Titan Athletics Information for the School Year

Transcription

1 Titan Athletics Information for the School Year -Physicals for athletes participating in athletics for the school year must be completed and dated AFTER May 1st, Katy ISD sponsored physical dates and locations can be found in this packet & on the Katy ISD Athletic website. Athletic Physicals at Katy ISD sponsored locations are $25.00 by CASH or CHECK ONLY. The Physical & Medical History forms are included in this packet and will need to accompany your student athlete to their physical exam. ***Katy ISD will be Sponsoring Tompkins High School*** -In addition to the above mentioned Physical & Medical History forms, there are 3 online forms that must be completed, signed & submitted electronically (Handbook Acknowledgment Form, KISD Consent to Treat From, & the UIL Forms Si nature Page). You will need your student s KISD ID #. -These Online Participation Forms for the school year will be live and ready for completion on the Rank One Sport website starting April 23rd, The participation forms can be accessed through the Katy ISD Athletic Department website or by following the link below. Link: BBEmSEEil!! To be placed into an athletics class period, every athlete needs to have their online participation forms completed and their CLEARED physical forms turned into the coaches office BEFORE the end of the current school year (May 24th, 2018). This will ensure that your student is fully registered and ready to participate when the next school year begins. Both Football & Volleyball Practice starts the first day of school and only cleared athletes will be allowed participate. Every football player must go through a 4 day acclimation period in a helmet only and is not allowed to participate in a game until the 10th day of full pads, so missin one day of practice can cause them to miss the first game All Tays Athletics information is sent out using Remind and our Athletics Website. Please take a few minutes to sign-up for our Athletics Remind notifications. Registration information is included in this packet as well. If you have any questions, comments, or concerns please feel free to contact us. Coach Blake / Boys Athletics BrvanLBlake@katvisd.org Office: Coach Miller / Girls Athletics JennieCMiller@kisd.org Office:

2 2018 Physical Schedule Date Facility Location Athletes Tuesday May 01, 2018 MCHS 9th Grade Gym 5:30pm-6:15pm Wednesday, May 02, 2018 THS Gym 4 5:30pm-6:15pm Thursday, May 03, 2018 SLHS Competition Gym 5:30pm-6:15pm Monday, May 07, 2018 BDJH Competition Gym 5:30pm-6:15pm Tuesday, May 08, 2018 MRHS Competition Gym 5:30pm-6:15pm Wednesday, May 09, 2018 WCJH Competition Gym 5:30pm-6:15pm Monday, May 14, 2018 PHS Competition Gym 5:30pm-6:15pm Tuesday, May 15, 2018 OTHS Competition Gym 5:30pm-6:15pm Wednesday, May 16, 2018 Competition Gym 5:30pm-6:15pm Thursday, May 17, 2018 CRHS Competition Gym 5:30pm-6:15pm Tuesday, July 24, 2018 OTHS Competition Gym 6:00-6:45pm Wednesday, July 25, 2018 MRHS Competition Gym 6:00-6:45pm Thursday, July 26, 2018 KHS Competition Gym 6:00-6:45pm Monday, July 30, 2018 THS Gym 4 6:00-6:45pm Tuesday, July 31, 2018 MCHS 9th Grade Gym 6:00-6:45pm Wednesday, August 01, 2018 Paetow HS Competition Gym 6:00-6:45pm Tuesday, August 07, 2018 MDJH Competition Gym 6:00-6:45pm Thursday, August 09, 2018 SLHS Competition Gym 6:00-6:45pm Monday, August 13, 2018 CRHS Competition Gym 6:00-6:45pm Wednesday, August 15, 2018 Merrell Center South Lobby 5:30pm-6:15pm Thursday, August 16, 2018 Merrell Center South Lobby 5:30pm-6:15pm Friday, August 17, 2018 Merrell Center South Lobby 5:30pm-6:15pm

