Log College Middle School: Athletic Forms

  • Covid 19 Waiver Form

    Centennial School District
    Athletic Department

    Participation Waiver for Communicable Diseases Including COVID-19
    The COVID-19 pandemic has presented athletics across the world with a myriad of challenges concerning this highly contagious
    illness that primarily attacks the upper respiratory system. Some severe outcomes have been reported in children, and a child
    with a mild or even asymptomatic case of COVID-19 can spread the infection to others who may be far more vulnerable.


    While it is not possible to eliminate all risk of furthering the spread of COVID-19, the CSD will take necessary precautions and
    comply with guidelines from the federal, state, and local governments, CDC, PA DOH, as well as the NFHS and PIAA, to reduce
    the risks to students, coaches, and their families. As knowledge regarding COVID-19 is constantly changing, CSD reserves the
    right to adjust and implement precautionary methods as necessary to decrease the risk of exposure for our staff, students, and
    spectators. Some precautionary methods in the CSD Summer Athletics Health and Safety Plan include but may not be limited
    to:


    1. Health screenings prior to any practice, event, or team meeting with participation in the activities being limited
    and/or prohibited where an individual displays positive responses or symptoms.


    2. Encourage social distancing and promote healthy hygiene practices such as hand washing, using hand sanitizer, etc.


    3. Intensify cleaning, disinfection, and ventilation in all facilities.


    4. Educate Athletes, Coaches, and Staff on health and safety protocols.


    5. Require Athletes and Coaches to provide their own water bottle for hydration.


    By signing this form, the undersigned voluntarily agree to the following Waiver and release of liability. The undersigned agree to
    release and discharge all claims for ourselves, our heirs, and as a parent or legal guardian for the Student named below, against
    the CSD, its Board of Directors, successors, assigns, officers, agents, employees, and volunteers and will hold them harmless
    from any and all liability or demands for personal injury, psychological injury, sickness, death, or claims resulting from personal
    injury or property damage, of any nature whatsoever which may be incurred by the Student or the undersigned relating to or as
    a result of the Student’s participation in athletic programs, events, and activities during the COVID-19 pandemic.


    The undersigned acknowledge that participating in athletic programs, events, and activities may include a possible exposure to
    a communicable disease including but not limited to MRSA, influenza, and COVID-19. The undersigned further acknowledge
    that they are aware of the risks associated with COVID-19 and that certain vulnerable individuals may have greater health risks
    associated with exposure to COVID-19, including individuals with serious underlying health conditions such as, but not limited
    to: high blood pressure, chronic lung disease, diabetes, asthma, and those whose immune systems that are compromised by
    chemotherapy for cancer, and other conditions requiring such therapy. While particular recommendations and personal
    discipline may reduce the risks associated with participating in athletics during the COVID-19 pandemic, the risk of serious
    illness, medical complications and possible death does exist.


    We knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and
    assume full responsibility for Student’s participation in athletics during the COVID-19 pandemic. We willingly agree to comply
    with the stated recommendations put forth by the CSD to limit the exposure and spread of COVID-19 and other communicable
    diseases. We certify that Student is in good physical condition or believe Student to be in good physical condition and allow
    participation in this sport at our own risk.


    Sport: _________________________________________


    Signature of Parent/Guardian:_________________________________________ Date:______________


    Signature of Student Athlete:__________________________________________ Date:______________


    *Parents/Guardians may request a full copy of the Centennial School District Summer Athletics Health and Safety Plan. Contact
    John Creighton, AD at creijo@centennialsd.org for any additional questions.

    Comments (-1)
  • Athletic Sports Flyer: Sports Information for Fall, Winter and Spring Seasons

    This will include what you need to know to participate on a sports team at Log College Middle School.

        

    EVERYTHING YOU NEED TO KNOW TO PLAY A SPORT NEXT YEAR

    • THE SPORTS PLAYED IN THE FALL ARE:

    CHEERLEADING / BOYS SOCCER / FOOTBALL / FIELD HOCKEY/ VOLLEYBALL

    • THE SPORTS PLAYED IN THE WINTER ARE:

    CHEERLEADING / GIRLS BASKETBALL /WRESTLING / BOYS BASKETBALL

    • THE SPORTS PLAYED IN THE SPRING ARE:

    BASEBALL / SOFTBALL / GIRLS TRACK AND BOYS TRACK / GIRLS SOCCER.

