TO: Parents of Student/Athletes
FROM: Dave Smith, Director of Activities
RE: Sports Participation Forms
Thank you for allowing your son or daughter to participate in our Activities Program. The Activities Program is designed to enhance the educational process by helping them to experience the many challenges that present themselves in interscholastic competition or by being involved in extracurricular activities. Our programs are for the student’s enjoyment and growth. The coaches, sponsors and I look forward to the opportunity to serve them.
If you have any questions, please call the Middle School Office 924-2207, or the Middle School Activities Office at 924-2274.
Student-athletes are required to get a physical and complete a participation booklet each school year. Please read all the information carefully, sign where appropriate, and turn in the entire Signature Booklet with the appropriate fees to the Middle School Office before the first day of practice. The Middle School Office is open from 8:00 am to 4:00 pm Monday through Friday.
THIS BOOKLET WITH THE PHYSICAL AND FEES ARE REQUIRED EVEN FOR TRYOUTS!
Both Students and Parents Must Sign and Date the following pages found online in the back portion of the Middle School Activities Participation Handbook.
Acknowledgement of Activity Policies/Informed Consent and Insurance Verification Form Medical Treatment/Release form
*Physical Form - Student signature on front and parent signature on back
*Student-Athlete & Parent/Legal Guardian Concussion Statement
PHYSICALS MUST BE COMPLETED BY A PHYSICIAN, PHYSICIAN ASSISTANT, OR NURSE PRACTITIONER DATED MAY 1, 2019 OR AFTER.
The participation fees may be refunded to students who do not make the team or choose to drop the sport prior to the 1 st competition date. Refunds are not automatically mailed out. Students or parents must contact the Middle School Office to request a refund. Refunds will be issued by the school finance office and mailed directly to the parent on file – please check to make sure this information is correct. Thank you for your support and cooperation!
BELGRADE SCHOOL DISTRICT #44
Belgrade School District believes that participation in extracurricular activities is a privilege extended to students who are willing to make a commitment to adhere to the rules that govern the program. It is the district’s belief that participation in organized activities can contribute to the all-around development of young men and women and implementation of the rules will serve the following purposes:
- To emphasize concern for the health and wellbeing of students.
- To provide a chemical-free environment that will encourage development of a healthy life-style.
- To promote self-discipline and a commitment to excellence among students.
- To confirm and support existing state laws which prohibits use of mood-altering chemicals and performance enhancing drugs.
- To emphasize standards of conduct in our students who, through their participation, are leaders and role models for their peers and younger students.
- To assist students who desire to resist peer pressure, which often directs them toward the use of chemicals.
III. POLICY COVERAGE
The provisions of this policy include all students who are participating in any activity that is in addition to classroom instruction and have no bearing on course credit. This includes all athletics or any co-curricular clubs sponsored by Belgrade Schools. The adherence to this policy begins on the first day of their participation in any activity.
IV. ACADEMIC ELIGIBILITY FOR PARTICIPATION
Belgrade Schools further stipulate:
Belgrade Middle School Requirement: A student must receive a minimum of a 2.0 GPA during the preceding quarter in which the student was in attendance. Failure to meet this requirement will result in 10 school days of ineligibility for the following quarter. In either situation at the end of the 10 school days a progress report will be used to find if the student has improved his/her academic performance. If the progress report indicates that he/she has not received a 2.0 GPA he/she will remain ineligible for the rest of the quarter. If his/her GPA is above a 2.0 GPA the student will become eligible as soon as the student’s grades have been approved by an administrator. This applies to transfer students also. Academically ineligible participants will be expected to practice, but will not be allowed to participate in games, meets, or performances or travel with the team or group.
Weekly “F” Policy: In-season coaches will print out an Activity Eligibility Report every week during the season. This report will show all participants with a failing grade in any class. If a participant appears on this report, they will have one probationary week to pull up their grade from an “F” to a passing grade. If their name appears on the list the following week in any class, student/athletes will be expected to attend practices, but will not be allowed to compete or travel with the team until the grade is brought up to passing. Students and parents should continually monitor “Infinite Campus” so they are aware of what their Student athletes’ grades are in each class.
VIP (Very Important Practice): Student/athletes will be held to the same criteria for the VIP list as in the F policy. Weekly checks of the VIP list will be made and the first week on the list, the student will be on probation (full participation), but if on the list a second consecutive week the player will be expected to attend all practices, but will not be allowed to compete or travel with the team until the grade is brought up to passing.
Physical Exam**:** Physical examination forms must be completed and turned in for all athletic activities before the student can begin practices. The current physical exam form is found in the participation booklet available on-line on or district’s home page or at the Belgrade Middle School Office.
