Athletic Competition Health Screening Form Page 2

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CALAVERAS HIGH SCHOOL ATHLETIC PROGRAM POLICY
General Statement: Interscholastic athletics is a voluntary program. Students are not obligated to
participate and participation is not a requirement for graduation.
Competition in high school
athletics/extra curricular activities is a PRIVILEDGE, not a right. Accompanying that privilege is the
responsibility of the student to conform to standards established by the school.
Athletics are
conducted subject to the rules and regulations of Calaveras High School, the Mother Lode League,
the Sac-Joaquin Section and the California Interscholastic Federation (CIF).
Eligibility: All students are eligible to participate if they qualify by the following: 1. must not be on academic
probation. 2. *must have insurance protection as prescribed by CIF and State law. 3.*must have parental and
medical consent. 4. *must not have reached 19th birthday prior to September 1. 5.*must be enrolled in at least
four classes on CHS campus.
Disciplinary Action: Disciplinary measures for any action detrimental to the Athletic Program at Calaveras High
School and/or violation of team rules will be handled by coach(es) of the sport.
Appeal procedures to
disciplinary actions by coaches must be directed to the Athletic Director who will render a decision to any
appeal.
1. The use of tobacco, alcohol or drugs is detrimental to health and conditioning. It is also a flagrant
affront to the major team objective, playing the best game.
A.
The use of tobacco in any form, at school or any school activity is prohibited. The penalty for the
first instance shall be a five-day competitive week suspension starting with the first or next athletic
contest, and dismissal from the team on the second. A student on competitive suspension will be
allowed to remain on a team at the discretion of the coach.
B.
The use or possession of alcohol at school or at any school activity will result in dismissal from
the team as well as ineligibility for the following 45 school days, exclusive of summer school.
C.
The use or possession of controlled substance (as specified in sections 11054, 11055, 11056,
and 11058 of the California Health and Safety Code) will result in an immediate dismissal from the team,
as well as ineligibility for 45 school days following the incident, exclusive of summer school. (The
student is also subject to school rules, including arrest, suspension, and/or expulsion).
2.
Any student who is proven to be in possession of stolen school equipment or uniforms will be
suspended from participation for a period of 45 school days, exclusive of summer school, from the time
following the incident as well as immediate dismissal from the team.
3. Until a student is cleared from a sport by the head coach, he/she is not eligible for another sport.
Clearance would include but is not limited to payment of bills, return of uniform and equipment, and the
ending of the season of the sport.
4. Students who have remained on a team after the team has had four practices shall not be eligible for
any other team that season without the concurrence of both coaches.
5. Must, in order to participate in an athletic activity on a day excused by a note of illness, have attended at
least four class periods that day, except for medical appointments or administrator approval. An athlete
who violates this rule will not be allowed to participate in the next athletic contest.
*not applicable to non-athletes.
____________________________________
________
______________________________________
Student Signature
Date
Parent/Guardian Signature
PARENT TO COMPLETE
PARENT TO COMPLETE
PARENT TO COMPLETE
PARENT TO COMPLETE
Does athlete have health or accident insurance:
Yes
No
If yes, list company name, policy number and local claims address:
_______________________________________
________
______________________________________
Company Name
Policy #
Claim's Office Address

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