Athletic Clearance is as easy as 1,2,3

Transcription

1 Albany Middle School Athletic Clearance is as easy as 1,2,3 In order to be cleared for athletic participation the following steps must be taken in order to gain eligibility to tryout/practice for an AMS athletic team. Step 1: Download & print Athletic Clearance Packet from AMS website or pick up from AMS Main Office. Step 2: Complete & Sign the following forms: (Parent & student signatures required) Athletic Eligibility Checklist Form* Consent & Liability Release Form* Donation Form Step 3: Submit the completed forms to the AMS Main Office. (Paperwork will not be accepted if forms are not completely filled out) If forms are not completed & submitted to the AMS Main Office by the deadline then athletic clearance may be denied. Students cannot tryout/practice for any team until the athletic office has verified the student s scholastic eligibility (see reverse side for scholastic eligibility requirements). * Consent & Liability Release Form & Athletic Eligibility Checklist Form must be submitted for each season of sport in which your child is participating.

2 Scholastic Eligibility Eligibility for participation in after school sports: 1. All student athletes must achieve at least a 2.0 GPA with no F's in the previous grading period. (If the last grading period ended at the 1st quarter, then the 1st quarter grade will count toward eligibility). If a student's GPA is below a 2.0 and they have no F's then the student athlete may be placed on academic probation. 2. Student athletes are required to attend at least 4 classes of their school day in order to be eligible to practice or play in a scheduled match, game, or contest. Athletes who cut a class or have an unauthorized absence may not practice or compete. Academic Probation Students who fail to meet the minimum grade requirements will be placed on academic probation and will be expected to turn in a completed weekly progress report to the Main Office every Friday by 3:15pm in order to continue athletic participation. Their eligibility to participate in athletics will depend on their performance in all classes for the entire week. If a student fails to submit a progress report on Friday or if their progress report is not satisfactory, then they will have to sit out of practices and games the following week. The student will then submit a progress report the following week in order to regain eligibility. Behavioral Eligibility Behavioral criteria for student athletes regarding referrals: 1 referral = player meeting with athletic director & coach to decide consequence 2nd referral = benched for next match/game/contest 3rd referral = possible removal from team as to be decided by the administration and athletic director Suspension If a student athlete is suspended from school, the student athlete will not be eligible to return to the team until a meeting has taken place between the student, parent/guardian, coach and athletic director. During that meeting it will be decided whether or not the student is eligible for, or would benefit from, continued participation on the team.

3 Albany Middle School Athletic Eligibility Check List This form must be completely filled out before turning it in to the Albany Middle School Main Office Forms should not be turned in to coaches or any other athletic staff Student s Name (Please Print) First Last Parent/Guardian Name: Grade Level: Phone: Address Street City Zip (will be given to coaches for team communication) EMERGENCY CONTACT In case of accident, injury, or illness and I cannot be contacted, please contact: Name: Relation: Address: Phone: Circle the sport the athlete is trying out for: (Circle Only ONE Sport) Fall Sports: Volleyball Cross Country Flag Football Winter Sports: Boys Basketball Girls Basketball Girls Wrestling Boys Wrestling Co-ed Soccer Spring Sports: Track & Field PHYSICAL CLEARANCE Parent Initials Required My child has had/will have a physical examination on (Date) Name of Physician: Although my child has not had a physical examination, I give my permission for my child to participate in athletics at AMS. I understand that injuries are a possibility and that AUSD will not be held responsible. MEDICAL INSURANCE Parent Initials Required My child is covered by health and/or student accident insurance. (Coverage is available for purchase) Name of Insurance: Policy #: The Athletic Handbook can be found on the Albany Middle School website, please read and initial below: ATHLETIC HANDBOOK AGREEMENT Parent & Student Initials Required I have read and agree to comply with policies in the Athletic Handbook (Athlete and Parents) Parent Student By signing below, the above stated student has my permission to participate in the after school sports program at Albany Middle School. I have read the information regarding fees, eligibility and other participation requirements. Although it is not necessary for your child to have a physical examination in order to participate, it is recommended, since injuries are a possibility as a result of athletics. The California Education Code mandates that all participants in any type of interscholastic athletic event must be covered by medical insurance. The Albany Unified School District and Albany Middle School does not provide this coverage, but this coverage is available for purchase at a nominal fee. Information was sent home with your child during the first week of school and can also be obtained from the school office. Parent/Guardian s Signature For Office Use Only: Grade Check: Student Cleared to Participate: Athletic Director Signature Date

