Athletics Clearance Step to become cleared. Each student-athlete must have a minimum of a 2.0GPA on the report card received at the close of the last grading period. **Even if your student's Athletic Clearance is still current, the 2022-2023 Athletic Clearance process is MANDATORY to update student information. This clearance is not required until the student has completed their 8 th grade year. Only Physicals signed and stamped by a MD/DO will be accepted. After completing the online process, you will need to print, sign, and return the:1. Athletes must repeat the process each year they plan on participating in our programs. P This includes any summer activity or try-outs before the season begins! Copyright 2002-2023 Blackboard, Inc. All rights reserved. To download another copy of the Tracking Document, LA Unified Student and Family Wellness Centers, School-Based Community Mental Health Partners, SECTION 504 AND INDIVIDUALS WITH DISABILITIES, AED Daily/Monthly Readiness Status Checklist, Confidential Health Information for Asthma, Request for Medication During School Hours (, Authorization to Receive/Release of Medical Information, CD Notifications (Chicken Pox, Fifth Disease, Hand, Foot & Mouth Disease, Headlice, Scabies), Child Health and Disability Prevention Program (CHDP) Forms, CHDP Consent for Health Assessment, Eligibility Determination, HDP Report of Health Examination for School Entry (PM 171A), CHDP Waiver of Health Examination for School Entry (PM 171 B), Confidential Health Information for a Student, Readmit of Pupils with Medical/Amb Assisted Devices, Home/Hospital Instructions Referral Forms, Review for Support Services Due to Health Needs, Compliance with California Immunization Law - Removal of Personal Exemption, Notification of Immunizations Due February 2023, Pre-2020 Medical Exemptions by Disciplined Physicians, School and Child Care Webinar Presentation, Medical Exemptions and Exclusions (Not for Immunizations), Medical Waste: Transport Checklist, Tracking Document and Generator Certificate, Medical Waste: Checklist, Tracking Document, and Generator Certificate, Request for Medication to be Taken During School Hours Eng |Span, For download: Fillable Version of Attachment A, Mental Health Evaluation Team (MHET) Preliminary Information Request Form, Naloxone: Administration of Naloxone Spray, Medical Exclusion OR Clearance to Attend School for Preschool-Aged Childre, Principal - Credentialed Nurse Conference, School Attendance Review Board (SARB) and Site School Nurses, School Attendance Review Board and Site School Nurses, COVID-19 - Sports Participation Parent Letter, Certificate of Absence and Other Payroll Forms, 22-23 REQUEST FOR PAYMENT OF ADDITIONAL TIME, School Nurse (RN) Employee Initiated Transfer Form, Spot Vision Screener Product Overview Training_1-25-22, School-site Crisis Team Training Recorded Webinar Series 2021, Blackboard Web Community Manager Privacy Policy (Updated). BUL-4480.1, Policy and Procedure for the Acquisition and Use of Automated External Defibrillators (AEDs) -, AED Daily/Monthly Readiness Status Checklist Form: SY 2022/2023, http://www.nasn.org/ToolsResources/Asthma, Authorization to Receive/Release Medical Information, BUL-1645.2Infection Control Guidelines for Preventing the Spread of Communicable Diseases, BUL-1937.3Reporting Communicable Diseases, BUL-2514.2Child Health and Disability Prevention (CHDP) Program and Blood Lead Testing, Report of Ear, Nose, and Throat Observation, Health Office Referral to Physical Education Teacher, Bulletin 1229.3, 7/2/2018 - Carlson Home, Hospital & Home Online Academy Instructional Services, Non-Medical Referral for Home Instruction, BUL-2030.1,Guidelines for an Individualized Health Assessment and the Participation of the Credentialed School Nurse in the Individualized Education Plan (IEP) Process. The National Magazine Awards, also known as the Ellie Awards, honor print and digital General Excellence, News, Sports and Entertainment; General Excellence, .. 2013, Los Angeles, "The New Face and Body of Plastic Surgery in L.A.," might con, Ohio historical society email for rc3 form, Sample letter of undertaking responsibility form, Help Me With Sign Nevada Orthodontists Form. Resident Enrollment is based on whether you reside within our former LAUSD attendance boundary. ** . CIF Los Angeles City Section is the governing body of high school sports for 156 schools in the Los Angeles area. