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STUDENT ACTIVITIES CONTRACT

2015-2016

Participation in athletics and other student activities is a privilege and, as such, requires that

students adhere to certain rules. One of those rules states; "the use or possession of tobacco,

alcohol or other illegal drugs is prohibited."

A violation of this rule will involve penalties as listed in this contract agreement and requires

student and parent/guardian signatures.

I understand:

If I use or possess alcohol and/or drugs as defined in the Henrico County Public Schools

Code of Conduct, on or off school property, the penalty for use or possession will affect my

participation in student activities as follows:

1st offense- mandatory 30 calendar day suspension from all VHSL team participation and

extracurricular activities

2nd offense- mandatory 365 calendar day suspension from all VHSL team participation

and extracurricular activities

3rd offense- mandatory high school career suspension from all VHSL team participation

and extracurricular activities

I may be required to complete the Alcohol and Drug Awareness Intervention Program.

Printed Student's Name/Grade

Student's Signature/Date

School

Parent's/Guardian's Signature/Date

The proponent for this form is: DIVISION OF INSTRUCTION 

Telephone: Secondary‐ 652‐3761 

8/1/2007 

TO:    

FROM:  

CANDIDATES FOR 2015‐16 ATHLETIC TEAMS & AUXILLIARY GROUPS AT D.S. FREEMAN H.S. 

SUZANNE CRISWELL, DIRECTOR OF STUDENT ACTIVITIES 

We are happy that you have chosen to try‐out for one of our athletic teams or athletic auxiliary groups. These forms should 

not be separated and all pages must be completed and returned to your coach before you may be permitted to try‐out. These forms 

must be signed by your physician, your parent/guardian, and by you. This form is good for all sports during the 2015‐16 school 

year. ...