3 PREPARTICIPATION PHYSICAL EVALUATION - MEDICAL HISTORY revised This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities. These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event. Student's Name: (print) Sex Age Date of Birth Address, Phone Grade School Personal Physician In case of emergency, contact: Name Phone _Relationship _Phone(H). _(W)_ Explain "Yes" ans ers in the box below**. Circle questions you don't know the answers to. Any Yes answer to questions 1,2,3,4,5, or 6 requires further medical evaluation which may include a physical examination. Written clearance from a physician, physician assistant, chiropractor, or nurse practitioner is required before any participation in UIL practices, games or matches 1. Have you had a medical illness or injury since your last check up or sports physical? 2. Have you been hospitalized overnight in the past year? Have you ever had surgery? 3. Have you ever passed out during or after exercise? Have you ever had chest pain during or after exercise? Do you get tired more quickly than your friends do during exercise? Have you ever had racing of your heart or skipped heartbeats? Have you had high blood pressure or high cholesterol? Have you ever been told you have a heart murmur? Has any family member or relative died of heart problems or of sudden unexpected death before age 50? Has any family member been diagnosed with enlarged heart, (dilated cardiomyopathy), hypertrophic cardiomyopathy, long QT syndrome or other ion channelpathy (Brugada syndrome, etc), Marfan's syndrome, or abnormal heart rhythm? Have you had a severe viral infection (for example, myocarditis or mononucleosis) within the last month? Has a physician ever denied or restricted your participation in sports for any heart problems? 4. Have you ever had a head injury or concussion? Have you ever been knocked out, become unconscious, or lost your memory? If yes, how any When was the last times? concussion? How severe was each one? (Explain below) Have you ever had a seizure? Do you have frequent or severe headaches? Have you ever had numbness or tingling in your arms, hands, legs, or feet? Have you ever had a stinger, burner, or pinched nerve? 5. Are you missing any paired organs? 6. Are you under a doctor s care? 7. Are you currently taking any prescription or non-prescription (over-the-counter) medication or pills or using an inhaler? 8. Do you have any allergies (for example, to pollen, medicine, food, or stinging insects)? 9. Have you ever been dizzy during or after exercise? Yes No Have you ever gotten unexpectedly short of breath with exercise? Do you have asthma? Do you have seasonal allergies that require medical treat ent? Do you use any special protective or corrective equipment or devices that aren't usually used for your sport or position (for example, knee brace, special neck roll, foot orthotics, retainer on your teeth, hearing aid)? Have you ever had a sprain, strain, or swelling after injury? Have you broken or fractured any bones or dislocated any joints? Have you had any other problems with pain or swelling in muscles, tendons, bones, or joints? If yes, check appropriate box and explain below. Head Elbow Hip Neck Forearm Thigh Back Wrist Knee Chest Hand Shin/Calf Shoulder Finger Ankle Upper Arm Do you want to weigh more or less than you do now? Foot Do you lose weight regularly to meet weight requirements for your sport? 17. Do you feel stressed out? 18. Have you ever been diagnosed with or treated for sickle cell trait or sickle cell disease? Females Only 19. When was your first menstrual period? When was your most recent menstrual period? How much time do you usually have from the start of one period to the start of another? How many periods have you had in the last year? What was the longest time between periods in the last year? An individual answering in the affirmative to any question relating to a possible cardiovascular health issue (question three above), as identified on the form, should be restricted from further participation until the individual is e amined and cleared b a physician, physician assistant, chiropractor, or nurse practitioner. Yes No 10. Do you have any current skin problems (for example, itching, rashes, acne, warts, fungus, or blisters)? 11. Have you ever become ill from exercising in the heat? 12. Have you had any problems with your eyes or vision? It is understood that even though protective equipment is worn bj the athlete, Interscholastic League nor the school assumes any responsibility in case an accident occurs. If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given said student by any physician, athletic trainer, nurse or school representative. I do hereby agree to indemnify and save harmless the school and any school or hospital representative from any claim by any person on account of such care and treatment of said student. If, between this date and the beginning of athletic competition, any illness or injury should occur that may limit this student's participation, I agree to notify the school authorities of such illness or injury. I hereby state that, to the best of my kno ledge, my ans ers to the above questions are complete and correct. Failure to provide truthful responses could subject the student in question to penalties determined by the UIL Studentj>ionature Parent/Guardian Signature: Date: THIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE, SCRIMMAGE OR CONTEST BEFORE, DURING OR AFTER SCHOOL. For School Use Only: This Medical History Form was reviewed by: Printed Name Date Signature