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Downloadable version: Asthma Action Plan (English) | Spanish, Attachment H Medical Waste Transport Preparation Checklist, ***When requesting service/support from LASPD Dispatch (213.625.6631) for a student/employee identified as high risk for suicide/threat (per BUL-2637.4, BUL-5799.1, BUL-5798.0), the following Preliminary Information should be provided as indicated in theMental Health Evaluation Team (MHET) PRELIMINARY INFORMATION Request Form***, BUL-133120 ADMINISTRATION OF NALOXONE NASAL SPRAY, LAUSD DNS NALOXONE TRAINING FOR SCHOOL NURSES: NURSE SUPPLEMENTAL, INSTRUCTIONS FOR ADMINISTRATION OF NALOXONE, REPORT OF NALOXONE ADMINISTRATION FORM (BLANK), SAMPLE LETTER: NALOXONE REQUEST FOR VOLUNTEERS, SAMPLE LETTER: NALOXONE VOLUNTEER NOTIFICATION, BUL-3276.1 Compliance on Services for Pregnant Minors and Parenting Minors, August 15, 2007, BUL-3585.6,Oral Health Assessment for Kindergarten or First Grade Entry, August 1, 2016, Oral Health Assessment/Waiver Request Form, See Protocols section: Seizure Care for more information/forms, Sign in the MyLAUSD first before clicking the links below, BUL-4948.2Medical Clearance and Return to Play Guidelines for Students Participating in Interscholastic, BUL-6429.3Athletic Rules and Regulations, Clearance Policy for Student-Athleteswith Impaired Vision, Guidance for Screening Pre Participation of Examination (PPE) Forms (COVID), IOC Student Athlete Returning from a Positive COVID-19 Test, Medical Conditions and Sports Participation, Flowchart on Concussion Injury Documentation, Medical Clearance Form - to start Stage III of RTP Protocol, Hx ofCOVID-19 - Sports Participation Parent Letter, Post COVID-19 Return to School and Graduated Return to Play, Elementary - Information for Sub School Nurses, Secondary - Information for Sub School Nurses, School Nurse (RN) Employee Initiated Transfer Form, 2/2018, Licensed Vocational Nurse (LVN) (Employee Initiated)Transfer Form, REF-5527.0- Visually Impaired Program: Referral, Assessment, and Scope of Service, ALL 14 WEBINARS ARE NOW AVAILABLE FOR VIEWING ON MyPLN, School-site Crisis Team Training Recorded Webinar Series 2021 FLYER, Link to the Division of District Operations > Emergency Services, District Policies Regarding Critical Issues, Immunizations Guidelines and School Based Clinics, Types of ServicesandSupervisor Contact Information, https://achieve.lausd.net/parent-resources. Otherwise, you will be signed out in seconds. Address: 25401 Paseo de Valencia, Laguna Hills, CA 92653 Phone: (949) 770-5447 Fax: (949) 830-0295 Instagram Twitter Facebook Accessibility Disclaimers Gender Equality Jobs Non-Discrimination Site Map Title IX Powered by Finalsite This MUST be complete prior to attending tryouts or practices for any CIF team. 2022-2023 Athletic Clearance Paperwork (UPDATED 11/16/22) THIS IS FOR ALL STUDENT-ATHLETES ON A TEAM OR TRYING OUT FOR A TEAM STEP 1 All athletes will now get cleared through https://www.homecampus.com/select-state Click on "CA" Create an Account Start a new clearance - Make sure to select 'Cleveland" and the correct year (2022-2023) For questions or complaints, contact Equity Compliance Officer: Craig Baker, Associate Superintendent,, Student Services at 9680 Citrus Avenue, Fontana CA 92335 (909) 357-5000 extension 29194 TitleIX@fusd.net ;Title IX Coordinator: Caroline Labonte, Director, Certificated Human Resources, at 9680 Citrus Avenue, Fontana CA 92335 (909) 357-5000 extension 29045 TitleIX@fusd.net; and 504 Coordinator: Troy Cox, Coordinator, Alternative Education, at 9680 Citrus Avenue, Fontana, CA 92335 (909) 357-5000, extension 29077 504Coordinator@fusd.net. Emergency Contact Clearance Form must be turned in for each season/each sport. RSS feed for Athletics . Physical Examination Form. 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Upload health insurance card to Home campus website:https://www.homecampus.com. Asst. The Los Angeles Unified School District is committed to work in partnership with the entire community to assure equity and provide services, opportunities and leadership necessary to establish and maintain quality high school athletic programs. The District prohibits discrimination, harassment, intimidation and . Our process saves hours upon hours for the parents, ADs, and schools by eliminating messy paperwork and organizing it all within your Home Campus Account. Click the "Register'' link to start an account. ATHLETIC CLEARANCE PACKETS/PHYSICALS *Packets submitted before May 5, 2022 will not be processed. Athletic Clearance Cheat Sheet. Create an account using your email or sign in via Google or Facebook. 