Student Athletics Handbook 2017 2018

ATHLETIC HANDBOOK FOR STUDENT ATHLETES

Athens City Schools 2017-2018

TABLE OF CONTENTS

ATHLETIC STATEMENT

2

DEPARTMENTAL PHILOSOPHY

2

SPORTSMANSHIP

2

AHSAA ACADEMIC ELIGIBILITY

4

ATTENDANCE ELIGIBILITY

5

RESIDENCY REQUIREMENTS

5

CONDUCT ELIGIBILITY

6

ACS Drug Test Requirements

6

ACS Conduct Requirements

6

AHSAA Sportsmanship Conduct Rules

6

ADDITIONAL AHSAA REQUIREMENTS

7

POLICIES AND INFORMATION

9

PARTICIPATION REQUIREMENTS

10

COMMUNICATION

11

APPENDIX AHSAA Master Calendar

A

Social Media Guidelines

B

NCAA Clearinghouse

C

Medical Issues

D

ACS Participation Forms

E

AHSAA Participation Forms

F

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ATHENS CITY SCHOOLS ATHLETIC HANDBOOK

ATHLETIC STATEMENT This athletic handbook is designed to inform the student athlete of the rules, regulations, and information that helped develop the rich tradition of competition in Athens City Schools athletics.

Participation in athletics is a privilege, which carries with it varying degrees of honor, responsibility and sacrifice. Since competition is a privilege and not a right, those who choose to participate shall be expected to follow the rules established by the Athletic Department and other specific coaches’ rules for their sport. Each student athlete represents his/her school and student body. It is the student athlete’s duty to conduct himself/herself in a manner becoming the student athlete, his/her family, Athens City Schools, and the community. While an attempt has been made to answer as many questions as possible and provide information on all aspects of athletic participation, it is possible that there may be some questions that are not answered here.

Please contact the principal for this information. The Athletic Department will enforce all rules and regulations as described in this Athens City Schools’ Handbook.

Athletes and parents are asked to sign an acknowledgement document located at the end of this handbook stating that they have read and understand the information included in the Handbook and that the athlete is subject to disciplinary measures should he/she violate the rules and regulations set forth in this Athens City Schools Handbook.

DEPARTMENTAL PHILOSOPHY The goal of the Athletic Department is to provide the best opportunities for student athletes to excel in teamwork, sportsmanship, self-discipline and character. In addition to developing skill in a sport, the purpose is to provide each participant with experiences that will be positive and memorable and that help develop the capacity for commitment to a cause, acceptance of responsibility and loyalty toward any chosen endeavor.

SPORTSMANSHIP A policy statement from the National Federation of State High School Associations expresses the concept of sportsmanship as follows: “The ideals of good sportsmanship, ethical behavior, and integrity permeate our culture. The values of good citizenship and high behavioral standards apply equally to all activity disciplines. In perception and practice, good sportsmanship shall be defined as those qualities of behavior which are characterized by generosity and genuine concern for others. Further, awareness is expected of the impact of an individual’s influence on the behavior of others. Good

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sportsmanship is viewed as a concrete measure of the understanding and commitment to fair play, ethical behavior, and integrity.�

We have a duty to teach and equip our young people for the future. Sportsmanship must be taught, modeled, expected and reinforced in the classroom and in all of our Athens City Schools’ competitive activities. Knowing that athletics has become an integral part of the total educational program in Alabama high schools, we must embrace the concepts of good sportsmanship.

Good sportsmanship requires that everyone be treated with respect. This includes members of the opposing team, officials, coaches and spectators. The contest is exciting, but winning at any cost is not the goal. Negative treatment of any participant is outside the spirit and interest of the contest.

All AHSAA sanctioned events are a reflection of our community and school. The conduct of the team is extended to parents and fans before, during, and after athletic events.

Expectations of all Athens City Schools staff, students, and stakeholders Coaches 1. Follow the rules of the contest at all times.

2. Accept the decisions of contest officials.

3. Display modesty in victory and graciousness in defeat.

4. Avoid public criticism of game officials.

5. Teach sportsmanship and reward/acknowledge players that display good sportsmanship.

6. Be a role model for our players and the community.

Student/Athletes 1. Show respect for opponents, coaches and game officials at all times.

2. Accept the decisions of contest officials.

3. Avoid offensive language and gestures.

4. Display modesty in victory and graciousness in defeat.

5. Follow the rules of the game.

6. Show respect for public property and equipment.

Spectators 1. Avoid criticism of game officials, players and sideline coaching which may sidetrack athletes from their performance.

2. Work cooperatively with contest officials and supervisors in keeping order.

3. Stay off playing areas while athletic contest is in progress.

4. Show respect for opposing teams, cheerleaders and bands 5. Show respect for public property and equipment.

Assault of sports officials, coaches, or administrators (SB-16): This bill became law on March 31, 2002, and creates new crimes of harassing, menacing, and assaulting sports officials, coaches, and administrators. The punishments are harsher than normal for convictions of

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harassment, menacing, and assault. For example, a second-degree assault can carry a sentence of up to 10 years in prison, but under the new law, a second-degree assault of a sports official, coach, or administrator could result in a sentence of up to 20 years.

AHSAA ACADEMIC ELIGIBILITY All AHSAA academic requirements for participation in middle school and high school athletics will be followed. Reference comprehensive Eligibility Bylaws at www.ahsaa.com To represent your school in an athletic contest: 1. Students entering the 10th,11th and 12th grades must have passed at least six new Carnegie units with a minimum composite numerical average of 70 in those six units during the last two semesters in attendance and summer school, if applicable.

Four core courses must be included in those units passed and averaged. English, mathematics, science and social studies are core curriculum courses. Any combination of these courses is acceptable. Only one unit (or subject) of physical education per year may be counted. A maximum of two units (or subjects) earned in an approved summer school may be counted. If a unit (or subject) is repeated in summer school, the higher numerical grade for that unit (or subject) may be used to compute the composite grade average.

2. Students entering the 8th/9th grades must have passed at least five new subjects with a minimum composite numerical average of 70 in those five subjects and must have been promoted to the next grade during the last two semesters in attendance and summer school, if applicable.

3. Students entering the 7th grade for the first time are eligible.

4. Students may regain eligibility at the end of the first term by meeting the same requirements listed above during the last two terms in attendance and summer school.

5. CREDIT RECOVERY: Units earned through credit recovery may also be among the maximum two summer units counted and must be completed before Sept. 1. If credit recovery is used to make up Carnegie units, those units can only be accepted if they are earned through a State Department of Education-approved program. NCAA Clearinghouse does not accept credit recovery earned credits for qualification.

6. You must NOT have reached your 19th birthday (15th for middle school) prior to August 1 of the current school year in order to be eligible for the entire school year.

A student reaching their 19th (15th for middle school) birthday on or after August 1 is eligible for the entire school year.

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7. A student may be eligible only eight consecutive terms after entering the 9th grade.

School attendance of 15 days or more of any semester is counted as a semester.

ATTENDANCE ELIGIBILITY Student must be enrolled in the Athens City School system in order to tryout or participate in extracurricular activities.

Daily attendance at school and practice is expected. In order for an athlete to be eligible to participate in any after-school activity he/she must be present in school on the day of the activity.

To be considered in school, a student may be in school at least one-half of the school day.

Students are required to be in school a minimum of 3 hours and 30 minutes on said day. If he/she is not in school from that time until the end of the school day, then he/she is not to participate or be involved in any way with the activity. Practices are considered an activity. Any exceptions must have the approval of the principal. An athlete must be in school on a regular basis in order to be eligible to participate in athletics. An athlete who accumulates an excessive number of absences or tardies as designated in the student handbook will be placed on probation for a specified time period. If absences continue during this time, the athlete will then be suspended from athletic participation until it is clear that the attendance problem is resolved. An athlete who has excessive tardies to school and/or classes may be subject to restriction from athletic participation.

