Agreement For Student Athlete And Parent/Guardian Regarding Use Of Steroids
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(print name of student athlete)
Directions: As a condition of membership in the California Interscholastic Federation (CIF), the Governing Board of the Kings Canyon Unified School District has adopted Board Policy 5131.63 prohibiting the use and abuse of androgenic/anabolic steroids. CIF Bylaw 524 requires that all participating students and their parents/guardians sign this agreement.
By signing below, we agree that the student shall not use androgenic/anabolic steroids without the written prescription of a fully licensed physician, as recognized by the American Medical Association, to treat a medical condition.
We recognize that under CIF Bylaw 200.D the student may be subject to penalties, including ineligibility for any CIF competition, if the student or his/her parent/guardian provides false or fraudulent information to the CIF.
We understand that the student's violation of the district's policy regarding steroids may result in discipline against him/her, including, but not limited to, restriction from athletics, suspension, or expulsion.
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Signature of student athlete Date
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Signature of parent/guardian Date
Exhibit KINGS CANYON UNIFIED SCHOOL DISTRICT
Version: October 5, 2005 Reedley, California