6821 Oleander Avenue Fontana, CA 92336 Athletic Clearance Instructions www.athleticclearance.com If you are interested in participating in any AB Miller sport, you must be cleared through the Athletic Department before you can pratice or play. The Fontana Unified School District prohibits discrimination, intimidation, harassment (including sexual harassment), or bullying based on a persons actual or perceived ancestry, color, disability, race, ethnicity, religion, gender, gender expression, gender identity, immigration status, national origin, sex, sexual orientation, or association with a person or group with one or more of these actual or perceived characteristics. Phone: (213) 241-1000. Phone District publications. May 1, 2022 or later that has a stamp and is signed by an MD, DO or PA only. The Santa Ana Unified School District is committed to providing a working and learning environment free from discrimination, harassment, intimidation and bullying. In order to participate in Millikan Athletics, a parent/guardian and student must complete the online clearance process. Select the document you want to sign and click. accomplished. 5297 Maureen Lane, Moorpark, California 93021 (805) 378-6300 Phone. PARENTS create an account for this website to create clearances for all of their children. Sports Physical: (916) 567-5449. The Lodi Unified School District makes this offering for the above listed coaching position(s) with the understanding that the district is required, pursuant to Education Code section 44919, to solicit applicants among district teaching staff and to give preference to any teacher who applies for the position and meets the qualifications . 625 Park Ave. Laguna Beach, CA 92651; 949-497-7750; 949-497-7766; Athletic Participation Forms. You may not participate in try-outs, practice, or competitions without receiving a confirmation email stating that you are cleared. Our Address: 1750 Yosemite Dr. Los Angeles, CA 90041-2899; Tel: (323) 340-3500. Participation in athletics will provide students to become involved with other students and their coaches in . All information is stored and organized within your Home Campus account eliminating paperwork. All students, even returning student-athletes, who wish to participate in school based athletics must complete the athletic clearance process. The Athletic Director will contact you and provide you with the appropriate forms. A volunteer can access the online registration process and application at https://volunteerapp.lausd.net . CIF Home Campus: Athletic Clearance - Working with Student Applications Bulk Update. To download another copy of the Tracking Document, click here. Athletic Registration/Clearance . Returning student athletes: please log in using the same username/email and password that you had in the past and update any information as needed, New student athletes: Click "Start Clearance Here" button to begin. Complete all required fields for Student Information, Educational History, Medical History, and Signature Forms. 18042 Taft Avenue, Villa Park, CA 92861 714-532-8020. Use professional pre-built templates to fill in and sign documents online faster. If you are using a public computer or leave your browser session open, make sure you (a) save all of your work and (b) log out to protect your information. Explain Yes answers below. Fax: (949) 830-0782. CREATE an account. Contact Information. No " try- outs Gail Barksdale. For the 2022-23 school year, all physicals will need to be completed after June 4th to be covered for the entirety of the 2022-23 school year. Your physical and athletic clearance forms must be completed by the following dates: Fall Sports (football, cheer, cross country, girls volleyball ) - May 27, 2022 Winter Sports (soccer, basketball) - TBD Sprint Sports (baseball, softball, boys volleyball, track)- TBD If you have any questions, please contact Janet Furuya, Athletic Director, at JTF9036@LAUSD.NET Get access to thousands of forms. Students must have a physical examination by a medical doctor. Request for medication to be taken during school hours. The Norwalk-La Mirada Unified School District prohibits discrimination, harassment, intimidation, and bullying based on actual or perceived age, ancestry, ethnicity, parental status, pregnancy status, color, mental or physical disability, gender, gender . Confirmation page from Homecampus.com website. Twitter (opens in new window/tab) Facebook (opens in new window/tab) Instagram (opens in new window/tab) COMPLETE any required fields for student information, educational history, medical history and consent. Los Angeles Unified School District. **COACHES CANNOT COLLECT PAPERWORK** When submitting paperwork please make sure it is in the order listed below. Adult and Career Education Human Resources, Learning Continuity Plan and COVID Community Report, Beyond the Bell (Before and Afterschool Programs), Before and Afterschool Programs (Beyond the Bell), Early Education (Transitional Kindergarten), Chief of Employee Support & Labor Relations, Local Control and Accountability Plan (LCAP), Local District Northeast - Operational Center, Local District Northeast - Parent & Community Engagement Center, Local