RESIDENCY REQUIREMENTS All student athletes must meet the residency requirements of the Athens City School Board of Education as well as the Alabama High School Athletic Association.

A student whose parents’ make a bona fide move completely out of one school zone into another may transfer all of his/her rights and privileges to the member school that serves where his/her parents reside.

Determining a Bona Fide Move 1. Household furniture of the family must be moved.

2. All principal members of the family must reside in the new place of residence.

3. The original residence should be closed, rented or disposed of and not used by the family.

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4. Nine months at the new residence will be required to make a bona fide move.

Note: If a family moves into a new school zone and remains there for less than nine months, the move will not be considered bona fide and the family’s child who is enrolled in the new school zone becomes ineligible there the day the family leaves the new school zone.

CONDUCT ELIGIBILITY

Rule 1 - Drug test information - see complete Athens City Schools Board policy: JHBAB policy, Violations of this policy affect eligibility to participate.

Rule 2 - Athens City Schools Conduct Requirements: Participating in athletics for Athens City Schools is privilege and should be treated as such. The Athens City Schools Athletic Code of Conduct applies to behavior that takes place ON OR OFF school grounds when representing Athens City Schools in an athletic activity.

Students must display qualities of good citizenship if they wish to participate in extracurricular activities. Failure to be a good citizen at all times may result in probation and/or suspension from all extracurricular activities. This may include inappropriate internet usage, off campus activity, and activities that violate moral turpitude, etc.

Consequences for off campus violations of the Code of Conduct will not be based on hearsay or rumor. When there is reasonable suspicion (a belief or opinion based on the facts or circumstances) or when there is an admission of guilt by the athlete to a violation of the Athletic Code of Conduct the Athletic Handbook rules will be enforced. Penalties for violations take effect immediately upon determination of any violation and will include games in succession; i.e. season schedule, tournaments, and state series, in order of competition.

When serving a school suspension, the student athlete will not be eligible for any contests and/or practices during the suspension period. Attendance at athletic events, whether a participant or spectator, and at practice is prohibited during the suspension period. If school rules are broken, the student athlete will be subject to the normal punishment for such misbehavior as well as subject to penalties under the Athens City Schools Athletic Handbook. In no case will athletic rules circumvent or take the place of school rules. Violations of school rules under the Athens City Schools student handbook may lead to eligibility restrictions.

A monitoring system will be used by coaches with the help of the faculty to track student athletes’ academic performance and classroom work habits and behavior. Athletes falling below the accepted standards will be referred to a program that may include, but not limited to: time management remediation, character building activities, and academic tutoring.

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Specific team rules may be set forth by the coach of each sport. These rules and the penalties for breaking them will be given to the student athletes by the coach at the first parent/athlete meeting of that sport.

Rule 3: AHSAA Sportsmanship Conduct Rule: First Ejection: A $300 fine (An athlete’s fine can be reduced to $100 if the athlete being ejected takes the online STAR Behavioral Mode and payment is made within 10 days of the date of the ejection.)

Second Ejection: A one-game suspension and a $500 fine Third Ejection: Minimum penalty of a suspension for the remainder of the season plus a $750 fine Note: If any of the ejections occur during the last contest of the season, a monetary fine will be placed on the school.

Note: All fines are due within 30 days.

All fines/contest suspensions will be reviewed by the school principal to determine consequences and responsibility of payment.

The Alabama High School Athletic Association Constitution states: Any pupil who is under temporary suspension or whose character or conduct is such as to reflect discredit upon the school is not eligible. A student’s attendance, attitude and classroom effort must be acceptable to the school in which the student is enrolled.

Additional AHSAA Considerations see complete explanations of Eligibility Bylaws at www.ahsaa.com Enrollment Rule. A student must be enrolled within the first 20 days of a semester as a regular student in the school system where the student will participate. The 20-day requirement may be waived under extenuating circumstances. Note: A regular student is one who is enrolled at the school and is taking four new subjects of work.

Participation Rule No student may participate in any one sport for more than six years (seasons) after entering the seventh grade or for more than three seasons after entering the 10th grade. A student who officially participates in one contest of a sport is credited with one year of participation in that sport.

Outside Participation Rule. A student who is a member of any school athletic team (grades 7-12) may not participate (includes practice) on a non-school team in the same sport during the

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school season of that sport. Also, a member of any school athletic team may not participate in an outside sport activity in the same sport during the school season of that sport.

Private individual instruction is not considered an outside sports activity. A team's season begins the day of that team's first contest and ends when that team's season has been completed.

A student who violates this rule becomes ineligible to compete on that school team or in that school sports activity for the remainder of that school season. Any student who participates on an outside team after the school sport season begins is ineligible to join that school team for the remainder of the season.

Fifty Percent Rule: Participation (includes practice) during the school year on a non-school team outside the school season by students that will play the following season on the same high school varsity or junior varsity/B-team (grades 7-12) is limited to 50 percent of the number of players required to play the game (i.e., three in basketball, six in soccer, five in baseball, etc.).

Note: The school year ends the day school is dismissed for the summer and begins with the first date of fall practice This rule does not apply to seniors who have completed their high school eligibility in that sport or to middle and junior high school students who will not play on a high school team the following season. This rule applies to students attending individual camps during the summer where their coach works at the camp with them.

Independent Rule. A student who is a member of any school swimming, track, cross country or wrestling team may participate as an independent in two outside activities on non-school days during the season of that sport.

The schedule of the school team, including the championship play, takes precedent over any outside participation by an individual. (Members of tennis and golf teams are exempt from this rule.)

A member of a school soccer team may participate in one Olympic Development Program evaluation period per month as long as there is no loss of school time. The evaluation must be under the guidance of ODP. Amateur Rule Only amateurs are eligible. An amateur is one who does not use his/her knowledge or athletics or athletic skill for gain. A student may not receive an award of any kind having a monetary value of more than $50.00 (fifty dollars)-other than medals, trophies, plaques or championship rings.

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ATHENS CITY SCHOOLS POLICIES AND INFORMATION

Team Tryout Policies Each coach of varsity sports has his/her policy on how he/she will choose his/her team.

Arrangements for tryouts must be made for athletes involved in overlapping sports seasons. It is the responsibility of the student athlete to contact the coach and discuss possible conflicts well in advance of tryouts. A student athlete may be cut from a team anytime during a season for appropriate reasons.

Accidents/Injuries All accidents or injuries, at home or away, are to be reported to the trainer and/or coach immediately. A Disclosure of Protected Health Information form should be signed each year for services provided for athletes by the ACS Board approved medical group.

Doctor Visits Medical expenses are the responsibility of the athlete/family. Written verification from the doctor is required when a physician removes an athlete from practices or games. Written verification from the doctor is required to return to athletic competition.

Changing a Sport/Quitting a Team If a student athlete is cut from a team, he/she may join another team or program in that sport season. A student athlete cannot quit one sport to join another sport until that sport season is concluded. For example, one cannot quit football to participate in basketball until football season is completed. However, athletes will be allowed to transfer from one sport to another during a given season upon mutual agreement of both coaches. Appeal can be made to the athletic director if circumstances warrant consideration.

Conflicts Between Activities Students are sometimes involved in concurrent activities, and there may be conflicts in schedules. Communication between coaches and sponsors of conflicting activities is vital.

Consideration must be given to the importance of the event and the role the student athlete will play in it.

