1. Palm Beach Central High School Athletics
A guide to filling out the Athletic Packet prior to tryouts.

2. What do I need to try out?
In order to try out for any team at PBCHS, athletes must have:
A COMPLETED Athletic Packet
Available online or in the main office
$10 Insurance Payment
Birth Certificate

3. Athletic Packet 101
Athletic packets are required to maintain eligibility for athletes.
Athletic packets should remain stapled in page number order.
No athlete can be eligible for play without this packet!
Please review this presentation to ensure that your packet is completed correctly.

4. Page 1 – Checklist
Student ID Number is REQUIRED
Check to be sure all items are complete before submitting athletic packet.

5. $75 Insurance Fee is required for ALL athletes
Page 2 - Insurance
$75 Insurance Fee is required for ALL athletes
$10 Tryout Fee must be paid prior to participation
$65 Balance is due upon placement on a team
Note: This one-time payment covers all sports played in the same school year.

6. Page 3 - Eligibility Please list all possible sports
Student ID Number is REQUIRED
Please list all possible sports

7. Page 4 - Eligibility
Continuation of Eligibility page

8. This page should be completed by the student and parent.
Page 5 – Physical (1 of 3)
This page should be completed by the student and parent.
Student Signature and Date are REQUIRED
Parent Signature and Date are REQUIRED

9. Page 6 – Physical (2 of 3) This page MUST be completed by a PHYSICIAN.
Physician MUST clear athlete to participate.
Physician MUST sign & date.
Physician stamp should include name, address and phone number.
Physicals are valid for one calendar year.

10. Page 7 – Physical (3 of 3)
This page is only completed if the primary physician does not clear the athlete.
Athletes should be referred to a specialist for re-evaluation and clearance.

11. Page 8 – Liability (1 of 4) School Name
List only sports the student may NOT play
Choose one option
Parent Signature and Date are REQUIRED
(regardless of student age)
Student Signature and Date are REQUIRED

12. Page 9 – Liability (2 of 4) Student Signature and Date are REQUIRED
Parent Signature and Date are REQUIRED
(regardless of student age)

13. Page 10 – Liability (3 of 4) School Name
Student Signature and Date are REQUIRED
Parent Signature and Date are REQUIRED
(regardless of student age)

14. Page 11 – Liability (4 of 4) Student Signature and Date are REQUIRED
Parent Signature and Date are REQUIRED
(regardless of student age)

15. Page 12 – Field Trip Permission
Parent contact information MUST be provided.
(Do not include destination)
Parent Signature and Date are REQUIRED
(regardless of student age)

16. Page 13 – Student Info Publication
Student name, student ID and parent name must be completed.
Choose one option.
Choose one option.
Parent Signature and Date are REQUIRED
(regardless of student age)

17. Page 14 – Hold Harmless Agreement
Student/Parent Name
“Participation in this ATHLETICS event”
Parent Signature and Date are REQUIRED
(regardless of student age)

18. Notary Form must be completed and stamped.
Page 15 – Medical Consent
Student signature and date are REQUIRED.
Parent Signature and Date are REQUIRED in the presence of a NOTARY.
(regardless of student age)
Notary Form must be completed and stamped.

19. Page 16 – Consent and Release
Student signature and date are REQUIRED.
Parent Signature and Date are REQUIRED in the presence of a NOTARY.
(regardless of student age)
Notary Form must be completed and stamped.

20. Page 16 – Athlete Code of Conduct
Print student name
Student signature and date must be completed
Parent signature, date and contact number must be completed

21. Page 17, 18, 19 - Recruiting
Page 19 must be completed for all transfer or non- traditional students.
Notary form must be completed and stamped.