Information Packet for Off-Campus Physical Education
(Physical Education Substitutions)
The purpose of the Off-Campus Physical Education (OCPE) program offered by Westlake Academy is to accommodate students in grade 9 who are involved in high level athletic programs that require a significant amount of individualized training.
The OCPE program is a cooperative arrangement between Westlake Academy and an approved off-campus sponsoring facility/provider. Activities are defined as those in which a student works with a single teacher/coach/team at an approved agency during the regular school year.
OCPE COURSE REQUIREMENTS
FREQUENTLY ASKED QUESTIONS
Q Do I need approval for an OCPE provider?
A Yes. Please see your assigned counselor.
Q Who changes the student’s schedule to reflect OCPE?
A After the application is approved by the Programme Principal, the counselor will change the schedule.
Q Is travel time included as part of the time requirement?
A No, the student should not include travel time as part of the time requirement. Also, if a student works at the facility they may not count work hours towards the time requirement.
Q Can the student include tournament play/competitions as part of the time requirement?
A No, a student may only count weekly practice hours.
Q May the student enroll in the OCPE program for part of the semester?
A No, participation must run concurrent with the school semester.
Q Can the student have more than ONE Provider/Activity?
A No, only 1 Activity/Provider may be selected for OCPE. Credit will not be given for a combination of hours for 2 separate activities.
WA Off-Campus Physical Activity Application
Application is for (check one) : 𝤿both semesters 𝤿1st sem. only 𝤿 2nd sem. only
This application is to be completed by the parent or guardian. Please provide all information requested.
Students Full Legal Name (please print):__________________________________________
FIRST MIDDLE LAST NAME
𝤿The OCPE activity is:___________________PROVIDER is:____________________
𝤿The name of the trainer/coach is______________________________________ and the training will take place at ____________________________________training facility.
𝤿I am requesting my student be released from either periods: 1 4 5 8 (circle one)
𝤿I UNDERSTAND THAT ACTIVITY LOGS/GRADE SHEET FORMS MUST BE RECEIVED BY THE SPECIFIED DUE DATES OR MY STUDENT WILL RECEIVE A FAILING GRADE AND MAY LOSE THE OPPORTUNITY TO PARTICIPATE IN OCPE.
𝤿I understand that I am responsible for transportation to and from the physical activity program and that the school district is not responsible for any contractual agreements with the trainer or coach.
𝤿I understand that my student MUST have a current Permission and Release form on file.
For office use only:
Letter from new provider:________ & Date______
Parent contacted:_________ Date______
Parent Contact Phone Number
Parent E-mail address
2600 JT Ottinger Rd
Westlake, TX 76262
Phone (817) 490-5757, Fax (817) 490-5759
WA PROVIDER AGREEMENT FORM
To Whom It May Concern:
This letter is to inform you that ______________________________________________
(Print student’s full legal name: First, Middle, Last)
Has submitted an application to receive Off-Campus Physical Education credit through your program. In order for this student to qualify for this program, you must agree to the parameters set forth by Westlake Academy.
As a provider of Off-Campus Physical Education, you must comply with the parameters identified below. Please place a checkmark in each box below to indicate acknowledgement.
𝤿I agree to structure my teaching in a manner that fulfills the guidelines as developed in the Texas Education Knowledge and Skills (TEKS) curriculum.
𝤿At the request of the student referenced above, I will provide a letter on business letterhead about my program along with contact information for myself.
𝤿I will confirm, with my signature, practice activities and dates fulfilled by the student.
𝤿I also am aware that it is the student’s responsibility to have the activity log sheet completed at each session and delivered to the Counselor at the specified deadlines.
𝤿I agree to give each of my students a Pass/Fail grade on the grade report provided to me by the student on the specified date of each grading period.
I ______________________________________ understand Westlake Academy’s expectations
(please print your full legal name on line above)
for the Off-Campus Physical Education Program. I also understand my responsibility as a supervisor/coach.
Provider’s Signature___________________________________ Date_____________
Provider’s facility address:________________________________________________
Provider’s E-mail address:_________________________Phone__________________
PERMISSION AND RELEASE
I understand that my child _________________________________________, a student at Westlake Academy, is receiving physical education credit for participating in an off campus PE activity. I understand that my child’s participation in these physical activities is wholly voluntary and the Academy does not require my child to participate in these types of physical activities. I understand that the Academy provides opportunities for physical education credit at the Academy, but I choose to allow my child to participate in an outside physical activity instead of participating in Academy run physical education.