Playing Above Grade Level At the varsity coach’s direction, a student may participate on a team above their grade level. In some situations, but not limited to, an athlete may participate on a team above grade level to fill open positions on a team roster, to equate skill level or physical characteristics, or when the opportunity for participation at grade level is unavailable.

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Equipment Equipment checked out by the athlete is his/her responsibility. It is to be kept clean and in good condition. Loss of issued equipment will be the athlete’s/parent’s financial obligation. The athlete will not be allowed to participate in other athletic programs or receive awards until this obligation is met. Equipment includes any issued supplies from the training room.

Dress Participation in Athens athletics is a privilege, not a right. To be successful, the participant must be well disciplined and willing to put aside individualism for the benefit of the team. Conforming to a dress code is part of this process. It is very important to our team/school reputation that our student athletes dress appropriately during the school day and at all school functions. An individual coach may add additional rules related to the dress code outside of the school handbook for his or her team.

The student athlete’s hair will be fashioned so that all equipment will fit properly. Hair shall be presentable and maintained in a way that safety is not a concern for the student athlete.

PARTICIPATION REQUIREMENTS CONDITIONING, PRACTICE, COMPETITION 1. The following items are required before participation (including practice) one time only during grades 7-12. ● Certified birth certificate - AHSAA requirement ● NFHS SPORTSMANSHIP Certification(New) or a STAR Sportsmanship Certificate on file: Instructions forNFHS Sportsmanship Course: * Student will visit www.NFHSlearn.com and register an account if they have not done so before.

(Keep record of username and password. AHS or AMS does not have access to these.) * Under courses, type in sportsmanship and The Sportsmanship Elective Course shouldappear. * Click on the course. Then the View button. * Next,a blue tab should appear that says Order Course. (The course is free.) * Abox will appear for the student/coach to identify who will be completing thecourse. * Next,a shopping cart appears. Select the state of Alabama, and checkout. * Order status appears and an agreement statement. After checking the agreement statement choose continue. Last, at the Order Receipt box, click here * Next,begin taking the course. * A student can come back and finish at any time. When finished, a student can print the certificate from that screen or save and print later.

2. The following items/forms are required by the student athlete before the first practice with any team each school year. ● Meet academic eligibility requirements AHSAA ● Take and pass physical examination (administered/signed by a MD or a DO), complete with parent and student signature form AHSAA

● ● ● ● ● ●

Concussion form AHSAA Student Release form AHSAA Student in Good Standing form (applicable to transfers only) AHSAA Insurance form ACS Consent to participate form ACS Athletic Handbook acknowledgement form - pending ACS

AHSAA required forms (found in the appendix) Athens City Schools forms (found in the appendix)

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3. Student athletes are required to sign a consent to treatment provided by board approved health services.

COMMUNICATION For our athletic teams to be successful, all involved must work together to ensure proper communication. The following information is intended to help our Athens student/athletes have a positive experience in our program. Each coach will conduct a pre-season parent meeting to discuss issues specific to his or her sport. General guidelines for all sports are as follows: Coach’s Communication to Parents Will Include: 1. Information on coach’s philosophy 2. Location and times of practices and games 3. Coaches expectations for players 4. Team requirements 5. Team fees 6. Request for parental support in helping the student/athletes succeed in the program Parent’s Communication to the Coach Will Include 1. Individual concerns expressed directly to the coach: This shall include the treatment of their child, areas that the student/athlete can improve and concerns of their child’s behavior. It is not appropriate to discuss playing time, team strategy or other student/athletes.

2. Advance notification of any schedule conflict Procedure to discuss a Concern with a Coach 1. Make appointment with the coach.

2. If this is unsuccessful, contact the athletic director’s office to allow the athletic director to help facilitate a meeting.

3. Please do not attempt to confront a coach before, during or after a game/practice.

This can be an emotional time for both the parent and coach.

4. Please adhere to the 24-hour rule when attempting discussions with the coaching staff.

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Calendar of Events

2017-18 Calendar of Events AUGUST 7

First practice date for football, volleyball, cross country, swimming & diving

24-26

Champions Challenge (Montgomery)

24

First contest date for varsity football (first JV/JH/MS contest is Aug. 31)

31

First contest date for volleyball, cross country, swimming & diving

OCTOBER 16

First practice for basketball

23-24

Area Volleyball Tournaments (Oct. 23 – 1A, 2A, 4A,6A) (Oct. 24– 3A, 5A, 7A)

26-28

Super Regional Volleyball Tournaments (Montgomery, Huntsville)

NOVEMBER 1-2

State Volleyball Tournament (Birmingham)

2-4

Section Cross Country Meets

10,17,24,1

State Football Playoffs (Rounds 1-4)

11

State Cross Country Meet (Moulton)

18

State Cheerleading Competition (Hanceville)

17-18

Section Swimming & Diving (Mobile, Birmingham, Huntsville)

DECEMBER Dec. 6-8

Super 7 Football Championships (Tuscaloosa)

8-9

State Swimming & Diving Meet (Auburn)

16

Alabama-Mississippi All-Star Football Game (Mississippi)

JANUARY 18-19

Regional Bowling Tournaments (Foley, Tuscaloosa)

25-26

State Bowling Tournament (Pelham)

18, or 19 or 23

Wrestling Duals Tournament first rounds

26-27

Wrestling Duals Tournament Finals (Birmingham)

FEBRUARY 3-9

Girls Area Basketball Tournaments (default dates Feb. 5,7,9)

3-10

Boys Area Basketball Tournaments (default dates Feb. 6,8,10)

2-3

State Indoor Track & Field Meet (Birmingham)

9-10

Super Section Wrestling Tournaments (Montgomery, Birmingham)

15-17

State Wrestling Tournament (Huntsville)

12

Girls Sub-Regional Basketball Games

13

Boys Sub-Regional Basketball Games

Calendar of Events

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2017-18 Calendar of Events 14-22

Regional Basketball Tournaments (Dothan, Montgomery, Jacksonville, Hanceville)

26-March 3

State Basketball Championships (Birmingham)

MARCH 16

Alabama-Mississippi All-Star Basketball Games (Mississippi)

19

Alabama High School Sports Hall of Fame Induction (Montgomery)

APRIL 5-6

Principals’ and Athletic Directors’ Conference (Montgomery)

9

Bryant-Jordan Student Athlete Awards Banquet (Birmingham)

16-19

Section Tennis Tournaments

20-21, 27-28,

State Baseball Playoffs (Rounds 1-2)

23-24, 26-27

State Tennis Tournaments (Mobile, Montgomery, Decatur)

27-28

Section Track & Field Meets

27-May 5

Area Softball Tournaments

27, 28, 29

Sub-State Soccer Matches Round 1 (4A-5A & 6A)

30, May 1

Sub-State Soccer Matches (all classes) Round 1 (1A-3A & 7A) Round 2 (4A-5A & 6A)

MAY April 30- May 1

Section Golf Tournaments

7-8

Sub-State Golf tournaments

3,4,5

Sub-State Soccer Matches (all classes) Round 2 (1A-3A & 7A) Round 3 (4A-5A & 6A)

3-5, 4-5

State Track & Field Meets (Gulf Shores: 3-5), (Cullman: 4-5)

4-5, 11-12

State Baseball Playoffs (Rounds 3-4)

10-12

Regional Softball Qualifiers (Gulf Shores, Troy, Tuscaloosa, Huntsville)

10-12

State Soccer Tournament (Huntsville)

14-15

State Girls and Boys Golf Tournament (Florence)

14-15

Heptathlon, Decathlon (Birmingham)

15-19

State Baseball Finals (Montgomery)

16-19

State Softball Tournament (Montgomery)

JULY 15-21

Summer Conference & All-Star Sports Week (Montgomery) DEAD WEEK (weight training/conditioning only)

Social Network Guidelines for Student-Athletes Social Networks: Social network sites such as Facebook, Twitter, Pinterest, Snapchat, and other digital platforms and distribution mechanisms facilitate students communicating with other students. Participation in such networks has both positive appeal and potentially negative consequences. It is important the Athens City Schools student-athlete be aware of these consequences and exercise appropriate caution if they choose to participate.

