Johnston Public Schools Athletic Policy Handbook

 

for

 

Johnston High School and Ferri Middle School

 

 

                                   

 

 

 

                                          

Forward

 

          The purpose of this handbook is to aid school administrators, coaches, and parents to become aware of and to understand the policies and procedures of the Johnston Public Schools Athletic Department and the Rhode Island Interscholastic League (RIIL). This publication will also serve to familiarize interested parties with the various forms that must be completed by coaches and student-athletes prior to and during participation. Adherence to the policies and procedures contain herein will enable the entire athletic program to function smoothly and efficiently.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Revised: January, 2011

 

Adopted by the Johnston School Committee: May, 10, 2011

 

 

Table of Contents

 

I.                    Philosophy                                                                          page 1

 

II.                 Code of Ethics for Coaches                                                            page 2

 

III.               Goals and Objectives for Athletes                                       page 3

 

IV.              Communications                                                                             page 4

 

V.                 Athletic Awards and Recognition                                                    page 4-6

 

VI.              Budget                                                                                           page 6

 

VII.            Code of Conduct for Athletes                                                         page 6

 

VIII.         Eligibility                                                                                         page 7

 

IX.              Equipment                                                                                      page 7-8

 

X.                 Facilities, Locker Rooms, and Wellness Center                               page 8

 

XI.              Fundraising                                                                         page 9

 

XII.            Injuries                                                                                           page 9

 

XIII.         Insurance                                                                                        page 10

 

XIV.         Officials for Sport Contests                                                 page 10

 

XV.           Parent Organizations                                                                       page 11

 

XVI.         Qualifications for Coaches/Advisors                                                page 11

 

XVII.      Responsibilities of Coaches                                                 page 12-13

 

XVIII.    Scheduling                                                                                      page 13-14

 

XIX.         Transportation                                                                                page 14-16

 

XX.           Tryout Procedures                                                                          page 16

 

Appendices:

 

      A - Athletic Director Job Description                                        page 17-19

 

      B - Coach Responsibilities and Administrative Duties                page 20-22

 

      C - Cheerleader & Majorette Code Policy                                            page 23-25

 

      D - List of Coaching Positions                                                  page 26

 

      E - Letter to Parents - Required Forms                                                page 27-28

 

F -- First Aid Medical Kit - list of supplies                                            page 29

 

      G - Assumption of Risk Form                                                   page 30

 

      H - Assumption of Risk - Middle School                                              page 31

 

I --  Injury Fund Changes                                                                     page 32

 

J -- Parent Permission Form                                                                 page 33

 

      K - Physical Examination Form                                                            page 34

 

      L - Student Accident Form                                                                   page 35

 

      M - Parent Travel Permission Form                                                      page 36

 

      N - Contest Travel Permission Form                                                    page 37

 

      O - Private Auto Transportation (Hockey)                                            page 38

 

P - Sign-up Sheet                                                                                 page 39

 

      Q - Summary Sheet for Athletic Forms                                     page 40

 

      R - Equipment Card                                                                             page 41

 

      S - Equipment Receipt Form                                                                page 42

 

      T - Equipment Inventory                                                                       page 43

 

      U - Budget Request Form for Coaches                                     page 44-46

 

      V- Game Report                                                                                  page 47

 

W - Game Supervisor Job Description                                     page 48

 

X - List of Websites                                                                             page 49

 

Y -- RIIL Sportsmanship and Ethical Conduct*

 

      Z - RIIL Rules and Regulations*

 

      AA - Rhode Island Principal's Committee on Athletics (RIPCOA) Rules and Regulations*

 

* Manuals are kept in the Athletic Director's Office

        

 

I.  PHILOSOPHY

 

            As the philosophy of the Johnston Public Schools and Johnston High School sets its goals to develop students both scholastically and socially so that they can enter into a lifetime of experiences with a well-rounded background, so too is the objective of the Johnston Public School Athletic Department to provide an atmosphere through which young men and young women who participate in its programs can not only hone their individual athletic skills, but can also develop positive social skills of cooperation, competition, self-discipline, and fair play through interaction with others.

            It is with this in mind that coaches must remain cognizant that their job is not only to foster a winning attitude in those in their charge but also to temper the stress on winning by inculcating in their athletes the more important values of self-discipline, team play, sportsmanship, and tolerance that will make them aware of their own accomplishments and respect those of others. It is, then, the goal of this department to augment the overall philosophy of the school department to develop those skills through participation in our programs that foster both better citizens and individuals.

 

            It is also the duty of coaches to adhere to the philosophy and regulations of the Rhode Island Principal's Committee on Athletics and the Rhode Island Interscholastic League.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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II.        CODE OF ETHICS FOR COACHES

 

A code of ethics can be defined as standards and principles which guide groups of people into taking acceptable and approved actions. The following code of ethics should be followed by all coaches employed by the Johnston Public Schools.

 

A.     All coaches will stress the values associated with fair play.

 

B.     All coaches will show respect for the integrity and judgment of officials.

 

C.     All coaches are responsible for setting good examples of sportsmanship, ethical conduct, and fair play.

 

D.     All coaches will recognize that the purpose of athletics is to promote the physical, moral, mental, social, and emotional well-being of student-athletes.

 

E.      All coaches will encourage the development of leadership and good judgment in all players.

 

F.      All coaches will show respect to visiting teams and their fans.

 

G.     All coaches will view the athletic contest as a game and not a "do or die" effort.

 

H.     All coaches will become familiar with the rules and strategies of their individual sport, as well as the eligibility standards of Johnston High School and the RIIL.

 

I. All coaches will be familiar with the code of ethics published by the RIIL, RIPCOA, and the National Federation of High Schools (NFHS).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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III.       GOALS AND OBJECTIVES FOR ATHLETICS

 

            Goals:

 

A.     Acquisition and development of special skills in the activities of each student's choice.

B.     Development of teamwork with ensuing commitments to loyalty, fair play, cooperation, and other desirable social traits.

C.     Provide directed leadership that emphasizes self-discipline, self-motivation, excellence, and the ideals of good sportsmanship that make for gracious winning or losing.

D.     Provide informed supervision that keeps as a priority the physical well-being of each participant and provides a safe and healthy environment.

E.      Provide the opportunity to gain those skills and interests necessary for the worthy use of leisure time in later life either as a participant or as a spectator.

F.      Provide a broad selection of activities to respond to the interests of as many students as possible.

G.     Recognition of all participants in interscholastic sports as valuable contributors to each sport.

H.     Cooperation with the school department in order to maintain the interscholastic program as a viable part of the instructional school day.

 

Objectives:

 

A.     Provide opportunities to develop skill and to experience the satisfaction of performing.

B.     Contribute to the development of a health-and-fitness attitude which will carry over into life after high school.

C.     Contribute to the development of wholesome appreciation for a well-developed and properly conditioned body.

D.     Contribute to the relief of emotional strains and stresses.

E.      Contribute to the development of desirable character traits, including persistence, determination, unselfishness, and tenacity.

 

 

 

 

 

 

 

 

 

 

 

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     IV.       COMMUNICATIONS

 

A.     All athletic personnel should establish a good rapport with the school faculty, staff members, the community, and other schools involved with a particular sport.

B.     All athletes will have a high regard for regular attendance and academic excellence. All athletic contest and practice schedules should take into account the academic schedules of the athletes.

C.     It is the responsibility of all coaches to have available, at all times, rosters, statistics, and schedules for radio, newspaper, and television personnel.

D.     Coaches should telephone all results, win or lose, to the local media and the RIIL. They should provide details for not only their own team but also their opponents.

E.      Announcements which need to be made within the school should be submitted to the Athletic Director or the Main Office staff as soon as possible. If a student manager will be submitting this information regularly, please inform the Athletic Director.

F.      Coaches will use good judgment with regard to disciplinary problems, injuries, academic difficulties, eligibility, and similar personal issues. No good purpose can be served by allowing the media access to this information. These matters should be considered a "family affair."

 

V.                 ATHLETIC AWARDS AND RECOGNITION

 

Athletic awards are given in recognition of outstanding athletic accomplishment and noteworthy sportsmanship. Athletes will receive, at the coach's recommendation, an athletic letter, certificate, or bar. Also, individual awards may be given to athletes for their particular sport. These awards may include All-American recognition, All State recognition, or All League recognition. Student athletes may also receive school awards, such as, the Hall of Fame Award, Providence Journal-Bulletin Honor Roll, Excellence in an Individual Sport, the Loyalty Award, or Outstanding Student-Athlete. Team awards will also be given for league championships and state championships.

 

Types of Athletic Awards

 

A.     Certificate - all athletes will be given a Certificate of Participation if they finish the season as a member in good standing. Athletes who receive a letter (below) will also receive a certificate.

B.     Varsity Letter - The Varsity Letter will be awarded to athletes who have achieved at least the standards set forth for lettering in a particular sport. The following is a list of criteria for lettering in specific sports. In addition, a head coach has the prerogative to issue or withhold a letter for circumstances which he/she deems appropriate, such as, team or school rule violations, value to a team without having played enough, etc.

1.      All athletes must complete the season in good standing as a member of the team. Injuries will not exclude any athlete from an award.

 

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2.      Athletes must demonstrate good sportsmanship throughout the entire season.

3.      Athletes should participate in all practices unless excused by the coach.

4.      Athletes must adhere to all school policies.

5.      Athletes must exhibit dedication and devotion at all times during the school year.

6.      Any senior who has participated in a sport for three (3) years will be awarded a letter.

 

FALL SPORTS

 

                                    Cross Country

Finish among the top five (5) scorers in four (4) winning dual meets

Finish among the top twenty-one (21) places in a major event

                                                Participate in half of the varsity meets.

