Sports Registration Packet

JOSEPH LANE

MIDDLE SCHOOL

Sports Registration Packet

Please review carefully and

sign all pages where indicated.

For additional information go to:

& click the Sports Link

or call 541-440-4105

Letter to Parents of Student Athletes:

All athletes are required to have a sports physical on an official OSAA form. It is available at the doctor’s office or the Jo Lane Athletic Office on on-line at then click on the Sport Link.

In addition to a physical, each athlete is required to read, understand, and comply with the policies outlined in this packet.

Make sure you have read the entire packet and signed the following forms:

(Optional) If you wish to drive students other than your own, complete theVolunteer Driver form.

(Copy of current drivers’ license and insurance card must be attached or your request cannot be considered.)

Emergency Information

Spectator/Athlete Support Contract - Conduct Agreement

Roseburg Code for Students…Extra Curricular Activities

Football only - RoseburgSchool District’s Safety List for Football Players.

Physical Examination or Health Update (which ever applies)

The required forms are included in this packet and must be turned into the athletic office during regular business hours, before your student athletic can participate in any practices or games.

Do NOTgive forms directly to the coach.

Student athletes will only be eligible for sports when all necessary paperwork is processed and on file in the school office.

Schedule

September/October
Football
Volleyball
Cross Country / October/December
Girls Basketball
Wrestling
January/February
Boys Basketball / Mar/April/May
Track and Field

Updated 6/7/10kb

Jo Lane Middle School

Volunteer Drivers

This form is only needed if you want to drive students other than your own.

We cannot process without a copy of your

VALID DRIVERS LICENSE

INSURANCE CARD.

IMPORTANT INFORMATION

We are now required to determine proof of Auto Liability insurance prior to volunteersdriving our students on a field trip or some other school approved activity. Since wedepend heavily on parent drivers, we are asking you to complete this form and return itto the Athletics Office as soon as possible.

Our central office will do verification through the Department of Motor Vehicles. We hope that the benefit in formalizing this process outweighs any inconvenience.

It is our understanding that you are equipped to transport children to a school approvedactivity in your private automobile. Signing this form indicates that you have properlyworking seat belts for all children and that you understand that your insurance company is the primary source of coverage. The district policy becomes a secondary source of coverage.

Please provide the following information for our records and as evidence of required insurance coverage. You may use the same form for more than one driver and more than one child by listing each person below.

Your Student’s Name______

Your Student’s Name______

Your Student’s Name______

______

Driver’s Name (please print)Driver’s Signature Date

______

Driver’s Name (please print)Driver’s Signature Date

Updated 12/09 kb

JosephLaneMiddle School File 1/4

EMERGENCY INFORMATION Student’s Name (last, first, mi)

This form must be complete and on file BEFORE the first day of practice

Notify the athletic office immediately if your insurance or contact numbers change.

Insurance Company:Group or Policy #

Address: Birth date //Age Grade

Parent/Guardian Name:

______

Home# Work#Cell#

Parent/Guardian Name:

______

Home# Work#Cell#

Alternate Contact Person’s Name:

______Relationship______

Home# Work#Cell#

My Family Physician ______Phone ______

Known allergies: ______

Ongoing Medical Conditions: ______

Medications taken on a regular basis:______

I give my consent for my child to participate in competitive activities; therefore, he/she may go with the coach on any regularly scheduled trip. I also give consent for the coaches to apply first aid treatment and to use their own judgment in securing emergency medical aid and ambulance service in case of injury or illness in case I cannot be reached to provide consent. While I expect school authorities to exercise reasonable precautions to avoid injury I understand that they assume no financial obligation for any injury or illness that may occur. I understand that if my child is seen for an injury we will need to provide a physician’s release before he/she can return to full participation. I also confirm that my student has adequate accident insurance as described above, effective as of this date.

Date:______Parent Signature:______

Do not fill out below this line

Athletic Department Red Card

Sport 1 ______Date______OK ______Sport 3 ______Date______OK ______

Sport 2 ______Date______OK ______Sport 4 ______Date______OK ______

SMH _____ SMG_____Rost_____

INSURANCE REQUIREMENTS File 2/4

All the athletes in the RoseburgSchool District must be insured against injuries, which may occur during athletic participation. The District must be assured that the student-athlete has adequate accident coverage. The RoseburgSchool District cannot be financially responsible for accidental injury to student-athletes. RoseburgSchool District is relying on the information provided as assurance that your student has adequate accident insurance coverage that will be in effect for the duration of his/her athletic participation.

My child ______has adequate accident insurance coverage

Parent/Guardian Signature:______

Date ______

If you do NOT have insurance at this time you must obtain coverage before your student can participate, including in the try out process.

School Insurance can be purchased on-line at at a very reasonable cost.