Student-athletes are not restricted from using any online social network sites and digital platforms. However, users must understand that any content they make public via online social networks or digital platforms is expected to follow acceptable social behaviors

These guidelines are intended to provide a framework for student-athletes to conduct themselves safely and responsibly in an online environment. As a student-athlete in Athens City Schools should: Be aware that potential current and future employers, college admissions and recruiting offices often access information you place on social networking sites. You should think about any information you post on Facebook or similar directories potentially providing an image of you to a prospective employer or school. The information is considered public information. Protect yourself by maintaining a self-image that you can be proud of years from now.

2. Do not have a false sense of security about your rights to freedom of speech.

Understand that freedom of speech is not unlimited. The on-line social network sites are NOT a place where you can say and do whatever you want without repercussions.

3. Remember photos put on the social network site's server become their property. You may delete the photo from your profile but it still stays on their server. Internet search engines like Google or Yahoo may still find that image long after you have deleted it from your profile. Think long and hard about what type of photo you want to represent you.

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Things student athletes should avoid: Derogatory language or remarks about teammates or coaches; other Athens student athletes, teachers, or coaches; student-athletes, coaches, athletics administrators or representatives of other Schools.

2. Incriminating photos or statements depicting violence; bullying; hazing; sexual harassment; vandalism, stalking; underage drinking; selling, possessing, or using controlled substances; or any other inappropriate behaviors.

3. Creating a serious danger to the safety of another person or making a credible threat of serious physical or emotional injury to another person.

4. Indicating knowledge of an unreported school or team violation—regardless if the violation was unintentional or intentional.

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NCAA ELIGIBILITY CENTER QUICK REFERENCE GUIDE

Core Courses • •

Division I Initial-Eligibility Requirements

NCAA Division I requires 16 core courses. See the charts below for the breakdown of this 16 core-course requirement.

For students enrolling on or after August 1, 2016, NCAA Division I will require 10 core courses to be completed prior to the seventh semester (seven of the 10 must be a combination of English, math or natural or physical science that meet the distribution requirements below). These 10 courses become "locked in" at the seventh semester and cannot be retaken for grade improvement. o Beginning August 1, 2016, it will be possible for a Division I college-bound student-athlete to still receive athletics aid and the ability to practice with the team if he or she fails to meet the 10 course requirement, but would not be able to compete.

Test Scores • • • •

Division I uses a sliding scale to match test scores and core grade-point averages (GPA). The sliding scale for those requirements is shown on Page No. 2 of this sheet.

The SAT score used for NCAA purposes includes only the critical reading and math sections. The writing section of the SAT is not used.

The ACT score used for NCAA purposes is a sum of the following four sections: English, mathematics, reading and science.

When you register for the SAT or ACT, use the NCAA Eligibility Center code of 9999 to ensure all SAT and ACT scores are reported directly to the NCAA Eligibility Center from the testing agency.

Test scores that appear on transcripts will not be used.

Grade-Point Average • • • • •

Be sure to look at your high school’s List of NCAA Courses on the NCAA Eligibility Center's website (www.eligibilitycenter.org). Only courses that appear on your school's List of NCAA Courses will be used in the calculation of the core GPA. Use the list as a guide.

Division I students enrolling full time before August 1, 2016, should use Sliding Scale A to determine eligibility to receive athletics aid, practice and competition during the first year.

Division I core GPA required to receive athletics aid and practice on or after August 1, 2016, is between 2.000 and 2.299 (corresponding test-score requirements are listed on the Sliding Scale on Page No. 2 of this sheet).

Division I core GPA required to be eligible for competition on or after August 1, 2016, is 2.300 (corresponding test-score requirements are listed on the Sliding Scale on Page No. 2 of this sheet).

Remember, the core GPA is calculated using the best 16 NCAA core courses only.

DIVISION I 16 Core Courses 4 3 2 1 2 4

years of English. years of mathematics (Algebra I or higher). years of natural/physical science (1 year of lab if offered by high school). year of additional English, mathematics or natural/physical science. years of social science. years of additional courses (from any area above, foreign language or comparative religion/philosophy).

Sliding Scale A Use for Division I prior to August 1, 2016

NCAA DIVISION I SLIDING SCALE Core GPA 3.550 & above 3.525 3.500 3.450 3.425 3.375 3.350 3.325 3.300 3.250 3.225 3.200 3.175 3.150 3.125 3.100 3.075 3.050 3.025 3.000 2.950 2.925 2.900 2.875 2.850 2.825 2.800 2.750 2.725 2.700 2.650 2.625 2.600 2.550 2.500 2.450 2.425 2.400 2.350 2.325 2.300 2.275 2.250 2.225 2.200 2.175 2.150 2.125 2.100 2.075 2.050 2.025 2.000

Verbal and Math ONLY

400 410 420 430 440 450 470 480 510 530 540 550 580 600 620

660 670 680 690 700

740-750 760 770 780 790 800 830 860 860 870 880 890 900 920

960 960 970 980 990 1000 1010

ACT Sum 37 38 39 40 41 41 42 42 43 44 44 45 46 46 47 47 48 49 49 50 50 51 52 52 53 53 54 55 56 56 57 58 59 59 60 61 62 63 64 65 66 67 68 69 70 70 71 72 73 74 75 76 77 78 79 80 80 81 82 83 84 85 86

Sliding Scale B Use for Division I beginning August 1, 2016

NCAA DIVISION I SLIDING SCALE Core GPA

ACT Sum Verbal and Math ONLY

3.550 3.525 3.500 3.450 3.425 3.375 3.350 3.325 3.300 3.250 3.225 3.200 3.175 3.150 3.125 3.100 3.075 3.050 3.025 3.000 2.950 2.925 2.900 2.875 2.850 2.825 2.800 2.750 2.725 2.700 2.650 2.625 2.600 2.550 2.500 2.450 2.425 2.400 2.350 2.325 2.300 2.299 2.275 2.250 2.225 2.200 2.175 2.150 2.125 2.100 2.075 2.050 2.025 2.000

410 420 430 440 450 480 510 530 540

580 600 620

660 670 680 690 700 730 760 770 780 790 800 830 840 850 860 870 890 900 920

960 970 980 990 1000 1010 1020

For more information, visit the NCAA Eligibility Center website at www.eligibilitycenter.org or [Type text] www.2point3.org.

37 38 39 40 41 41 42 42 43 44 44 45 46 46 47 47 48 49 49 50 50 51 52 52 53 53 54 55 56 56 57 58 59 60 61 61 62 63 64 65 66 67 68 69 70 70 71 72 73 74 75 76 76 77 78 79 80 81 82 83 84 85 86 86

NCAA ELIGIBILITY CENTER QUICK REFERENCE GUIDE

Division II Initial-Eligibility Requirements Core Courses • •

Division II currently requires 16 core courses. See the chart below.

Beginning August 1, 2018, to become a full or partial qualifier for Division II, all college-bound student-athletes must complete the 16 core-course requirement.

Test Scores •

• • •

Division II currently requires a minimum SAT score of 820 or an ACT sum score of 68.

Beginning August 1, 2018, Division II will use a sliding scale to match test scores and core-course grade-point averages (GPA). The sliding scale for those requirements is shown on Page No. 2 of this sheet.

The SAT score used for NCAA purposes includes only the critical reading and math sections. The writing section of the SAT is not used.

