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Date Submitted: 11/10/2015 10:40 AM
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. ...