use of online signatures requires a modern browser such as Chrome, Firefox or Safari. Support for Microsoft IE may vary by version and OS. You may also use a touch-compatible smartphone or tablet.
Parent/Guardian Signature * Required

Save and Continue Later

Health Physical - To be completed by parent/guardian
YOU CAN UPLOAD YOUR CHILD’S CURRENT PHYSICAL FROM A PHYSICIAN BELOW USING THE FILE UPLOADER OR BY SUBMITTING A HARD COPY EITHER BY MAILING IT OR BRINGING IT TO THE ATHLETIC DEPARTMENT.

**IF YOUR CHILD REQUIRES THE USE OF AN EPIPEN, INHALER, OR OTHER HEALTH AID FOR SPECIFIED MEDICAL PURPOSES, AND/OR IF YOU HAVE A SPECIFIC HEALTH CONCERN REGARDING YOUR CHILD, PLEASE INFORM THE COACH AND THE TRAINER.
Upload Physical
Please only upload files in PDF, JPEG or PNG format.
Drop files here or

Accepted file types: jpg, png, pdf, Max. file size: 50 MB.
Special Consideration
- Please check here if your child requires the use of epipen, inhaler or other health aid for specified medical purpose

Save and Continue Later

Pre-Participation Head Injury/Concussion Reporting - to be completed by parent/guardian
Has student ever experienced a traumatic head injury (a blow to the head)? * Required
- Yes
- No
If yes, when? * Required
Gives dates in MM/YYYY format.
Has student ever received medical attention for a head injury? * Required
- Yes
- No
If yes, when? * Required
Gives dates in MM/YYYY format.
Please describe the circumstances. * Required
Was student diagnosed with a concussion? * Required
- Yes
- No
If yes, when? * Required
Gives dates in MM/YYYY format.
Duration of Symptoms (such as headache, difficulty concentrating, fatigue) for most recent concussion * Required

Save and Continue Later

Online Concussion Education - To be completed by both student and parent/guardian
The Commonwealth of Massachusetts Executive Office of Health and Human Services now requires that all schools subject to the MIAA (Massachusetts Interscholastic Athletic Association) rules adhere to the following law:

Student-athletes and their parent/guardian, coaches, athletic directors, school nurses, and physicians must learn about the consequences of head injuries and concussions though training programs and written material.

The law requires that athletes and their parents inform their coaches about prior head injuries at the beginning of each season (Fill out the pre-participating head injury form). If a student-athlete becomes unconscious during a game or practice, the law now mandates taking the student out of play or practice, and requires written certification from a licensed medical professional to “return to play”.

Students, as well as their parent/guardian, who plan to participate in any athletic program at Danvers High School, must read through and be familiar with the information contained at the site below.

Online Concussion Training from Centers of Disease Control and Prevention:
http://www.cdc.gov/concussion

Once you have read through the information contained on the website, sign below in the spaces provided.
Click the checkbox to continue * Required
- I have completed the CDC Concussion Course linked above.

Save and Continue Later

Opioid Information - To be completed by both student and parent/guardian
The Massachusetts Department of Public Health has developed educational materials to address the recent opioid epidemic affecting many Massachusetts communities. Because of the risk of injury and the subsequent need for pain management, student-athletes may be at risk for opioid misuse.

Recent legislation now requires the following educational information be shared with student-athletes prior to each sports season. Please read through the information and click the box at the end acknowledging that you and your child have read through and understand the material presented.

Download (PDF, 1.22MB)
Click the checkbox to continue * Required
- I have read and understand the content of this page.

Save and Continue Later

Hazing - To be completed by both student and parent/guardian
Download (DOCX, 1005KB)
Click the checkbox to continue * Required
- I have read, understand, and agree to comply with Massachusetts Anti-Hazing Law M.G.L. c.269, Section 17-19

Save and Continue Later

MIAA DIVERSITY, EQUITY AND INCLUSION PLEDGE - To be completed by the student
Download (PDF, 286KB)
Student Signature * Required
Date * Required
MM slash DD slash YYYY

Save and Continue Later

Payment
Hidden
Payment Method * Required
- I will pay by check directly to the Athletic Office
- I have would like to pay online using E-Funds.
Please click "Finish Registration and Payment" to submit all your registration information. You will receive a confirmation receipt at the email you provided in Step 1. On the next screen, you will be redirected to E-Funds for Schools, our 3rd-party payment processor, to complete your online payment.

Note: You may be required to create a new account if you have not used E-Funds before.
If you are having financial difficulties please contact your principal for a sports waiver. You must still click "Finish Registration" to process your registration.
Click here to review the activity fees again

Save and Continue Later

Athletic Permission & Participation Form 2022-2023

Step 1 of 12

Student Information - To be completed by either student or parent/guardian

Contact Information (Non-Emergency)

Emergency Contacts

Insurance Information

Athletic Program Guide - To be completed by both student and parent/guardian

Clearance Procedure - To be completed by both student and parent/guardian

Activity Fees - To be completed by both student and parent/guardian

Parent Permission Form - To be completed by parent/guardian

Health Physical - To be completed by parent/guardian

Pre-Participation Head Injury/Concussion Reporting - to be completed by parent/guardian

Online Concussion Education - To be completed by both student and parent/guardian

Opioid Information - To be completed by both student and parent/guardian

Hazing - To be completed by both student and parent/guardian

MIAA DIVERSITY, EQUITY AND INCLUSION PLEDGE - To be completed by the student

Payment

Contact

Schools

District

NAME	PHONE	RELATIONSHIP