Parent Meeting: Parents/guardians and students participating in an activity are invited to attend an informational meeting to discuss and sign the activities policy. Parents are asked to attend these meetings for each activity. Family members and fans of Belgrade Middle School student/athletes agree to serve as positive role models, treat all involved with respect, be supportive and encouraging. There will be no toleration of unsportsmanlike behavior and if such behavior occurs this person will be asked to leave immediately and may also lose permission to attend future events.
School Absences**:** Absences from school and participation in practices, games, meets or performances.
- If you are absent from school for a school sponsored event you can practice, play in a game, or take part in a performance that day.
- If you are absent from school for a limited number of periods for a medical, dental, optometrist, etc. appointment you can participate with approval from the administration (principal, vice principal, or the activities director). A written excuse from the doctor is required.
- You may attend practice, play in games, or participate in performances with administrative approval if absent for a court appearance, bereavement, a family emergency, or some other reason deemed acceptable by the administration.
- If you are home sick and do not come to school for all or part of the day or are absent from any class (excused or unexcused) you cannot practice, play, or participate in performances. It is not in the best interest of our participants to be practicing when sick.
- If you are in school but are absent from class for reasons deemed unexcused, you may not participate in games, practices, or performances that day.
7. School Suspension**:** School suspension includes suspension from school sponsored extracurricular activities. This will be treated as an unexcused absence from the activity.
8. Participation Fee Required**:** All students participating in middle school athletics will be required to pay a $50 per sport activities in 7th & 8th grades and $25 in 5th & 6th grades. The money raised from this fee helps with the financial support of the activity that the student benefits from, though it pays for only a small portion of the actual expenses of the activity. (Scholarships are available. Please inquire at the Middle School Office!)
V. CODE OF CONDUCT
All participants shall abide by a code of conduct, which will earn them the honor and respect that participation and competition in the interscholastic program affords. Any conduct that results in dishonor to the student, team, group, or the school will not be tolerated.
Behavioral Expectations: All activities participants will be expected to conform to all rules of conduct formulated by the coaches/advisors/directors, activities director,
administration, and school board, including all expectations outlined in the Belgrade
Middle School Student Handbook. Participants may be suspended from the squad or
group for any action unbecoming of a participant representing Belgrade Schools.
Activities participants should conduct themselves in an exemplary manner at all times. Belgrade Schools adheres to MHSA guidelines relating to the behavior of participants and spectators.
A. Travel Requirements: All participants must travel to and return from all out of town activities with the team unless prior written permission is asked by their parents and granted by the administration. Participants will be released to travel with their parent/guardian only, after signing out with their coach/sponsor.
B. Practice Expectations: All participants must attend all practices unless excused ahead of time by the coach/advisor/director. Unexcused absences will result in disciplinary actions as determined by the coach/advisor/activity director.
C. Injuries: All injuries are to be reported immediately to the coach/advisor/activity director regardless of the nature of the injury. The coach/advisor/director will fill out an accident report form and file it in the principal’s office within one (1) school day of the accident.
D. Confidentiality: Student report of a training rule violation will be held confidential.
E. Hazing: Participating students will not be involved in hazing of other students. Hazing is defined as any intentional, knowing, or reckless act directed against a student for the purpose of being initiated into, affiliated with, holding office in, or maintaining membership in a club or organization, or an athletic team whose members include other students. Participants will not force other members of a team or organization to do something that could be distasteful or dangerous. Students who are involved in hazing could be suspended from participation and possibly referred to law enforcement.
F. Liability: The coach/advisor/director, any other member of the school staff, or any
member of the Board of Trustees will not be held liable or responsible in case of an
accident incurred during practice, games, meets, matches, tournaments, concerts, or trips supervised by Belgrade Public Schools.
G. Serious Infractions: Participants charged with serious misdemeanors or felonies may be suspended from the activity pending disposition of the case. Following a conference with administration, head coach/advisor/director, activities director, and parents/guardian, the individual case shall be acted upon.
VI. CHEMICAL USE POLICY/VIOLATIONS
Participants must abide by the terms of the District’s Chemical Dependency Prevention Policy and the following terms of this Activities Policy:
- No drinking or possession of alcoholic beverages
- No use or possession of illegal drugs or drug paraphernalia
- No use or possession of tobacco, nicotine products, or vaping materials in any form
- No attendance at a party where alcohol/drugs are consumed
Volations will be cumulative from the student’s first day of participation in any activity in the middle school and again at the high school. A record of all violations will be kept by the activities director or the middle school principal.
Middle School: The accumulation of offenses starts in fifth grade and continues through the eighth grade. Participants will no longer be eligible to participate after a second violation during their middle school experience.
High School: The violation count starts anew upon entering the freshman year and continues through the participant’s senior year. Students will be dropped from participation if they receive three violations during this time period.
