Masconomet Girls Soccer

Masconomet Girls Soccer Individual commitment to a group effort Important Dates: 6/27 : Summer League Games begin 7/1: Mile Time Check #1 7/10 : Injury Prevention Program begins (tentative) 7/15 : Jamboree (Returning Varsity and JV) 8/1: Mile Time Check #2 8/4 : Registration Due Scholarship Applications Due 8/7-8/10 : Tri-Town Clinic 8/24-8/26 : Tryouts Summer Opportunities: June 27th - August 10th: Summer League and Skills Sessions Teams include Bishop Fenwick, Lowell, Georgetown, Manchester-Essex, Austin Prep, Triton, and Central Catholic Games on Tuesdays or Thursdays at 6 pm Skills training sessions on Wednesday evenings July 10th - August 10th: Injury Prevention Program (Tentative) Schedule : Monday, Wednesday, and Thursday mornings at Masco for FREE Purpose : Gain strength, speed, power, and proper mechanics to prevent injury Saturday, July 15th: Jamboree (Returning Varsity and Junior Varsity) Location: Bishop Fenwick, Peabody Schedule : (tentative) Games against Winchester, Brookline, and Concord Carlisle Monday, August 7th - Thursday, August 10th: Tri-Town Girls Soccer Clinic Run by Coach Scarpaci $80/player 3:00-5:00 Boys Scout Park in Boxford If your family needs financial assistance, please let me know! Coach Lecesse: alecesse@masconometorg Allysha Proulx-Walter: 978-857-5003 Nikki Arrington: 978-882-5600 Captains: Regan Pratt: 978-810-7055 Travis Pratt: 978-810-7056

MASCO GIRLS SOCCER 2017 FALL PRESEASON PRACTICE SCHEDULE PRACTICE DESCRIPTION GRADES TIMES Thursday, August 24 Tryouts 9-12 8-10 & 12-2 Friday, August 25 Tryouts 9-12 8-10 & 12-2 Saturday, August 26 Tryouts 9-12 8-10 Sunday, August 27 Off Monday, August 28 Training All Levels 8-10 Tuesday, August 29 Training All Levels TBD Wednesday, August 30 Teacher Orientation Thursday, September 31 School for 9 th Graders Friday, September 1 Training All Levels 3-5 Training All Levels 3-5 Training All Levels TBD Saturday, September 2 TBD VARSITY TBD Sunday, September 3 Monday, September 4 Labor Day Tuesday, September 5 School Opens for All Students Off Off Training All Levels 3-5:00 Wednesday, September 6 Training All Levels 3-5:00 Thursday, September 7 Training All Levels 3-5:00 Friday, September 8 GAME @ NEWBURYPORT V & JV 3:45 It is mandatory for all players to bring a reusable filled water bottle, a properly inflated size 5 ball, shin guards, and cleats Shin guards must be worn throughout practices ** PARENTS/STUDENTS: Have you submitted your registration and updated physical? ** Students will not be permitted to begin their try-out until their registration and physical paperwork has been processed NO EXCEPTIONS For TRYOUTS, please wear the following SHIRT COLORS: Seniors: Gray/TBD Juniors: Blue Sophomores: Red Freshmen: White

Athletics and Co-Curricular Activities Scholarship Information and Application 2017-2018 NOTE: You must resubmit all paperwork and forms for each season Scholarship Criteria Applications for scholarships will only be considered for families whose circumstances fall within one of the following categories: 1 Free and Reduced Price School Meal All students who currently receive free or reduced price meals through the Masconomet Food Service will be offered a scholarship 2 Income Eligibility Families who s combined family income is equal to or less than the amount listed below will be eligible for a scholarship Household Size 2 3 4 5 6 Each Additional person Annual Combined Family Income $60,000 $70,000 $80,000 $90,000 $100,000 + 10,000 3 Extenuating Circumstances Families with extenuating circumstances may apply for a scholarship Applications will be reviewed by the Chief Financial Officer based on the documentation provided Extenuating circumstances could include temporary unemployment, a number of students participating in athletics or co-curricular activities or other situations Application Form Family Information Complete this section with all the necessary information including the names of all students, their grade and which sport(s) and/or activity(ies) are to be covered by the scholarship Scholarship Eligibility Complete sections 1, 2 or 3 based on the eligibility criteria to be