Parent Portal

Student First Name: Required

Student Last Name: Required

Student ID: Required

School Attending in 2026 - 2027: Required

Emergency Travel Card

Lewisville ISD 2026/2027

LEWISVILLE INDEPENDENT SCHOOL DISTRICT
STUDENT ATHLETE TRAVEL INFORMATION

EMERGENCY INFORMATION

Student’s Name

Birth Date

Address

Phone

Sex

Male

Female

Parent’s Name – Mother

Father

Daytime Phone(s)-Mother

Father

If parent/guardian cannot be reached, please notify

Name

Phone

INSURANCE INFORMATION

Family Primary Insurance Company Insurance Company

Phone

Check one

Individual

Group

HMO

None

Policy #

Group #

Primary Physician Primary Physician

Phone

Insured Parent/Guardian’s Name

Employer

List any known ALLERGIES. (Medications, Foods, Etc.) Be Specific:

List any Medication taken on a regular basis:

The Lewisville ISD WILL NOT be responsible for medical or other costs related to injuries received by the above participant except to provide the insurance coverage outlined. No student will be permitted to participate in any practice, off-season program or contest prior to this document being on file with Lewisville ISD.

I hereby give my consent for

to compete in University Interscholastic League approved sports and travel with the coach or other representative of the school on any trips.

If, in the judgment of any representatives of the school, the above student needs immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given to said student by any physician, trainer, nurse, hospital, or school representative: and I do hereby agree to indemnify and save harmless Lewisville ISD and any school representative from any claim by any person whomsoever on account of such care and treatment of said student.

Parent/Guardian Signature (Print)

Date:

Pursuant to the Texas Uniform Electronic Transmissions Act, an electronic signature has the same legal effect as a manual or handwritten signature. An electronic signature will not be denied legal effect or enforceability solely because it is electronic, and any requirement for a signature is satisfied by an electronic signature. By submitting an electronic signature, the individual identified and providing the electronic signature herein verifies acknowledgement of the binding legal effect and enforceability of the electronic signature. By clicking the box beside "I agree", you agree that this is valid as your signature. You hereby swear that you are the parent or legal guardian of the above named student and that the information is accurate to the best of your knowledge.

I Agree

Student Signature (Print)

Date:

Student Signature

Pursuant to the Texas Uniform Electronic Transmissions Act, an electronic signature has the same legal effect as a manual or handwritten signature. An electronic signature will not be denied legal effect or enforceability solely because it is electronic, and any requirement for a signature is satisfied by an electronic signature. By submitting an electronic signature, the individual identified and providing the electronic signature herein verifies acknowledgement of the binding legal effect and enforceability of the electronic signature. By clicking the box beside "I agree", you agree that this is valid as your signature. You hereby swear that you are the above named student and that the information is accurate to the best of your knowledge.

I Agree

Notification Email: Parent Email: If the student is 18 and completing the form themselves, please enter their email. If the student is under 18 or the parent/guardian is completing the form, please enter the parent/guardian email. An email notification will be sent once the form has been approved.