4 PREPARTICIPATION PHYSICAL EVALUATION - PHYSICAL EXAMINATION Student's Name Sex Age Date of Birth Height Weight % Body fat (o tional) Pulse BP /(/./) brachial blood pressure while sitting Vision R 20/ L 20/ Corrected: Y N Pupils: Equal Unequal As a minimum requirement, this Physical Ex min tion For must be completed prior to junior high athletic participation and again prior to first and third years of high school athletic participation. It must be completed if there are yes answers to specific questions on the student's MEDICAL HISTORY FORM on the reverse side. * Local di trict policy may require an annual phy ical exam. MEDICAL Appearance Eyes/Ears/Nose/Throat Lymph Nodes Heart-Auscultation of the heart in the supine position. Heart-Auscultation of the heart in the standing position. Heart-Lower extremity pulses Pulses Lungs Abdomen Genitalia (males only) Skin Marfan s stigmata (arachnodactyly, pectus excavatum, joint hypermobility, scoliosis) MUSCULOSKELETAL Neck Back Shoulder/Arm Elbow/Forearm Wrist/Hand Hip/Thigh Knee Leg/Ankle Foot NORMAL ABNORMAL FINDINGS INITIALS* *station-based examination only CLEARANCE Cleared Cleared after completing evaluation/rehabilitation for: Not cleared for: Reason: Recommendations: The following information must be filled in and signed by either a Physician, a Physician Assistant licensed by a State Board of Physician Assistant Examiners, a Registered Nurse recogniz d as an Advanced Practice Nurse by the Board of Nurse Examiners, or a Doctor of Chiropractic. Examination forms signed by any other health care practitioner, will not be accepted. Name (print/type) ; ; Date of Examination: Address:. :. ' ' Phone Number: '' Signature: Must be completed before a student participates in any practice, before, during or after school, (both in-season and out-of-season) or games/matches.

5 remind Sign up for important updates from Coach Blake. Get information for TJH Boys Athletics right on your p one not on handouts. Pick a way to receive messages for TJH Boys Athletics: If you have a smartphone, get push notifications. On your iphone or Android phone, open your web browser and go to the following link: rmd.at/9dccb2 rmd.at/9dccb2 Full Name Join TJH Boys Athletics Follow the instructions to sign up for Remind. You ll be prompted to download the mobile app. If you don t have a smartphone, get text notifications. Text the to the number If you re having trouble with 81010, try to (832) * Standard text message rates apply. Don t have a mobile phone? Go to i'md.at/9dccb2 on a desktop computer to sign up for notifications.

6 remind Sign up for important updates from Coach Hutch and Coach Tano. Get information for Tays Junior High right on your phone not on handouts. Pick a way to receive messages for TJH Girls Athletic Announcements: I i If you have a smartphone, get push! notifications. \ On your iphone or Android phone, open your web browser and go to the following link: rmd.at/tjhgi Follow the instructions to sign up for Remind. You ll be prompted to download the mobile app. rmd.at/tjhgi Join TJH Girls Athletic Announcements Full Name First and Last Name Phone Number or Address (555) B ) If you don t have a smartphone, get text notifications. Text the to the number If you re having trouble with 81010, try to (512) * Standard text message rates apply. Don t have a mobile phone? Go to rmd.at/tihai on a desktop computer to sign up for notifications.