The ACT score used for NCAA purposes is a sum of the following four sections: English, mathematics, reading and science.

When you register for the SAT or ACT, use the NCAA Eligibility Center code of 9999 to ensure all SAT and ACT scores are reported directly to the NCAA Eligibility Center from the testing agency. Test scores that appear on transcripts will not be used.

Grade-Point Average • • • •

Be sure to look at your high school’s List of NCAA Courses on the NCAA Eligibility Center's website (www.eligibilitycenter.org). Only courses that appear on your school's approved List of NCAA Courses will be used in the calculation of the core GPA. Use the list as a guide.

The current Division II core GPA requirement is a minimum of 2.000. Division II core GPA required to be eligible for competition on or after August 1, 2018, is 2.200 (corresponding testscore requirements are listed on the Sliding Scale on Page No. 2 of this sheet).

The minimum Division II core GPA required to receive athletics aid and practice as a partial qualifier on or after August 1, 2018, is 2.000 (corresponding test-score requirements are listed on the Sliding Scale on Page No. 2 of this sheet).

Remember, the NCAA core GPA is calculated using NCAA core courses only.

DIVISION II 16 Core Courses 3 2 2

3

2 4

years of English. years of mathematics (Algebra I or higher). years of natural/physical science (1 year of lab if offered by high school). years of additional English, mathematics or natural/physical science. years of social science. years of additional courses (from any area above, foreign language or comparative religion/philosophy).

DIVISION II COMPETITION SLIDING SCALE

DIVISION II PARTIAL QUALIFIER SLIDING SCALE

Use for Division II beginning August 1, 2018

Use for Division II beginning August 1, 2018

Core GPA 3.300 & above 3.275 3.225 3.175 3.150 3.125 3.100 3.075 3.025 3.000 2.975 2.925 2.875 2.850 2.825 2.800 2.775 2.750 2.725 2.700 2.675 2.625

Verbal and Math ONLY

400 410 420 430 440 450 460 480 490 510 520 530 540 550 560

590 610 620 630 640 650 660 670

2.575 2.550 2.525

690

2.475 2.450 2.425 2.400 2.375

730

2.325 2.275 2.250 2.225 2.200

710

760 780 790 800

840 & above

ACT Sum 37 38 39 40 41 41 42 42 43 44 44 45 46 46 47 47 48 49 49 50 50 51 52 52 53 53 54 55 56 56 57 58 59 60 61 61 62 63 64 65 66 67 68 69 70 & above

Core GPA

SAT

ACT Sum

Verbal and Math ONLY

3.050 & above 3.025 3.000 2.975 2.950 2.925 2.900 2.875 2.850 2.825 2.800 2.775 2.750 2.725 2.700 2.675 2.650 2.625 2.600 2.575 2.550 2.525 2.500 2.475 2.450 2.425 2.400 2.375 2.350 2.325 2.300 2.275 2.250 2.225 2.200 2.175 2.150 2.125 2.100 2.075 2.050 2.025 2.000

400 410 420 430 440 450 460 470 480 490 500 510 520 530 540 550 560 570 580 590 600 610 620 630 640 650 660 670 680 690 700 710 720 730 740 750 760 770 780 790 800 810 820 & above

37 38 39 40 41 41 42 42 43 44 44 45 46 46 47 47 48 49 49 50 50 51 52 52 53 53 54 55 56 56 57 58 59 60 61 61 62 63 64 65 66 67 68 & above

For more information, visit the NCAA Eligibility Center website at www.eligibilitycenter.org.

Medical Concerns Heat-Related Illness & Hydration Management http://www.stopsportsinjuries.org/heat-illness.aspx Why do heat related illness occur?

When an athlete exercises, the body's temperature is elevated and the body sweats to cool itself down. During this process, body fluid as well as critical electrolytes are lost. If the body isn't replenished with fluids and electrolytes, dehydration may occur and increase the risk of a heat illness such as heat stroke.

What are the symptons of heat illness?

Some symptoms include: ○ Chills ○ Dark colored urine ○ Dizziness ○ Dry mouth ○ Headaches ○ Thirst ○ Weakness If heat illness progresses, more serious symptoms such as difficulty breathing, body temperature increasing to dangerous levels, muscle cramps, nausea, and tingling of the limbs—and even death—may occur.

How can heat-related illness be prevented?

Effective prevention includes: ○ Proper training for the heat ○ Fluid replacement before, during and after exertion ○ Appropriate clothing—light colored, loose fitting and limited to one layer ○ Early recognition via direct monitoring of athletes by other players, coaches and medical staff ○ Monitoring the intensity of physical activity appropriate for fitness and the athlete's acclimatization status ○ If possible, having an athletic trainer on site during events and practices to properly prevent and treat heat illnesses

When should an athlete hydrate?

Hydration should begin before the exercise period. Drinking 16 ounces of water or a sports drink is recommended one hour before exertion. Hydration should continue with 4-8 ounces of fluid every 15-20 minutes as long as exertion continues.

The type of fluid replacement depends on the duration of the event. Plain water is adequate for events lasting less than one hour. However, for events that last more than one hour or multiple bouts of exercise in the same day, the replacement fluid should contain carbohydrates, sodium and potassium, which are standard components of commercial sports drinks.

Weighing oneself before and after activity provides good feedback on the level of hydration. If the athlete is lighter after an activity, then it is likely a fluid deficit has occurred and it's necessary to replace the weight loss by drinking more during the next practice to approximate sweat losses.

An athlete who loses more than two percent to three percent of body weight during exercise may be at a point of compromising performance and physiological function. If the athlete gains weight after an activity, then the quantity of rehydration fluid during activity should be reduced.

How can heat illness be prevented?

When you see any signs of heat illness or heat stroke, you may be dealing with a life-threatening emergency. Have someone call for immediate medical assistance while you begin cooling the individual at risk.

Treatment tips include: ○ Getting the athlete to a shaded area. ○ If it is heat stroke, cool the athlete rapidly using cold water immersion. If immersion is not available you may use spray from a hose, cold water sponging or placing cold towels over the entire body. ○ Monitoring body temperature. ○ Providing cool beverages if possible (i.e., if the athlete does not have altered consciousness). ○ Getting medical assistance as soon as possible.

Heat exhaustion is a form of heat illness that can develop after several days of exposure to high temperatures and inadequate or unbalanced replacement of fluids.

Staph Infection & MRSA http://www.cdph.ca.gov/healthinfo/discond/documents/camrsainfectionsguidelineathleticsdepart ment.pdf

Hygiene HAND WASHING IS THE SINGLE MOST IMPORTANT BEHAVIOR IN PREVENTING THE SPREAD OF INFECTIOUS DISEASE. EMPHASIZE THIS TO YOUR ATHLETES. HANDS MUST BE CLEAN BEFORE THEY TOUCH THEIR EYES, MOUTH, NOSE, OR ANY CUTS OR SCRAPES ON THE SKIN. HANDWASHING PROCEDURE 1. Use warm water.

2. Wet hands and wrists.

3. Use a bar or liquid soap. Antimicrobial soap is not necessary to disinfect against MRSA. 4. Work soap into a lather and wash palms, back of hands up to wrists, between fingers, around thumbs, and under fingernails for at least 15 seconds.

5. Dry hands, using a disposable paper towel or hand-dryer.

6. Provide and encourage the use of alcohol-based hand sanitizers to wash hands in places where hand-washing facilities are not available or to wash hands immediately if personnel or athletes come in contact with any body fluid on the playing field.

All should wash their hands as described above: • After sneezing, blowing or touching the nose; • After using the toilet; • Before and after practice, games, working out, or whenever there is bare skin contact with others or with shared surfaces or equipment.

