Parent Agreement. I, have read the DPI’s Concussion and Head Injury Information sheet. I have had the opportunity to read more information about concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until they are evaluated by an appropriate health care provide and provide written clearance from the health care provider to their coach. I understand concussions can have a serious effect on a young, developing brain and need to be addressed correctly. I have read the Sudden Cardiac Arrest information sheet. I understand that my child should stop activity/exercise immediately if they have any warning signs of sudden cardiac arrest. I understand it is recommended if my child has any warning signs of sudden cardiac arrest while exercising, they have a medical examination before exercising or returning to participation in their sport. I understand that I or my child should report a family history of heart problems or warning signs of sudden cardiac arrest to the healthcare provider doing the medical examination. I understand how to request at my cost the administration of an electrocardiogram, in addition to a comprehensive physical examination required to participate in a youth athletic activity. I understand the athletic director may be able to assist me. Parent/Guardian Signature Date ATHLETE AGREEMENT As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet. Athlete Agreement: I, have read the Concussion and Head Injury Information sheet. I have had the opportunity to read more information on concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must be evaluated by an appropriate health care provider and provide to my coach written clearance to participate in the activity from the health care provider before I may return to practice/play. I understand that after a head injury my brain needs time to heal and that it may not heal properly if I return to practice/play too soon. I have read the Sudden Cardiac Arrest Information sheet. I understand that I should stop activity/exercise immediately if I have any warning signs of sudden cardiac arrest and report the symptoms to my coaches and my parents/guardians. Athlete Signature
Appears in 3 contracts
Samples: Parent Agreement, Parent Agreement, Coaches Agreement
Parent Agreement. I, have read the DPI’s Concussion and Head Injury Information sheet. I have had the opportunity to read more information about concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is the procedures and how it may be caused. requirements to which my student must comply, including the Lancaster Acceptable Use and Internet Safety Policy • I also understand the common signs, symptoms, and behaviors. I agree that accept responsibility for any monetary charges resulting from damage or neglect of my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. student’s Chromebook • I understand that my child canstudent may lose his/her Chromebook privileges and/or incur charges as a result of inappropriate behavior, damage, neglect, or loss to any district Chromebook • I understand that if charges or other financial obligations to the school are not return paid at the end of the student’s last school year, LCS grades and credits of students may be withheld Student Responsibilities Your Chromebook is an important learning tool and is to practice/play until they are evaluated be used for educational purposes only. In order to take your Chromebook home each day, you must be willing to accept the following responsibilities: I WILL: • treat the Chromebook with care by an appropriate health care provide and provide written clearance not dropping it, getting it wet, leaving it outdoors, or using it with food or drink nearby • not lend the Chromebook to anyone, not even my friends or siblings; it will stay in my possession at all times • not load any software onto the Chromebook; not remove programs or files from the health care provider Chromebook • not use my Chromebook with personal email accounts. Ex: Gmail, Hotmail • make sure I charge my Chromebook every night and bring it to their coach. school every day • not give personal information when using the Chromebook • keep all accounts and passwords assigned to me secure, and will not share these with any other students • not attempt to repair the Chromebook, I understand concussions can have a serious effect on a youngwill seek technical assistance from school personnel • return the Chromebook when requested and upon my withdrawal from Lancaster City Schools • I agree that email (or any other computer communication) should be used only for appropriate, developing brain legitimate, and need to be addressed correctly. responsible communication • When using the Chromebook at home, at school, and anywhere else I may take it, I will follow the policies of Lancaster City Schools, especially the Student Code of Conduct and Acceptable Use Policy, and abide by all local state and federal laws Student Agreement • I have read the Sudden Cardiac Arrest information sheet. Lancaster Chromebook Loan Agreement and the Parent and Student Responsibilities • I understand that my child should stop activity/exercise immediately if they have any warning signs of sudden cardiac arrest. read the Lancaster Acceptable Use and Internet Safety Policy, and agree to comply with it at all times, including when I understand it is recommended if my child has any warning signs of sudden cardiac arrest while exercising, they have a medical examination before exercising or returning to participation in their sport. am not at school • I understand that I or may lose my child should report Chromebook privileges as a family history result of heart problems or warning signs of sudden cardiac arrest to the healthcare provider doing the medical examination. I understand how to request at my cost the administration of an electrocardiograminappropriate behavior, in addition to a comprehensive physical examination required to participate in a youth athletic activity. I understand the athletic director and may be able to assist me. Parent/Guardian Signature Date ATHLETE AGREEMENT As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors financially responsible for intentional damage or avoidable loss of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet. Athlete Agreement: I, have read the Concussion and Head Injury Information sheet. I have had the opportunity to read more information on concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must be evaluated by an appropriate health care provider and provide to my coach written clearance to participate in the activity from the health care provider before I may return to practice/play. I understand that after a head injury my brain needs time to heal and that it may not heal properly if I return to practice/play too soon. I have read the Sudden Cardiac Arrest Information sheet. I understand that I should stop activity/exercise immediately if I have any warning signs of sudden cardiac arrest and report the symptoms to my coaches and my parents/guardians. Athlete Signaturedistrict Chromebook Technology Protection Fund Form
