1. 2011 2012 Please PRINT carefully in all UPPER CASE letters
CONTACT INFO
Athletic Director: Bill Groves
Athletic Secretary: Kathy Huffman
Girls Coach: Brad Tretheway
Asst Coach: Crystal Aboukhaled
Guys Coach: Steve Smith
Asst Coach: Jim Bartholomew
Diving Coach: Stewart Spratt
2011
2012
TEAM BLOG -
- cut and keep top portion -
Please PRINT carefully in all UPPER CASE letters
JOHN ADAMS SWIMMING AND DIVING TEAM PHOTO PERMISSION
SWIMMER NAME STUDENT ID#
PARENT / GUARDIAN NAME(S)
I GIVE PERMISSION TO THE JOHN ADAMS ATHLETIC DEPARTMENT AND/OR SWIM TEAM TO
PUBLISH ON A WEB PAGE, ATHLETIC DEPARTMENT NEWS-LETTERS OR ATHLETIC POSTERS
ANY OF THE FOLLOWING DIRECTORY INFORMATION ITEMS: STUDENT’S NAME, PICTURE
(WHETHER POSED -OR- ACTION PHOTO IN THEIR SPORT), GRADE, ATHLETIC STATISTICS
AND ACHIEVEMENTS, AS WELL AS ANY OTHER ACADEMIC ACHEIVEMENTS OR AWARDS
INCLUDING GRADE POINT AVERAGE AND CLASS RANK. THIS FORM WILL BE KEPT ON FILE
FOR THE DURATION OF YOUR CHILD’S HIGH SCHOOL CAREER. YOU RETAIN THE RIGHT TO
REVOKE THIS PERMISSION AT ANY TIME BY NOTIFYING THE ATHLETIC DIRECTOR / COACH.
SIGNATURE OF PARENT / GUARDIAN DATE
THE INTENT OF THIS FORM IS TO ALLOW THE JOHN ADAMS ATHLETIC DEPARTMENT AND
THE SWIM TEAM TO PROMOTE YOUR STUDENT ATHLETE / TEAM IN A POSITIVE WAY.
COMPLETE THE INFORMATION BELOW FOR OUR TEAM CONTACT LISTS – TO BE SHARED !
SWIMMER SWIMMER CELL #
PARENT GUARDIAN LAND LINE #
PARENT GUARDIAN CELL PHONE #(S)
Please PRINT carefully in all UPPER CASE letters