Personal Hygiene • Shower with soap and water as soon as possible after direct contact sports.

• Dry using a clean, dry towel.

• Do not share towels (even on the sidelines of games), soap, or other personal care.

Athletic Equipment Athletes should use a towel or clothing to act as a barrier between surfaces of shared equipment and bare skin.

Consider a wound infectious if there is any purulent drainage (pus) from the wound, especially if accompanied by fever, redness or tenderness around the wound or if the person is receiving treatment for a wound that had pus drainage. Once the wound has no drainage, and the treating clinician and/or a representative from the athletic department clears the athlete, the person can be considered non-infectious

APPENDIX Student Athletic Forms

Student Name:_ Grade: Required Paperwork for Participation in Athletics: Parent/Athlete Check List 1.

Physical Evaluation Form (form 5 revised 2015) -Must be signed by Parent/Guardian, Student, and a MD or DO. (No CRNP, etc.)

-Good for one calendar year, retain a copy of your records

2.

AHSAA Concussion Form (every school year) -Must be signed by Parent/Guardian and Student

3.

AHSAA Student Release Form (every school year) -Must be signed by Parent/Guardian and Student

4.

ACS Consent for Athletics and Warning Statement -Must be signed by Parent/Guardian and Student on front AND sports participating in are checked.

5.

ACS Insurance Form- insurance is a requirement to participate -Must be signed by Parent/Guardian -If Option 2 is chosen, obtain an envelope from the coach or Athletic Director

6.

Athletic Handbook Acknowledgement (Handbook is available for download on www.acs-k12.org website) -Signed by both Parent and Athlete

7.

Disclosure of Protected Information and Consent for Treatment -Required by Drayer for Athletic Training -Signed by Parent/Guardian

8.

NFHS SPORTSMANSHIP Certification(New) or a STAR Sportsmanship Certificate on file:

Instructions forNFHS Sportsmanship Course:

* Student will visit www.NFHSlearn.com and register anaccount if they have not done so before. (Keep record of username and password. The AHS does not have access to these.) * Undercourses, type in sportsmanship and The Sportsmanship Elective Course shouldappear. * Clickon the course. Then the View button. * Next,a blue tab should appear that says Order Course. (The course is free.) * Abox will appear for the student/coach to identify who will be completing thecourse. * Next,a shopping cart appears. Select thestate of Alabama, and checkout. * Orderstatus appears and an agreement statement. After checking the agreement statement choose continue. Last, at theOrder Receipt box, click here * Next,begin taking the course. * A student can come back and finish at any time. When finished, a student can print the certificate from that screen or save and print later.

Parents:

-Athletes must have all paperwork turned in to participate.

-Please keep a copy of the completed Physical Form for your records.

-If you have any questions please contact Darin Aderholt, Athletic Director or the head coach.

Darin.Aderholt@acs-k12.org 256-233-6613

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION

Preparticipation Physical Evaluation Form History

Name Address School

Sex

Age Grade

Date Date of birth Phone Sport

Explain “Yes” answers below: 1. Has a doctor ever restricted/denied your participation in sports?

2. Have you ever been hospitalized or spent a night in a hospital?

Have ever had surgery?

3. Do you have any ongoing medical conditions (like Diabetes or Asthma)?

4. Are you presently taking any medications or pills (prescription or over‐the‐counter?

5. Do you have any allergies (medicine, pollens, foods, bees or other stinging insects)?

6. Have you ever passed out during or after exercise?

Have you ever been dizzy during or after exercise?

Have you ever had chest pain or discomfort in your chest during or after exercise?

Do you tire more quickly than your friends during exercise?

Have you ever had high blood pressure?

Have you ever been told that you have a heart murmur, high cholesterol, or heart infection?

Have you ever had racing of your heart or skipped heartbeats?

Has anyone in your family died of heart problems or a sudden death before age 50?

Does anyone in your family have a heart condition?

Has a doctor ever ordered a test on your heart (EKG, echocardiogram)?

7. Do you have any skin problems (itching, rashes, staph, MRSA, acne)?

8. Have you ever had a head injury or concussion?

Have you ever been knocked out or unconscious?

Have you ever had a seizure?

Have you ever had a stinger, burner, pinched nerve, or loss of feeling or weakness in your arms or legs?

9. Have you ever had heat or muscle cramps?

Have you ever been dizzy or passed out in the heat?

10. Do you have trouble breathing or do you cough during or after activity?

Do you take any medications for asthma (for instance, inhalers)?

11. Do you use any special equipment (pads, braces, neck rolls, mouth guard, eye guards, etc.)?

12. Have you had any problems with your eyes or vision?

Do you wear glasses or contacts or protective eye wear?

13. Have you had any other medical problems (infectious mononucleosis, diabetes, infectious diseases, etc.)?

14. Have you had a medical problem or injury since your last evaluation?

15. Have you ever been told you have sickle cell trait?

Has anyone in your family had sickle cell disease or sickle cell trait?

16. Have you ever sprained/strained, dislocated, fractured, broken or had repeated swelling or other injuries of any bones or joints?

Head Back Shoulder Forearm Hand Hip Knee Ankle Neck Chest Elbow Wrist Finger Thigh Shin Foot 17. When was your first menstrual period?

When was your last menstrual period?

What was the longest time between your periods last year?

Yes

No

Explain “Yes” answers:

I hereby state that, to the best of my knowledge, my answers to the above questions are correct.

Signature of athlete

Date

DUPLICATE AS NEEDED

Signature of parent/guardian

Rev. 2015

FORM 5

Page 1 of 2

Rule 1, Sec. 14 — In order for a student to be eligible for interscholastic athletics, there must be on file in the Superintendent’s or Principal’s office a current physician’s statement certifying that the student has passed a physical exam, and that in the opinion of the examining physician (M.D. or D.O.) the student is fully able to participate in interscholastic athletics (Grade s 7‐12). The AHSAA Physicians Certificate (Form 5) must be used. A physical exam will satisfy the requirement for one calendar year through the end of the month from the date of the exam.

For example, a physical given on May 5, 2015, will satisfy the requirment through May 31, 2016.

Preparticipation Physical Evaluation

Physical Examination Height

Weight BP L 20 /

/

Corrected: Y

Vision R 20 /

N

Normal

LIMITED

Pulse

Abnormal Findings

Cardiovascular Pulses Heart Lungs Skin E.N.T.

COMPLETE

Abdominal Genitalia (males) Musculoskeletal Neck Shoulder Elbow Wrist Hand Back Knee Ankle Foot Other

Clearance: A. Cleared B. Cleared after completing evaluation/rehabilitation for: C. Not cleared for:

Collision Contact Noncontact

Strenuous

Moderately strenuous

Nonstrenuous

Due to: Recommendation:

Name of physician

Date

Address

Phone .

Signature of physician

, M.D. or D.O.

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION

Concussion Information Form (Required by AHSAA Annually.)

2017-18 School Year

A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head.

They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a "ding" or a bump on the head can be serious. You cannot see a concussion and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away.

Symptoms may include one or more of the following: • • • • • • • • • • •

Headaches "Pressure in head" Nausea or vomiting Neck pain Balance problems or dizziness Blurred, double, or fuzzy vision Sensitivity to light or noise Feeling sluggish or slowed down Feeling foggy or groggy Drowsiness Change in sleep patterns

• • •

• • •

Amnesia "Don't feel right" Fatigue or low energy Sadness Nervousness or anxiety Irritability More emotional Confusion Concentration or memory problems (forgetting game plays) Repeating the same question/comment

Signs observed by teammates, parents and coaches include: • • • • • • • • • • • • • •

Appears dazed Vacant facial expression Confused about assignment Forgets plays Is unsure of game, score, or opponent Moves clumsily or displays incoordination Answers questions slowly Slurred speech Shows behavior or personality changes Can't recall events prior to hit Can't recall events after hit Seizures or convulsions Any change in typical behavior or personality Loses consciousness

(Continued on Page 2)

AHSAA Form adapted in 2011 and revised in 2012.