                                    Football

Participation in half the quarters played throughout the season.

                                    Soccer

Participation in half the periods played throughout the season.

 

WINTER SPORTS

                                   

Basketball

Participation in half the periods played throughout the season.

                                    Hockey

Participation in half the periods played throughout the season

                                    Wrestling

Participation in half of the varsity meets held throughout the season.

 

SPRING SPORTS

                                   

                                    Baseball

A player must participate in enough games to be considered a valuable contributor to team success as determined by the head coach.

                                    Golf

Participation in at least half of the tri- or dual matches during which their score must count.

                                    Softball

A player must participate in enough games to be considered a valuable contributor to team success as determined by the head coach.

                                   

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Track & Field

An athlete must participate in enough meets to be considered instrumental in team success, as determined by the coach. An athlete must accumulate fifteen (15) points in varsity competition.

                                   

C.     Bar - Athletes who have already lettered will receive a bar in the years following their first letter.

 

VI.              BUDGET

 

Budget requests and inventory forms, when requested by the Athletic Director, should be returned by the date imposed. Coaches should work closely with the Athletic Director when preparing the budget request for his/her individual sport. The coach should become familiar with the current trends in equipment for their sport and always consider what best suits his/her athletes. The coach should take into account inventory already on hand when preparing the budget (See Appendices S and T).

 

VII.            CODE OF CONDUCT FOR ATHLETES

 

Student-athletes serve as role models and are admired and respected by schoolmates and younger athletes. As a result, their behavior and actions often have a significant impact on others. The student athlete must accept the responsibility to display high standards of sportsmanship.

 

A.     Follow the leadership of the coach and the community with regard to good sportsmanship.

B.     Each athlete must understand that drinking alcoholic beverages, taking illegal drugs, and the use of tobacco products are harmful to the body and in violation of school policy.

C.     Taunting and profanity are strictly forbidden.

D.     Athletes should demonstrate exemplary behavior in and out of school.

E.      Athletes should respect the role of officials in controlling the fairness of the contest.

F.      Athletes must obey all training and practice rules established by the coach.

G.     An athlete should care for all equipment that is issued as if it were personal property.

H.     Athletes should attend all practices, keep a good attendance record at school and avoid truancy and lateness.

I.        Athletes should participate in sports for the betterment of Johnston High School and view themselves as ambassadors of the school and community.

 

Application of the Code of Conduct:

 

A.     An athlete's failure to follow the code conduct may result in disqualification.

 

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B.     The coaching staff of each sport has the right to enforce their established rules and must apply penalties impartially.

C.     Any matters which require administrative attention will be addressed by the Principal.

 

VIII.         ELIGIBILITY

 

In order for an athlete to participate in interscholastic sports, he/she must meet the standards set forth by the RILL and Johnston High School.

A.     Coaches will be aware of and be familiar with all eligibility standards, transfer rules, and other guidelines which are included in the RIIL Rules and Regulations handbook.

B.     All athletes must maintain amateur status. An amateur athlete is one who engages in athletics for the physical, mental, social, and/or educational benefits he/she derives. Athletics must be an avocation, not a source of financial reward.

C.     The monitoring of eligibility is the responsibility of the coaches and the Athletic Director. All violations will be reported to the RIIL immediately.

D.     Participation in interscholastic sports while on suspension is prohibited.

E.      Participation in athletics without a valid Physical Examination, Assumption of Risk, or Parent Permission Form is prohibited (see Appendices E, G, I, and J).

F.      Any athlete who does not attend school may not participate in practices or games on the day of his/her absence. If an athletic contest is held on a weekend or holiday, the athlete must be present in school on the day preceding the weekend or holiday in order to participate. Attendance in school until at least 11:00 AM constitutes a full day. Accordingly, a student must arrive in school no later than 10:00 AM to be considered present. Extenuating circumstances must be approved by a school administrator.

G.     An athlete must pass 60 % of his/her attempted credits for the previous marking period to be academically eligible to participate in interscholastic sports. 1^st Quarter, Semester, 3^rd Quarter, and Final grades will be used to determine eligibility.

H.     It is the policy of Johnston High School to discourage early dismissals from school for extra-curricular activities. The monitoring of this policy is the responsibility of the Principal and the Athletic Director.

 

IX.              EQUIPMENT

 

A.     The Head Coach is responsible for the issue of equipment to an athlete. Said equipment should be registered on an equipment receipt form (Appendix R). This form should remain on file until the completion of the season.

B.     Athletes are responsible for equipment issued to them. Any lost items or items significantly damaged must be paid for by the athlete. An Equipment Card (Appendix Q) is be provided by the Athletic Director for coach use.

C.     Team uniforms are not to be used for any purpose other than athletic contests. Uniforms may be worn to school on certain days, as specified by the coach or school authorities.                            -7-

D.     Uniforms will be repaired and washed by the athletic department when necessary.

E.      The coach is responsible for collecting equipment and reporting any missing or damaged equipment to the Athletic Director immediately.

F.      If an athlete leaves the team prior to the end of the season, the coach is responsible for collecting the athlete's equipment.

G.     Any athlete who does not return his/her equipment is not allowed to participate in any other sport until the missing equipment is returned or paid for.

H.     Coaches will use an inventory form to keep equipment records and must use that form in the preparation of his/her budget for the following season (Appendix S and T).

 

X.                 FACILITIES, LOCKER ROOMS, AND WELLNESS CENTER

 

The facilities that are used by athletes, such as, locker rooms, athletic fields, gymnasiums, and the wellness center are constantly being used by a number of different groups. It is the responsibility of coaches to be aware of the many uses of these facilities and to consider scheduling, safety, and supervision when each team is using the area.

 

A.     Coaches should anticipate, in advance, the requirements necessary for their particular field or gymnasium.

B.     Coaches and players of a particular sport are responsible for keeping their playing fields safe. Report any unsafe situations to the Athletic Director immediately.

C.     Athletic fields will be prepared for all athletic contests by the Athletic Department.

D.     Each coach is responsible for his/her team members from the time they report for a practice or game until they leave the school following the practice or game.

E.      Coaches should insure that the lights and showers are turned off, that doors are locked, that equipment is secured, and that the locker room/other facility/athletic complex is neat and clean, following a practice or game.

F.      Each coach should assign a locker to all team members. Players are responsible for securing their equipment. Athletes must report missing locks/equipment immediately.

G.     Coaches may use the Wellness Center during the off-season, for athlete conditioning as long as their sessions are open to the entire student body. A Building Use Form must be approved for use of the Wellness Center.

H.     Lockers are to be used for athletes of the current sport season only.

I.        Athletes must avoid roughhousing and throwing towels or other objects. Hazing of athletes is not allowed.

J.       Athletes may use the telephone in the locker room to call home with permission of the coach.

K.    At no time are athletes allowed to use the wellness center without authorized supervision. All equipment should be put back neatly to keep the room safe for other athletes.

L.      Students should be informed that when reporting to an after-school practice or

 

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game; they are to bring their outerwear and all school materials needed for home

study with them to the locker room. After the activity has ended, no student is allowed to enter the school corridors to go to his/her locker for materials. In the case of extenuating circumstances, a coach should accompany the student to his/her locker.

M.   Keys, key fobs, and alarm codes for the gymnasium area will be assigned to coaches. Under no circumstances are these keys to be duplicated! At the termination of each season, coaches should return his/her assigned keys and key fobs to the Athletic Director.

 

XI.              FUNDRAISING

 

A.     All team fund-raising must be approved by the Superintendent of Schools. The purpose of fund-raising approval is to coordinate efforts among all athletic teams. Fund-raising efforts for a sport should take place in season whenever possible. A form, available in the Main Office of the high school, must be filled out. The Athletic Director must be informed of all fund-raisers.

B.     Coaches should follow proper school department procedures when handling monies received from fund-raising efforts and should maintain detailed records of money spent and money earned.

C.     Fund-raising should be seen as an effort to provide extras for student-athletes and not as the primary financial means to support the program.

 

XII.            GAME SUPERVISORS

      

A.     The Athletic Director will arrange for Game Supervisors for home games. These supervisors are responsible for submitting a Game Report (see Appendix U) with the names of contest officials, W-9's (if necessary), and a brief summary of the game.

B.     See Appendix V for a job description.

C.     Where game supervisors are not required, the coach or assistant coach should assume the responsibility of supervisor.

     

 

XIII.        INJURIES

 

A.     If an injury occurs during a practice or game the coach responsible for the sport should

1.  Provide first aid to the student, with emergency assistance, if necessary, utilizing one or more of the following:

a.       available physician

b.      ambulance/paramedic

c.       other coaches

d.      available nurse

e.       Medical Kit provided by the Athletic Department (Appendix F)

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2.      If a parent or legal guardian is not present, they must be contacted immediately to inform them of the nature of the injury

3.      If the injury seems to be extremely serious, or in the opinion of the coach requires immediate attention, the coach has the authority to refer the athlete for medical transportation and emergency treatment to the closest local hospital/emergent care facility. The coach must carry the Parent Permission Form, required of all players, at all times since this document grants the authority to the coach to get the player treated.

4.      If a physical condition warrants a referral to a physician, a medical release from the physician must be received by the coach or Athletic Director before the student can resume participation.

5.      All players should report any injuries to the coach immediately.

6.      All coaches are required to complete an Accident Report whenever an athlete is injured during a contest or practice. (Appendix J).

7.      Coaches should refer to the RIIL Rules and Regulations for guidelines concerning HIV/AIDS and other communicable diseases.