I understand that my child must comply with the Academy’s Student Code of Conduct and any rules and standards of conduct at the physical activity location. I understand that my child’s failure to adhere to these rules and standards of conduct may result in discipline in accordance with the Student Code of Conduct.
I understand that the Academy has no control over the operations or premises of my child’s particular activity. I further understand that my child will not be under the supervision of an Academy employee but will be under the supervision of a representative of the assigned activity while participating in the activity.
I give permission for my child to obtain their own transportation to the activity location. I agree that I am not entitled to any reimbursement for mileage or transportation costs from the Academy in transporting my child to the physical activity.
My signature below indicates my understanding of this Permission and Release and indicates my permission for my child to participate fully in the physical activity. I have carefully read this Permission and Release before signing it. This agreement shall become effective only upon receipt by the Academy and shall be governed by the laws of the state of Texas.
OFF-CAMPUS PHYSICAL ACTIVITY
September 13, 2021 (Activity logs due)
October 12, 2021 (Grades and activity logs are due)
November 8, 2021 (Activity logs due)
December 6, 2021 (Grades and activity logs are due)
February 7, 2022 (Activity logs due)
March 7, 2022 (Grades and activity logs are due)
April 19, 2022 (Activity logs due)
May 16, 2022 (Grades and activity logs are due)
*Blank Log and Grade Forms are provided.
Make extra copies for the year.
**Students must submit paperwork by due dates to receive credit for the semester.
ACTIVITY LOG SHEET
For every day of physical activity, please put the date, specific activity and time. The provider must also initial each date.
________________________ _________________________ ____________-____________
Student’s Name (please print) Campus Grading Period Dates
________________________ _________________________ _________________________
Activity Site Provider (please print) Provider’s Signature
Westlake Academy Off-Campus Physical Education
Grade Reporting Form
Student’s Name (please print)
Below are the dates that Grade Reporting Forms are due to the school campus. Forms MUST be received no later than 4:00 PM on the dates specified below. Remember to check the appropriate grading period as follows and indicate “P” or “F” for Pass or Fail:
GRADING PERIOD *DATE FORMS DUE TO:
(Please check one)
𝤿1st Grading Period October 12, 2021
𝤿2nd Grading Period December 6, 2021
𝤿3rd Grading Period March 7, 2022
𝤿4th Grading Period May 16, 2022
**Dates listed on the Grade Reporting Form coincide with school calendar
Activity Grade ______ (P/F) pass/fail
Provider’s Name (please print) Date
Provider’s Signature Student Signature
Guidelines for Trainers and Coaches of Students applying for Physical Education Programs for P.E. Substitute Credit
(Please give to Provider)
For a student to receive P.E. Substitute Credit for participating in your training program the following must be submitted to the Academy’s Off-Campus Physical Education Provider or designee:
Name, address, email address, phone number of trainer and training facility.
For further information please contact the student’s school counselor.
TEKS for Physical Education: (FOR PROVIDER)
§116.55. Individual Sports (One-Half Credit).
(c) Knowledge and skills
(2) Movement. The student applies movement concepts and principles to the learning and development of motor skills. The student is expected to:
(3) Social development. The student understands the basic components such as strategies, protocol, and rules of individual sports. The student is expected to:
(4) Physical activity and health. The student exhibits a physically-active lifestyle that improves health and provides opportunities for enjoyment and challenge during individual sports. The student is expected to:
(5) Physical activity and health. The student understands and applies safety practices associated with individual sports. The student is expected to:
(6) Social development. The student develops positive personal and social skills needed to work independently and with others in individual sports. The student is expected to:
Source: The provisions of this §116.55 adopted to be effective September 1, 1998, 22 TexReg 7759.
§116.56. Team Sports (One-Half Credit).
(c)Knowledge and skills
(2) Movement Skills. The student applies movement concepts and principles to the learning and development of motor skills. The student is expected to:
(3) Social development. The student understands the basic components such as strategies, protocol, and rules of structured physical activities. The student is expected to:
(4) Physical activity and health. The student exhibits a physically-active lifestyle that improves health and provides opportunities for enjoyment and challenge through team sports. The student is expected to:
(5) Physical activity and health. The student knows the implications and benefits from being involved in daily physical activity. The student is expected to:
(6) Physical activity and health. The student understands and applies safety practices associated with team sports. The student is expected to:
(7) Social development. The student develops positive self-management and social skills needed to work independently and with others in team sports. The student is expected to:
Source: The provisions of this §116.56 adopted to be effective September 1, 1998 22 TexReg 7759.