Hillsboro Junior High School
Extracurricular Activity Form

As a parent or guardian, I have received a copy of the Hillsboro Junior High School Student Handbook and the Hillsboro Junior High School Extracurricular Code of Conduct and have read and understood their contents.


Signed: ___________________________________ Date ________________
(parent/guardian)

As a student, I have received a copy of the Hillsboro Junior High School Student Handbook, and the Hillsboro Junior High School Extracurricular Code of Conduct and have read and understood their contents. By choosing to participate in an extracurricular activity, I agree to abide by these rules.


Signed: ___________________________________ Date ________________
(student)


Hillsboro Junior High School
Verification of Insurance Form

We, as parent(s) or legal guardian(s) of _________________________________,
(student)
do hereby attest to the fact that we have secured health and/or athletic accident insurance coverage for him/her while a participant in interscholastic sports at Hillsboro Junior High School. This insurance coverage is equal to or better than the school approved athletic accident insurance. For that reason, we do not wish to purchase school approved athletic accident insurance.

______________________________________________
(Father/Guardian)


______________________________________________
(Mother/Guardian)


____________________________
Date