Sunnyside Athletic Paperwork
Last Name
(Student-Athlete)
Your answer
First Name
(Student-Athlete)
Your answer
ID Number
(Student-Athlete) Must be 6 digits
Your answer
Emergency Contact Number
Include area code (###) ###-####
Your answer
Parent/Guardian E-mail Address
Your answer
Gender
(Student-Athlete)
Grade
For the 2017-2018 School Year
School(s)
Attending for the 2017-2018 year. Select all that apply
Required
Fall Sports
Select from list
Winter Sports
Select from list
Spring Sports
Select from list
Medical Ins. Co.
If purchasing school insurance please write, "school" as your ins. co. You may purchase school insurance at http://studentinsuranceusa.com/
Your answer
Group or Policy Number
If purchasing school insurance please write, "school" as your ins. co. You may purchase school insurance at http://studentinsuranceusa.com/
Your answer
Ins./Permission
ATHLETIC INSURANCE AND PERMISSION SLIP. I hereby acknowledge that I have been informed that pursuant to the provisions of Education Code Sections 32220-24, et.al. amended by the 1981 State Legislature, the governing boards of the various school districts shall NOT require that each member of an athletic team have $1500.00 for accidental death. At least $1500 hospital coverage arising while such members are engaged in, or preparing for, an athletic event promoted under the sponsorship or arrangements for the educational institution or a student body organization IS required.  It is my understanding that my child must be protected by insurance in order to participate as a member of an athletic team. It is further my understanding that I may purchase, through the school, a special insurance policy for football and a special student accident policy which will protect my child for all other sports under the provisions of the law, but that in lieu of purchasing a special insurance policy I, as parent or guardian, may provide insurance for my child.  This is to certify that my child is protected under insurance, and that I hereby agree to indemnify and hold the Fresno Unified School District harmless against responsibility for insurance coverage required under aforementioned legal sections.    INFORMED CONSENT There have been many improvements in coaching techniques and the National Rules Federation reviews game rules annually to make appropriate changes for the athlete’s safety. Advances in Sports Medicine in recent years also contribute to that end. It is the utmost importance to you, the player, to know the rules and play within the spirit of those rules for your own safety.  It is also important, however, for the player and the parents to realize that injuries can occur and occasionally they can be catastrophic. Catastrophic means permanent, serious injury such as paralysis-partial or total, and even death. It is possible for this to happen to you and it is important for you to fully understand this before participating in this sport. *INFORMED CONSENT/FOOTBALL MAY BE HAZARDOUS There have been many improvements made in protective equipment to reduce injuries in the game of football. Over the years, there have been many rule changes, changes in coaching techniques, advances in sports medicine, all for the purpose of decreasing injuries. It is of utmost importance for you, the player, to know the rules and play within the spirit of those rules for your own safety. Relative to the number of injuries and deaths that occur on the highways with cars, cycling, and pedestrians, football would rate low on the scale. It is important, though, for you to know that injuries do occur in football and that some of these injuries can be catastrophic. Catastrophic means permanent serious injury such as total paralysis, partial paralysis, and even death. It is possible for this to happen to you, and it is important for you to fully understand this before participating in the sport. You, as a player, can help make the game safer by not intentionally using techniques which are illegal and which can cause serious injury. HELMET WARNING Do not use your helmet to butt, ram, or spear an opposing player. This is in violation of the football rules and such can result in severe head or neck injuries, paralysis, or even death to you and possible injury to your opponent. No helmet can prevent all head or neck injuries a player might receive while participating in football. I HAVE READ THE ABOVE STATEMENT AND FULLY UNDERSTAND ITS IMPLICATIONS.  AS A PARENT/GURARDIAN, I ALSO GIVE MY PERMISSION TO TRANSPORT MY SON/DAUGHTER TO ATHLETIC CONTESTS ON DISTRICT APPROVED TRANSPORTATION. *** My student and I have read and agree to the athletic insurance information and permission slip
Required
Concussion
CONCUSSION FORM - What can happen if my child keeps on playing with a concussion or returns to soon? Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athlete will often under report symptoms of injuries. And concussions are no different. As a result, education of administrators, coaches, parents and students is the key for student-athlete’s safety. If you think your child has suffered a concussion Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The new CIF Bylaw 313 now requires implementation of long and well-established return to play concussion guidelines that have been recommended for several years: “A student-athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time and for the remainder of the day.” and “A student-athlete who has been removed may not return to play until the athlete is evaluated by a licensed heath care provider trained in the evaluation and management of concussion and received written clearance to return to play from that health care provider”. A STUDENT DIAGNOSED WITH A CONCUSSION CANNOT RETURN TO ACTIVITY FOR A MINIMUM OF SEVEN (7) DAYS AS DETERMINED BY THE DOCTOR. You should also inform your child’s coach if you think that your child may have a concussion Remember its better to miss one game than miss the whole season. And when in doubt, the athlete sits out. For current and up-to-date information on concussions you can go to: http://www.cdc.gov/ConcussionInYouthSports/. *** I have read and understand the information about concussions
Required