If you do not have computer access please contact the Athletics Office for assistance.541-440-4105

FINANCIAL RESPONSIBILITY

I understand that there will be a fee charged for participation in each sport my child participates in.

This support is applied to the salaries of referees and coaches, as well as the

cost of maintaining fields, gymnasiums, equipment, uniforms and safety gear.

I also understand that by allowing my student to participate I accept responsibility for payment of this fee

for each sport he/she participates in.

In cases of financial hardship please contact the Athletics Office to make other arrangements.

Parent/Guardian Signature:______

Date ______

JOSEPHLANEMIDDLE SCHOOL - ATHLETIC ELIGIBILITY POLICY

Interschool athletic competition is held to be part of the total curriculum; therefore, participation in such activities is contingent upon meeting established guidelines in an effort to insure the moral and physical health of the student athlete.

In addition to regular school policies, athletes a Jo Lane Middle School are expected to conform to the following athletic code. This code is upheld the school year including school vacation periods. All students desiring to participate in interschool athletic competition must meet the following eligibility requirements:

Grades

• Students must be passing a minimum of five (5) classes.
• A grade check will determine eligibility. Grade checks will occur approximately every two (2) weeks. A team roster will be given to each teacher to indicate those students who are receiving an “F.”
• Ineligibility extends for a period of two (2) weeks unless the teacher submits documentation to both the Athletic Office then Coaches indicating grade improvement by which eligibility will be reinstated.
• If the athlete is not passing five (5) classes, he/she will be ineligible to participate in competition. Unless otherwise arranged by the coach, participants are required to attend all practices during this time. Ineligible athletes will not be permitted to travel with the team to away competitions.

Attendance

• Students must be attending school and practice regularly.
• Students must be in attendance a minimum of a ½ day (3 periods) on the day of the scheduled event/game/competition.
• An athlete who continuously misses school the day before and/or after an athletic event (as determined by an attendance record review) may be suspended from further athlete competition during the sport season.
• Circumstances beyond the control of the athlete may be grounds for exception to this rule as determined by the building principal(s) and/or athletic director.

Behavior

Students participating in interschool athletic competition must demonstrate the ability to conduct themselves in an acceptable manner in the classroom, on the court/field, and during competition. Behavioral infractions including, but not limited to, harassment, defiance, disrespect, insubordination, and/or actions deemed unsafe may result in an athletic probation contract and/or suspension from competition. Continued behavior infractions violating the athletic probation contract may result in permanent exclusion from the team. School administration and/or the athletic director will make such determination.

Discipline

In addition to school and district policy, the coaches shall set up guidelines for discipline expectations during their respective sport season. Athletes are subject to all disciplinary actions as outlined in Policy JFC in relation to substance abuse. In addition to JFC policy, a student athlete found:

• Smoking, chewing tobacco, and/or possession will be subject to suspension based upon the athletic suspension schedule.

• In possession, using, transmitting or being under the influence of alcohol, marijuana, any illegal drug, and/or prescription drug used for purpose of getting recreational

intoxication shall be suspended from athletic competition for a minimum of

competitive events as represented in the athletic suspension schedule.

Any athlete involved in a substance abuse violation shall automatically be referred to the appropriate program provided by the school/or related agencies designated to deal with such infractions. The athlete must successfully complete the requirements of the program or be declared ineligible to participate in interscholastic competitions as a JosephLaneMiddle School representative.

Any athlete cited, arrested, and/or found violating any law, which carries a misdemeanor or felony penalties, shall be suspended for minimum of competitive events as represented in the athletic suspension schedule.

Athletic Suspension Schedule

Basketball -2 games- Volleyball- 2 games - Wrestling - 2 matches - Football - 1 game - Track - 1 meet

UmpquaValley League Philosophy

“The UMPQUA VALLEY LEAGUE promotes a philosophy that the intensity of competition shall be tempered with the humility in victory and graciousness in defeat. The League shall always strive to achieve desirable characteristics in the athlete by maximum participation. We believe in the highest standards of conduct and scholarship. We insist on exemplary behavior and leadership from every coach, that they may serve as a positive example to our athletes. Finally we will strive to promote the growth and development of the UMPQUA VALLEY LEAGUE so that we may continue to serve the best interest of our athletes.”

Eligibility Requirements

You need to fill out and return the following forms to participate in any practice or game.

1. Current Physical: The physical is good for two years. If you had a new physical last year it is still on file in the athletic office; you will not need a new physical. Student’s who have not played sports will need to get a physical on the official OSAA physical form available in the office or on the osaa website
2. Health Update form: This form is required of athletes who have a physical of more than one year old. This form is required to update the school and coaches of medical concerns that have developed since the last physical.
3. Emergency & Insurance information form: This form is required of all athletes and parents and includes signatures from both. You need to update this form annually. The form will be on file in the athletic office and with your athlete’s coach for all events. It requires your insurance policy number; insurance is required for all athletes.
4. School Insurance is also available. Contact the school athletics office for information and assistance.