 

XIV.         INSURANCE

 

A.     School insurance is not offered by Johnston High School. All athletes should have some form of health insurance in order to participate.

B.     The Rhode Island Interscholastic Injury Fund is an emergency source of funds available to families of athletes. Please note that the Injury Fund is not available for athletes who are uninsured and that the Fund has established limits of coverage. Please refer to the Injury Fund Letter, located in Appendix H.

C.     In order for the Injury Fund to be activated for a particular sport, the school must participate in an Injury Fund contest in that sport. Revenue generated through this contest must be forwarded to the Injury Fund. The Injury Fund is also available for Middle School Sports.

 

XV.           OFFICIALS

 

A.     All officials for varsity interscholastic league contests will be assigned by the RIIL.

B.     Officials needed for exhibition, junior varsity, freshman, or middle school contests will be arranged by the Athletic Director.

C.     Varsity league contests which are officiated automatically count toward team game limits established by the RIIL.

 

 

 

 

 

 

 

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XVI.         PARENT ORGANIZATIONS

 

Each sport may have its own parent organization. These organizations should exist for the following purposes:

A.     To support, encourage, and enhance the athletic program

B.     To augment projects to improve facilities and equipment in order to produce a stronger athletic program

C.     Raise monies to provide an end-of-the-season banquet or other necessities not supplied by the Athletic Department

D.     To promote positive public relations with the coaching staff

Note that Parent Organizations should not seek to influence or direct the technical activities or policies administered by the school or the Athletic Department.

 

XVII.      QUALIFICATIONS FOR COACHES/ADVISORS

 

A.     All coaches/advisors must be certified through the Rhode Island Department of Education. Certification is granted by completing an application and by earning a valid First Aid/CPR card through any authorized agency. Coaches must keep their certification updated by enrolling in refresher courses in these areas every two (2) years.

B.     Coaches must also submit to a National Background Criminal Investigation (BCI) through the Rhode Island Attorney General's Office.

C.     Coaches are also required to complete the National Foundation of High Schools (NFHS) basic coaching course, with state test, and a Concussion in Sports course through the NFHS.

D.     Coaches shall have thorough knowledge of their particular sport and be able to teach and explain the technicalities, strategies, and rules that govern that sport. The Athletic Department strongly recommends that all coaches complete a course for their particular sport, available through NFHS.

E.      Cheerleader/Majorette Advisors shall have knowledge of current techniques and must be able to teach them to students in their program. They must also be aware of safety guidelines and be sure that they are followed.

F.      Volunteer coaches must maintain the same credentials as a paid coach and must provide these credentials to the Athletic Director before being accepted. Conducting practices or coaching a game in an emergency situation, without the presence of the head/assistant coach, must be approved by the Athletic Director.

G.     Coaches will be evaluated on a yearly basis. The purpose of these evaluations is to improve staff coaching competency. The Head Coach is responsible for evaluating assistant coaches while the Athletic Director is responsible for evaluating the Head Coach.

 

 

 

 

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XVIII.    RESPONSIBILITIES OF COACHES

 

HEAD COACH

 

A.     Prior to the beginning of the season the Head Coach must hold a discussion with his/her team on the dangers of substance abuse. Materials are available through the Athletic Director.

B.     Be responsible for the formulation and development of their program.

C.     Develop practice schedules and share them with the Athletic Director. Assist junior varsity, freshman, and middle school coaches in the development of practice schedules.

D.     Make recommendations for the hiring of assistants to the Athletic Director.

E.      Be responsible for upkeep and safeguarding of equipment.

F.      Develop and implement rules and regulations regarding the conduct of athletes.

G.     Do not tolerate initiation rites or hazing at any time.

H.     Become familiar with and follow all procedures required by the RIIL Rules and Regulations for his/her sport.

I.        Submit all forms and reports properly and promptly.

J.       Assign responsibilities to and supervise assistant and volunteer coaches.

K.    Be aware of legal responsibilities; take precautions to prevent negligence; keep staff informed at all times.

L.      Have a working knowledge of all Johnston Public School and Johnston Athletic Department policies

M.   Provide the Athletic Director with schedules for transportation arrangements and facilities preparation.

N.    Cooperate with the Athletic Director in the preparation of a budget for his/her sport.

O.    Promote his/her particular sport by reporting all contest results and statistics to the league and the local media.

P.      Be responsible for checking the eligibility status of all athletes in the sport. Provide an eligibility list ten days prior to the first league contest.

Q.    Attend all compulsory meetings. Attend professional growth conferences to keep up-to-date on current trends in his/her particular sport.

R.     Be knowledgeable about rules, regulations, and techniques relating to the sport.

S.      Keep certification current

T.      Become familiar with Coach Responsibilities and Administrative Duties (Appendix B)

 

ASSISTANT COACH

 

A.     Assist the head coach in matters relating to the program.

B.     Be loyal to the head coach.

C.     Work with the head coach in planning all practice schedules

D.     Attend all varsity games, scrimmages, and practices unless directed differently by the head coach

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E.      Be available for scouting assignments

F.      Accomplish all duties assigned by the head coach

G.     Assist the head coach in issuing equipment, completing proper forms, and supervising facilities

H.     Provide for the prevention and care of athletic injuries

I.        Adhere to all school policies and procedures

J.       Attend professional growth conferences

K.    Assume the responsibilities of the head coach in his/her absence

L.      Keep certification current

M.   Become familiar with Coach Responsibilities and Administrative Duties (Appendix B)

 

CHEERLEADER/MAJORETTE ADVISOR

 

A.      Be responsible for the planning and conduct of tryouts and practices

B.       Issue uniforms to be used during the school year; collect and maintain these uniforms at the conclusion of the season

C.      Provide the Athletic Director with a list of cheerleaders/majorettes and turn in appropriate forms and reports

D.      Be responsible for checking the eligibility status of the students under his/her supervision

E.       Provide schedules of pertinent athletic contests to all cheerleaders/majorettes

F.       Become familiar with the Cheerleader and Majorette Code Policy which was adopted by the Johnston School Committee in 1995 (see Appendix C).

 

XIX.        SCHEDULING

 

A.     League schedules are drawn up by the Interscholastic League and published prior to the start of each season. Changes can only be made by mutual consent of the Athletic Directors for the two schools. Coaches may recommend changes.

B.     Exhibition contests must be approved by the Athletic Director.

C.     Coaches must follow RIIL guidelines concerning the start of practices. Fall sports generally begin on/about August 20^th; winter sports generally start on/about November 20^th; and spring sports typically begin on or around March 10^th.

D.     Scrimmages may be scheduled by coaches and do not count as league games as long as there are no officials and players do not wear uniforms.

E.      Postponements:

1.      All postponements must be made by the Athletic Director of the home team.

2.      Any situation which may require a postponement should be brought to the attention of the Athletic Director immediately.

3.      Individual sports such as football have established guidelines by which officials may determine if a contest should be postponed, if neither team can agree on whether or not to play the game.

 

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4.      When postponing games the following factors should be considered:

a.             safe travel to and from the site for participants, officials, and game workers

b.            playing conditions of the field or gymnasium

c.             possible damage to the playing surface

d.            ability to reschedule the contest

e.             safety factors of the facilities

f.              inclement weather

F.      Practices

1.      All practices shall be scheduled with the approval of the Athletic Director to ensure that there are no conflicts.

2.      A gymnasium schedule will be provided by the Athletic Director. He/she will confer with Head Coaches to provide the most suitable schedule for all teams which will be using the gymnasium.

3.      The Athletic Director will schedule ice time for the hockey team after conferring with the Head Coach about best possible practice times, considering availability of the rink.

4.      Coaches should use good judgment when scheduling practices and their duration. They should consider family responsibilities and obligations when creating the schedule.

5.      Under no circumstances is anyone, including coaches, allowed to enter the main school building during weekend practices and games. Since there are no custodians on duty, the main building is alarmed. Anyone entering this area will trigger the alarm initiating a response by the Johnston Police Department. If there are repeated

               violations of this policy, weekend practices will be halted.

6.      Do not leave the outside doors propped open by chairs or other objects since this situation could compromise the security of the building.

 

XX.           TRANSPORTATION

Transportation issues are governed the Johnston Public School Transportation Policy.

A.     All buses are arranged by the Athletic Director and scheduled in conjunction with Head Coaches.

B.     It is the responsibility of the Head Coach to have his/her players ready for the scheduled departure time.

C.     The coaches should maintain control of his/her athletes when traveling to/from practices or games.

D.     Advisors are responsible for cheerleader/majorette conduct when traveling to/from athletic events.

E.      In the event of a postponement or cancellation, the Athletic Director must notify the bus company dispatcher or other point of contact.

F.      All athletes, cheerleaders, and majorettes must travel with the team to and from athletic contests. Students who wish to arrive or depart from a game with a parent or guardian must receive prior approval and also complete a Private Auto

 

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Permission Form (See Appendix N). Should a parent approach a coach at an away contest and ask that they be able to transport their son/daughter home, the coach may agree as long as he/she receives a written release of responsibility from the parent. In no case will an athlete be permitted to ride home with another student.

G.     The following is a list, in priority order, of approved modes of transport:

1.      School bus - driven by the school-contracted bus company's driver

2.      Licensed private carriers (used occasionally for special chartered trips)

3.      Private auto - see special guidelines below

H.     Private Auto Transportation Policy: The appropriate administrator or Athletic Director may give consideration to using private automobiles under the following stipulations:

1.      All athletes must present a "release of liability" signed by a parent permitting travel by private automobile (Appendix K or L).

