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Athletics Calendar - Click on event for more details . On-line Athletic Clearance Card Instructions: New Physical Form PDF. 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. Add the PDF you want to work with using your camera or cloud storage by clicking on the. Confirmation Page: create an account on homecampus.com (Jefferson School website- athletics link) choose school (Jefferson CIF-LA, verify school address) print confirmation page (sign and date) 2. REF-2481.4, Support for Students with Assessed Health Needs in Special Education Programs, Policy: BUL-3219.2, Student Medical Exemption and Exclusion Policy and Procedures, Medical Waste: Checklist, Tracking Document, and Generator Certificate, 2022-2023. Decide on what kind of signature to create. 2023-24. The District prohibits discrimination, intimidation, harassment (including sexual and discriminatory), or bullying based on a person's actual or perceived race, color, ancestry, national origin, nationality, ethnicity, ethnic group identification, immigration status . Read, understand and sign the Alvord Unified School District Concussion Information Sheet, CIF Athletic Code, Alvord Athletic Code and the Pursuing Victory With Honor. 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. Be sure that the doctor includes a DOCTOR STAMP. Once you create an account you will have to VERIFY your account by reviewing your email and clicking on the link. Athletic Clearances - Home Campus Online Registration & Clearance The most dreaded and time consuming part of an athletic administrators job is dealing with athletic clearances. 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 Take your schools preparticipation forms and digitize so parents & student-athletes know EXACTLY what is needed to participate in sports and activities at your school! Parents/Students Create Account on AthleticClearance.com and complete Information. Physical Exam. Be sure that the doctor includes a. Home Campus Staff Digitizes Preparticipation Information and Forms. SVUSD high school located in southern Orange County, CA. Only Physicals signed and stamped by a MD/DO will be accepted. (909) 357-5800 Copyright 2002-2023 Blackboard, Inc. All rights reserved. Assessment Curriculum and Instruction Documents & Forms. Any person interested in participating in a school's volunteer program, including continuing volunteers, LAUSD employees, community members and interns, must complete the online volunteer application on the School Volunteer Management System. 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 . Do not give Athletic Clearance documents to a coach or leave on the desk. 2. 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Find the extension in the Web Store and push, Click on the link to the document you want to design and select. We hold championship events in 19 sports across three seasons a year (fall, winter, spring). Once an athlete receives Athletic Clearance, it is valid for ONE YEAR. Double check all the fillable fields to ensure full precision. Athletes must repeat the process each year they plan on participating in our programs. 333 S. Beaudry Ave., Los Angeles, CA 90017. 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. 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 . Click the "Register'' link to start an account. Fosters the partnership between academics and athletics.Promotes the value of high school athletics.Assures that everyone involved with CIF activities is treated with dignity and respect.Encourages collaboration with the Superintendent, the Board of Education and member schools. Click the "register" button to start an account. Choose the 'School Year' in which the student plans to participate. 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). In order to participate in any Jefferson Athletics Program, you MUST complete the following requirements, each school year: 1. Student/Athletes are greatly urged to purchase an ASB card. Circle questions you don't know the answers to. 5297 Maureen Lane, Moorpark, California 93021 (805) 378-6300 Phone.