Policy
STUDENT ATHLETIC POLICY - WHEN YOU BECOME A MEMBER OF A SUNNYSIDE HIGH SCHOOL ATHLETIC PROGRAM YOU ASSUME IMPORTANT RESPONSIBILITIES: The following Sunnyside High School Code of Ethics applies to all students who represent Sunnyside High School in the athletic program. Eligibility, Residential & Academic Residential; To be eligible for athletics, the athlete must be in compliance with the Fresno Unified School District (F.U.S.D.) and California Interscholastic Federation (C.I.F.), policies rules and regulations regarding residential eligibility. Academic; The athlete must currently be enrolled in a minimum of 25 credits of class work while having passed a minimum of 20 credits during the previous grading period. The student-athlete must have earned at least a 2.0 grade point average for the prior grading period in order to participate in the current grading period. A student who fails to achieve a 2.0 G.P.A. will be placed on probation for the current grading period. A student who does not achieve at least a 2.0 G.P.A. during the probationary period shall be excluded from participation in extracurricular activities during the subsequent grading period. The student-athlete must be making progress towards graduation. Attendance Regular school attendance is expected of all our students. Habitual absenteeism or tardiness can result in disciplinary action. To be eligible for participation, an athlete must be in attendance the day of the contest, or in school the day prior to the contest on a non-school day, (minimum: 3 class hours of attendance. All team members of each sport will attend all scheduled practices/meetings. If by chance circumstances arise whereby the athlete cannot attend a practice/meeting, the coach must be notified prior to the practice/meeting missed by personal contact, phone call, or written statement from the parent/guardian. Any athlete who cuts practice, fails to show up for a game, fails to make a scheduled team/individual meeting, may not be allowed to suit up for any game or games for a period of time to be determined by the coach and Athletic Director. Any athlete who does not attend school on game day, without the approval of the Principal or Assistant Principal, will not participate in games that day. School Behavior and Conduct Students are expected to display satisfactory citizenship, attitude, and behavior as a participant on athletic teams, whether or not they are under the supervision of the school. Failure to do so can result in disciplinary action. Personal Appearance Sunnyside High School athletes shall be well groomed. Jewelry of any kind is not to be worn at anytime during practice or games. Wearing jewelry is a National Federation High School Rules violation. For the safety of the athletes and security for private property, it is advisable to leave all jewelry at home. Equipment, Fees, Physical Examination and Other Requirements All athletes are monetarily responsible for all issued equipment and uniforms lost, stolen, or damaged during the season of sport. All athletes will be required to clear with their coaches on all gear before entering another sport. All athletes will be required to have a signed physicians’ examination on file, before practicing or competing, provide verification of insurance, provide signed F.U.S.D. and C.I.F. Code of Ethics, provide informed consent form and emergency procedure card. The student cannot be nineteen years old before July 1st of the current school year, the student cannot be a 5th year high school student nor can the student compete on another team of the same sport during the season of that sport. Sport Changes: Quitting/Dismissal From Team It is recommended that all athletes participate in as many sports as they are capable. The head coach of that sport shall have the right to determine if an athlete is skillful enough to remain on the team. Once an athlete begins the in-season training period of a sport, he should not quit while that sport is in season. Any athlete who fails to make an athletic team may immediately try out for another sport. Any athlete who quits a team with the consent of the coach may immediately try out for another sport if both coaches of the teams involved agree. Any athlete who becomes academically ineligible during the course of a season, may not begin practice with another team, until that season of sport is complete. Any athlete who quits a team without the consent of the coach or is removed from the team for disciplinary reasons is ineligible for athletics as follows: 1. If the above happens during the first half of the season of a sport, the athlete is dropped the remainder of that season of the sport before he/she may try out for another sport. 2. If the above happens during the last half of the season of a sport, the athlete (a) is out of sports for the remainder of the season of that sport, (b) shall miss two weeks of practice in the next sport which he/she desires to try out for, (c) must practice one week before he/she may participate in any games, meets, matches, etc., and (d) will not participate on two scheduled contest dates not to exceed 3 contest. A football participant must miss one scheduled contest. Scrimmages do not constitute a contest. Lettering In order to receive a “VARSITY LETTER”, a player must finish the season in “GOOD STANDING”. “GOOD STANDING” means to abide by the above expectations and responsibilities, as well as those of the team you are a part of, and finish the season “ACADEMICALLY ELIGIBLE”. (Additional criteria may be furnished to the athlete by the coach in that sport prior to the beginning of the season.) Personal Health Practices Due to the harmful effect upon the health of the individual, all athletes will refrain from use of: steroids, tobacco, alcoholic beverages, abusive drugs of any kind, improper diet, and improper rest. Failure To Abide By The Rules Athletes who fail to abide by the school, coaches, district, or C.I.F. rules are subject to disciplinary action and may be dismissed from the athletic team by the coach and/or administration. Athletic Appeals This procedure is available to any athlete who has been removed or suspended from an athletic team. The athlete may request that eligibility be reinstated by writing a letter to the Athletic Director asking that the case be heard by the Appeals Review Panel. Parent / Spectator Expectations Sunnyside High School promotes good sportsmanship by student-athletes, coaches, and spectators. Your cooperation is requested at all times in supporting the participants, coaches, and officials in a positive manner. Profanity, racial or sexist comments, or other intimidating actions directed at officials, student-athletes, coaches or other spectators will not be tolerated and may be grounds for removal from the site of competition. Your help is appreciated in promoting good sportsmanship while at the same time enjoying the many benefits of athletic competition. ***I have read and agree with the student athletic policy
