Heath
City Schools Athletic Policy Agreement
Prior to
participating in any practice or tryout sessions for any interscholastic sport,
each athlete must:
1.
Successfully
pass a physical examination by a registered physician and the copy of such
examination must be on file in the office of the athletic director. One current physical examination per year is
sufficient for all sports during that school year.
2.
Return
to his/her coach the Athletic Responsibility Agreement Form properly signed.
3.
Properly
fill out and return to the coach the Emergency Medical Authorization Form.
4.
Properly
fill out and return to the coach the Drug Testing Informed Consent Agreement.
As a
student-athlete participating voluntarily in interscholastic athletics, I
understand that:
1.
Participation
in athletics is a privilege and for me to participate I must abide by the Heath
City Schools student code of conduct, the Heath Athletic Policy Handbook, and
the rules of the Ohio High School Athletic Association.
2.
I will
conduct myself in an exemplary social manner at all times.
3.
I will
be responsible for all athletic equipment issued to me throughout the season,
will return such equipment at the conclusion of the season, and will pay the
current replacement cost for any of the equipment no accounted for by me at the
end of the season.
4.
I will
not use or be in possession of tobacco, alcohol, or narcotics. If I do use any of these substances, an in
possession of such substances, or am suspended from school for use or
possession of these substances, I will be subject to disciplinary actions as
outlined in the Athletic Policy Handbook and/or the Random Urine Drug Testing
Policy.
5.
I
acknowledge that I have been properly advised, cautioned, and warned by
administrative and coaching personnel of the school district that I am exposing
myself to the risk of injury, including but not limited to, the risk of
sprains, fractures and ligament and/or cartilage damage which could result in a
temporary or permanent, partial or complete impairment in the use of my limbs,
brain damage, paralysis, or even death.
Having been so cautioned and warned, it is still my desire to
participate in sports and to do so with full knowledge and understanding of the
risk of injury.
6.
I,
along with my parents/guardians, certify that I have read and understand all of
the school district athletic policies in the athletic policy handbook. In order to be eligible for participation, I
understand I must comply with all requirements listed.
Student
Signature _____________________________________________ Date ____________
Parent
Signature ______________________________________________ Date ____________