2.      If volunteer adults/parents are needed to drive athletes, a "release of liability" must be signed.

3.      Coaches or advisors receiving a stipend for an extra-curricular activity should not transport athletes. However, if they are on their own personal time and no compensation is involved, they may give an athlete a ride.

I.        Bus Guidelines:

1.      Coaches and advisors should carry phone numbers and addresses of all passengers.

2.      A minimum of two (2) coaches must accompany the bus when a contact sport is on the road.

3.      A first aid kit must accompany all athletic trips and must include the Parent Permission Form for each athlete.

4.      Athletes who miss the bus and arrive at the contest later shall not be permitted to participate.

5.      No food or drink is permitted on the bus unless the bus driver has given prior approval. The coach is responsible for making sure that no trash is left on the bus.

6.      All participants are expected to conduct themselves in a responsible manner at all times on the trip. Foul language, trash talk, or obscene gestures will not be tolerated. Gambling, in any form, is not allowed.

7.      Only authorized personnel may ride on school athletic transportation. No spectators or family members are permitted.

8.      The emergency door shall only be used in case of emergency or unless authorized by the bus driver.

9.      The coach should insure that no personal items are left on the bus upon return to the school.

 

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J.       Overnight Trips - lodging and meals:

      After receiving approval from the Superintendent of Schools/School Committee, the coach of the squad in question must forward a form letter to the parents of the players involved. This form letter must contain the following information. 

1.      Purpose of the trip

2.      Date and time of departure

3.      Date and estimated time of arrival at the destination

4.      Where the squad will be housed and information about how parents can contact their son/daughter in case of emergency

5.      Method of travel. If transportation is by private automobile, the names of adult drivers and a list of players riding in each car must be submitted.

6.      Detailed information about the expenses of travel, lodging and meals. If a player must defray a portion of the overall expenses, the amount assessed each player must be listed.

7.      The coach must include a parental consent form granting permission for the student to participate. Signed permission slips must be returned to the coach, who, in turn, will submit them to the Athletic Director who will keep them on file in the Athletic Office.

 

XXI.         TRYOUT PROCEDURES     

 

A.     Choosing members of an athletic team is the sole responsibility of the coach.

B.     Prior to tryouts, the coach shall provide the following information to all candidates:

1.      extent of the tryout period

2.      criteria used to select the team

3.      number to be selected

4.      practice commitment for those who make the team

5.      game commitments

C.     Coaches shall provide adequate opportunities for candidates to perform in game-like conditions (intra-squad scrimmages if possible)

D.     Coaches shall assess the strengths and weaknesses of the players to be cut and personally speak with each one, if warranted.

E.      Coaches shall encourage participation in other sports or extra-curricular activities whenever possible

F.      If issues arise regarding cuts, the Athletic Director will discuss the situation in a meeting with the coach, player, and/or parent, if necessary.

 

 

 

 

 

 

                                                                        -16-

APPENDIX A - ATHLETIC DIRECTOR JOB DESCRIPTION

 

I.  Title:  Athletic Director

 

II. Immediate Superior:  Superintendent of Schools

 

III. Job Summary:

            The Athletic Director will work closely with the Principal to provide educational opportunities for Johnston students through interscholastic athletics and to provide administration and leadership for its coaches and athletes in the implementation of athletic programs.

 

IV. Work Performed:

The following is a list of duties and responsibilities of the Athletic Director at Johnston High School.

 

1.      Organize and administer the overall program of extracurricular athletics for Johnston High School and Ferri Middle School.

2.      Develop and monitor a master schedule of athletic events.

3.      Foster positive school and community relations by keeping Johnston residents aware of and responsive to the athletic program.

4.      Prepare and make available to parents, faculty, and students, a calendar of athletic events for each season.

5.      Be accountable to the school principal and district superintendent for the smooth functioning of the athletic program.

6.      Assume responsibility for scheduling of all interscholastic athletic events.

7.      Hire officials, faculty supervisors, game workers, and police, as necessary, to insure the safety of participants and spectators.

8.      Act as Game Supervisor when no substitute can be found or hired.

9.      Arrange for the presence of the school physician or other medical personnel at football games.

10.  Maintain a directory of officials who have officiated at Johnston athletic contests. Insure that particular officials are in the school department database.

11.  Assume general responsibility for all home games. Attend away games, if possible.

12.  Arrange transportation for athletic contest participants.

13.  Develop and institute policies and procedures governing the conduct of athletic activities at the school.

14.  Meet with school principals frequently to discuss and monitor the entire program.

15.  Become familiar with and enforce the rules and regulations adopted by the Rhode Island Interscholastic League (RIIL) and Rhode Island Principals Committee on Athletics (RIPCOA).

16.  Prepare and submit an annual athletic budget.

17.  Prepare and submit requisitions for supplies and equipment.

18. Encumber fixed and routine expenses as soon as budget becomes available.

 

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19. Prepare and submit forms and summaries required by the superintendent and school             committee.

20. Develop a list of vendors who have done business with the athletic department.

21. Develop bid specifications, advertise for bids, and mail specifications to frequently-used vendors.

22. Be present, with a representative of the school committee and a clerk, at the opening of the bid   proposals.

23. Analyze bids received and prepare a spreadsheet which details the bids submitted, item by item, as well as the chosen vendor. Make these spreadsheets available to all members of the Johnston School Committee, the Superintendent, the Business Manager, and school principals.

24. Prepare and distribute all required forms for athletic participation.

25. Supervise ticket sales at athletic events. Account for all funds associated with ticket sales.

26. Serve as Account Advisor and Administrator for the Athletic Activities Account.

27. Arrange all details of visiting team needs, including gymnasium services and field assistance, as appropriate.

28. Negotiate and coordinate the availability and use of playing fields and other facilities with the Johnston Recreation Department.

29. Negotiate and coordinate the use of Alpine Country Club for the Johnston golf team.

30.  Arrange and monitor non-school use of playing fields and facilities.

31.  Arrange and monitor annual service for all scoreboards prior to the opening of school.

32.  Coordinate the semi-annual sprinkler system service in the fall and the spring.

33.  Make arrangements for practice ice time at the Smithfield Ice Rink, prior to the start of the ice hockey season.

34.  Make arrangements with Alpine Country Club for a practice and work schedule prior to the beginning of the interscholastic golf season. Coordinate home matches with the Club Professional.

35.  Prepare and monitor field and gymnasium practice schedules.

36.  Provide for physical examinations of all athletes prior to the beginning of each athletic season.

37.  Administer the Injury Fund insurance program which provides additional coverage for all insured athletes. Process accident reports and claims.

38.  Submit a weekly payroll to insure the prompt and accurate compensation of officials and other event workers.

39.  Collect and monitor required forms for athletic participation.

40.  Forward Assumption of Risk Forms to the RIIL office or the middle school principal, as appropriate.

41.  Prepare Eligibility Lists and team rosters for each sport, each season, on RIIL and RIPCOA websites.

42.  Modify and maintain league schedules online. Notify all appropriate individuals when changes occur.

43.  Update coach information, as necessary, on league websites.

44.  Check the academic eligibility of all students who try out for each sport.

 

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45.  Meet with coaches prior to the start of each athletic season to provide copies of required forms and to review policies and procedures.

46.  Prepare a summary of participation, results and a list of candidates for various awards and honors, at the conclusion of each sport season.

47.  Monitor the certification of coaches and, especially, insure that all coaches and volunteers possess a valid first aid card and coaching certificate.

48.  Maintain Rhode Island and RIIL Athletic Director certification by taking courses as needed.

49.  Attend mandatory and optional meetings/seminars provided by the RIIL and by the Rhode Island Interscholastic Athletic Administrators Association (RIAAA).

50.  Evaluate all coaches on an annual basis.

51.  Require, schedule, and monitor uniform and equipment inventories for each sport.

52.  Supervise and monitor the maintenance of all athletic facilities.

53.  Keep records of the medals and awards achieved by school athletes and provide coaches with the necessary certificates, letters, etc.

54.  Plan and supervise an annual awards assembly for student athletes.

55.  Prepare programs, as necessary, for major athletic events.

56.  Provide Game Supervisor with necessary paperwork pertaining to each contest, i.e. game report, contact information sheet, blank W-9's, team roster, master list of officials with W-9's.

 

V. Terms of Employment

        1. Start of fall sports through the close of school plus necessary time during the summer.

        2. Available as required for the successful completion of the job.

 

VI. Evaluation

            Performance of this position will be evaluated in accordance with provisions of the school policy on evaluation of professional personnel.

 

VII. Requirements:

1.      A bachelor's degree minimum plus related administrative course work and/or experience. Related administrative course work could include but is not limited to a certificate or degree in athletic administration, physical education, educational administration, or sports administration. High school coaching experience is required.

2.      Demonstrated ability to work with school and community personnel.

3.      A valid Rhode Island Coaching Certificate

 

 

 

 

 

 

 

 

                                                                        -19-

 

APPENDIX B - ADDITIONAL COACHES' RESPONSIBILITIES AND ADMINISTRATIVE DUTIES

 

The following is a list of general responsibilities for all coaches:

1.      Since the coach is influential in setting the tone for a program, he/she must visibly demonstrate the value of self-restraint, fair play, and good sportsmanship

2.      If the coach, as a professional, cannot exercise emotional control under stress, then such behavior cannot be expected from players, fellow coaches, officials, or spectators.

3.      The coach will immediately discipline any player who intimidates or disrespects an official or displays unsportsmanlike behavior.

4.      Coaches are not to seek out an official at half-time or at the conclusion of a game to express displeasure.

5.      Coaches will adhere to the ideal that the future of Johnston High School or Middle School athletics is more important than success in a particular contest or season.

6.      Each coach will foster and support fellow coaches whenever possible (a strong, harmonious, interpersonal relationship must be cultivated between coaches and other faculty members.

7.      Coaches must always bear in mind that his/her sport is not the only sport; it is only a part of the total athletic and educational program of the school.

 

Administrative Duties of all coaches;

1.      Assist the Athletic Director in scheduling, providing transportation, and other requirements for regular season contests, tournaments, and special events

2.      Assist in the preparation necessary to hold sports events or practices. It is the Head Coach's responsibility to set up and break down the gymnasium and/or playing field at home events.

3.      Adhere to the scheduled facility times (practices and games) on the Master Gym Schedule. Failure to abide by this schedule will result in the following penalties: 1^st violation - report to Athletic Director, 2^nd violation - forfeiture of fifteen (15) minutes of practice time to the offended coach, 3^rd violation - forfeiture of thirty (30) minutes of practice time to the offended coach, 4^th violation - written warning, 5^th violation - formal meeting with the Athletic Director and the parties concerned. A record of the meeting will be filed in the Athletic Director's office and a copy will be forwarded to the Principal for action.

4.      Check the master transportation and home event schedule each Monday. It is the Head Coach's responsibility to inform the Athletic Director of any irregularities.

5.      Be aware of the administrative chain of command and refer all requests and grievances through proper channels.

6.      Coordinate programs, special events, schedules, and facility times with the Athletic Director, Principal, Maintenance Supervisor, Superintendent, and School Committee (This includes the employment of volunteer coaches, Sunday practices, use of the building after school hours, use of the Athletic Complex, etc.). A Building Use Form is required for activities during hours when the school is closed.

 

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The following is a list of specific responsibilities for all coaches, which are of particular concern to the Athletic Directors.

 

A.     Forms

Before any candidate for a team is allowed to practice, he/she must have turned in all necessary forms to the Athletic Director.

 

1. The Assumption of Risk (Appendix G) form is filled out only once during a player's high school eligibility. Consult the list you have been given to make sure that duplicates are not sent to this office. This form must be completed and notarized.
2. A Parental Permission form (Appendix I) must be filled out by every student for each sport in which he/she participates. These forms are to be retained by coaches since they contain a medical waiver, signed by the student's parent, in case medical treatment is needed.
3. All students must have a current, valid physical examination. These forms (Appendix J), when needed, must be turned in to the Athletic Office. Check the database of physicals in your packet to determine if a student's physical is valid or needed.
4. All forms should be carefully checked by the head coach to make sure that all information has been included and that it is correct.
5. Use the Required Sheet for Athletic Forms (Appendix P) to keep track of forms as they are received. This form, when completed, must also be turned in to the Athletic Office. It is utilized in the development of RIIL Eligibility Lists. Once these lists are completed and returned to the coach, he/she should check them for accuracy and make corrections online. Make sure that it is filled out neatly and completely, with the student names in alphabetical order, by grade.

A.     Use the proper name for each student, e.g., "Michael," not "Mike,' and "Deborah," not "Didi," etc.

B.     On the summary sheet, the column "AOR" asks for the date the Assumption of Risk was signed.

C.     "DOB" is date of birth.

D.     "Date of Physical" is the date the doctor signed the latest Physical Examination Form. Note: If a year has elapsed since the last physical exam, the student must have a new physical before being allowed to participate in any way. Notice that physicals which are due to expire during the school year are highlighted in red ink.

E.      "Physical" and "Parent Perm" columns are to be used to check off that the coach has received a physical form and parental permission form, respectively.

B.     Transportation

Coaches should make any necessary schedule changes as soon as possible, since a transportation schedule is generated by the Athletic Office, based on a finalized schedule for each sport. When the preliminary transportation schedule has been prepared, a copy will be given to head coaches. Please check this schedule meticulously and make the Athletic Director aware of any required modifications.

 

 

 

 

                                                                                                -21-

C.     Practice Sessions

1. No student-athlete is allowed in the building until a coach has arrived to supervise.
2. After a practice or an athletic contest, the coach should supervise the locker room.
3. The coach-in-charge should be the last person to leave the building after a practice or a game. He should make sure that no student-athlete is still in the building when he/she leaves, and that all areas are secured, especially the exterior doors.
4. Wrestling Coaches, in particular, should insure that all mats are secured and elevated, that no student goes into the kitchen area, and that the cafeteria is clean, prior to leaving.

 

D.     Security of the building on weekends

 

1. There are no custodians on duty on the weekends; therefore, coaches are responsible for the security of the building.
2. No one other than coaches and players are allowed to be in the building.
3. Since the building is alarmed, student-athletes must be confined to the practice area and are not to enter other sections of the building, for any reason.
4. Do not use chairs, wastebaskets, etc. to hold the exterior doors open. They must be closed and locked at all times, since the coach is busy conducting practice and may not be aware of unauthorized intruders.
5. If the alarm is set off on a weekend, weekend practices will be eliminated.

 

E.      Keys

Each coach will sign out for the keys needed for practice, as well as those for the locker room his/her team uses. Under no circumstances are keys to be given to students. At the end of the particular season, all keys are to be turned in to the Athletic Director.

 

F.      Inventory

Two inventories of all assigned equipment will be required, one during the season and one at its conclusion. These inventories should list the type, amount, and condition of all equipment. With reference to uniforms, please list the quantity of each item, by size, and include uniform numbers where appropriate. Also, indicate which uniform numbers must be replaced. Checks will not be issued until the end-of-the-season inventory is received by the Athletic Director.

 

G.     Rhode Island Interscholastic League Rules and Regulations

Coaches should become familiar with the published rules and regulations of the RIIL. The manual is available online, at the RIIL website, www.riil.org. Coaches must also post game scores, update coaches' information, and prepare rosters with positions and uniform numbers.

 

 

 

 

 

 

 

 

 

                                                                  -22-

 

APPENDIX C - CHEERLEADER AND MAJORETTE CODE/POLICY

 

I. General Policies

A. General Information

      1. Academic eligibility will be determined quarterly, according to RIIL guidelines; candidates must have passed 60% of attempted credits.

      2. All warnings and dismissals will come from the Advisors

      3. Attendance at all games, home and away, as well as practices, fundraisers, and squad sponsored events are mandatory (students may not participate on days when they are absent from school)

                  a. Acceptable excuses are illness, emergency situations, or special circumstances, at the Advisor's discretion.

                  b. Unacceptable excuses (without prior approval) include work, concerts or performances, physician appointments, baby-sitting, lack of transportation, missing equipment or uniform, detention, or make-up work.

      4. Reasonable dues, as determined by the squad, will be collected at every practice by squad captains.

      5. No squad member will be allowed to participate in any athletic contest or practice until valid and up-to-date Parent Permission, Assumption of Risk, and Physical Examination Forms have been submitted to the Athletic Director.

      6. Squad members must ride the bus to and from all away games (exceptions must be approved in advance, by the Athletic Director).

      7. Squad members who have been given leadership positions (captain, etc) will be removed from these positions if they violate this code through misconduct, etc.

      8. Advisor will determine all squad positions with regard to line placement, formations, stunting, etc. All squad members must be willing to learn and assume any position to benefit the squad.

      9. When a squad member is suspended, he/she must attend game(s) and/or practice(s) in required dress (for majorettes, this includes a baton; for cheerleaders, this includes a pom-pom and/or megaphone). A suspended squad member may be asked to perform at half-time or during stunting, at the discretion of the Advisor, so the team is not penalized and can safely perform.

      10. The entire squad and advisor(s) will meet and decide the details of the regulations governing appearance and/or grooming which best meet the needs of the team in the development of esprit-de-corps, respect, pride, and team unity.

      11. Squad members will receive demerits according to rules and policies determined by the Advisor and squad Captains. Each squad member will receive a listing of demerit infractions prior to the start of the season. Squad members receiving demerits will get them in writing from the Advisor or Captains. After ten (10) demerits, the squad member will be removed and her uniform returned.

      12. Deliberate rule infractions of the General Policies will result in penalization or removal from the squad:

                  a. 1^st violation … demerit, warning, possible suspension.

                 

 

                                                -23-

 

b. 2^nd violation …2 demerits, suspension.

                  c. 3^rd suspension …removal from the squad.

Note: All squad members have the right to request a hearing regarding the circumstances surrounding their removal from the squad.

Note: Squad members will be notified in writing by the Advisor or squad Captains for demerit infractions, suspensions, and/or removal.

      13. Try-outs: Because of the high interest in these squads, all interested squad members must try-out yearly, with the exception of newly selected Captains. There will be a point value placed on three (3) areas of performance so that judging can be conducted fairly and objectively. The Advisor will not serve as a judge; however, she will make the final determination of the squad placement. Under no circumstances will students be involved in the tryout evaluations. The Athletic Department strongly suggests that qualified, disinterested adults be used as judges.

      14. The number of squad members will be determined by the Advisor and may change from year to year.

      15. Squad members are financially responsible for their practice uniforms, game day school wear, bags, and all necessary equipment needed for participation on the squad. In addition, camps or clinics may be mandatory.

B.  Disciplinary Action for mood-altering chemicals

      1. No student is allowed to drink a beverage containing alcohol, use tobacco, or use or consume, have possession of, buy, sell, or give away marijuana or any other substance defined by law as a drug (unless prescribed by a physician).

      2. If a student violates the above policy, the student shall be immediately suspended, after confirmation of the violation. A hearing will be scheduled as soon as possible to determine if permanent expulsion from the squad should occur.

                                                                 

II. Due Process Procedure

      A. Any student or parent contesting a decision regarding eligibility shall request a hearing and the basis for the claim, in writing, to the Athletic Director or Principal.

      B. A hearing shall be granted as soon as it can be scheduled after the student or parent has received a two-day notification.

      C. Following the hearing, the Athletic Director or Principal shall prepare a written statement of the findings and decision and forward a copy to the student and/or parent within three (3) calendar days.

      D. If the student or parent is dissatisfied, they may appeal the decision, in writing, by registered mail, to the Superintendent of Schools, within ten (10) days of the date on which the school's decision was mailed.

      E.  The Superintendent/School Committee shall conduct a hearing on the appeal as soon as possible, following five (5) days notice.

      F. Following the hearing, the Superintendent/School Committee shall produce written finding of its decision and mail copies to the student, parent(s), and school. This decision is final.

 

 

 

                                                                        -24-

III. Conflicts in Extracurricular Activities

 

A. An individual who attempts to participate in several extracurricular activities will, undoubtedly, create a conflict of obligations.  The placement on this squad states that this activity is the squad member's selected first priority.

      B. The Athletic Department recognizes that each student should have the opportunity for a broad range of experiences in the area of extracurricular activities, and, to this end, will attempt to schedule events in a manner to minimize conflicts.

      C. Students have the responsibility to do everything they can to avoid continuous conflicts. This includes being cautious about engaging in too many activities where conflicts are bound to occur. It also means notifying the faculty sponsors/coaches/advisors involved immediately when a conflict arises.

      D. When a conflict arises, the Advisor will work out a solution so the student does not feel "caught in the middle." If a solution cannot be found, the Athletic Director will make a decision based on the following criteria:

            1. The relative importance of each event

            2. The importance of each event to the student

            3. The relative contribution the student can make

            4. How long each event has been scheduled

            5. A discussion with the student's parents

 

Note - Once a decision has been made and the student has complied with the decision, the student will not be penalized in any way by faculty sponsor/coach/advisor. If it becomes obvious that a student cannot fulfill the obligation of a school activity, he/she should withdraw from that activity.

 

  

 

 

                                                     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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APPENDIX D - LIST OF COACHING POSITIONS

 

Johnston High School

·        Baseball - Varsity Head Coach

·        Baseball - Varsity Assistant Coach

·        Baseball - Freshman Coach

·        Basketball -- Boys' Varsity Head Coach

·        Basketball - Boys' Varsity Assistant Coach

·        Basketball - Girls' Varsity Head Coach

·        Basketball - Girls' Varsity Assistant Coach

·        Cross Country - Boys' Head Coach

·        Cross Country - Girls' Head Coach

·        Fast-Pitch Softball - Girls' Head Coach

·        Fast-Pitch Softball - Girls' Assistant Coach

·        Football - Varsity Head Coach

·        Football - Varsity Assistant Coach

·        Football - Varsity Assistant Coach

·        Football - Junior Varsity Coach

·        Football - Freshman Coach

·        Golf - Varsity Head Coach

·        Hockey - Varsity Head Coach

·        Hockey - Varsity Assistant Coach

·        Outdoor Track - Boys' Varsity Head Coach

·        Outdoor Track - Girls' Varsity Head Coach

·        Soccer - Boys' Varsity Head Coach

·        Soccer - Boys' Varsity Assistant Coach

·        Soccer - Girls' Varsity Head Coach

·        Soccer - Girls' Varsity Assistant Coach

·        Wrestling - Varsity Head Coach

·        Wrestling - Varsity Assistant Coach

Nicholas A Ferri Middle School

·        Baseball - Coach

·        Basketball - Boys' Coach

·        Basketball - Girls' Coach

·        Fast-Pitch Softball -  Girls' Coach

·        Outdoor Track - Head Coach

 

 

 

 

 

 

 

                                                      -26-

 

APPENDIX E - LETTER TO PARENTS -- REQUIRED FORMS

 

To:       Parents of Student-Athletes

 

From:   Edward L DiSimone/Gary V Mazzie Co-Athletic Directors

 

Subject:  Required Forms for Participation in the Johnston High School Athletic Program

 

Your son/daughter has indicated that he/she intends to try out for a position on an athletic team offered by the Johnston High School Athletic Department. Before a student-athlete is allowed to actively practice or participate in any sport, certain forms must be filled out by a parent/guardian and returned to the respective head coach.  These forms are legal documents. Any falsification of information, especially on the physical examination form, will result in suspension from team activities. In addition, the incident will be turned over to the school administration for disciplinary action. The required forms are listed and discussed below.

 

1.      Physical Examination Form

 

It is mandatory that all student-athletes obtain a physical examination each year to be cleared to participate in a sport. It is recommended that this examination be performed by your family physician, a person who should have a thorough knowledge of the candidate's medical history. If this cannot be done, arrangements can be made to have the school physician perform the examination. Note, however, that if a "Yes" is answered in certain sections of the medical history portion of the form, the school physician will insist that the student be examined by your family physician.

 

2.      Parent Permission Form

 

This form must be filled out and turned in for each sport in which your son/daughter participates. Most importantly, it contains a waiver which allows your child to receive medical treatment in the event of an injury which occurs when the parent cannot be contacted.

 

Please note that the Rhode Island Interscholastic League Injury Fund, which in the past has supplemented family health insurance and covered co-pays, has changed its policies. The Injury Fund has recently (June, 2010) reduced its reimbursement schedules. They will consider paying 100% of uncovered expenses for bills up to $1000, 75% for bills up to $5000, and 65% for bills up to a maximum of $10,000. Also, the fund will no longer make payments to uninsured students. Deductibles will not be reimbursed. For physical therapy, a maximum of ten (10) visits will be allowed for non-surgical injuries and fifteen (15) visits for injuries following surgery. There will also be no reimbursement for medications. For further information on Injury Fund policies and regulations, consult the fund website, www.injuryfund.org.

           

                                                                        -27-

3.      Assumption of Risk Form

 

This form is required by the Rhode Island Interscholastic League (RIIL) for participation in Interscholastic League competition. It must be dated and notarized. This form is filled out only once during a student's high school career and covers all sports activities.  

 

            4.   In accordance with RI State Law, Title 16-90-1, parents and student-athletes must be given information on concussions in sports. A booklet describing the causes, symptoms, and consequences of concussions will be provided by all coaches. Parents and students must read this pamphlet thoroughly and signify their understanding of its implications by signing and returning an acknowledgement (contained in the pamphlet).

 

It is imperative that all information contained on these forms be accurate and legible, so you are asked to print all information clearly. Thank you for your cooperation.     

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                      -28-

APPENDIX F - FIRST AID KIT SUPPLY LIST

 

The following items should be included in every coach's medical kit. Any additional supplies must be requested by the Head Coach as part of his/her budget.

 

1.      Adhesive Bandages, assorted sizes

2.      Alcohol Prep Pads

3.      Athletic Tape, 1 ½ inch width

4.      Bacitracin Ointment

5.      Cold Spray

6.      Cotton Balls

7.      CPR Mouth Barrier

8.      Cramergesic Ointment

9.      Disposable Gloves

10.  Elastic Bandages, assorted sizes

11.  Foam Pads, assorted sizes

12.  Foam Soap

13.  Gauze Pads, assorted sizes

14.  Hydrocortisone Ointment

15.  Ice Packs (instant)

16.  Lubricating Ointment

17.  Mouthpieces (football)

18.  Peroxide

19.  Plastic Bags (for disposables/blood stained items, etc)

20.  Scissors, Medical

21.  Skin Lube

22.  Tongue Depressors

23.  Tuffskin

24.  Tweezers

25.  Underwrap

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                                                                        -29-

APPENDIX G - ASSUMPTION OF RISK FORM

 

RHODE ISLAND INTERSCHOLASTIC LEAGUE WARNING

ACKNOWLEDGMENT, AUTHORIZATION, CONSENT AND

ASSUMPTION OF RISK FORM

_______________________________________________

 

The undersigned, being an adult prospective student-athlete or parent/legal guardian of the

undersigned minor prospective student-athlete, hereby acknowledge that said student seeks to

participate in a student sports program sponsored by the Rhode Island Interscholastic League

("RIIL"). The undersigned specifically assert that the student-athlete will comply with the rules and

regulations of the RIIL; the undersigned hereby authorize the release of information and reports

concerning the academic standing, medical condition, financial aid, attendance, residency, and

disciplinary record of the undersigned student to the RIIL for the purpose of enforcing the rules and

regulations of the League; that they are aware that athletic participation requires physical fitness;

that the student possesses such fitness; and that some risk of serious injury and even death is

involved in sports participation. For sports involving helmets, we acknowledge the following

WARNING: Do not use any helmet to butt, ram or spear an opposing player. This can result

in severe head, brain or neck injury, paralysis or death to you and possible injury to your

opponent. There is a risk these injuries may also occur as a result of accidental contact

without intent to butt, ram or spear. NO HELMET CAN PREVENT ALL SUCH INJURIES.

 

Now, therefore, pursuant to the Rhode Island General Laws § 7-6-9 and § 9-1-48, the undersigned,

in consideration of participation in a RIIL sports program, herein grant to the RIIL, its officers,

directors, trustees, volunteers, participants, agents (to include, but not be limited to, the local school

committee or its parochial or private equivalent), servants and employees, a waiver of liability as

regards practicing for or participating in, in any sports program sponsored by the RIIL. The

undersigned specifically acknowledge that a risk of injury or death exists and assume said risk with

respect to practicing for or participating in any contest or exhibition of an athletic or sports matter

sponsored by the RIIL.

In compliance with the Rhode Island General Laws § 9-1-28.1 and all other applicable laws and

regulations, the undersigned, in consideration of participation in a RIIL sports program, herein grant

to the RIIL, its officers, directors, trustees, volunteers, participants, agents (to include, but not be

limited to, the local school committee or its parochial or private equivalent), servants and

employees, and assigns the absolute right and permission to at any time and by any method record

student's name, voice, and likeness and to utilize or assign the use of the student's name, voice,

and likeness in any manner of media whatsoever, known or unknown at this time, for purposes of

athletic or academic award, publicity, promotion, exhibit, display, trade, announcement, action or

advertising, of any kind without restriction.

 

 

(This form must be completed by all students, regardless of grade, intending to participate in any

Rhode Island Interscholastic League sport after 1 Aug. 2005. All minor students must sign and

have a parent or legal guardian also sign. All forms are to be notarized and returned to the League

office. Failure of a school to provide a duly executed form will cause the athlete to be declared

ineligible.)

© RIIL 2005

 

 

 

 

 

 

 

 

 

                                                      -30-

 

APPENDIX H - ASSUMPTION OF RISK - MIDDLE SCHOOL

 

PRINCIPALS' COMMITTEE ON ATHLETICS GRADES 6 -8

 

Acknowledgement, Authorization and Assumption of Risk Form

 

Academic Year 2011 - 2012

The undersigned, being an adult student athlete or parent/legal guardian of the undersigned minor prospective student athlete, hereby acknowledge that said student seeks to participate in a student sports program sponsored the Principals' Committee on Athletics Grades 6 - 8 . The undersigned specifically assert that said student athlete will comply with the rules and regulations governing athletics participation of the Principals' Committee on Athletics Grades 6 - 8; the undersigned hereby authorize the release of information and reports concerning the academic standing, medical condition, financial aid, attendance record and disciplinary record of the undersigned student to Principals' Committee on Athletics Grades 6 - 8 for the purpose of enforcing the rules and regulations of the athletics program; that they are aware that the athletic participation requires physical fitness; that the student possesses such fitness; and that some risk is involved in sports participation.

Now, therefore, pursuant to Rhode Island General Laws 7-6-9, as amended, the undersigned, in consideration of participation in a Principals' Committee on Athletics Grades 6 - 8 sports program, herein grant to its officers, directors, trustees, agents (to include but not limited to the local School Committee or its parochial or private equivalent), servants and employees, a waiver of liability as regards to participation in the sports program sponsored by the Principals' Committee on Athletics Grades 6 - 8 . The undersigned specifically acknowledge that a risk of injury exists and assume said risk with respect to practicing for or participating in any contest or exhibition of an athletic or sports matter sponsored by Principals' Committee on Athletics Grade 6 - 8.

________________________________________________________________

School (Print)                                                              Signature of Student

 

________________________________                    ____________________________

City or Town (Print)                                                     Signature of Parent/Guardian

 

________________________________                    ____________________________

Name of Student (Print)                                              Date of Signature

 

________________________________                    ____________________________

Age of Student      Curent Grade Level       Date of Birth                       Signature of Notary Public

 

SEAL

This form must be completed by all students intending to participate in any Principals' Committee on Athletics Grades 6 - 8 sport. All minor students must sign and have a parent or legal guardian also sign. All forms are to be notarized and returned to the school principal. Failure to submit a duly executed form will cause the athlete to be declared ineligible. Only one form for each participant is necessary for the duration of one's eligibility in sports programs sponsored by the Principals' Committee on Athletics Grades 6 - 8.

                                                                 -31-

APPENDIX I - INJURY FUND CHANGES

 

To:  Parents of Student Athletes

 

From:  Edward L. DiSimone/Gary V Mazzie, Co-Athletic Directors

 

Subject:  Rhode Island Interscholastic Injury Fund

 

Date:  September 28, 2010

 

The Rhode Island Interscholastic Injury Fund has made significant changes to its policies and regulations regarding the reimbursement of expenses which result from student injuries while playing interscholastic sports. The following is a summary of these changes. Please be aware of the new policies should your son/daughter be injured during sports practice or a game. Note that bills must be submitted to the Athletic Director and must be initiated within four (4) months of the completion of the season for the particular sport. These bills must be completely documented and include the total amount charged, amount paid through insurance, co-payment, and balance owed.

 

1.      The maximum amount which will be considered for payment for a particular injury is $10,000.

2.      For bills up to $1,000, the Injury Fund will consider paying 100% of the eligible amount; for bills up to $5,000, the Injury Fund will consider paying 75% of the eligible amount; for bills up to $10,000, the Injury Fund will consider paying 65% of the eligible amount. The "eligible amount" is the balance after all insurance payments co-pays, and deductibles are subtracted.

3.      The fund will help pay for rehabilitation aids, such as, braces, which are recommended by a physician and not covered by insurance.

4.      The fund will also help pay for physical therapy prescribed by a physician. However, the maximum number of visits covered will be ten (10) for injuries that do not require surgery, and fifteen (15) for injuries involving surgery.

5.      The fund will not consider paying for prescription drugs, blood transfusions, or acupuncture.

6.      The Injury Fund will not consider paying for injuries when a family has no medical insurance.

7.      Deductibles will not be reimbursed by the Injury Fund.

8.      No Injury Fund claim will be initiated until an accident report is submitted by the coach.

9.      Claims can only be submitted by the Athletic Director.

10.  Continuing claims will be considered for only two (2) years after the first claim for the particular injury is filed. Exceptions must be approved by the Injury Fund Board of Directors, whose decision cannot be appealed.

11.  For more information, consult the Injury Fund website: www.injuryfund.org.

 

 

                                                      -32-

 

APPENDIX J - PARENT PERMISSION FORM

 

 

JOHNSTON ATHLETIC DEPARTMENT

PARENT OR LEGAL GUARDIAN PERMISSION FORM

 

(PLEASE PRINT)                                                                                                                 (CIRCLE ONE)

 

STUDENT'S NAME_________________________________________________________________________ YOG:  2012 2013 2014 2015             

                                                    LAST                                   FIRST                      MI

 

ADDRESS_______________________________________________________________TOWN______________________ZIP___________

 

 

SPORT___________________________       DATE OF BIRTH________/______/______      TEL.___________________________________

 

EMERGENCY TELEPHONE NUMBER_______________________________________________

 

HEALTH INSURANCE CARRIER ________________________________ POLICY #_________________________________________

 

BY ITS NATURE, PARTICIPATION IN INTERSCHOLASTIC ATHLETICS INCLUDES RISK OF INJURY WHICH MAY RANGE IN SEVERITY FROM MINOR TO EVEN DEATH. ALTHOUGH SERIOUS INJURIES ARE NOT COMMON IN SUPERVISED SCHOOL ATHLETIC PROGRAMS, IT IS IMPOSSIBLE TO ELIMINATE THE RISK. PARTICIPANTS CAN HAVE THE RESPONSIBILITY TO HELP REDUCE THE CHANCE OF INJURY. TO DO THIS PLAYERS MUST OBEY ALL RULES, REPORT ALL PHYSICAL PROBLEMS TO THEIR COACHES, FOLLOW A PROPER CONDITIONING PROGRAM, AND INSPECT THEIR OWN EQUIPMENT DAILY.

 

BY SIGNING THIS PERMISSION FORM, WE ACKNOWLEDGE THAT WE HAVE READ THE ABOVE INFORMATION.  PARENTS OR STUDENTS WHO DO NOT WISH TO ACCEPT THE RISKS DESCRIBED IN THIS WARNING SHOULD NOT SIGN THIS FORM.

 

I FULLY UNDERSTAND THAT THE JOHNSTON SCHOOL DISTRICT DOES NOT PROVIDE ANY ACCIDENT OR HEALTH INSURANCE COVERAGE FOR MY CHILD WHILE PARTICIPATING IN INTERSCHOLASTIC ATHLETICS. I FULLY UNDERSTAND THAT IT IS MY RESPONSIBILITY TO PROVIDE INSURANCE COVERAGE FOR MY CHILD AND THAT THE JOHNSTON SCHOOL DISTRICT, STAFF, EMPLOYEES OR AGENTS ARE NOT RESPONSIBLE FOR BILLS FOR PHYSICAL EXAMINATIONS OR MEDICAL BILLS RESULTING FROM INJURY.

 

I FULLY UNDERSTAND THAT THE R.I. INTERSCHOLASTIC LEAGUE REGULATIONS AND/OR THE JOHNSTON SCHOOL DISTRICT POLICY STATE THAT A STUDENT SHALL BE INELIGIBLE FOR INTERSCHOLASTIC ATHLETICS UNLESS THERE IS ON FILE IN THE SCHOOL A CURRENT MEDICAL STATEMENT CERTIFYING THAT THE ATHLETE HAS PASSED A PHYSICAL EXAMINATION PRIOR TO THE BEGINNING OF THE SPORT'S SEASON.  AN ATHLETE WHO IS SERIOUSLY ILL OR INJURED DURING THE SEASON WILL BE REQUIRED TO PRESENT A RELEASE STATEMENT FROM AN ATTENDING PHYSICIAN TO THE COACH. 

 

"I HEREBY GIVE MY CONSENT FOR THE ABOVE NAMED STUDENT TO:

1.        REPRESENT HIS/HER SCHOOL IN APPROVED ATHLETIC ACTIVITIES

2.        ACCOMPANY AND SCHOOL TEAM TO WHICH HE/SE IS A MEMBER ON ITS LOCAL OR OUT-OF T0WN TRIPS

3.        RECEIVE, THROUGH MEDICAL DOCTOR OF THE SCHOOL'S CHOICE, EMERGENCY MEDICAL CARE WHICH MAY BECOME REASONABLY NECESSARY IN THE COURSE OS SUCH ATHLETIC ACTIVITIES OR TRAVEL

 

"I FURTHER AGREE NOT TO HOLD THE SCHOOL OR ANYONE ACTING IN ITS BEHALF RESPONSIBLE FOR ANY INJURY OCCURRING TO THE ABOVE NAMED STUDENT IN THE PROPER COURSE OF SUCH ATHLETIC ACTIVITIES OR TRAVEL."