Required
Expectations
FUSD STUDENT EXPETATIONS - Athletics is not a right; it is a privilege. The benefits from participating in extra-curricular and interscholastic activities are as important as your academic endeavors. Good character, sportsmanship, ethics, and integrity are priorities in our programs. Remember, you are constantly in the public eye, a leader today, and source of pride for family, friends, and the community. 1) Be courteous and have fun. 2) Always exercise self-control. 3) Players will not use abusive language. 4) Exemplify fairness and good sportsmanship. 5) Win with character, lose with dignity, and never quit. 6) Play hard, but play within the rules. 7) Respect officials and accept their decisions without gesture or argument. 8) Respect opponents. Taunting and baiting will not be tolerated. 9) Hazing and bullying will not be tolerated. 10) Have good health habits and abide by the training rules. 11) The use of intoxicants, tobacco, illegal and non-prescription drugs, anabolic steroids, or any substance to increase physical development or performance, or the sale and/or possession of them, will not be tolerated. 12) Students must comply with the Board of Education Polices, District Regulations, State Education Code, School Polices and Rules, and the rules set forth by the California Interscholastic Federation. GOOD THINGS HAPPEN TO GOOD PEOPLE ENFORCEMENT OF EXPECTATIONS 1) Students who fail to comply with the expectations may be declared ineligible to participate in school activities by the administration. 2) Each school will establish an Appeal Review Panel and students may seek a hearing before this panel. The administration reserves the right to prohibit a student from participation in other school activities when deemed appropriate. Violations which occur when a student is not under the supervision of the school may be considered for penalties. Violation Penalties 1. Not meeting student expectations Conference 2. Not meeting student expectations repeatedly Probation 3. Minor violation: not suspended from school, but not meeting student expectations Suspended from all activities 1-14 days 4. Major violation: suspended from school Suspended from all activities 14 consecutive days and not more than one calendar year. 5. Ejection from contest Automatic suspension of one contest 6. Second ejection from contest during same season Automatic suspension of two contests 7. Third ejection from contest during same season Automatic suspension from all sports for one calendar year PHYSICAL ASSAULT Any student who physically assaults a game or event official shall be banned from interscholastic athletics for remainder of the student’s eligibility. A game or event official is defined as a referee, umpire, administrator, or any official assigned to interpret or enforce rules of competition at an event or contest. A student may, after a lapse of 18 calendar months from the date of the incident, apply for reinstatement of eligibility to the State CIF. ***My student and I have read and agree to the FUSD Student Expectations
Required
SCAF
SUDDEN CARDIAC ARREST FORM -http://static.psbin.com/c/z/6s0yr9a855ujpv/SCA_Fact_Sheet_Infographic.pdf ***My student and I have read and agree with the SCA Form
Required
Ethics
ETHICS IN SPORTS FORM - http://cifcs.org/sites/default/files/Code%20of%20Ethics.pdf ***My student and I have read and agree to the Ethics in Sports form ***
Required
SIGNATURE
Your answer
CIF MANDATORY STEROID POLICY
“As a condition of membership in the CIF, all member school shall adopt policies prohibiting the use and abuse of androgenic/anabolic steroids. All member school shall have participating student-athletes and their parents, legal guardian/caregiver agree that the athlete will not use steroids without the written prescription of a fully-licensed physical (as recognized by the AMA) to treat a medical condition.” (CIF Bylaw 503.1)Fresno Unified School District Policy (BP 5131.63):The Governing Board recognizes that the use of anabolic steroids presents a serious health hazard to students. As part of the district's drug prevention and intervention efforts, the Superintendent or designee shall make every effort to ensure that students do not begin or continue the use of anabolic steroids.Students participating in athletics are prohibited from using anabolic steroids or any other performance-enhancing drugs. Coaches shall inform students about this prohibition and the dangers of using such drugs.The Superintendent or designee shall provide teachers and coaching staff with the training in the symptoms and dangers of the use of performance-enhancing substances and strategies for helping students terminate the use of such substances. By signing below, both the participating student-athlete and the parents, legal guardians/caregiver hereby agree that the student-athlete named herein, shall not use androgenic/anabolic steroids without the written prescription of a fully-licensed physician (as recognized by the AMA) to treat a medical condition. We also understand that the CIF bylaw 202, there could be penalties for false or fraudulent information. We also understand that Fresno Unified School District policy regarding the use of illegal drugs will be enforced for any violations of these rules.
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms