LHSA Athletic Release and Medical Authorization School Year:

Transcription

1 LHSA Athletic Release and Medical Authorization School Year: Athlete Name: Date of Birth: Grade: Parents Names: Address: City: Zip Phones: Home ( ) Work ( ) Mobile ( ) Other ( ) E mail: Other E mail: Lighthouse Home School Athletics (LHSA) desires to provide homeschooled children with the benefits of participation in organized team sports in a setting which honors God. EMERGENCY MEDICAL AUTHORIZATION AND AGREEMENT TO CHRISTIAN DISPUTE RESOLUTION Emergency contacts other than parent or guardian: 1. Name Hm phone 2. Name Hm phone Permission and Release: I give permission for my child to participate in this activity. I understand that there are risks associated with competitive sports. In the event he/she is injured, I waive and release all rights to any claim for damages against LHSA and its representatives. I further agree that any claim or dispute arising from or related to this agreement shall be settled by mediation and, if necessary, legally binding arbitration in accordance with the Rules of Procedure for Christian Conciliation of the Institute for Christian Conciliation, a division of Peacemaker Ministries (complete text of the Rules is available at Judgment upon an arbitration decision may be entered in any court otherwise having jurisdiction. The parties understand that these methods shall be the sole remedy for any controversy or claim arising out of this agreement and expressly waive their right to file a lawsuit in any civil court against one another for such disputes, except to enforce an arbitration decision. Medical Release: In the event my child suffers sudden illness, accident, or injury and neither parents nor guardians can be contacted, I give permission for any emergency treatment that is deemed necessary by a licensed physician. Family physician Phone Pertinent medical information diabetes,allergies,etc.):

2 Parent Name (Print) Parent Signature Date

3 LHSA Eligibility Requirements Player Requirements *A player must be homeschooled. "Homeschooled" means that a player must be receiving his or her primary educational direction through the home. *A player must be living at home with a parent or guardian. *A player is ineligible if that player has gone through a homeschool, public school, or private school high school graduation ceremony prior to that season's first game. *A player must be passing all courses in order to participate in a contest or tournament. In performing the role of administrator for the homeschool, the parent is solely responsible for enforcing this rule. Grade Classifications and Designations *LHSA athletic program, is designed for Middle School and High School homeschooled students. *Middle School includes grades 6 through 8; High School includes grades 9 through 12. *A player shall become ineligible after 4 years of high school participation. *A high school player is ineligible to play on a middle school team. *A middle school player is ineligible to play on a high school team. Maximum Age Qualifications *A player is ineligible to play on any team on the next September 1 st following that player s 19th birthday. *A player is ineligible to play on a middle school team on the next September 1 st following that player s 15 th birthday. Minimum Grade/Age Qualifications *A player must be in at least the 6 th grade AND must be at least 11 years old on September 1 st of the current school year in order to participate on a middle school team.

4 Expectations So whether you eat or drink, or whatever you do, do it all to the glory of God. *1 Corinthians 10:31 Coaches Expectations: 1. Be responsible for their own behavior and also the behavior of their team members, their parents, and fans. 2. Lead by example in being respectful of other players, coaches, fans, and officials at all times. 3. Provide a sports environment for their team that is free of drugs, tobacco, alcohol, and abusive language at all LHSA events. 4. Never publicly demean a player, official, opposing coach, or parent. 5. Ensure that their players are supervised by a coach or another designated adult and never allow their players to be left unattended or unsupervised at a game or practice. 6. Never knowingly permit an injured player to play or return to the game. 7. Take the initiative in resolving any known or suspected conflict relating to a player or family. 8. Accept positive and negative feedback graciously as from the Lord Communicate expectations to players and parents. Players Expectations: 1. Be courteous to opposing teams and treat all players, officials, and coaches with the utmost respect. 2. Be humble in victory and gracious in defeat. 3. Good sportsmanship required at all times (practice and games) 4. Show respect for authority to all officials, whether or not you agree with a call (this includes non verbals). 5. Respect the privilege of using Ridgewood Gym by cleaning up after yourself, putting equipment away, and picking up trash after practice or a game. 6. Refrain from use of alcohol, tobacco,and illegal drugs.

5 7. Avoid profanity and speaking negatively or demeaning. 8. Be an Encourager. Build one another up!!! 9. Show up for practice on time, with proper equipment and ready to play. 10. Communicate to the coach in advance when you will miss a practice or game. 11. Dress in a manner that could not be considered offensive or morally suggestive at all LHSA events. 12. Tell the coach of any concerns or problems instead of talking to others about them. 13. Seek to resolve personal conflicts with teammates. Parents Expectations: 1. Trust the coach to coach the team. 2. Volunteer to help with team needs whenever possible. 3. Let the officials and umpires call the game, if you disagree with a call, please keep it to yourself. 4. Demonstrate exemplary sportsmanship at games by using only positive cheers and never laughing at errors or jeering an opponent. 5. Advocate a sports environment that is free of drugs, tobacco, alcohol, and abusive language, including profanity, and refrain from their use during any LHSA event. 6. Assist their athletes to show up to practice and games on time, with proper equipment, and ready to play. 7. Direct their athletes to communicate to the coach in advance of any anticipated missed practices or games. Print / Sign/ Date Coach Player Parent