Students who are found in violation of the chemical use policy at a school-sponsored event or on school sponsored trips will be disciplined under the provisions of the school discipline policy as well as the activities policy.
Honesty Clause: Participants who violate the chemical use policy and admit to infractions will be penalized as stated per violation. Participants who deny that they have broken the chemical use policy and are later found guilty of violations will automatically be penalized by advancing to the next numerical step violation consequence.
In addition, all participants are subject to the following consequences for violation of this policy:
FIRST VIOLATION: (DRUGS/ALCOHOL/TOBACCO): Participants will be ineligible to compete in any games, contests, or performances for ten (10) school days from the date of disciplinary action. They will not be alowed to travel or sit with the team or group during performances or contests during this time. In addition, participants must attend and successfully complete the first available Minor in Possession/Alcohol Education Class (MIP/AEC) for drug and alcohol violations; or equivalent on-line course approved by administration if a local option is not available. Participation in these classes will be at their expense. Participants will continue to practice. The 10 school days will be carried over to the next activity and or school year.
SECOND VIOLATION HIGH SCHOOL ONLY: (DRUGS/ ALCOHOL/TOBACCO):
Participants will be suspended for 20 school days from the date of disciplinary action. They will not be allowed to travel or sit with the team or group during performances or contests. In addition, participants must attend and successfully complete the first available Minor in Possession /Alcohol Education Class (MIP/AEC) for drug/alcohol violations; or equivalent on-line course approved by administration. Another approved program may be substituted for these classes. Participation in these classes will be at their expense. Participants will regain eligibility provided they have successfully completed the class and follow any and all recommendations made by the MIP/AEC class leader to become eligible to participate in another activity. If the
first available MIP/AEC is not successfully completed, the participant will lose his/her eligibility until an MIP/AEC is successfully completed. The 20 school days will be carried over to the next activity and or school year.
THIRD VIOLATION HIGH SCHOOL OR SECOND VIOLATION MIDDLE SCHOOL:
(DRUGS/ALCOHOL/TOBACCO): Students will be suspended from all extra-curricular activities for the remainder of their middle school or high school career. Students may be reinstated by agreeing to a chemical dependency assessment and following the recommendations made by the chemical dependency counselor. The student must provide the results of his/her assessment to the activities director and principal. The activities director and principal will meet with the student and his/her parents/guardians to determine appropriate action. Students eligible for reinstatement will be suspended for a minimum of 60 school days. The 60 school days will be carried over to the next school year.
VII. DUE PROCESS
A. The coach/advisor/director has the authority and the responsibility to suspend any participant from practice or competition for violation of activities policy until a meeting is arranged with parents or guardians. The coach/advisor/director or activities director will contact the parents/guardians within 24 hours if a participant is suspended.
B. The coach/advisor/director or activities director has the authority to investigate if he/she suspects violation of the activities policy.
C. Due process will be followed in each disciplinary case. The student and the
coach/advisor/director will meet in conference with the parents or guardians prior to a student being dismissed from the team for a violation of training rules. The meeting will take place with the principal and/or activities director at the earliest convenient time.
VIII. INVOLVEMENT PROCEDURE
The purpose of this procedure is to encourage positive development of lifetime problem-solving skills. If a participant and/or parent/guardian have a concern with the activity in which the student is involved, they should communicate in the following order:
Team Coach>Head Coach/Advisor/Director>Activities Director>Building Principal>Superintendent>School Board
IX. HOTEL BEHAVIOR
Students must obey curfew set by coaches and chaperones and be in their assigned hotel rooms on all school sponsored trips. Students may not be found in a room of the opposite gender and/or with someone they are romantically involved at any time.
X. CONCUSSION INFORMATION
Please read the following concussion information pages provided by the MHSA.
A Fact Sheet for ATHLETES
WHAT IS A CONCUSSION?
A concussion is a brain injury that:
• Is caused by a bump or blow to the head
• Can change the way your brain normally
• Can occur during practices or games in any
• Can happen even if you haven’t been
• Can be serious even if you’ve just been
WHAT ARE THE SYMPTOMS OF A
• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems or dizziness
• Double or blurry vision
• Bothered by light
• Bothered by noise
• Feeling sluggish, hazy, foggy, or groggy
• Difficulty paying attention
• Memory problems
• Does not “feel right”
WHAT SHOULD I DO IF I THINK I HAVE
• Tell your coaches and your parents.
Never ignore a bump or blow to the head
even if you feel fine. Also, tell your coach if
one of your teammates might have a
• Get a medical checkup. A doctor or health
care professional can tell you if you have a
concussion and when you are OK to return
• Give yourself time to get better. If you
have had a concussion, your brain needs
time to heal. While your brain is still
healing, you are much more likely to have a
second concussion. Second or later
concussions can cause damage to your brain.