 

SIGNATURE________________________________________________________                    DATE___________________________

                                (PARENT/LEGAL GUARDIAN)

 

SIGNATURE________________________________________________________                      DATE_____________________________

                                (STUDENT)

 

NOTE: CANDIDATES FOR ATHLETIC TEAMS WILL NOT BE PERMITTED TO PRACTICE OR COMPETE UNTIL THIS FORM IS COMPLETED AND HAS BEEN RETURNED TO THE HEAD COACH.

 

                                                                                                                Ed DiSimone/Gary Mazzie, CO-ATHLETIC DIRECTORS

 

 

                                                      -33-

APPENDIX K - JOHNSTON ATHLETIC DEPARTMENT PHYSICAL EXAMINATION FORM

 

JOHNSTON HIGH SCHOOL     HEALTH CARE PROVIDER_______________________                                                    345 CHERRY HILL RD                NAME __________________________________________

JOHNSTON, RI 02919                 ADDRESS _______________________________________

         JOHNSTON, RI 02919   PHONE: ___________________

 

This form may substitute for any district-issued form. All districts must accept this form. General health examinations shall be documented in a standard format with one copy available from the Rhode Island Department of Health or in any such format that captures the same fields of information (R16-21SCHO SECTION 8.4).

 

_____________________________________________________________________________________________________________________

STUDENT NAME:     LAST                      FIRST                       MIDDLE               DOB                               SEX               GRADE   

 

 

_____________________________________________________________________________________________________________________

ADDRESS                                                               APT.#      CITY                       STATE     ZIP CODE                HOME PHONE

 

PLEASE COMPLETE ALL INFORMATION BELOW (May attach Immunization Transcript).  The Requested Information is in accordance with the State of Rhode Island Rules and Regulations for Immunization and Testing for Communicable Disease. School Health Programs and Lead Poisoning Website:  http://www.health.ri.gov

PHYSICAL EXAMINATION (Please note that all students must undergo an annual physical examination in order to participate in the Athletic Programs of the Johnston Public Schools)

   DATE OF PE _____/______/_____ HEIGHT________   WEIGHT_______ BP____/____

 

PLEASE NOTE: ANY HEALTH PROBLEM, CHRONIC CONDITION OR DISABILITY THAT MAY AFFECT BEHAVIOR HEALTH AT SCHOOL.

 

   ASTHMA: NO_____ YES_____     DIABETES: NO_____ YES_____     OTHER_______

   SIGNIFICANT SYSTEMS FINDINGS:________________________________________

   ALLERGIES: NO___ YES___ (PLEASE EXPLAIN) _______________________________

   TREATMENT PLAN:_______________________________________________________

    MEDICATIONS (Required at School): NO___ YES____ (PLEASE LIST)____________

 

    OTHER MEDICATION(S) THAT MAY AFFECT BEHAVIOR OR HEALTH AT SCHOOL: ___________________________________________________

    RESTRICTIONS:  PARTICIPATE IN Physical Education:  Fully___ With imitations_____

                                      CAN PARTICIPATE IN Sports: Fully_______ With Limitations_____

 

 

HEALTH CARE PROVIDER       SIGNATURE: _______________________________ DATE: _______________________

 

COMMENTS: __________________________________________________________________________________

 

_________________________________________________________________________________________________

 

______________________________________________________________________________________________

Revised 9-3-10                                                         -34-

APPENDIX L - STUDENT ACCIDENT REPORT

J0HNSTON SCHOOL DEPARTMENT

Student Accident Report

 

Today's Date:  ______________

Date of Accident: ___________

Time of Accident: ___________

All Questions Must be Answered Completely

 

NAME OF STUDENT _____________________ ADDRESS________________________________________

 

DATE OF BIRTH ____/_____/_____ PARENT/GUARDIAN'S NAME ___________________

 

NAME OF SCHOOL _________________ H.R. Teacher ___________________ Grade ______

 

LOCATION OF ACCIDENT:  Enroute to/From School ____ (Exact Location) __________________________

 

Classroom ____   Corridor _____   Playground ____   Physical Education Class ________

 

Other (Please specify) _________________________________________________________

 

DESCRIPTION OF ACCIDENT : (include activities at time of injury) __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

DESCRIPTION OF INJURY : __________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

 

Was First Aid Administered? (include explanation) ____________________________________________________________________________________________________________________________________________________________

 

By Whom? _________________________

 

Under whose supervision was student at time of Accident? _____________________________

 

Was Parent Reached? _____ What Time? ______  If not, Why? ________________________

 

Was insured taken home? __________ To Physician? _________ To Hospital? ____________

 

If so, by whom? _______How did the child reach home? ____ Did child return to class? ______

 

IS CHILD INSURED?     YES ______   NO ______

 

WITNESS   _________________________________________________________________________________

                                                                                                                                                              Signature NURSE/TEACHER     ________________________________________________________________________

                                                                                                                                                              Signature  

SCHOOL OFFICIAL  ________________________________________________________________________

                                                                                                                                                              Signature

 

                                                      -35-

APPENDIX M - PARENT TRAVEL PERMISSION FORM

 

JOHNSTON ATHLETIC DEPARTMENT

 

TRAVEL RELEASE FORM

 

 

           

                                                                        _______________________________

                                                                        (Date)

 

This is to certify that _____________________________ has my permission to ride in a private automobile, on days when he is scheduled to work, both to and from Ice Hockey practice for the winter, 2011-2012 sport season. On other days the student will take the school bus to and from practice. He must keep his coach informed about his work schedule prior to the beginning of each week of the season.

 

I certify that the above-named student will transport himself from Johnston High School to and from his hockey practice at the Smithfield Ice Rink.

 

I understand that the Johnston High School Athletic Department's rules require that students ride a bus to and from all athletic practices and contests, and that a departure from this requirement will release the Johnston School District from all liability for any adverse results that may occur.

 

I AGREE TO RELEASE THE JOHNSTON SCHOOL DISTRICT AND ITS EMPLOYEES AND OFFICERS FROM ALL LIABILITY WITH REFERENCE TO THE ABOVE STATED TRANSPORTATION.

 

This form must be on file in the Johnston High School Athletic Office prior to the start of the season.

 

 

 

                                                                                     _______________________________--___________

                                                                (SIGNATURE OF PARENT OR GUARDIAN)

 

 

 

 

 

APPROVED - NOT APPROVED

 

 

 

 

___________________________________________

(SIGNATURE OF ATHLETIC DIRECTOR)

 

 

                                                      -36-

APPENDIX N - CONTEST TRAVEL PERMISSION FORM

 

JOHNSTON ATHLETIC DEPARTMENT

CONTEST TRAVEL RELEASE FORM

 

                                                                                           ____/____/____

                                                                                         (Date)

             

This is to certify that_______________________ has my Permission to Ride (To - From - Both)

 

the Athletic Contest on ____/____/______  at _______________________________________ .

                                                                                             (Location)

 

I certify that I am personally transporting the above named Student, or have arranged for transportation with an ADULT (non-student) of my choosing for this Student.

 

The reason for not Riding the Bus is: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

            (Reason must be Sufficiently Urgent to Family needs to justify not riding the Bus)

 

I understand that the Johnston High School Athletic Department's Rules REQUIRE that Students ride the Bus To and From All Athletic Contests and a Departure from this requirement will release the Johnston School District from ALL Liability for any Adverse Results that may occur.

 

I Agree to Release the Johnston School District and its Employees and Officers from ALL Liability with reference to the above stated Transportation.

 

This Form Must Be On File in the Athletic Office PRIOR To Dismissal of said Student on the Day of the Contest or on the Friday before a Weekend/Vacation Contest.

 

 

_______________________________

                                                            `                                   (Signature of Parent or Guardian)

APPROVED - NOT APPROVED

 

 

____________________________

 (Signature of Athletic Director)

 

                                                      -37-

APPENDIX O - PRIVATE AUTO TRANSPORTATION (HOCKEY)

 

 

 

JOHNSTON ATHLETIC DEPARTMENT

 

TRAVEL RELEASE FORM

 

 

                       

           

                                                                        ____________________

                                                                        (Date)

 

This is to certify that _____________________________ has my permission to ride in a private automobile, both to and from Ice Hockey games at the Smithfield Ice Rink (the designated "home" rink for Johnston High School) for the winter, 2010-2011 sport season.

 

I certify that the above-named student will transport himself, be transported by a responsible adult, or by any other licensed driver that I personally authorize, both to and from his/her hockey games at the Smithfield Ice Rink.

 

 

I AGREE TO RELEASE THE JOHNSTON SCHOOL DISTRICT AND ITS EMPLOYEES AND OFFICERS FROM ALL LIABILITY WITH REFERENCE TO THE ABOVE STATED TRANSPORTATION.

 

This form must be on file in the Johnston High School Athletic Office prior to the start of the season.

 

 

 

______________________________________

(SIGNATURE OF PARENT OR GUARDIAN)

 

 

 

 

 

 

 

 

 

 

 

 

                                                                        -38-

APPENDIX P - SIGN-UP SHEET

 

 

Last Name	First Name	MI	Grade	Cell Phone	Home Phone	DOB
						.

 

 

 

                                                      -39-