Clearance Packet

1st Sport Clearance Packet

Documents needed are located on the right side of the page

 
ATHLETIC CLEARANCE -- FIRST SPORT
 
This packet must be used when trying out for your first sport of the school year. When you try out for a second or third sport in the same school year, another packet must be filled out.
 
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 form. If not filled out completely, form will not be accepted.
 
3.     Student Physical Examination Report: Taketo your family doctor. It must be signed by a medical doctor and stamped with his official stamp. A medical examination is required each school year.

NOTE: AS OF SPRING 2010 ALL ATHLETES WILL ALSO NEED TO TURN IN A PERSONAL HISTORY FORM. THIS FORM CAN BE DOWNLOADED FROM THE LIST ON THE RIGHT.

 4.     Insurance: You need to show the banker proof of insurance. If you need to purchase insurance, Myers-Stevens forms are available in room 121.
 
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 or your parents have any questions or need further information, please call the Athletics Office at 591-0581, extension 5171.
 
FOLLOW THE PROCEDURES BELOW:
1.    Complete form – Attach copy of insurance card
2.    Go to Nurse’s Office
3.    Go to Banker’s Office
4.    Go to Bookroom (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 and Photo Release Form  to room 105
 
WHEN YOU TRY OUT FOR A SECOND OR THIRD SPORT, YOU MUST COMPLETE AND TURN IN A NEW FORM WHICH IS AVAILABLE IN
ROOM 105. ADDITIONAL INSURANCE IS REQUIRED IF THE ATHLETE HAD FOOTBALL INSURANCE ONLY.

2nd Sport Clearance Packet

 

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 5171.
 
 
 
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 121
 
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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