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Athletic Forms
Sports
Participation
Packet
(pdf format)
Free
Acrobat Reader (for pdf formats
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Dear Parents,
In an effort to avoid the confusion of the
previous year, we have put together this sports participation
packet to assist you. This packet has all the information that
the White House Athletic Department needs for your child to
practice with their respective sports team(s). This entire
packet is due before the first scheduled practice for the sport
in which your child chooses to participate. If it is not
returned complete, your child will not be permitted to practice.
Inside this packet you will find two inserts.
These inserts are for the physical examination of your child by
a medical doctor clearing him/her for athletic participation.
The TMA/TSSAA Medical Evaluation Forms (pages 1 & 2) are the
forms you will use if you choose to see your own family doctor.
The physical must take place after May 1, 2005 and is valid till
the end of the sports season/school year in 2006.
Page 3 of the packet or the back page, is an
emergency form. This page offers White House your child’s
emergency contact information and consent to treat. This page
should be filled out completely with detail.
Page 4 of the packet shows a privacy or
disclosure form. This form is a Baptist Hospital form which
allows White House's athletic trainer to speak to doctors,
physical therapists, EMTs, and coaches about injuries that your
child may incur during the school year. If this form is not
signed, the athletic trainer cannot talk to anyone about the
injury, even you the parent(s). Federal law now requires medical
facilities to have such forms so as to abide by the Health
Insurance Privacy Portability Act. Therefore, no student athlete
will be permitted to practice or participate without this form
signed.
Once this entire packet is completed by the
doctor and you the parent(s), proofread it one last time making
sure each signature is filled in. If any signature is missing, the
packet will be returned to you and your child will not be
allowed to practice until the packet is fully documented.
The TSSAA By-Laws Section 31 mandate applies to
all athletes and cheerleaders. No athlete or cheerleader will be
allowed to participate in any interscholastic athletic program
activity if these forms have not been filed.
Thank you for your efforts and attention to
detail. We hope this is an easier process than past years.
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