The student's email address listed here must be their @rockyhillps.com email account. Coaches and teachers must be able to communicate via email through the student's school email account.

You have my permission to take whatever action is deemed necessary for the health and welfare of my child.

I agree to notify the Athletic Director immediately if my child develops an illness or injury during the season, which would affect his/her ability to participate in any practices or contests.

Click here to view the Middle School Athletics Handbook.

Click here to view the High School Athletics Handbook.

I hereby acknowledge I have read the Athletic Handbook explaining the following:

• Eligibility
• Physicals
• Standards for Practice/Games
• Substance Abuse Policies/Procedures
• Insurance for Athletes
• Performance Enhancing Drug Policy
• Sportsmanship
• General Policies/Procedures
• Awards
• Equipment and Uniforms
• Athletic Team Attendance Policies

I agree to adhere to these regulations while participating in athletics at Rocky Hill Public Schools.

My agreement below indicates that I have visited the Concussion Central page on the CIAC website and have viewed the Connecticut Task Force video on concussions. I have also read and agree to adhere by the standards and protocols put in place by The Moser School, and understand that my child will not be permitted to return to athletic competition until they have met all criteria contained within.

My agreement below indicates that I have visited the Concussion Central page on the CIAC website and have viewed the Connecticut Task Force video on concussions. I have also read and agree to adhere by the standards and protocols put in place by Rocky Hill High School, and understand that my child will not be permitted to return to athletic competition until they have met all criteria contained within.

My agreement below indicates that I have visited the Concussion Central page on the CIAC website and have viewed the Connecticut Task Force video on concussions. I have also read and agree to adhere by the standards and protocols put in place by Albert D. Griswold Middle School, and understand that my child will not be permitted to return to athletic competition until they have met all criteria contained within.

I understand that such activity involves the potential for injury which is inherent in all sports. Even with the best coaching, use of the most protective equipment, and strict observance of rules, injuries are still a possibility. On rare occasions, these injuries can be so severe as to result in total disability, paralysis or even death.

I give my permission to the appropriate certified school staff or medical personnel to render emergency treatment, if required, when associated with an athletic injury or illness.

I agree not to hold the school or anyone acting on its behalf responsible for any injury occurring to the student in the course of such athletic activities or travel.

Please read the Sudden Cardiac Arrest Awareness and Informed Consent for Parents.

Please read the Concussion Recognition, Protocol, and Informed Consent for Parents/Guardians. Additionally, please watch the Connecticut Concussion Task Force Video.

Please read the Concussion and Cardiac Arrest Information Sheet. 

I give my permission for this student to have pre- and post-concussion ImPACT  (Immediate Post-concussion Assessment and Cognitive Testing) testing administered at The Moser School.  I understand that my child may need to be tested more than once, after comparing the post-concussion test results with my child’s original baseline test.   I am aware that there is no charge for this testing.

The Moser School may release the results of the ImPACT ® testing to my child’s primary care physician, neurologist, or other attending physician indicated below.

I understand that some general test result data and information may be provided to my child’s Guidance Counselor and Teachers, in order to develop temporary academic modifications.

I give my permission for this student to have pre- and post-concussion ImPACT  (Immediate Post-concussion Assessment and Cognitive Testing) testing administered at Rocky Hill High School.  I understand that my child may need to be tested more than once, after comparing the post-concussion test results with my child’s original baseline test.   I am aware that there is no charge for this testing.

Rocky Hill High School may release the results of the ImPACT ® testing to my child’s primary care physician, neurologist, or other attending physician indicated below.

I understand that some general test result data and information may be provided to my child’s Guidance Counselor and Teachers, in order to develop temporary academic modifications.

I give my permission for this student to have pre- and post-concussion ImPACT  (Immediate Post-concussion Assessment and Cognitive Testing) testing administered at Albert D. Griswold Middle School.  I understand that my child may need to be tested more than once, after comparing the post-concussion test results with my child’s original baseline test.   I am aware that there is no charge for this testing.

Albert D. Griswold Middle School may release the results of the ImPACT ® testing to my child’s primary care physician, neurologist, or other attending physician indicated below.

I understand that some general test result data and information may be provided to my child’s Guidance Counselor and Teachers, in order to develop temporary academic modifications.

Please read the Consent to Treat. 

Please read the Exertional Heat Illness Program and Annual Review and enter the parent/guardian's signature and student's signature below. 

Please read the Mental Health and Student-Athletes Informed Consent.

The electronic signature below and its related fields are treated by Rocky Hill Public Schools like a handwritten signature on a paper form.

I affirm that all the information provided is true and correct to the best of my knowledge.