District Northwest - Parent & Community Engagement Center, Local District Central - Central Instructional Center, Local District Northwest Operation Center, Division of Risk Management and Insurance Services, Linked Learning Vendor and Community Partners, Curriculum Instruction and School Support, Division of Access, Equity and Acceleration, BOOST (Building Our Own Staff as Teachers), Career Assistance for RNs in Education (CARE), Los Angeles Administrative Services Credential, Certificated Assignments and Support Services, Certificated Performance Evaluation Support, Credentials, Contracts and Compliance Services, District Intern Program: Professional Development Plan, ESSA Title II, Part A Private Schools Support, Non-Classroom Teacher and Support Services Vacancies, Special Education Certificated Employment, Verification Process for Special Settings, HR Certificated Assignments & Support Services - Wireframe, HR Certificated Recruitment and Selection - Wireframe, HR Personnel Research & Analysis - Wireframe, HR Aspiring Administrator Programs (APP) - Wireframe, HR Teacher Growth & Induction - Wireframe, Employee Assistance Service for Education (EASE), Business Applications Supporting Education, IT Project Management and Enterprise Systems, L.A. 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Get a Covid-19 test: each student athlete is required to present a negative test result to their coach EVERY week. . for general access or to download the file, click here. Download your updated . Athletics Clearance. There are three variants; a typed, drawn or uploaded signature. (909) 357-6324. All Athletes, Spiritline members, and Band members must be "cleared" before they can participate, this includes camps and tryouts. The Documents & Forms list is searchable and sortable. Fax Use a check mark to indicate the answer where demanded. Clearance The student athlete will be eligible to be Athletically Cleared when the above steps are completed prior to the due dates noted each season. The coaches, administrators and staff int he schools and offices believe in the equal worth and dignity of all students. 2021Long Beach Unified School District, Community of Musicians, Performers, Artists, and Social Scientists, Why Choose QUEST? 2800 Snowden Ave Athletic Clearance This can be obtained through www.athleticclearance.com Detailed instructions are downloadable (linked left) Health Insurance Card This MUST be uploaded to www.athleticclearance.com OR you may turn in a copy with your physical OR you may email a copy to Mr. Wodehouse Villa Park High School. Gender Equity. Home Campus Staff Digitizes Preparticipation Information and Forms. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. This includes any summer activity or try-outs before the season begins! Students interested in participating in sports for the 2022-23 school year will need the following items: All parents and students must complete this new process in order for students to participate in competitive sports at Eagle Rock High School. Athletic Physicals Earhart students that participate in athletics must complete an athletic physical packet, which includes an athletic participation clearance from a physician. The advanced tools of the editor will direct you through the editable PDF template. Select the 'New Clearance' button (at the top left hand of the page). Student/Athletes are greatly urged to purchase an ASB card. Get the Athletic Fundraising Bulletin - Los Angeles Unified School District . Enter your official identification and contact details. Copies of the athletic clearance packet can be picked up in the Earhart main office or downloaded from the link below. Draw your signature or initials, place it in the corresponding field and save the changes. Encourages collaboration with the Superintendent, the Board of Education and member schools. Myers Stevens - Toohey Insurance Online Enrollments, Myers Stevens Toohey Form (English) 2020, Myers Stevens Toohey Form (Spanish) 2020. Stay Connected. Get Form How to create an eSignature for the athletic fundraising bulletin los angeles unified school district Info for Prospective Students and Their Families, Print out the Confirmation Page, please be sure to sign and date, Provide the completed Physical Examination Form and attach with the signed Confirmation Page, Submit the Confirmation Page & PhysicalExam formto the front office (Athletic Clearance Basket located at the front counter), Once the office receives your packet the clearance will start. Please reach out to us if you have any questions or concerns. Please click on one of the links below to find out how to get cleared for your sport. LOGIN to https://www.homecampus.com using the username & password you created via the instructions above.