AHSAA Concussion Information Form (Page 2)

What can happen if my child keeps on playing with a concussion or returns too 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 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 athletes will often fail to report symptoms of injuries.

Concussions are no different. As a result, education of administrators, coaches, parents and students is the key to a student-athlete's safety.

AHSAA Concussion Policy: Any student-athlete who exhibits signs, symptoms or behaviors consistent with a concussion shall be removed from the contest and shall not return that day. Following the day the concussive symptoms occur, the student-athlete may return to practice or play only after a medical release has been issued by a medical doctor.

Any health care professional or AHSAA certified coach may identify concussive signs, symptoms or behaviors of a student athlete during any type of athletic activity. Once concussive signs are identified, only a medical doctor can clear an athlete to return to play. Any school in violation of the AHSAA policy application of the National Federation rule will be subject to sanctions.

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 on the same day he/she sustained an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear. The athlete may return the following day or anytime thereafter with written clearance from a medical doctor.

Close observation of the athlete should continue for several hours. You should also inform your child's coach if you think that your child may have a concussion. Remember it's better to miss one game than miss the whole season. And when in doubt, the athlete sits out.

This form is required by Alabama Law established in June 2011. The form was revised in April 2012, coinciding with the current AHSAA Concussion Policy.

I have reviewed this information on concussions and am aware that a release by a medical doctor is required before a student may return to play under this policy.

__

______

_____

___

_____________

Student-Athlete Name Printed

__

______

_____

Parent Name Printed

____

_____

__

Student-Athlete Signature

___

_____

__

______

__

Parent Signature

AHSAA Form adapted in 2011 and revised in 2012.

______ Date

_____

__

______ Date

Participant Agreement, Consent, Release, And Venue This completed form must be kept on file by the school. This form is valid for the years 2017-2018

Part 1. Student Agreement, Consent, And Release (to be signed by student at the bottom) I know of no reason why I am not eligible to represent my school in interscholastic athletic competition. If accepted as a representative, I agree to follow the rules of my school and AHSAA and to abide by their decisions. I know that athletic participation is a privilege. I know of the risks involved in athletic participation and choose to accept such risks. I hereby authorize the use or disclosure of my individually identifiable health information should treatment for illness or injury become necessary. I also authorize physicians or other designated medical professionals associated with the AHSAA to review my individually identifiable health information and/or a video live feed of a health-related inspection/exam for the purpose of determining my eligibility to participate in certain athletic events. I further authorize the disclosure of my individually identifiable health information by any physician performing such examination to appropriate AHSAA and/or school officials or other health care officials involved in determining eligibility for participation in athletic events. I hereby consent to the disclosure by my school to AHSAA, upon its request, and hereby grant AHSAA the right to review all records including my SSID number relevant to my athletic eligibility including, but not limited to, my official transcripts, and records relating to enrollment and attendance, academic standing, age, discipline, residence and physical fitness. This Consent includes granting AHSAA the right to review all records otherwise protected by the Family Educational Rights and Privacy Act and all official transcripts provided to my school from any school that is in the Youth Services Department District. I hereby grant the released parties the right to photograph and/or videotape me and further to use my name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein.

Part 2. Parental/Guardian Agreement, Consent, And Release (to be completed and signed by a parent(s)/guardian(s) at the bottom; where divorced or separated, parent/guardian with legal custody must sign.)

A. I hereby give consent for my child/ward to participate in any AHSAA recognized or sanctioned sport EXCEPT for the following sport(s): .

List sport(s) exceptions here B. I know of, and acknowledge that my child/ward knows of, the risks involved in interscholastic athletic participation. I authorize emergency medical treatment for my child/ward should the need arise for such treatment while my child/ward is under the supervision of the school. I further hereby authorize the use or disclosure of my child's/ward's individually identifiable health information should treatment for illness or injury become necessary. I consent to the disclosure, by my child's/ward's school, to the AHSAA, upon its request, of all records relevant to his/her athletic eligibility including, but not limited to, his/her records relating to enrollment and attendance, academic standing, age, discipline, residence and physical fitness. I grant the released parties the right to photograph and/or videotape my child/ward and further to use said child's/ward's name, face, likeness, voice and appearance in connection with exhibitions, publicity, advertising, promotional and commercial materials without reservation or limitation. The released parties, however, are under no obligation to exercise said rights herein.

C. I am aware of the potential danger of concussions and/or head and neck injuries in interscholastic athletics. I also have knowledge about the risk of continuing to participate once such an injury is sustained without proper medical clearance.

D. VENUE FOR ANY AND ALL LITIGATION AND ATTORNEY FEES. I agree that in the event I, or anyone acting on my child’s behalf, files suit

against AHSAA or any of its officers, directors, agents, or employees alleging any cause of action and seeking either legal or equitable relief impacting my child (individually) or my child’s team participation in AHSAA contests, such action shall be filed in the Montgomery County, Alabama, Circuit Court. I also agree that f i li ng such action in the Montgomery County Circuit Court i s both fair and reasonable. I further agree that should AHSAA prevail in such litigation, either in Circuit Court or any Appellate Court, then AHSAA shall be entitled to reasonable attorney fees and costs associated with the litigation.

I HAVE READ THIS CAREFULLY AND KNOW IT CONTAINS A RELEASE AND VENUE CLAUSE (Only one parent/guardian signature is required) Name of Parent/Guardian (printed)

Signature of Parent/Guardian

Date

Name of Parent/Guardian (printed)

Signature of Parent/Guardian

Date

/

/

/

/

I HAVE READ THIS CAREFULLY AND KNOWIT CONTAINS A RELEASE AND VENUE CLAUSE (student must sign) Name of Student (printed)

Signature of Student

Date

/

/

LAST NAME

FIRST

MI

GRADE

SEX

BIRTH DATE

ATHENS CITY SCHOOLS ATHLETIC WARNING STATEMENT & CONSENT TO PARTICIPATE DURING 2017-2018 SCHOOL YEAR As an athlete/athletic parent in the Athens City School’s Athletic program, I/we understand that participation in any sport can be dangerous activity involving MANY RISKS OF INJURY. I/We further understand that there are serious risks including and not limited to brain damage, cardiac arrest, serious injury to internal organs and to bones, joints, ligaments, muscles, tendons, and other serious injury or impairment to other aspects of the athlete’s general health and well-being. I/We understand that the dangers and risks of participating in sports also include the potentially high costs of medical care and impairment of the athlete’s future ability to earn a living, to engage in other business, social and recreational activities, and generally to enjoy life. Recognizing these risks, I/we consent to the participation of my/our son/daughter in the sports program offered by Athens City Schools. I/We also agree to comply with all rules, regulations, and recommendations of administrators, coaches, athletic trainers and doctors concerning injury prevention and care. I/We hereby grant consent to any and all health care providers designated by Athens City Schools to provide my child any necessary medical care as a result of any injury or illness. I/We consent to participation in the following sport(s) for the 2017-2018 school years.

***CHECK ALL SPORTS YOUR CHILD PLANS TO PARTICIPATE IN DURING THE 2017-2018 SCHOOL YEAR. Baseball

Football

Track

Softball

Volleyball

Basketball

Golf

Tennis

Wrestling

Cheer

Swim

Soccer

Date

Signature of Student

Cross Country

Signature of Parent/Guardian

Date

ATHENS CITY SCHOOLS INSURANCE DECLARATION 2017-2018 DEAR PARENT: In order for your son/daughter to participate in our school’s athletic program he/she must be insured. If you do not have health insurance, you must take the accident policy offered through Athens City Schools. However, if you feel that your son/daughter is adequately covered by your own health insurance and you are willing to assume full financial responsibility in case of harm or injury while he/she is participating in our athletic program, the accident policy offered through Athens City Schools is not required.

