Now you may print, download, or share the document. Student/Athletes are greatly urged to purchase an ASB card. Double check all the fillable fields to ensure full precision. Be sure that the doctor includes a DOCTOR STAMP. CREATE an account. The completed and signed form will need to be returned to the Athletic Director along with the signed consent form. May 1, 2022 or later that has a stamp and is signed by an MD, DO or PA only. You will receive a confirmation email from the Athletic Department to let you know that you are cleared! Headquarters - 333 South Beaudry Avenue, Los Angeles, CA 90017 . Copyright 2002-2023 Blackboard, Inc. All rights reserved. The Athletic Clearance website will be up and running for the school year of 23-24 after 5/23. Open the doc and select the page that needs to be signed. All information is stored and organized within your Home Campus account eliminating paperwork. Spring Sports Clearance will begin Dec 5 . Physicals : Below are the required forms for sports in LAUSD. Check Your Cleared Status Log into your AthleticClearance.com account. **COACHES CANNOT COLLECT PAPERWORK** When submitting paperwork please make sure it is in the order listed below. 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. Our Address: 1750 Yosemite Dr. Los Angeles, CA 90041-2899; Tel: (323) 340-3500. We are a non-profit organization located in Granada Hills, CA. Coordinator, Human Resources, Corona-Norco Unified School District, 2820 Clark Avenue Norco, CA 92860, (951) 736-5000 Contact Dr. Hickman For any allegations under Section 504 of the . 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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Step 1: Athletic Clearance Instructions. 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) Phone: (213) 241-1000. Athletic Clearance Online Instructions All members of the following activities must complete the Athletic Clearance process before participation: ALL athletic teams, including Cheerleading Click here to download the Online Athletic Clearance Directions. Athletic Clearance Athletics Administration's Message Athletic Clearance Athletic Participation Info Athletics Staff CIF Athletics News College Bound Athletes THHS Athletics Calendar THHS Athletic Teams THHS Athletic Events THHS Athletic Achievements Athletic Clearance Sports Clearance Information Transportation Forms Copyright 2002-2023 Blackboard, Inc. All rights reserved. OIG Hotline; Signed Volunteer Commitment Form. Director of Athletics & Commissioner, CIF San Francisco Section. Article created 21 minutes ago. CIF Los Angeles City Section is the governing body of high school sports for 156 schools in the Los Angeles area. Los Angeles Unified School District; ATHLETICS Coaches' Corner; Menu. 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. Get Form How to create an eSignature for the athletic fundraising bulletin los angeles unified school district Gender Equity. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Email: EquityCompliance@lausd.net, If you have any questions, please contact Janet Furuya, Athletic Director, at, Professional Development and Faculty Meeting Information, Firefighter/Emergency Medical Services Magnet, Communication, Arts, and Leadership Academy, BHS Athletics - Frequently Asked Questions. Athletic Clearance Process Start Clearance Here: www.athleticclearance.com Create an account. Gail Barksdale. Athletic Physicals Earhart students that participate in athletics must complete an athletic physical packet, which includes an athletic participation clearance from a physician. Assures that everyone involved with CIF activities is treated with dignity and respect. If you have any questions, please contact Janet Furuya, Athletic Director, at JTF9036@LAUSD.NET Install the signNow application on your iOS device. Create an account using your email or sign in via Google or Facebook. Asst. You will receive a confirmation email from the Athletic Department to let you know that you are cleared! www.athleticclearance.com . Be sure that the doctor includes a. SIGN IN. Athletic Clearances - Home Campus Online Registration & Clearance The most dreaded and time consuming part of an athletic administrators job is dealing with athletic clearances. Phone: 415-920-5185. Select your course (s) Term. Also, retain a . physician may rescind the clearance until the problem is resolved and the potential consequences are completely explained to the athlete (and parents/guardians). Athletic Participation Forms. Athletics Clearance Step to become cleared. The District prohibits discrimination, harassment, intimidation and . AthleticClearance.com is the site used by all of the Fontana Unified School District to register and clear student athletes. In order to participate in Millikan Athletics, a parent/guardian and student must complete the online clearance process. 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 . Per CIF, the North Coast Section, and the San Ramon Valley Unified School District, a student athlete must obtain a 2.0 unweighted GPA to participate in . Athletic Clearance Dr. Maya Angelou Community High School has streamlined their clearance process. MACHS Athletes must be cleared through www.athleticclearance.com. Get a Covid-19 test: each student athlete is required to present a negative test result to their coach EVERY week. . 