considered: Section 1 Free or Reduced Priced School Meal If you are receiving a free or reduced price school meal through Masconomet Food Service, you are eligible for a scholarship Sign section 1, indicating your permission for the administration to verify your eligibility Section 2 Income Eligibility If your combined family income is less than or equal to the amount listed for your family size, you are eligible for a scholarship Indicate your family size, combined family income and sign Include a copy of your most recent federal tax forms with all attachments and two most recent paychecks from all employers See Below Section 3 Extenuating Circumstances If you do not qualify in sections 1 or 2, you may apply for a scholarship based on extenuating circumstances Fully detail the circumstances that affect your ability to pay the full fee If necessary attach additional sheets Also attach a copy of your most recent federal tax forms with all attachments and two most recent paystubs from all employers Also note the dollar amount of the scholarship you are requesting See Below Application Process Please submit a complete copy, including all forms and schedules of your most recent Federal Tax Return All submitted paperwork is shredded after each season for privacy purposes, so you need to resubmit all paperwork for each season In order to be considered for a scholarship, complete the attached application and submit it with all of the required supporting documentation to the Superintendent s Office by the date listed below! Registration! Scholarship! Scholarship! Start!Practice! Deadline!for! Form!Due! Form!Due! Outcome! Team!Cuts! Fall!Athletics! Aug!4,!2017! Aug!4,!2017! Aug!18,!2017! Aug!24,!2017! Sept!8,!2017! Winter!Athletics! Oct!27,!2017! Oct!27,!2017! Nov!13,!2017! Nov!27,!2017! Dec!8,!2017! Spring!Athletics! Mar!2,!2018! Mar!2,!2018! Mar!16,!2018! Mar!19,!2018! Apr!6,!2018! All!other!HS!CoL Oct!3,!2017! Oct!3,!2017! Oct!5,!2017!!! Curricular!Activities! Middle!School!CoL Curricular! Oct!5,!2017! Oct!5,!2017! Oct!19,!2017!!!!

MASCONOMET REGIONAL SENIOR HIGH SCHOOL 2017-2018 FALL ATHLETIC REGISTRATION FORM (Registration Form Due August 4, 2017) (If applying for a Scholarship, Scholarship Form is due August 4, 2017) Name of Student Year of Grad Address Phone Student ID # Parent EMail Students participating in the Athletic Program are required to pay a fee The following sports with accompanying fee are available to Senior High School students FALL SPORTS Cheerleading, Fall ($450) Golf ($500) Field Hockey ($450) Volleyball ($550) Football ($550) X-Country, Boys ($250) Soccer, Boys ($400) X-Country, Girls ($250) Soccer, Girls ($400) For Preseason start dates and times please go to wwwmasconometorg/athletics to find your sports schedules NOTE: Students wishing to participate in High School Extracurricular Activities (Clubs) should obtain the Full Year Extracurricular Activity Form This form is located on the Masconomet Website This form (with payment) is due on September 30, 2017 Write in the option(s) you are selecting: If there is more than one child in a family, a separate Registration Form should be filled out for each child As well as a separate check for each child Forms are located at www masconometorg ACTIVITY FEE Please enclose a separate check for each activity The check (for a specific activity) will be returned to you if there is not sufficient enrollment for an activity to run ; or if the student is cut from a team after try-outs Because of the above, checks may be held for six-eight weeks before processing CHECKS ARE TO BE MADE PAYABLE TO MASCONOMET REGIONAL SCHOOL DISTRICT AND SHOULD BE MAILED TO MASCONOMET REGIONAL SCHOOL DISTRICT, SUPERINTENDENT'S OFFICE, 20 ENDICOTT ROAD, Boxford, MA 01921 OR DELIVERED TO THE SUPERINTENDENT S OFFICE PRIOR TO 8/04/2017 POLICY ON REFUNDS: The full amount of the specific activity fee will be refunded if (a) the student tries out and is cut from a team, or (b) the student paid but never participated in the activity Prorated refunds are available to a student who is unable to participate in an activity because of illness or injury (A physician s statement is required