ENTERPRISE CITY SCHOOLS

ATHLETIC DEPARTMENT

CLEARANCE PACKET

INSTRUCTIONS FOR COMPLETION:

MOST FORMS HAVE INFORMATION ON FRONT AND BACK

ITEMS TO BE SIGNED BY A PARENT/GUARDIAN AND STUDENT, AND THEN RETURNEDTO HEAD COACH:

ENTERPRISE CITY SCHOOLS ATHLETIC WARNING STATEMENT AND CONSENT TO PARTICIPATE

ENTERPRISE CITY SCHOOLS PERSONAL LIABILITY AND MEDICAL RELEASE FORM

ALABAMA HIGH SCHOOL ATHLETIC ASSOCIATION (AHSAA) CONCUSSION INFORMATION FORM

AHSAA PARTICIPATION AGREEMENT, CONSENT, AND RELEASE

DRUG ACKNOWLEGMENT FORM - FOR 10th – 12th GRADERS ONLY

(ONE SIGNED FORM IS GOOD FOR ATHLETE’S CAREER AT EHS. THIS FORM MAY NOT BE INCLUDED IN THIS PACKET)

INFORMATION TO BE RETAINED BY PARENTS:

ENTERPRISE HIGH SCHOOL DRUG-FREE POLICY FOR STUDENT ATHLETES (On Sports Web-Site)

AHSAA ELIGIBILITY REQUIREMENT (On Sports Web-Site)

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Here you will be able to receive the latest updates and news from Enterprise High School Athletic Department.

If you have any questions, please call Trent Trawick, Athletic Director Enterprise High School at 475-4696 or

Email to

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NAME (Please print.)

______

DATE OF BIRTH

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CURRENT GRADE

Enterprise City Schools Athletic Warning Statement & Consent To Participate

During ______School Year

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

___ Baseball ___ Cross Country ___ Track ___ Swimming

___ Basketball ___ Football ___ Soccer ___ Tennis

___ Cheerleading ___ Golf ___ Softball ___ Volleyball

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Signature of Parent/Guardian Date Signature of Athlete Date

EMERGENCY INFORMATION

Please print.

Parent/Guardian Name: ______

Home Phone: ______Father’s Work: ______Mother’s Work: ______

Family Doctor: ______Phone: ______

HEALTH INSURANCE INFORMATION Note: This MUST be completed. If you do not have health insurance, we recommend that you take the accident policy offered through Enterprise City Schools.

Carrier: ______Policy No. ______Group No. ______

Policyholder’s Name: ______Relationship: ______

MEDICAL HISTORY: List any allergies or medical conditions: ______

______

Emergency Contact:

Name: ______Phone: ______

ENTERPRISE CITY SCHOOLS

PERSONAL LIABILITY AND MEDICAL RELEASE FORM

Name: ______Parent/Guardian: ______

Address: ______

Phone Number: ______

I hereby agree to follow the rules/regulations established by the Enterprise City Board of Education concerning off-campus activities. I understand that all school rules/regulations are in force traveling to and from, and at said location. I understand that I will be held liable for any damages to any hotel, organization, school, etc. property that are a result of my personal actions. I am aware that I must make-up any and all assignments during the stated time-frames. I have read and understand the student handbook and understand my personal responsibilities.

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Student SignatureDate

I hereby agree to release the Enterprise Board of Education, its representatives, agents, servants, and employees from liability for any injury to above-named person, resulting from any cause whatsoever occurring to above-named person at any time while attending this school-related activity, including travel to and from conference, excepting only such inquiry or damage resulting from willful acts of such representatives, agents, servants, and employees.

I do voluntarily authorize the Enterprise Board of Education, assistants, and/or designees to administer and/or obtain routine or emergency diagnostic procedure, and/or routine or emergency medical treatment for the above-named person deemed necessary in medical judgment.

I agree to indemnify and hold harmless the Enterprise Board of Education and/or assistants and designees from any and all claims, demands, actions, rights of actions, and/or judgments by or on behalf of the above-named person arising from on an amount of said procedures and/or treatment rendered in good faith and according to accepted medical standards.

Having read and understood completely the Enterprise Board of Education approved student handbook concerning activity/field trips, I do hereby agree to follow the procedures and practices described. I fully understand that this is an educational activity, and will to the best of my ability support the ideas and goals of this activity.

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Parent/Guardian SignatureDate

AHSAA STAR ELIGIBILITY REQUIREMENT

Dear Parents/Athletes:

The Alabama High School Athletic Association (AHSAA) is requiring every student-athlete to complete an on-line sportsmanship program entitled the STAR Sportsmanship Education Program in order to be eligible to compete in athletics. This is a onetime requirement.

Since this is mandatory in order to receive clearance to play, it is essential that this program is completed as soon as possible.

Below are the steps an athlete must take to complete the STAR course. Please follow them completely.

If you have any questions, please call me.

Thank you,

Trent Trawick

Athletic Director

Enterprise City Schools

447-6655

TO ACCESS STAR SPORTSMANSHIP EDUCATION PROGRAM:

Go to:

  • Choose “Student Sign In”
  • Enter STAR Login code STAR01150
  • Select “ENTERPRISE HIGH SCHOOL”
  • Select your current grade – IF IN 7-9 GRADE, SELECT “ADVANCED MIDDLE SCHOOL”
  • Click “Register”
  • Enter your first and last name
  • You will then be taken through a 10 question pre-test, then into the program.

COMPLETION OF STAR PROGRAM:

Upon finishing the program, print out the Completion Certificate and give it to your coach.

Technical Support can be obtained between 8 a.m. – 4:30 p.m. at 866-552-9192