4 Albany Middle School Voluntary Sports/Athletic Event Informed Consent and Liability Release Student name: Sex: M F Birth date: Parent or legal guardian (Please print) Student address School Sport/Activity Coach/Instructor Acknowledgement and Assumption of Potential Risk I authorize my son/daughter, named above, to participate in the indicated sport/athletic event, l understand and acknowledge that sport/athletic activities, by their very nature, pose the potential risk of serious injury and/or illness to the individuals who participate in such sport/athletic events or activities. This sport/athletic event, by its very nature, poses some inherent risk of a participant being seriously injured. These injuries could include, but are not limited to, the following: 1. Sprains and strains 6. Disfigurement 2. Fractured bones 7. Head injuries 3. Lacerations, abrasions, and avulsions 8. Loss of eyesight 4. Unconsciousness 9. Death 5. Paralysis I understand and acknowledge that participation in sport/athletic events or activities is completely elective and voluntary and as such is not required by the District. I understand that all participants are to abide by and accept all rules and requirements governing conduct and safety in the sport/athletic event or activity. To the extent permitted by the Education Code, any participant determined to be in violation of behavior standards may be removed from this sport/athletic event or activity. I understand and acknowledge that in order to participate in these activities, I and my son/daughter agree to assume liability and responsibility for any and all potential risks that may be associated with participation in sport/athletic events or activities. I agree to, and do hereby release and hold Albany Unified School District and its officers, agents, employees and/or volunteers harmless for any and all claims; demands; causes of action; liability; damages; expenses; or loss of any sort, including bodily injury or death; because of or arising out of acts or omissions with respect to the sport/athletic event or activity. I acknowledge that I have carefully read this "Voluntary Sports/Athletic Event or Activity, Informed Consent and Liability release, Acknowledgment and Assumption of Potential Risk" form and that I understand and agree to its terms. Signature (Student) Date Signature (Parent or legal guardian) Date ( ) ( ) ( ) Home Phone Work Phone Cell Phone

5 Albany Athletics Boosters (AAB) Fact Sheet Who we are: A group of coaches, parents, administrators and Albany community members supporting all of the athletes and athletic programs at AHS & AMS. Our focus: Fundraise to support sports programs, increase Albany Sports Spirit. When we meet: The 2nd or 3rd Monday of each month at 6pm at Albany High School in RM 106. Meeting announcements are posted in the AHS & AMS Daily Newsletter and on the AHS & AMS websites. Fundraising: Need: The minimum cost to operate the Albany Athletic Program is $300,000. The AUSD provides approximately $120,000. AAB (Albany Athletics Boosters) is responsible for raising the other $180,000. Together, these funds pay for equipment, coaches salaries, tournament fees, officials, uniforms, transportation, athletic trainer, etc. to support all of the Albany student-athletes. Per-athlete obligation: To meet this responsibility, each team is expected to raise a minimum of $200 per athlete (AHS), $120 per athlete (AMS), per season. This money goes through the AAB (Albany Athletics Boosters) account and is used to meet the basic needs of our Athletic teams. Anything raised above and beyond the $200/$120 minimum is designated back to the team and is available for extras like warm-up suits, sweatshirts, etc. Fundraising examples: Athlete provides the $200/$120 requested donation at time of sign-up for a sport Concession sales Spirit Wear sales Gift card sale Corporate Sponsor Banners Tournament: Golf, Wrestling, Volleyball, Basketball Team Example: If the Rugby team has 30 players, they are required to raise $6,000 to pay for the operating expenses (salaries, uniforms, transportation, tournament fees, officials, etc.) for our Athletic Program. Any money they raise beyond $6,000 is available for the team to use for things other than basic needs. Teams that consistently fail to meet their fundraising obligations may be dropped as a sponsored sport (simply because we can t afford it). Volunteering: To volunteer or to find out more details about fundraising, please contact one of the Albany Athletics Boosters (AAB) executive committee members: Michael Saaf michaelsaaf@gmail.com; Kendra Knowles knowlesclan@comcast.net; Kari Finch karijf@yahoo.com; Yasmin Wofford yasminnw@hotmail.com; or Zeke elopez@ausdk12.org Let s work together to support all of our wonderful student-athletes! Go Albany!!

6 Albany Athletics Boosters Donation Form Raising Funds! Raising Spirit! Supporting all Sports in Albany! Due to budget cuts, voluntary contributions are needed to support the athletic budget in Albany. Therefore, we are requesting a voluntary contribution from all students participating in athletics for the school year. 100% of these contributions will be used to cover the basic expenses of officials, equipment, transportation, uniforms, maintenance and coaching stipends. It is our sincere hope and desire that this athletic contribution causes no hardship to your family. For this reason, we will accept any and all athletic contribution amounts. For us to sustain our programs, the amount requested is $200 (AHS), $120 (AMS) per athlete, per season. Please include your taxdeductible contribution with this form and return it to the Main Office. Donations will not be processed until final rosters have been set for each team. Checks/donations will be returned to those who do not make the team. We always appreciate and recognize voluntary donations from our parents and community members. Your generosity helps support our educational goals and programs and services for students. Please understand that any donations are truly voluntary and your student's ability to participate in a school activity is never conditioned on making a donation. All donations are optional; none are required. Parent Name(s): Student(s) Name(s): Address: Phone number: address: My son/daughter plans to play on the following team: Donation per athlete for one sport season $200 (AHS); $120 (AMS) : We are unable to donate at this time: Total Enclosed: $: Make checks payable to Albany Athletics Boosters (AAB) with your sport in the memo line. To volunteer, please contact Michael michaelsaaf@gmail.com