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Saint Rita of Cascia School
Challenging the Mind ~ Nurturing the Spirit
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Home
About Us
School History
Welcome Letter
Meet our Faculty and Staff
Contact Us
Academics
Philosophy and Curriculum
Service and Outreach
Honor Roll
Admissions
New Family Information
Why Choose a Catholic School
Frequently Asked Questions
Family Involvement
Admission Order
Tuition
Athletics
Ahtletics Registration
Athletics Calendar
Schedules
VIP Pictures
Parents
School Supply List
Uniform Guidelines (English)
Uniform Guidelines (Spanish)
Home and School
Enrichment Programs
Photo Albums
Calendar and News
The Peacemaker Newsletter
The School Year at a Glance
School Calendar
Boletin de Semana en Espanol
Volleyball
Athletics
Ahtletics Registration
Track & Field
Cross Country
Volleyball
Basketball
Soccer
Athletics Calendar
Schedules
VIP Pictures
Volleyball Registration
The maximum number of form submissions has been reached. This form is currently not available.
St. Rita Athletics is constantly seeking dedicated volunteers to join the Sports Committee and to help develop our athletes. Would you like to learn more about joining the St. Rita Sports Committee?
REQUIRED
Yes. Please contact me about becoming a member of the St. Rita Sports Committee.
No, not at this time.
Please fill out this field.
PARENTS' INFORMATION
I am the child's:
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Mother
Father
Legal Guardian
First Name
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Last Name
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City
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State
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Zip
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Phone Number
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Email
REQUIRED
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Please enter an email address.
My Child Has the Following Health Insurance Coverage:
Private Health Insurance
All School Insurance through St. Rita
The Name of My Private Health Insurance Company and Policy Number is:
Maximum 50 characters
Please state the name of the health insurance company that covers your child, as well as the policy number.
Please enter valid data.
Policy Holder's Name:
REQUIRED
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STUDENT'S INFORMATION
Name of Student/Athlete
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
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Please enter valid data.
Current Grade
REQUIRED
5th Grade
6th Grade
7th Grade
8th Grade
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Sports Physical was Completed on the Following Date:
REQUIRED
Per league and Diocesan rules, a student is not allowed to participate until the sports physical has been completed and turned into the school office. A physical is valid for a period of 12 months.
Please fill out this field.
Please enter a date.
Please list any and all medical information/conditions. (If none please state n/a.)
REQUIRED
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Name of Student's pediatrician (If none, state none).
REQUIRED
Please fill out this field.
Please enter valid data.
Pediatrician's Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
EMERGENCY INFORMATION AND PERMISSION TO TREAT
Emergency Contact
First Name
REQUIRED
Please fill out this field.
Please enter valid data.
Last Name
REQUIRED
Please fill out this field.
Please enter valid data.
Phone Number
REQUIRED
Maximum 20 characters
Please fill out this field.
Please enter a phone number.
Relationship of the Emergency Contact
Please enter valid data.
Permission to Treat in an Emergency
During athletic competition, there are situations that sometimes arise where a student/athlete may require emergency medical attention.
In the event we cannot be reached to obtain permission for medical attention, by clicking "I Agree" below, I hereby authorize St. Rita school, youth programvolunteers, and/or its authorized agent and employee representative(s) to act for me in an emergency or other circumstance requiring any medical treatment or attention on behalf of my child without any further permission. This consent and authorization shall include, but not be limited to, obtaining necessary hospital, medical, surgical, dental, optical, pharmaceutical, and any related care for my child and to sign any authorization therefore including admissions and/or discharges from any hospital or other care facility. I also agree to assume financial responsibility for all costs associated with medical treatment and/or transportation.
St. Rita staff will make every effort to reach the provided emergency contacts in the event of a medical issue. In most cases, parental permission will be obtained before providing treatment, especially in nonemergency situations.
I Agree
Please select this field.
COACHING INFORMATION
St. Rita athletics are run almost exclusively by volunteer parent coaches. Coaching is extremely rewarding and we are always in need of qualified coaches. Would you be willing to help coach your child's team this year?
Yes!
Sorry, but not at this time.
Please contact me at the number below to discuss the possibility of coaching in further detail.
Submit
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