____________________________________(Please Print) has permission to participate in the Lexington Catholic Intramural Basketball League. As a parent and participant, I realize that all LCHS rules and regulations, as well as intramural rules will be enforced. As a player, I will show respect and sportsmanship toward my opponent, game officials and facilities.

_____________________________ Student Signature

__________________ Date

_______________________________Parent Signature

___________________ Date

Grade: ______