6 Lighthouse Home School Athletics (LHSA) Statement of Purpose Lighthouse Home School Athletics (LHSA) is a nonprofit, incorporated, Christian service organization that is established to provide homeschool students the opportunity to compete in competitive sports in a Christian atmosphere. LHSA, as an organization, and all of its activities, are committed to modeling and teaching Christian character traits, along with good sportsmanship. Statement of Faith We believe that there is one God eternally existing in three persons: the Father, the Son, and the Holy Spirit We believe that the Bible is God's written revelation to man and that it is verbally inspired, authoritative and without error. We believe in the deity of Jesus Christ, His virgin birth, sinless life, miracles, death on the cross to provide for our salvation, bodily resurrection and ascension into heaven, present intercession for us, and His return to earth in power and glory. We believe the person and deity of the Holy Spirit, that He performs the miracle of new birth in an unbeliever and indwells believers, enabling them to live a godly life. We believe that man was created in the image of God but because of sin, was alienated from God. That separation can be removed only by accepting through faith alone, God's gift of salvation which was made possible through the death, burial and resurrection of Jesus Christ NOTE: All Coaches are required to sign this statement indicating their agreement with it. Although players and parents are not required to sign the statement, we want all families to know that this is an important aspect of LHSA. Printed Name Date

7 Signature

8 Lighthouse Home School Athletics LHSA Volleyball The LHSA high school volleyball program strives to develop leadership and Christian character in our team members. Our coaches have a love for the game and are dedicated to teaching the skills needed for competitive play. The Lady Lions program is directed by Mrs. Lisa Cliett (lisacliett@gmail.com) QUALITY OF PLAY This is competitive volleyball, with high school substitution rules. Unlike Rec Programs, there is no guarantee of playing time or position. Playing time will be based on skill sets, hustle, ability, performance, not to mention attitude toward your teammates and others. LHSA will strive to provide as many training opportunities as possible. LHSA is NOT, however, a win at all cost organization. Our goal is to provide a program where talented athletes can grow physically and spiritually and where Jesus Christ is honored in all respects. SEASON Practices begin in July with local games typically scheduled August through October. LHSA schedules games against area Private, Christian, and Charter schools and one or two weekend tournaments. With this being our first year of playing we may not have many games and games may scheduled at last minute. Cost As of this moment our cost consist of a tournament fee and jersey top. We are working on keeping the cost at a minimum with the help of sponsors and fundraisers. Other costs may arise if we host a home game due to needing referees.

9 Lighthouse Home School Athletics (LHSA) Fall 2016 Girls Volleyball Tryout Application Athlete Name: Fall 2016 Grade Classification (middle school): 6th 7 th 8 th Fall 2016 Grade Classification (high school): 9th 10th 11th 12th Birth date (MM/DD/YY): Age Today: Parents' Names: Home Address: City: Zip: Home Phone: Athlete s Cell Phone: Athlete s E mail: Parents Cell Phone: Parents E mail: Co op Attending: Co op School Days Times Community College Attending: # of Hours (Fall 2016) # of Hours (Spring 2017) Questions: Years of volleyball played: Primary Position: My strongest volleyball skill is: Skill I want to improve most in is: I have had paid instruction for volleyball skills in the past 12 months: Yes No Please elaborate I understand and accept that there may be games where I don t get to play if that s what the coach thinks is best for me or best for the team? Yes No HSAA Girls Volleyball Application (Updated ) I understand and agree that hustle and attitude may affect my playing time. Yes No I understand and agree that it is my responsibility to talk to the coach and not the other players/parents if I disagree with decisions the coach makes. Yes No I would rather sit on the bench on the Varsity team than be a starter on the JV team. Yes No I am willing to work outside of practice on specific skills (as requested and/or needed) to improve my game? Yes No I understand I will be asked to participate in conditioning programs outside of regularly scheduled workouts? Yes No I may have co op classes or community college classes that do not end before 4:00 in the afternoon. Yes No If yes, what day(s) of the week? I will be working part time during volleyball season. Yes No. If yes, please elaborate I am a senior and would like to make the team even if it means not having much playing time. Yes No As a member of the Team, I understand I will be expected to participate in teamwide fundraisers to help the volleyball program. Yes No Skills Training (Jason Sessions) are tentatively scheduled on Wednesdays in the Noon 3:00 time slot at SportsPlex Valley View. I understand these are required sessions and can arrange my schedule to be able to attend. Yes No Answer the following questions only if you are NOT a senior: o If I don t make the Varsity team, I d rather not play. Yes No o If I don t make the JV team, I ll probably give up volleyball. Yes No I understand that the Nationals Team will be named during the season. I understand that even if named to Varsity, that is no indicator that I will be participating in the Nationals Team. Yes No If I make the Nationals Team, I understand that I will be required to travel and stay with the Team at National Events. Yes No If I make the Nationals Team, I can travel to Omaha, Nebraska for the national tournament (tentatively scheduled for Nov 2 Nov 6). Yes No HSAA Girls Volleyball Application (Updated ) In order to assure your health and safety, all Student Athletes will be required to supply a Physical Evaluation Form signed by their doctor. Sample Form can be found on the HSAA Website or your Doctor may prefer to provide their own.

10 Please read the HSAA eligibility requirements to ensure that you meet the organization's qualifications! Please initial & certify to the following HSAA guidelines: Player Parent Initials Initials I have read the HSAA Eligibility Requirements and certify that I am a homeschooled student and eligible to play for HSAA. I have read the HSAA Expectations and agree that I will abide by these standards. I have read the HSAA Appearance Guidelines and agree that I will abide by these standards. Signed (Player ) Date: Signed (Parent) Date: