Allen Park Schools

Allen Park Public Schools Athletic Participation Fee Application 2014/15 Fee (Per Sport) – High School/Community School $110 ($275 max per athlete) Middle School $60 ($225 max per athlete), District Wide $330 per family We invite you to take advantage of a unique learning experience by participating on an athletic team. This learning experience is unique because it offers educational opportunities that are not readily available in the classroom. By participating, our student-athletes learn the necessary skills to work effectively with others, solve problems, and be productive and contributing members of society. These skills are consistent with the Mission of the district, and the Athletic Mission Statement found in the Athletic Code of Conduct.

THE ATHLETIC PARTICIPATION FEE IS DUE NO LATER THAN THE CONCLUSION OF THE FIRST WEEK OF PRACTICE FOR THE PARTICULAR ATHLETIC PROGRAM

NAME OF STUDENT-ATHLETE: ______

ADDRESS:______CITY:______ZIP CODE:______

BIRTHDATE: ______/______/______TELEPHONE:______GRADE______

TEAM: 7TH 8TH 9TH JV Varsity SPORT:______

SCHOOL: High School Community School Middle School

Check here if applying for financial assistance and fill out the Financial Aid Form. Assistance is determined solely upon eligibility for the free and reduced lunch program. REDUCED LUNCH PROGRAM FEE: High School/Community School Fee - $55, Middle School Fee - $30. FREE LUNCH PROGRAM FEE: High School/Community School Fee – No Fee Charged, Middle School Fee – No Fee Charged.

Make all checks payable to Allen Park Public Schools. Cash will not be accepted. STUDENT-ATHLETES MAY NOT PRACTICE/PARTICIPATE UNTIL THE APPROPRIATE FEE HAS BEEN PAID.

I have reviewed the “Athletic Fee Program” and understand that the fee I am paying ($110 for High School/Community School Applicants and $60 for Middle School Applicants) does not guarantee playing time, control over any conditions of the team, and is not refundable except as indicated. In addition, I understand that the fee will not be refunded or pro-rated for an athlete who becomes ineligible during the season, when an athlete is removed from a team for disciplinary reasons, when cancelled contests cannot be rescheduled, or when a full allotment of games cannot be scheduled. In addition, I understand that the number of scheduled contests may vary from level to level and from school to school. I also understand that paying the fee does not alter the Student Policies of the Allen Park Board of Education, the Athletic Code of Conduct, the regulations of the Michigan High School Athletic Association, and individual team rules.

______SIGNATURE OF STUDENT-ATHLETE SIGNATURE OF PARENT/GUARDIAN

DATE: ______/______/______PARENT/GUARDIAN PRINT NAME HERE

FOR OFFICE USE ONLY:

CHECK #______PHYSICAL VERIFIED:______EMERGENCY FORM VERIFIED:______

COACHES: 1. DO NOT ACCEPT CASH 2. STAPLE THE CHECK OR MONEY ORDER HERE Allen Park Public Schools Athletic Participation Fee Program

ATHLETIC FEE – FINANCIAL AID APPLICATION

THE ATHLETIC PARTICIPATION FEE IS DUE NO LATER THAN THE CONCLUSION OF THE FIRST WEEK OF PRACTICE FOR THE PARTICULAR ATHLETIC PROGRAM

Students who would like to participate in athletics but are unable because of financial problems have the option of applying for financial aid. The guideline used for granting financial aid is the Free and Reduced Lunch Program. Students are eligible for financial assistance only if their family qualifies for this program, and only if the information from the program is allowed to be used by the Athletic Department. Students who are on the Reduced Lunch Program will receive a one-half reduction in their Athletic Fee. Students who are on the Free Lunch Program will have their fee waived. The established fees for the school year are: $110 for high school/community school participants, and $60 for middle school participants. Those who wish to apply should complete this form for each sport in which they would like to participate.

NAME OF STUDENT-ATHLETE: ______

ADDRESS:______CITY:______ZIP CODE:______

BIRTHDATE: ______/______/______TELEPHONE:______GRADE______

TEAM: 7TH 8TH 9TH JV Varsity SPORT:______

SCHOOL: High School Community School Middle School

The above student is in the REDUCED LUNCH PROGRAM in the Allen Park Public School District. The following Athletic Participation Fee structure applies: High School/Community School Fee - $55, Middle School Fee - $30.

The above student is in the FREE LUNCH PROGRAM in the Allen Park Public School District. The Athletic Participation Fee is waived.

SIGNATURE OF PARENT/GUARDIAN:______

DATE: ______/______/______

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FOR ATHLETIC OFFICE USE ONLY – DO NOT WRITE BELOW THE ABOVE DOTTED LINE

THE INFORMATION ON THIS FORM HAS BEEN VERIFIED BY THE BUILDING ATHLETIC ADMINISTRATOR

AMOUNT PAID: $______CLASSIFICATION: Reduced Program Free Program

AD SIGNATURE______DATE: ______/______/______