Jefferson Academy Athletic Fee Form

The payment of a participation fee is necessary for the Athletic Department to continue to offer this activity as part of the athletic program. This fee must be paid (or an arrangement for payment) by the first day of participation by the athlete so the budgetary obligations associated with this activity can be met.

Fee

The fee for this activity is $____________ ( HS Golf $200, Cheer $50, all other HS sports $125, all JH sports $100 ).

Please make all checks payable to Jefferson Academy. Per Jefferson Academy policy, no refunds will be made after the season begins for each sport. If you have any questions regarding fees, please contact the Athletic Director.

Pledge

We fully understand that the Athletic Fee allows my son/daughter to participate as a member of the _____________________ team for the ______________ season. We pledge to fulfill our obligation and responsibilities associated with this Athletic Fee as stated above and understand that any non-paid fees will be directed to the administration according to the Board of Education’s policy on payment of fees.

   
Athlete’s Signature Date
   
Parent/Guardian’s Signature Date

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