    • THE CLUB SPORTS PLAYED IN THE SPRING ARE:

    BOYS AND GIRLS LACROSSE/ BOYS AND GIRLS TENNIS

    • THE FIRST POSSIBLE START DATE FOR FALL SPORTS IS TENTATIVELY TUESDAY, SEPTEMBER 8, 2020.
    • IT IS NECESSARY TO HAVE A PIAA SPORTS PHYSICAL TO PARTICIPATE IN ANY SCHOOL SPORT. PAGES 1-5 MUST BE COMPLETED BY THE PARENT AND PAGE 6 IS COMPLETED BY THE PHYSICIAN. THE PHYSICIAN’S PHYSICAL MUST BE PERFORMED AFTER JUNE 1ST OF THE CURRENT SCHOOL YEAR WHICH WILL MAKE IT VALID UNTIL JUNE 1ST OF THE FOLLOWING YEAR.  THE PHYSICAL CAN NOT EXPIRE DURING A SPORT SEASON. 

    It is strongly recommended that you schedule an appointment soon, as summer appointments for physicals fill up quickly.  

    • NO STUDENT -UNDER ANY CIRCUMSTANCES – WILL BE PERMITTED TO PARTICIPATE IN A TRY OUT OR PRACTICE UNTIL THEY SUBMIT THE SIGNED PIAA PHYSICAL FORM.
    • Versions of the PIAA physical evaluation and other forms are available on the Log College school’s website and the PIAA website.

    To access LC website visit http://www.centennialsd.org/Page/2260

    To access the PIAA website visit: https://www.piaa.org/resources/forms/default.aspx

    THANK YOU,

    MARK SWARTWOOD

    LC ATHLETIC DIRECTOR

    Comments (-1)
  • PIAA Physical Form for 2020-2021 School Year

    IT IS NECESSARY TO HAVE A PIAA SPORTS PHYSICAL TO PARTICIPATE IN ANY SCHOOL SPORT. PAGES 1-5 MUST BE COMPLETED BY THE PARENT AND PAGE 6 IS COMPLETED BY THE PHYSICIAN. THE PHYSICIAN’S PHYSICAL MUST BE PERFORMED AFTER JUNE 1ST OF THE CURRENT SCHOOL YEAR WHICH WILL MAKE IT VALID UNTIL JUNE 1ST OF THE FOLLOWING YEAR.  THE PHYSICAL CAN NOT EXPIRE DURING A SPORT SEASON.

    • THE FIRST POSSIBLE START DATE FOR FALL SPORTS IS TENTATIVELY TUESDAY, SEPTEMBER 8, 2020.
    • IT IS NECESSARY TO HAVE A PIAA SPORTS PHYSICAL TO PARTICIPATE IN ANY SCHOOL SPORT. PAGES 1-5 MUST BE COMPLETED BY THE PARENT AND PAGE 6 IS COMPLETED BY THE PHYSICIAN. THE PHYSICIAN’S PHYSICAL MUST BE PERFORMED AFTER JUNE 1ST OF THE CURRENT SCHOOL YEAR WHICH WILL MAKE IT VALID UNTIL JUNE 1ST OF THE FOLLOWING YEAR.  THE PHYSICAL CAN NOT EXPIRE DURING A SPORT SEASON. 

    It is strongly recommended that you schedule an appointment soon, as summer appointments for physicals fill up quickly.  

    • NO STUDENT -UNDER ANY CIRCUMSTANCES – WILL BE PERMITTED TO PARTICIPATE IN A TRY OUT OR PRACTICE UNTIL THEY SUBMIT THE SIGNED PIAA PHYSICAL FORM.
    • Versions of the PIAA physical evaluation and other forms are available on the Log College school’s website and the PIAA website.
    • To access the PIAA website visit: https://www.piaa.org/resources/forms/default.aspx

      THANK YOU,

      MARK SWARTWOOD

      LC ATHLETIC DIRECTOR

    Comments (-1)
  • Middle School Athletic Handbook

    Here is copy of the athletic handbook handed out to each member of one of our sports teams. Please review this with your son/daughter and sign the form at the end. The signed form should be return to your coach.
     
     
    Comments (-1)