Clearance Packet

IMPORTANT NOTICE

IN ORDER TO COMPETE IN A SPORT, YOUR SPORTS CLEARANCE PACKET MUST BE COMPLETED, CLEARED AND A COPY GIVEN TO YOUR COACH, BEFORE YOU CAN COMPETE. 

FAILURE TO DO SO WILL RESULT IN INELIGIBILITY AND POSSIBLE CONSEQUESNCES FOR PLAYER, COACH AND TEAM. .COACH AND TEAM.

PROCEDURE

FOLLOW THE PROCEDURES BELOW:

1.    Complete the packet and attach a copy of your insurance card.

2.    Go to Nurse’s Office for a clearance signature.

3.    Go to Banker’s Office for a clearance signature.

4.    Go to Bookroom for a clearance signature.

5.    TURN IN YOUR COMPLETED PACKET IN ROOM 105.

1st Sport Clearance Information

Documents needed are located on the right side of the page

 

In order to participate in athletics at Poly High School, you must complete the following:

 

1.     Did you pass twenty units of credits on your last grade report? If not, do not continue. You are ineligible. If you did pass twenty units, please continue.

 

2.     Complete packet. If it is not filled out completely, the packet will not be accepted.  It will be returned to your coach.

 

3.     Student Physical Examination Report: Take to your family doctor. It must be signed by a medical doctor and stamped with his official stamp. Turn your physical in to the nurse.  A physical is valid for one year and required each year. 

 

 4.     Insurance: You need to attach proof of insurance. If you need to purchase insurance, Myers-Stevens forms are available in room 105.

 

5.      Internet Course : You will need to complete 3 required courses at http://www.quicknowledge.com/lbp . Parents are recommended to also take the classes. Please see your coach for access code.

   

6.     If you have any questions or need further information, please call the Athletics Office at (562) 591-0581, extension 5104.

 

FOLLOW THE PROCEDURES BELOW:

1.    Complete the packet and attach a copy of your insurance card.

2.    Go to Nurse’s Office for a clearance signature.

3.    Go to Banker’s Office for a clearance signature.

4.    Go to Bookroom for a clearance signature.

5.    TURN IN YOUR COMPLETED PACKET IN ROOM 105.

 

WHEN YOU TRY OUT FOR AN ADDITIONAL SPORT, YOU MUST COMPLETE AND TURN IN A NEW PACKET.  (ADDITIONAL INSURANCE IS REQUIRED IF THE ATHLETE HAD FOOTBALL INSURANCE ONLY.)

2nd Sport Clearance Packet Information

 

The following is a list of items to be completed in order to participate in a second or third sport at Polytechnic High School:
 
1.     Did you pass twenty units of credits on your last grade report? If not, do not continue. You are ineligible. If you did pass twenty units, please continue.
 
2.     Complete form. If not filled out completely, form will not be accepted.
 
3.     Insurance: You need to show the banker proof of insurance. If you purchased the Myers-Stevens insurance the banker will have the record. You can make a copy of your insurance card in the library.
 
4.     If you or your parents have any questions or need further information, please call the Athletics Office at 591-0581, extension 5104.
 
 
 
FOLLOW THE PROCEDURES BELOW:
1.    Complete form – Attach copy of insurance card
2.    Go to Nurse’s Office
3.    Go to Banker’s Office  
Go to Bookroom
4.     (PAAL students – Go to PAAL’s Office)
5.    Take 1.) Completed clearance form    2.) Signed Athlete’s Code of Ethics and 3.) signed Athletic Travel Release Form to room 105
 
ONLY WHEN THE ENTIRE PROCEDURE EXPLAINED ABOVE IS COMPLETED MAY YOU TRY OUT FOR A SECOND OR THIRD POLY TEAM!

Athletics Locker

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