541-440-4105

1. Code of Conduct: Read and signed by both the student athlete and the parent.
2. Parent Participation Contract: Please retain the first page and return the second page signed by both parents/guardians and students.
3. Payment of Participation Fee: This fee is $125.00 per sport with a $300.00 family maximum for middle school sports, It is payable at the time of school registration. If your student is participating in a cut sport, you may wait until the final cut to pay the fee. The fee should be paid before the first contest. Applications for community service or delay of the sports fee are available in the athletic office.

Parent Support Contract of JosephLaneMiddle School Athletics

Parents please read and sign the following parent support contract for Joseph Lane Middle School Athletics,.

Be supportive of the program in front of your athlete! Never be critical of coaches, players, or game officials in front of your player. Nothing can erode the intricate fabric of a team more than doubt. It can negatively affect performance, confidence, and competitive edge at the most critical times. Cheer for all players on the team; never coach the athletes or jeer the officials from the sidelines.

Playing time is the sole responsibility of the athletic coach of that team. The coach is in the best position to determine the amount of time an athlete competes and should base his/her decision on the following:

Practice • Attitude • Team Contribution • Ability/Skill

Encourage your athlete to speak directly to coaches about sports issues! By assuming this responsibility, your athlete is claiming ownership for all aspects of the sport. If you have concerns that cannot be resolved in this manner, speak privately with the coach at an appropriate time – not right after or during a game. A secondary resource is the Athletic Director.

Be part of the team’s parent network! Sports program benefit when parents work in support of the team. Be part of that effort! Interact with other parents; work to halt group related criticism, rumors, and just plain gossip!

Support the Code of Conduct! Our athletes are “in-training” for life as well as sports. It is essential that parents and the school work as partners, to ensure that Joseph Lane athletes, are drug free and that our athletes are held accountable for their academic performance.

Be proud of the team’s effort! Remember that winning is just “icing on the cake” The real importance of athletics lies in building solid values, pursuing individual excellence, and learning skills to work with others in a team effort These lessons last a lifetime, far longer than the glory of victory or the sting of defeat. At Jo Lane we cheer for all athletes on the court. We never do anything to discourage the athletes, coaches or officials.

Spectator/Athlete Support Contract for RoseburgSchool District Athletics

Parents please read and sign the following parent support contract for Roseburg School District Athletics.

Be supportive of the program and provide positive support for your athlete. Never be critical of coaches, players, or game officials in front of your player. Nothing can erode the effectiveness of a team more quickly. Cheer for all players on the team and never coach the athletes or jeer the officials from the sidelines. It only detracts from the quality of the experience. Spectators at all sporting events hosted by or sponsored by the RoseburgSchool District will be informed of defined spectator seating and viewing areas as deemed appropriate by school staff.

Playing time decisions are the sole responsibility of the athletic coach of that team. The coach is in the best position to determine the amount of time an athlete competes. While the coach will endeavor to make the team membership experience as fulfilling as possible, playing time is determined in large part by the coaches’ decisions as influenced byattendance, performance, attitude, team commitment, ability and effort.

Encourage your athlete to speak directly to coaches about sports issues. By assuming this responsibility, your athlete claims ownership of his/her own participation. If you still have concerns please speak privately to the coach at an appropriate time, never right before, after or during a game. You may also contact the Athletic Director at 440-4105.

Be part of the team’s parent network.Sports programs benefit when parents work together in support of the team. Interact positively with other parents; work to halt group related criticism and rumors.

Support the Code of Conduct.Our athletes are “in-training” for life as well as sports. It is essential that parents and the school work as partners, to ensure that Roseburg District athletes, are substance-free and that our athletes are held accountable for their academic performance.

Help to foster positive and healthy relationships among athletes and coaches.Talk to your athlete about relationships that may be concerning to him or to her. Bullying, intimidation and hazing have no place in our school programs. If your student reports an uncomfortable situation with others, report that to your coach or school administrator.

Be proud of the team’s effort. Remember that winning is just “icing on the cake.” Your student’s participation in athletics buildsvalues, instills a strong work ethic and teaches themto work with others. These lessons last a lifetime, far longer than the glory of victory or the sting of defeat. So cheer for all athletes on the court and never do anything to discourage the players, coaches or officials.

RoseburgPublic School policies are designed to maintain a positive environment for our student athletes and spectators. The district reserves the right at any time, to eject or deny attendance to any guest of the district for any reason that district administration determines is sufficient.

Spectators who:

Inappropriately address, threaten, or harass a coach, player or official before, during or after the game

Use insulting or profane language

Substantially interfere with the orderly operation of the game

Encroach upon the playing area without consent of officials

Engage in tumultuous, threatening or violent behavior

will be ejected from the event

Police may be contacted to determine if a crime has been committed.