APPLICATION FOR PARTICIPATION IN “HOME” SCHOOL SPORTS PROGRAM
The student and parent are required to complete and sign this form every year that a student wishes to participate in
DCSD athletics at the “HOME” school. This form must be kept on file with the school and is subject to inspection by
the Department of Athletics.
SECTION A SPORT BIRTHDATE
Student
Personal STUDENT NAME AGE
Data
EMAIL ADDRESS GRADE
HOME ADDRESS
HOME SCHOOL CURRENT SCHOOL
PHONE # GENDER
DATE OF LAST DATE OF
PHYSICAL APPLICATION
SECTION B PARENT NAME PHONE #
Parent/
Guardian HOME ADDRESS
Data
ARE YOU THE LEGAL GUARDIAN OF THE STUDENT?
EMERGENCY CONTACT PHONE#
SECTION C Attach a brief statement explaining why this request is being made.
Written
Request
By submitting this form, I hereby request permission for the above named applicant/student to
participate in the sports program at his/her HOME school. I understand that is it my responsibility
to provide transportation to any practices and/or competitions held at the school and that the
District will not be responsible for transporting the applicant back to his/her current school. I
understand that the applicant must meet all athletic eligibility requirements of the Georgia High
School Association, DeKalb County School District and the School. I further understand that this
application for participation does not assure selection for the team or the sport.
Parent/Guardian Signature ____________________________ Date _____________________
Student Signature ___________________________________ Date _____________________
FFOR DISTRICT USE ONLY
CURRENT SCHOOL ADMINISTRATOR/ATHLETIC DIRECTOR SIGNATURE _______________________________________
RECEIVING SCHOOL ADMINISTRATOR/ATHLETIC DIRECTOR SIGNATURE______________________________________
EXECUTIVE DIRECTOR OF ATHLETICS SIGNATURE _______________________________________________________
DEPARTMENT OF ATHLETICS FILE DATE ____________________________________________
Legal References
- O.C.G.A. 20-02-0086 — Operation of school councils; training; membership; management; roles and responsibilities (Lexis)
- O.C.G.A. 20-02-0160 — Determination of enrollment; determination of funding (Lexis)
- O.C.G.A. 20-02-0315 — Gender equity in sports (Lexis)
- O.C.G.A. 20-02-0316 — Athletic association defined; high school athletics (Lexis)
- O.C.G.A. 20-02-0319.6 — Home study student participation in resident school system extracurricular and interscholastic activities; short title; definitions; requirements for participation; impact of student withdrawal; reporting requirements (Lexis)
- O.C.G.A. 20-02-0324.1 — Concussion management and return to play policies for youth athletes (Lexis)
- O.C.G.A. 20-02-0411 — School fund kept separate; use of funds; separation of school taxes; investments (Lexis)
- O.C.G.A. 20-02-0775 — Automated external defibrillator required in high schools; requirements; funding (Lexis)
- O.C.G.A. 20-17-0002 — Interstate Compact on Educational Opportunity for Military Children (Lexis)
- Rule 160-5-1-.18 — Competitive Interscholastic Activities in Grades 6-12