Charleston High School

1615 Lincoln Avenue  
Charleston, IL 61920

Phone: (217) 639-5000

Fax:     (217) 639-5005

Jim Littleford                     Superintendent

Todd Vilardo
Associate Superintendent

Trevor Doughty  
Principal

Timothy Keefe
Assistant Principal

Jim Wood
Athletic Director

Jennifer Staskiewicz
Athletic Trainer

Carol Lawson
Athletic Secretary

 

 

 

Charleston High School

Athletic Forms Check List

 

CHS students interested in participating in extra-curricular activities need to be aware of the following list of requirements.  All forms must be completed and turned in PRIOR to trying out for any activity.

       PhysicalStudents must have a physical by a licensed physician.  Physicals are good for 13 months.  The IHSA/IESA form in this packet cannot be used for 9th grade students.  9th Graders should get the state required 9th grade physical on the DHS form which will be used for sports.

 

       Forms Acknowledgement/InsuranceThis form requires signatures of both the participant and the parent/guardian.  Includes verification of receipt of the Extracurricular Code of Conduct, Concussion Information and Insurance Information.

 

       Agreement to ParticipateThis form requires signatures of both the participant and the parent/guardian.  This form gives consent to participate.

 

       IHSA Sports Medicine Acknowledgement & Consent Form:

A form required by IHSA with parent/guardian signature and student signature.

 

       Activity Fee

This fee is required to be paid before the first scheduled contest.  Please make checks out to CUSD #1.  Students who qualify for free or reduced lunch will have this fee waived, but the form is still required to be turned in with their activity(s) marked.  This is a fillable form so you can type in your information, print it and bring to the school.

 

All above paperwork, except for participation fee and form, MUST be completed and turned in to the CHS Athletic Office prior to tryouts/first practice.  The fee can be paid after tryouts and roster is set.

 

If you have any questions, contact 639-5006.

 

 

All students are provided equal opportunities in all education programs and for all services.  No person shall be discriminated against on the basis of race, color, creed, national origin, gender, sexual orientation, age, ancestry, marital status, citizenship status, or mental or physical disability in any of its programs, activities, services or benefits.  All students are guaranteed equal access to educational and extra curricular activities as required by Illinois PA 79-597 and Title IX of the 1973 Educational Amendments.