OPTION 1 My son/daughter is adequately covered by my own insurance and I will assume full financial responsibility in case of harm or injury while he/she is participating in your school’s athletic program. I do not desire the accident policy offered through Athens City Schools for my son/daughter.

HEALTH INSURANCE INFORMATION Note: If option 1 is checked above, the following section MUST be completed. You must have insurance to participate. If you do not have health insurance, you must take the accident policy offered through Athens City Schools described in option 2 below.

Carrier: Policyholder’s name Student’s Name: Parent’s Signature:

Policy Number

Group. No. Relationship Date:

OPTION 2 Please check the applicable spaces and sign below.

My son/daughter will purchase student accident insurance. (Check the plan and options you want.

Make your check payable to: Parker Waller Insurance.)

School-Time Coverage (school, all school activities, except varsity football) Standard Benefit Option ($21.00)

Double Benefit Option ($50.00)

24-Hour Coverage (around-the-clock-coverage, all school activities, except varsity football) Standard Benefit Option ($80.00)

Double Benefit Option ($164.00)

Varsity Football Coverage (Coverage only applies to football play or practice, includes spring practice) Standard Benefit Option ($138.00)

Double Benefit Option ($276.00)

Varsity Football Coverage (Spring practice only) Standard Benefit Option ($39.00) Student’s Name: Parent’s Signature:

Double Benefit Option ($80.00)

Date:

Disclosure of Protected Health Information And Consent for Treatment I hereby authorize the athletic trainers, sports medicine staff and other health care personnel working with Athens High School to release information regarding the student-athlete’s protected health information and related information regarding any injury or illness during the student-athlete’s training for and participation in athletics at that school. I further understand that it is at my request to comply with the requirements of his/her school official in connection with participation in interscholastic sports. This protected health information may concern the studentathlete’s medical status, medical condition, injuries, prognosis, diagnosis, athletic participation status, and related personally identifiable health information. This protected health information may be released to other health care providers, hospital and/or medical clinics and laboratories, athletics coaches, medical insurance coordinators, athletic and/or school administrators, chaplains and/or clergy members, officials of the Alabama High School Athletic Association and the Alabama Independent School Association.

I,

parent or guardian, of (student’s name) understand that as a parent/legal guardian give authorization/consent for the disclosure of the student-athlete’s protected health information while participating as an interscholastic athlete at Athens High School. I understand that my protected health information is protected by the federal regulations under either the Health Information Portability and Accountability Act (HIPAA) or the Family Educational Rights and Privacy Act of 1974 (the Buckley Amendment) and may not be disclosed without either parental/legal guardian authorization under HIPAA or consent under the Buckley Amendment. I the parent/legal guardian understand that once information is disclosed per authorization or consent, the information is subject to re-disclosure and may no longer be protected by the HIPAA and/or the Buckley Amendment. I, the parent/legal guardian, understand that I may revoke this authorization/consent at any time by notifying in writing to the school’s athletic director, but if I do, it will not have any effect on the actions the school officials took in reliance on this authorization/consent prior to receiving the revocation. I further have been given a copy of the Privacy Notice, which explains my rights under the HIPAA Act. This authorization/consent expires one year from the date it is signed.

I hereby authorize the athletic trainer and sports medicine staff at School, to administer treatment and first aid pertaining school sporting activities as necessary to (student’s name).

REQUIRED SIGNATURE FOR PARTICIPATION FOR INTERSCHOLASTIC SPORTS

Print Athlete’s Name

Date Disclosure of Protected Health Information.doc

Signature of Parent/Legal Guardian

USE AND DISCLOSURE OF PHI BY THE ATHLETIC TRAINER WITH COACHES AND OTHER NON-MEDICAL STAFF

The athletic trainer is in a unique situation with treating athletes on the sideline and other non-clinical settings. For this reason, trainers must educate the coaching staff on the rules of HIPAA and ask for their cooperation. Because a coach is not a health care provider, the ATC cannot discuss an athlete’s injury or medical condition with them without consent from the athlete’s parents. To ensure that the ATC can discuss an athlete’s injury with his coach, we have created a form called “Disclosure of PHI and Consent for Treatment”.

Before a season begins (any sport we cover), this form should be distributed to all participating athletes. A good time for this is spring physicals, or whenever the coach is sending information to parents.

This form gives the ATC permission to discuss the athlete’s injury with his coach or other health care personnel. Also, we have combined the consent for treatment form with this disclosure.

These forms must be signed by a parent or legal guardian, and are good for (1) year.

The form also states that they have been given our Privacy Notice. So along with the disclosure form, you must also distribute the Privacy Notice. This notice has been reduced to one page for easy distribution. If someone request larger print, give him or her the copy used in the clinic, also found in this manual.

These disclosure forms should be collected from all athletes and put in a file. These records may be kept on file at the school. This is useful in cases where more than one trainer covers a school. The information is there for reference by any trainer.

If someone refuses to sign the form or merely fails to return it, they cannot be penalized or banned from participation. This is their right, given to them by Federal law. It is your job to know who does not wish to have any information disclosed.

If the student athlete is treated in the clinic, all forms and information given to other patients will still need to be signed by a parent.

Most importantly, keep in mind, that medical information should only be given out, even to coaches, when necessary. If an athlete, who has an injury, also has other unrelated medical problems, you can only discuss the relevant injury with the coach. No information at any time should be shared with other people such as newspapers. The disclosure form is specific with whom you can share information. But remember you can share information with other healthcare providers (as long as they are involved in the care of the athlete), without a consent form.

USE AND DISCLOSURE OF PHI BY THE ATHLETIC TRAINER WITH COACHES ANND OTHER NON-MEDICAL STAFF

ACKNOWLEDGEMENT OF ATHLETIC HANDBOOK I acknowledge access to the athletic handbook and have read the rules concerning eligibility and conduct for Athens City Schools student athletes. I understand the rules and realize that I am subject to disciplinary measures should I violate them. I do agree to participate and conduct myself in accordance with the rules of our athletic program, school rules as addressed in the student handbook and with any other specific rules of my coaches.

Student Athlete I have read this athletic handbook and agree to abide by all regulations set forth. I understand participation in athletics is a privilege and agree to represent Athens City Schools with character, integrity and sportsmanship on and off the field or court.

SIGNATURE OF STUDENT ATHLETE

DATE PRINTED NAME OF STUDENT

Parent/Guardian I have read this Athletic Handbook and understand the policies and regulations of Athens City Schools will be enforced.

SIGNATURE OF PARENT/GUARDIAN

DATE PRINTED NAME OF PARENT

EMERGENCY INFORMATION Please Print Parent/Guardian Name: _________________________________________________________________ Home Phone__________________ Father’s Cell_________________ Mother’s Cell_________________ Email Address _____________________________________________________________________________________ Family Doctor________________________________________________Phone____________________ Preferred Hospital______________________________________________________________________ In EMERGENCY, if parents cannot be contacted, notify: Name_____________________________________________Relationship_________________________ Phone: Home_______________________________________Cell_______________________________ MEDICAL HISTORY List any allergies or medical conditions: ________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ MEDICATIONS List any medications you are taking: ________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ REQUIRED HEALTH INSURANCE INFORMATION Carrier: _____________ Policy No. ______________________________ Group No.________________ Policyholder’s name__________________________________Relationship________________________