for this refund) No refund is available to a student who (a) becomes ineligible for academic or disciplinary reasons, (b) moves out of the District, or (c) drops-out of an activity Once a student participates in team practices, he/she is not eligible for a refund Refund requests must occur prior to the end of the regular season for that sport SCHOLARSHIP INFORMATION: wwwmasconometorg/athletics - click on Forms and Information to find the scholarship application Scholarship Deadline: August 4, 2017 PLEASE NOTE: Please make sure you print out the second (back) page of this form and return it with your payment THIS FORM MUST BE SIGNED ON THE BACK BY THE STUDENT AND THE PARENT OR GUARDIAN BEFORE THE PAYMENT CAN BE PROCESSED

RULES AND REGULATIONS have read and understand all of the rules, regulations and penalties of the Masconomet Regional High School as outlined in he Calendar Handbook ATHLETIC/ACTIVITY RULES The following rules are school policy and apply to all students They are presented here for emphasis 1 Alcohol, Drugs, and Tobacco - The school has a strict policy regarding the use, possession, or distribution of Alcohol, Drugs, and or Tobacco in school or at any school related function Please check the Calendar Handbook for exact details - The Massachusetts Interscholastic Athletic Association (MIAA) has a policy regarding the use of Alcohol, Drugs, and Tobacco while not under school control (MIAA Chemical Health Policy 621) This policy can result in exclusion from participation in athletics for a period of time Please check the Masconomet Website regarding the details of this policy - All students in the school who want to participate in athletics/activities must sign this form 2 Personal Conduct The major justification for Athletics/Activities is to build good character among members, and by example, among all students Therefore, good conduct is expected and is a requirement of all participants at all times Unsportsmanlike conduct, participation in vandalism or discourteous conduct, on or off campus (while representing Masconomet) that would seriously misrepresent the character and values supported by the School Committee, will result in disciplinary action and could result in the loss of the privilege of participating in the Masconomet Athletic/Activity program 3 Attendance If a student is absent from school or arrives at school after 8:00 am on the day of an activity or on the day preceding a Saturday activity or is dismissed from school on the day of an activity, the student will not be allowed to participate without permission from the Principal or the Assistant Principal 4 Physical Examinations A student must have a physical examination on file with the athletic office which has been administered by a licensed Massachusetts medical physician, nurse practitioner, or physician s assistant, in order to be eligible to participate in athletics (including tryouts) A physical examination is valid for 395 days (13 months) A student whose physical exam expires during the course of a season will become ineligible the day it expires; they must submit a new physical prior to the start of the next day to be able to continue playing 5 Student-Athlete Guidebook Masconomet Regional High School has developed a Student-Athlete Guidebook outlining most policies and procedures dealing with the Athletic Department This document can be found online at wwwmasconometorg/athletics Please read the guidebook and by signing this sheet acknowledging it has been read 6 State Law Regarding Sports-Related Head Injury and Concussions The state of Massachusetts now requires that all schools subject to the Massachusetts Interscholastic Athletic Association (MIAA) rules adhere to the following law The law requires that athletes and their parents inform their coaches about prior head injuries at the beginning of the season The law also requires parents of student athletes and students who plan to participate in an athletic program at Masconomet High School to take a free on-line course This free on-line course is available through the following link http://nfhslearncom/courses/38000 (NFHS) I understand these rules and