FORM INSTRUCTIONS

Welcome to Labette Community College Athletics. Please review all of the forms that need to be completed before the school year begins. Each form contains information important to the student-athlete. The following forms must be completed in their entirety prior to participation in Cardinal Athletics. Please complete the required information, sign and date each form. and return them to the LCC Athletics Secretary who will compile a list before they are checked by the Head Athletic Trainer. STUDENT-ATHLETES WILL NOT BE ALLOWED TO PRACTICE OR COMPETE UNTIL ALL INFORMATION IS COMPLETE AND SUBMITTED TO THE ATHLETIC SECRETARY.

All student-athletes must have the following forms completed and/or signed:

  • Student/Parent Information Form (front of blue from)
  • Affidavit of No Insurance (back of blue form) Please sign the Affidavit of No Insurance ONLY if you DO NOT have health insurance.
  • Photocopy front/back of Student-Athlete's Health Insurance Card (if applicable)
  • Student-Athlete Authorization-Consent for Disclosure of Protected Health Information Form (tan form-1pg)
  • Sports Participation Agreement and Release (white form-2pgs front & back)
  • Drug Testing Consent - Urine, Oral Fluid and Screen Analysis Informed Consent and Release from Liability (green form-1pg)
  • Medical History Form (white form-3pgs front & back)
  • Pre-Participation Physical Examination (Please note physicals MUST be completed and signed by a Physician.)
    (white form-3pgs front & back)
  • NJCAA Eligibility Affidavit (orange form-1pg front & back)
  • Media Guide Information (ivory form-1pg front)
  • Student Travel Agreement (white form-1pg)

A physical examination (general medical screening) will be performed by the LCC team physicians and athletic training staff at a scheduled time during the first week of classes AT NO COST to you. (NOTE: Your coach may request a physical be completed prior to arriving on campus.) Any costs incurred for phsycials performed at a later time will NOT be covered by LCC. If you arrive with a physical, it must be signed by a Medical Doctor (MD) or Doctor of Osteopathy (DO). All physicals and forms must be reviewed by the LCC team physician and athletic trainer prior to clearance for participation.

A Parent/Guardian signature is required only when the student-athlete is a minor.

Mail all forms to:
LCC Athletic Secretary / Margaret Doherty
200 S. 14th Street
Parsons, KS 67357

Thank you for your cooperation.