5297 Maureen Lane, Moorpark, California 93021 (805) 378-6300 Phone. You will need to go to www.AthleticClearance.com and create a profile in the 2022-2023 school year. Los Angeles Unified School District. ONLY ORIGINAL PHYSICALS ACCEPTED. Phone Athletic Clearance During the School Year: To begin the sports clearance process for the 22-23 school year please follow the steps below: Medical Insurance Required Athletic Clearance for Parents & Students; Recent activity. Search for the document you need to design on your device and upload it. Fax: (949) 830-0782. The Santa Ana Unified School District is committed to providing a working and learning environment free from discrimination, harassment, intimidation and bullying. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Los Angeles Unified School District . The completed physical examination form must be uploaded when completing the online clearance process and submitted to the Athletic Secretary, Denise Cuevas in the main office. The online athletic clearance process is not the only form you are required to complete. Athletics Clearance. An email will be sent to you upon approval ofyour students forms. For further nondiscrimination information and to reach the District's civil rights coordinators under Title IX, Title VI, ADA, Section 504, please see https://achieve.lausd.net/Page/3494. The advanced tools of the editor will direct you through the editable PDF template. Read, understand and sign the Alvord Unified School District Concussion Information Sheet, CIF Athletic Code, Alvord Athletic Code and the Pursuing Victory With Honor. PARENTS create an account for this website to create clearances for all of their children. This is determined by using the . Winter Sports is currently open for 2022-2023 . Moorpark Unified School District . Temple City Unified School District does not discriminate on the basis of gender, race, color, religion, sexual orientation or national and ethnic origin in the administration of its educational, admission, economic status, hiring and athletic policies or in other school-administered programs. 92277, (760)367-9191, Stacy Smalling. Choose the 'School Year' in which the student plans to participate. You may not participate in try-outs, practice, or competitions without receiving a confirmation email stating that you are cleared. 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-6639.0, Three-Year Review IEP Psycho-Educational Re-Assessment. 2023-24. Circle questions you don't know the answers to. Laguna Beach High School. BUL-6429.3 Athletic Rules and Regulations. 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. Athletic Registration/Clearance . Home; About Us; Calendar; Athletic Directors; Coaches' Corner; Parent/Student Information; . Athletic Staff Reviews Information in Home Campus account to clear or deny student participation which will be communicated to parents, student and coach instantly! 1. Open the email you received with the documents that need signing. 6821 Oleander Avenue Fontana, CA 92336 ATHLETIC CLEARANCE PACKETS/PHYSICALS *Packets submitted before May 5, 2022 will not be processed. Fax: 415-920-5189. This insurance requirement can be met by the school district offering insurance or other health benefits that cover medical and hospital expenses. 1. District publications. Clearance is obtained by going to the Athletic Clearance site . Athletics Calendar - Click on event for more details . On-line Athletic Clearance Card Instructions: New Physical Form PDF. 9501 Lemon Avenue, Temple City, CA 91780 Phone: 626-548-5040 Fax: 626-574-3239 Do not give Athletic Clearance documents to a coach or leave on the desk. Use professional pre-built templates to fill in and sign documents online faster. Resident Enrollment is based on whether you reside within our former LAUSD attendance boundary. Clearance due dates. Print and Sign Confirmation Message/Page and return it along with a signed Physical Form to the Athletic Director. SVUSD high school located in southern Orange County, CA. Athletic Clearance Laguna Hills High School SVUSD high school located in southern Orange County, CA. English physical forms Spanish physical forms Once completed these forms will be turned into the nurse and upload a copy to the athletic clearance website. Find the extension in the Web Store and push, Click on the link to the document you want to design and select. Athlete information is saved from year to year & siblings can all be on the same account! LOGIN to https://www.homecampus.com using the username & password you created via the instructions above. Each student-athlete must have a minimum of a 2.0GPA on the report card received at the close of the last grading period. This includes any summer activity or try-outs before the season begins! There are three variants; a typed, drawn or uploaded signature. Anyone interested in participating in a sport for the 2022-23 School-Year needs to complete the following steps before trying out or practicing. Once an athlete receives Athletic Clearance, it is valid for ONE YEAR. For security reasons, your Home Campus session is about to end. Make sure you are adhering to all of the eligibility and transfer rules. 