regulations and am aware of the penalties imposed if I (my child) fail(s) to adhere to them and I hereby give my consent for my child to participate in extracurricular activities I understand the school does not provide medical payments insurance coverage for students involved in extracurricular activities and it is my responsibility to pay all hospital and physician bills for school-related injuries I assume responsibility for the transportation of my children to and from practice sessions and games if a bus is not provided I understand that most sports have a maximum participation level that may result in my child being informed following the ryout period that he/she will not be a member of the team for the sport selected I also understand the Refund Policy as stated on the front of this form Date: Signature - Student Date: Signature - Parent/Guardian

Masconomet Student-Athlete Medical Information This%form%is%mandatory%for%Athletic%Trainer%%This%must%be%submitted%with%registration%Please%note%the%School%Nurse%is% not%available%during%after%school%athletics%%%if%you%have%any%concerns%regarding%your%student s%medical%needs%after% school%you%may%call%and%speak%to%the%nurse%during%regular%school%hours%at%ext%6116% SPORT% %% Name% %% Address% %% Home%Phone% %% Please%write%names,%relationship%and%current%phone%number%of%people%who%can%assume%responsibility%for%your%child%List%parents%first%% %% %% %% My%child%has%the%following%medical%condition%that%may%require%immediate%attention%(911)%at%after%school% athletics%!asthma%%%%%%!diabetes%%%%!seizures%%%%%!severe%allergy%to% %% %%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%(prescribed%epinephrine%autoinjector)%%!other: %% Parent/GuardianChildspecificinstructions(restrictions,limitations,other): Hasstudenteverexperiencedatraumaticheadinjury(ablowtothehead)?Yes No % If%yes,%when?%%Dates%(month/year);% % Hasstudenteverreceivedmedicalattentionforaheadinjury?Yes No If%yes,%when?%%Dates%(month/year):% % If%yes,%please%describe%the%circumstances:% % Wasthestudentdiagnosedwithaconcussion?Yes No If%yes,%when?%%Dates%(month/year):% % Duration%of%symptoms%(such&as&headache,&difficulty&concentrating,&fatigue)%for%most%recent%concussion:% % AfterJschoolemergencyactionplans(please%note%students%are%responsible%for%carrying%their%own%inhalers,% glucose%tabs%or%snacks%and%epinephrine%autouinjectors%and/or%providing%backuups%to%the%advisor):%! Allergic!Reaction:%One%or%more%of%the%following%symptoms%may%occur%after%being%exposed%to%the%allergen;% difficulty%breathing,%wheezing,%difficulty%swallowing,%hives/rash,%itching%or%tingling%of%mouth%or%throat,% swelling%of%any%body%part% %ActionPlan:%Assist%the%student%in%administering%the%autoUinjector%and%then%call%911%Staff%may%directly% administer%the%autouinjector%if%trained Asthma:&student&has&difficulty&breathing,&wheezing,&and&shortness&of&breath& ActionPlan:%If%the%student%has%their%inhaler,%allow%them%to%use%it%%If%no%relief%of%symptoms%in%five%(5)%minutes%call911 Ifnoinhaleravailablecall911immediately Diabetes:&Low&blood&sugar&reaction:&hunger,&sweaty,&pallor,&feels&shaky,&headache&& ActionPlan:%Allow%student%to%drink%a%juice%box%or%regular%soda,%or%eat%glucose%tablets%or%a%snack%from%their% emergency%snack%pack%%have%student%test%their%blood%glucose%level%and%record%number%%%if%no%change%in%symptoms%in% five%(5)%minutes%jcall911and%have%child%repeat%all%of%the%above% %%%%%% Seizure:!Altered&consciousness,&involuntary&muscle&stiffness&or&jerking&movements,&drooling/foaming&at&the&mouth,& temporary&halt&in&breathing,&loss&of&bladder&control& ActionPlan:%%protect%student%from%falling,%call911Never%put%anything%into%the%student s%mouth% Authorization!for!Treatment! I%hereby%give%permission%to%Masconomet%and%Spaulding%appointed%personnel%and%emergency%responders%to%provide%first%aid%and% emergency%transportation%to%my%child%(named%above)%in%the%event%of%sudden%illness%or%injury%in%the%event%i%cannot%be%reached%in% an%emergency,%i%hereby%give%permission%for%my%child s%treatment%by%a%physician,%including%hospitalization,%as%determined%by%an% Emergency%Department%or%other%attending%physician% Parentsignature:% %% % % Date:%