It is important to rest until you get approval
from a doctor or health care professional to
return to play.
HOW CAN I PREVENT A CONCUSSION?
Every sport is different, but there are steps you
can take to protect yourself.
• Follow your coach’s rules for safety and the
rules of the sport.
• Practice good sportsmanship at all times.
• Use the proper sports equipment, including
personal protective equipment (such as
helmets, padding, shin guards, and eye and
mouth guards). In order for equipment to
protect you, it must be:
>The right equipment for the game, position, or activity
>Worn correctly and fit well
>Used every time you play
Remember, when in doubt, sit them out!
It’s better to miss one game than the whole season!
A Fact Sheet for PARENTS
WHAT IS A CONCUSSION?
A concussion is a brain injury. Concussions are caused by a bump or blow to the head. Even a “ding,” “getting your bell rung,” or what seems to be a mild bump or blow to the head can be serious. You can’t see a concussion. Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If your child reports any symptoms of concussion, or if you notice the symptoms yourself, seek medical attention right away.
WHAT ARE THE SIGNS AND SYMPTOMS OF A CONCUSSION?
Signs Observed by Parents or Guardians
If your child has experienced a bump or blow to the head during a game or practice, look for any of the following signs and symptoms of a concussion:
• Appears dazed or stunned
• Is confused about assignment or position
• Forgets an instruction
• Is unsure of game, score, or opponent
• Moves clumsily
• Answers questions slowly
• Loses consciousness (even briefly)
• Shows behavior or personality changes
• Can’t recall events prior to hit or fall
• Can’t recall events after hit or fall
Symptoms Reported by Athlete
• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems or dizziness
• Double or blurry vision
• Sensitivity to light
• Sensitivity to noise
• Feeling sluggish, hazy, foggy, or groggy
• Concentration or memory problems
• Does not “feel right”
HOW CAN YOU HELP YOUR CHILD PREVENT A CONCUSSION?
Every sport is different, but there are steps your child can take to protect themselves from concussion.
• Ensure that they follow their coach’s rules for safety and the rules of the sport.
• Encourage them to practice good sportsmanship at all times.
• Make sure they wear the right protective equipment for their activity (such as helmets,padding, shin guards, and eye and mouth guards). Protective equipment should fit properly, be well maintained, and be worn consistently and correctly.
• Learn the signs and symptoms of a concussion.
WHAT SHOULD YOU DO IF YOU THINK YOUR CHILD HAS A CONCUSSION?
1. Seek medical attention right away. A health care professional will be able to decide how serious the concussion is and when it is safe for your child to return to sports.
2. Keep your child out of play. Concussions take time to heal. Don’t let your child return to play until a health care professional says it’s OK. Children who return to play too soon—while the brain is still healing—risk a greater chance of having a second concussion. Second or later concussions can be very serious. They can cause permanent brain damage, affecting your child for a lifetime.
3. Tell your child’s coach about any recent concussion. Coaches should know if your child had a recent concussion in ANY sport. Your child’s coach may not know about a concussion your child received in another sport or activity unless you tell the coach.
Remember, when in doubt, sit them out! It’s better to miss one game than the whole season.
A concussion is a type of traumatic brain injury, or TBI, caused by a bump, blow, or jolt to the head that can change the way your brain normally works. Concussions can also occur from a blow to the body that causes the head to move rapidly back and forth. Even a “ding,” “getting your bell rung,” or what seems to be mild bump or blow to the head can be serious. Concussions can occur in any sport or recreation activity. So, all coaches, parents, and athletes need to learn concussion signs and symptoms and what to do if a concussion occurs.
SIGNS AND SYMPTOMS OF A CONCUSSION
SIGNS OBSERVED BY PARENTS OR GUARDIANS****SYMPTOMS REPORTED BY YOUR CHILD OR TEEN
•Appears dazed or stunned
•Is confused about events
•Answers questions slowly
•Can’t recall events prior to the hit, bump, or fall
•Can’t recall events after the hit, bump, or fall
•Loses consciousness (even briefly)
•Shows behavior or personality changes
•Forgets class schedule or assignments
•Difficulty thinking clearly
•Difficulty concentrating or remembering
•Feeling more slowed down
•Feeling sluggish, hazy, foggy, or groggy
•Headache or “pressure” in head
•Nausea or vomiting
•Balance problems or dizziness
•Fatigue or feeling tired
•Blurry or double vision
•Sensitivity to light or noise
•Numbness or tingling
•Does not “feel right”
•More emotional than usual
•Sleeps less than usual
•Sleeps more than usual
•Has trouble falling asleep
*Only ask about sleep symptoms if
the injury occurred on a prior day.