AUC Athletics Registration Form - Archimedean Schools

Student's First Name

Student's Last Name

Gender

M F

Birthday

Address

City

ZIP

Grade Level

Parent/Guardian’s Full Name (1)

Parent/Guardian (1) Tel

Parent/Guardian Email (1)

Parent/Guardian’s Full Name (2)

Parent/Guardian Tel (2)

Parent/Guardian Email (2)

PRESEASON CONDITIONING/TRYOUTS & PARTICIPATION REQUIREMENTS (Submit in Person)

In order to condition/tryout and participate in our Athletics' teams students must submit in person the following forms to the ACC office at Building A right after dismissal.

The whole Physical Packet can be downloaded HERE.

EL1 - ECG Screening form - required form starting July 1, 2026 for all incoming 9th graders and any student in grades 10–12 who has never participated in an FHSAA. Returning athletes are not required but strongly encouraged to obtain an ECG. The goal is to identify undetected cardiac risk factors and enhance athlete safety.
ME1 - For use by Medical doctors to exempt a student athlete from the ECG requirement.
Should form ME1 be needed, please be sure to complete student information at top of page. The medical exception determination must be completed by a licensed physician.
EL1/2s - This form is a medical eligibility supplemental form. It should only be used if the student is referred to a qualified medical specialist prior to clearance for participation in sports.
EL2 - The form should be completed, signed and sealed by the health care provider. The form must be signed and dated by the student and parent/guardian.
EL3 - The form must be signed and dated by the student and parent/guardian(s).

SUBMISSION OF 3 CERTIFICATES (Submit in Person)

Concussion for Students
Sudden Cardiac Arrest
Heat Illness Prevention

Please review HERE the instructions for the mandatory webinars that should be watched in order to receive the required Certificates.
All 3 Certificates should be submitted in person with the Physical Packet to the ACC office right after the dismissal.
* The Certificates should be under the name of the student-athlete.

EMERGENCY CONTACT - PEOPLE AUTHORIZED TO PICK UP THE STUDENT - ATHLETE

Contact 1 Full Name

Relationship

Tel

Contact 2 Full Name

Relationship

Tel

Contact 3 Full Name

Relationship

Tel

INSURANCE POLICY

By selecting this button I agree to hold harmless Archimedean Schools’ Board, the Athletic Department of Archimedean Schools, and the Archimedean Community Center from any direct or implied responsibility for expenses resulting from any before and after school activity injury. The Archimedean Schools’ Board, requires that the parents/guardians of all students participating in the Archimedean extracurricular activities, have medical primary insurance coverage in place for their children on a family plan. The parent/guardian must cover all expenses in the event of an activity-related injury.

PARENT/GUARDIAN PRIMARY INSURANCE THAT INCLUDES THE STUDENT-ATHLETE

Insurance Company Name

Policy Number

COMPETITIVE TEAM PARTICIPATION GENERAL POLICY
In order for the athletic program to maintain competitive athletic teams, parents/guardians of the student-athletes that are selected during try-outs to participate in the Archimedean Athletic Teams, are required to contribute to the expenses of the program as they are set by the school’s Administration. The contribution towards the expenses of the athletic team is non-refundable and non-transferable to other teams.

CONTRIBUTION TOWARDS THE EXPENSES OF THE TEAMS
(Please select one or more teams and respond with no for all other options)

AUC Girls Volleyball - Fall Season: 2 monthly payments of $131

Yes No

AUC Boys & Girls Swimming - Fall Season: 2 monthly payments of $131

Yes No

AUC Boys & Girls Cross Country - Fall Season: 2 monthly payments of $90

Yes No

AUC Boys Basketball - Winter Season: 2 monthly payments of $131

Yes No

AUC Boys Soccer - Winter Season: 2 monthly payments of $131

Yes No

AUC Girls Soccer - Winter Season: 2 monthly payments of $131

Yes No

AUC Boys Volleyball - Spring Season: 2 monthly payments of $131

Yes No

AUC Boys & Girls Track & Field: Spring Season: 2 monthly payments of $90

Yes No

Please download the CRETID CARD AUTHORIZATION FORM and after completing the necessary fields please email the form to [email protected]

PARENT/GUARDIAN CONSENT

I have read, understand, and agree with the insurance and the participation policy that Archimedean Schools require. By signing below I certify that all information I have written on this document are correct and I give my consent for my child to participate in the Archimedean Athletic Program and to be transported by buses, when needed, to and from athletic competitions. I give permission to the Archimedean Athletics’ Staff to take whatever emergency measures are deemed necessary for the care and protection of my child while under their supervision. In case of a medical emergency, I understand that my child will be transported to an appropriate medical facility by the local emergency unit for treatment if the local emergency team deems it necessary. It is understood that in some medical situations the Archimedean Athletics’ Staff will need to contact the local emergency resources before the parent/guardian. Finally, I agree to contribute to the expenses of the program as they are set by the school.

Parent/Guardian Signature

Date