Glenbard Township High School District 87
Policy 6:195-R4
Instruction
Exhibit – Student Petition to Add a District-Funded or Non-Funded Athletic Program
Athletic Activity:________________________________________ For: Boys Girls
School Attendance Area: North South East West
Students signing the form below are indicating that they would participate in the above athletic
activity. There must be at least 25 signatures on the form by students currently in Grades 8 thru 11
for the proposed athletic activity to be considered. (Use additional forms if necessary)
If the activity were approved, each student signing below would:
Attend each practice scheduled before/after school and on weekends.
Attend competitions, which may be after school and on weekends.
Quit any club/team which has a conflict with the proposed athletic activity in the same season.
Name/Grade Address Home Phone
1. __________________________________ _______________________________ ____________
2. __________________________________ _______________________________ ____________
3. __________________________________ _______________________________ ____________
4. __________________________________ _______________________________ ____________
5. __________________________________ _______________________________ ____________
6. __________________________________ _______________________________ ____________
7. __________________________________ _______________________________ ____________
8. __________________________________ _______________________________ ____________
9. __________________________________ _______________________________ ____________
10. __________________________________ _______________________________ ____________
11. __________________________________ _______________________________ ____________
12. __________________________________ _______________________________ ____________
13. __________________________________ _______________________________ ____________
14. __________________________________ _______________________________ ____________
15. __________________________________ _______________________________ ____________
16. __________________________________ _______________________________ ____________
17. __________________________________ _______________________________ ____________
18. __________________________________ _______________________________ ____________
19. __________________________________ _______________________________ ____________
20. __________________________________ _______________________________ ____________
21. __________________________________ _______________________________ ____________
22. __________________________________ _______________________________ ____________
23. __________________________________ _______________________________ ____________
24. __________________________________ _______________________________ ____________
25. __________________________________ _______________________________ ____________
This form must be submitted to the Assistant Principal for Athletics at least ninety (90) days before the first
scheduled practice of the proposed initial season, or, in the case of fall sports, by May 1 of the
preceding school year.
DATED: September 10, 2001
REVISED: May 23, 2005
REVIEWED: January 17, 2006
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