Athletics Registration – Saint James School

Parent Information

Parent/Guardian Full Name(Required)

First Last

Parent/Guardian Email Address(Required)

Parent/Guardian Primary Phone #(Required)

Parent/Guardian Secondary Phone #(Required)

Parent/Guardian 2 Full Name

First Last

Parent/Guardian 2 Email Address

Parent/Guardian 2 Primary Phone #

Parent/Guardian 2 Secondary Phone #

Agreements

Archdiocese Permission & Waiver

View Archdiocese Permission & Waiver
Please read this form carefully and be aware in registering your minor child/ward for participation in this program you understand and acknowledge that participation in the Athletic Program:
• involves physical activities and known and unknown risks to your child. Such risks include, but are not limited to, illness, allergic reaction, property damage/loss, bruises, scrapes, cuts, bumps, fractures, concussions, paralysis, or death; and

Archdiocese Waiver

View Archdiocese Waiver
Please read this form carefully and be aware in registering your minor child/ward for participation in this program you will be waiving and releasing all claims for injuries you and your minor child/ward might sustain arising out of this program.

SJS Athletic Association Behavior and Conduct Agreement

View SJS Athletic Association Behavior and Conduct Agreement
It is an honor to represent St. James as a student athlete. This privilege comes with the responsibility to represent our school with the dignity that it deserves. St. James Athletics’ goal is that students play sports in a positive and safe school environment. We strive to demonstrate and instill good sportsmanship and respectful behavior.

Concussion Information

View Concussion Information
A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by a bump, blow, or jolt to the head or body that causes the head and brain to move quickly back and forth. Even a “ding”, “getting your bell rung”, or what seems to be a mild bump or blow to the head can be serious. Learn more at www.cdc.gov/HEADSUP/.

Athlete

Athlete Name(Required)

First Last

Gender(Required)

Male

Female

Date of Birth(Required)

Grade (during the season of play)(Required)

Uniform Size(Required)

Uniforms are Gildan brand.

Last Physical(Required)

Please note, the athlete you are registering must have had a physical within the last 13 months. This physical must be on file with the St. James nurses' office. Hard copies may be submitted to the main office at any time or emailed to SJSHealthOffice@stjamesschoolah.org. ATHLETES MAY NOT PARTICIPATE UNLESS A CURRENT PHYSICAL IS ON FILE.

Does Athlete have any allergies, take any medications, or have any special needs that the coaches need to know about?(Required)

Yes

Allergy / Medication Details

Regarding this child, please share any allergy/medical information (such as asthma or bee sting allergy) that is important for this child's coaches to know.

Fees

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Select activity(Required)

Poms ($85)

Varsity Poms

Girls Volleyball ($100)

Cross Country ($75)

Boys Basketball ($100)

Girls Basketball ($100)

Boys Volleyball ($50)

Track and Field ($50)

Soccer ($75)

Activity options for girls in 4th grade:

Poms ($85)

Soccer ($75)

Activity options for girls in 5th grade:

Poms ($85)

Volleyball ($100)

Cross Country ($75)

Soccer ($75)

Activity options for girls in 6th grade:

Volleyball ($100)

Cross Country ($75)

Soccer ($75)

Varsity Poms

Activity options for girls in 7th grade:

Volleyball ($100)

Cross Country ($75)

Soccer ($75)

Varsity Poms

Activity options for girls in 8th grade:

Volleyball ($100)

Cross Country ($75)

Soccer ($75)

Varsity Poms

Activity options for boys in 4th grade:

Soccer ($75)

Activity options for boys in 5th grade:

Cross Country ($75)

Soccer ($75)

Activity options for boys in 6th grade:

Cross Country ($75)

Soccer ($75)

Activity options for boys in 7th grade:

Cross Country ($75)

Soccer ($75)

Activity options for boys in 8th grade:

Cross Country ($75)

Soccer ($75)

Poms Fee

Price:

Volleyball Fee

Price:

Cross Country Fee

Price:

Soccer Fee

Price:

Basketball Fee

Price:

Track and Field Fee

Price:

Softball Fee

Price:

Total

Parent Volunteers

There is an expectation that parents will volunteer to help out. Support your athlete by volunteering for any one or more of the following responsibilities. The director will contact you with specifics.

Coach/Assistant Coach

Track Meet Assistant

Scoreboard

Score-keeper

Hall monitor

Concessions

Clean-up at home games

Insurance Information

Current Insurance Company Name(Required)

Current Insurance Policy Primary Subscriber(Required)

Group ID #(Required)

Insurance ID #(Required)

Payment

Payment Method(Required)

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

This form is completed on my own free will. My submission confirms:
1. I completed this form.
2. I authorize payment for the total amount listed.
3. I authorize medical treatment under emergency circumstances, in my absence, for the athletes I registered.
4. I acknowledge that the athlete(s) I am enrolling and I have read and agree to the Archdiocese of Chicago Permission & Waiver COVID 2021-22, Archdiocese of Chicago Waiver, SJS Athletic Association - Behavior and Conduct Agreement, and the Concussion Information.

CAPTCHA

Athletics Registration Fall 2025

Parent Information

Agreements

Archdiocese Permission & Waiver

Archdiocese Waiver

SJS Athletic Association Behavior and Conduct Agreement

Concussion Information

Athlete

Fees

Insurance Information

Payment

Contact

Location

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