CISD Off Campus Physical Education Application/Permission '18-'19
Email address *
CISD Off Campus Physical Education APPLICATION
The following activities will be considered for OCPE:
DANCE, EQUESTRIAN, FENCING, GYMNASTICS, ICE HOCKEY, ICE SKATING, MARTIAL ARTS, GOLF, ROCK CLIMBING, ROWING, SQUASH, SWIMMING, TENNIS, AND CYCLING.

There is a learner fee of $75 per semester or $150 per year for a learner to be enrolled in Off-Campus Physical Education. The fee will be used to offset the administrative cost of the program; for personnel to visit the programs to assure that the required TEA guidelines are being met; and for staff time required in processing the grades, attendance, and reports.

This fee must be paid online. Please bring a copy of the receipt to schedule pick-up.

A waiver will be granted to any learner who qualifies for “Free and Reduced Lunch”. Enrollment in OCPE will not be granted until the proper fee and annual application is completed.

It is advisable that parents/learner meet with his/her school counselor prior to enrollment of OCPE, in regards to the impact OCPE will have on his/her graduation plan.

TO BE COMPLETED BY PARENT:
Please fill out and return this form when you create your schedule. There is a deadline for MIDDLE SCHOOL completion (AUGUST 10, 2018) and HIGH SCHOOL completion (AUGUST 17, 2018) (for FALL SEMESTER) OR JANUARY 7, 2019 ( for SPRING SEMESTER). Completion for the January 7 deadline is only necessary if not enrolled in OCPE in the FALL.

Campus and CISD approval must be made by the student’s counselor, assistant principal, OCPE liaison, and the CISD K-12 Physical Education Coordinator. The OCPE Application & Permission Form must be turned into the student’s counselor at his/her individual registration conference in February with other course request or by the deadline for Middle School. Instructor Agreement & Activity Schedule (on paper only) and online payment receipt must be turned in with payment at Schedule Pick-Up in August.

Instructor Agreement & Activity Schedule (to view & print):
http://www.coppellisd.com/cms/lib09/TX01000550/Centricity/Domain/2898/INSTRUCTOR%20AGREEMENT%20ACTIVITY%20SCHED%202016-2017%20OCPE%20Application.pdf

STUDENT FIRST NAME *
Your answer
STUDENT LAST NAME *
Your answer
SCHOOL *
GENDER *
GRADE LEVEL *
STUDENT ID *
Your answer
COUNSELOR NAME *
Your answer
PARENT/GUARDIAN NAME *
Your answer
PARENT EMAIL ADDRESS *
Your answer
PARENT PHONE NUMBER *
Your answer
STREET ADDRESS *
Your answer
CITY *
Your answer
ZIP CODE *
Your answer
SPORT/ACTIVITY *
Your answer
SEMESTER *
CATEGORY *
FACILITY/PRACTICE FIELD/CLUB *
Your answer
FACILITY PHONE NUMBER *
Your answer
FACILITY ADDRESS *
Your answer
OFF CAMPUS INSTRUCTOR *
Your answer
OFF CAMPUS INSTRUCTOR EMAIL *
Your answer
OFF CAMPUS INSTRUCTOR PHONE *
Your answer
PERMISSION INFORMATION:
TO BE COMPLETED BY: The learner and his/her parents

In order for this application to be considered, it must be completed and returned to the learners’s counselor before his/her individual registration conference in February with other course requests.

ATTENDANCE POLICY:

In addition to the minimum hourly requirements for each category, the student must be enrolled and participate in his/her supervised activity for five (5) days a week, with four of those days falling during the school week. The number of hours must add up to five (5) or fifteen (15) depending upon the requested category. A maximum of five (5) of the fifteen (15) required hours each week may be accounted for in competitive meets and /or tournaments. If the requirement of five (5) or fifteen (15) hours per week cannot be fulfilled because of inclement weather, injury, etc., the hours must be rescheduled and/or additional
assignments completed at the discretion of the OCPE staff. All such participation must be at the approved agency and under the direct supervision of the instructor.

Attendance in the OCPE program must comply with state compulsory attendance laws and the attendance for credit statute which requires a student to be present 90% of the days a class is offered in order to gain credit.

The student must participate in the OCPE program the entire semester. Extended absence for injury or illness will be excused only with a physician’s letter. In this case, the student must still maintain hours with a combination of medical treatment (rehabilitation) and supervised activity. In an event of this not being possible, the district OCPE liaison must approve make up requirements.

PERMISSION FORM:
My son/daughter has permission to participate in the CISD OCPE program for the stated activity at the stated facility as a category I or II student.

Please fill out all "stated" information below and sign with your electronic signature by typing your full name.

STUDENT FIRST NAME *
Your answer
STUDENT LAST NAME *
Your answer
ACTIVITY *
Your answer
OFF-CAMPUS FACILITY *
Your answer
STUDENT CATEGORY *
Parent Electronic Signature *
Type your full name below to electronically sign this permission form.
Your answer
Student Electronic Signature *
Type your full name below to electronically sign this permission form.
Your answer
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