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. Upload health insurance card to Home campus website:https://www.homecampus.com. 2. If you already have an account, you do not need to create another one. (916) 567-5449. Sacramento, CA 95834. Information about these programs may be obtained by calling 1-877-410-8827. Select the area you want to sign and click. For questions or complaints, contact Equity Compliance Officer and Title IX Coordinator or the Section 504 Coordinator: Equity Compliance Officer and Title IX Coordinator: Ms. Stacy Smalling, Assistant Superintendent of Human Resources, 5715 Utah Trail, Twentynine Palms, CA. Phone: (949) 837-7722. Get the Athletic Fundraising Bulletin - Los Angeles Unified School District . Contact. This examination will need to be renewed each year to retain a current status and eligibility. Headquarters - 333 South Beaudry Avenue, Los Angeles, CA 90017. Copyright 2002-2023 Blackboard, Inc. All rights reserved. Heat Index Bulletin and Revised Chart, 2018-19 Athletic Rules and Regulations, Headquarters - 333 South Beaudry Avenue, Los Angeles, CA 90017. Please make sure you have it completely filled-out and signed. Step #1 The Chino Valley Unified School District is committed to equal opportunity for all individuals in education and employment. Students must have a physical examination by a medical doctor. Athletic Clearance Athletic Development Athletic Training Awards Calendar Coaches Resources College Recruiting Contact Facilities Gate Fees History Alumni Athlete of the Year Championships Team Stores Title IX Transfers Transportation Tryouts Contact Us Counseling Office College & Career Counseling Office If you do not have current medical insurance, you may purchase a plan through Myers-Steven-Toohey Insurance. Number of comments: 0 CIF Home Campus: Events & Schedules Importing Events from Maxpreps & Scorebook Live. Log In / Create an Account to track your orders and personalize your experience. for general access or to download the file, click here. 2. Athletics Return to Conditioning Activities Only (COVID-19) Athletic Clearance Procedures . The online athletic clearance process is not the only form you are required to complete. Athletic Clearance: The following steps must be taken to secure athletic cl earance and participation at any Pasadena Unified School District high school. SELECT the "New Clearance" button (upper left corner) to get started. Los Angeles Unified School District . Please contact either Mr. Omar Omarjl@fusd.net or Mrs. Curayag Curakl@fusd.net with any questions! Instant communication with parents, student-athletes and coaches when a student is cleared, denied or has a physical expiring! District Athletic Director. Upload health insurance card to Home campus website:https://www.homecampus.com. (562) 425-7441 Phone | (562) 425-1151 Fax, 1515 Hughes Way, Long Beach CA, 90810 Please make sure you have it completely filled-out and signed. Blackboard Web Community Manager Privacy Policy (Updated). Please click on one of the links below to find out how to get cleared for your sport. Liberty Parents and Athletes, We are excited that you have an interest in one or more of our sports programs. Department. Fax Create your signature, and apply it to the page. 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. 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. Unified School District Mobile Application, Accounting Controls (To Be Decommissioned), School Listings: Quick List Location Code, Data Privacy, Analysis, & Reporting Branch, California Assessment of Student Performance and Progress, California English Language Development Test, National Assessment of Educational Progress, Reopening of LAUSD Schools Survey - Family, Reopening of LAUSD Schools Survey - Staff, Procurement and Contract Administration Branch, Credit Cards, Travel and Vendor Services Unit, Unified Digital Instructional Procurement Plan, Office of District Operations and Digital Innovation, Preparing for Storms: Rain and Flood Safety, DOTS District Office of Transition Services, Positive Behavior Intervention and Support_RP, Student Support-Positive Climate Resources, Professional Learning and Leadership Development, Archived Site **DO NOT DELETE** - Administrator Development, Archived Site **DO NOT DELETE** - Educator Development and Support **MyPGS Files storage**, Archived Site **DO NOT DELETE** - Policy and Partnerships, Archived Site **DO NOT DELETE** - Professional Learning and Leadership Development, ESC North Parent & Community Engagement Center, Local District South Parent & Community Engagement Center, Parent & Community Engagement Unit - LD Central, Local District West Parent & Community Engagement Center, ISIC Parent & Community Engagement Center, Downtown | MacArthur Park Community Of Schools, Eagle Rock | Highland Park Community Of Schools, Glassell Pk | Los Feliz Community Of Schools, Jefferson | South Central Community Of Schools, Manual Arts | Vermont Square Community Of Schools, Koreatown | Mid City Community Of Schools, Student Medical Services & Medi-Cal Program, Master Plan for English and Standard English Learners, For Transporting Expired Medications and/or Sharps Container.
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