Appears in 3 contracts
Samples: Chromebook Loan Agreement, Chromebook Loan Agreement, Chromebook Loan Agreement
Parent Agreement. I, have read the DPI’s Concussion and Head Injury Information sheet. I have had the opportunity to read more information about concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is the procedures and how it may be caused. requirements to which my student must comply, including the Lancaster Acceptable Use and Internet Safety Policy I also understand the common signs, symptoms, and behaviors. I agree that accept responsibility for any monetary charges resulting from damage or neglect of my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. student’s Chromebook I understand that my child canstudent may lose his/her Chromebook privileges and/or incur charges as a result of inappropriate behavior, damage, neglect, or loss to any district Chromebook I understand that if charges or other financial obligations to the school are not return paid at the end of the student’s last school year, LCS grades and credits of students may be withheld Student Responsibilities Your Chromebook is an important learning tool and is to practice/play until they are evaluated be used for educational purposes only. In order to take your Chromebook home each day, you must be willing to accept the following responsibilities: I WILL: treat the Chromebook with care by an appropriate health care provide and provide written clearance not dropping it, getting it wet, leaving it outdoors, or using it with food or drink nearby not lend the Chromebook to anyone, not even my friends or siblings; it will stay in my possession at all times not load any software onto the Chromebook; not remove programs or files from the health care provider Chromebook not use my Chromebook with personal email accounts. Ex: Gmail, Hotmail make sure I charge my Chromebook every night and bring it to their coach. school every day not give personal information when using the Chromebook keep all accounts and passwords assigned to me secure, and will not share these with any other students not attempt to repair the Chromebook, I understand concussions can have a serious effect on a youngwill seek technical assistance from school personnel return the Chromebook when requested and upon my withdrawal from Lancaster City Schools I agree that email (or any other computer communication) should be used only for appropriate, developing brain legitimate, and need to be addressed correctly. responsible communication When using the Chromebook at home, at school, and anywhere else I may take it, I will follow the policies of Lancaster City Schools, especially the Student Code of Conduct and Acceptable Use Policy, and abide by all local state and federal laws Student Agreement I have read the Sudden Cardiac Arrest information sheet. Lancaster Chromebook Loan Agreement and the Parent and Student Responsibilities I understand that my child should stop activity/exercise immediately if they have any warning signs of sudden cardiac arrest. read the Lancaster Acceptable Use and Internet Safety Policy, and agree to comply with it at all times, including when I understand it is recommended if my child has any warning signs of sudden cardiac arrest while exercising, they have a medical examination before exercising or returning to participation in their sport. am not at school I understand that I or may lose my child should report Chromebook privileges as a family history result of heart problems or warning signs of sudden cardiac arrest to the healthcare provider doing the medical examination. I understand how to request at my cost the administration of an electrocardiograminappropriate behavior, in addition to a comprehensive physical examination required to participate in a youth athletic activity. I understand the athletic director and may be able to assist me. Parent/Guardian Signature Date ATHLETE AGREEMENT As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors financially responsible for intentional damage or avoidable loss of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet. Athlete Agreement: I, have read the Concussion and Head Injury Information sheet. I have had the opportunity to read more information on concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must be evaluated by an appropriate health care provider and provide to my coach written clearance to participate in the activity from the health care provider before I may return to practice/play. I understand that after a head injury my brain needs time to heal and that it may not heal properly if I return to practice/play too soon. I have read the Sudden Cardiac Arrest Information sheet. I understand that I should stop activity/exercise immediately if I have any warning signs of sudden cardiac arrest and report the symptoms to my coaches and my parents/guardians. Athlete Signaturedistrict Chromebook Technology Protection Fund Form
Appears in 2 contracts
Samples: Chromebook Loan Agreement, Chromebook Loan Agreement
Parent Agreement. I, have read the DPI’s Concussion and Head Injury Information sheet. I have had the opportunity to read more information about concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is the expectations and how it may be caused. I also understand accept the common signs, symptoms, and behaviors. I agree that challenge of an AP course for my child must be removed from practice/play if a concussion is suspectedfor an entire school year (both semesters). • I understand that it is the course(s) may require a level of rigor and challenge to which my responsibility student may be unaccustomed, and I agree to seek medical treatment if support them in living up to the challenge and successfully complete the full year of the course. • I will notify the teacher immediately of any concerns I have relating to the AP coursework or my student’s progress. • I understand and agree that a suspected concussion is reported schedule change during the school year to meremove an AP course will not be considered. • I understand that my child canthe Counselors will not return to practice/play until they are evaluated by an appropriate health care provide and provide written clearance from the health care provider to their coach. I understand concussions can have a serious effect on a young, developing brain and need to be addressed correctly. I have read the Sudden Cardiac Arrest information sheet. I understand that my child should stop activity/exercise immediately if they have any warning signs of sudden cardiac arrest. I understand it is recommended if my child has any warning signs of sudden cardiac arrest while exercising, they have a medical examination before exercising or returning to participation in their sport. I understand that I or my child should report a family history of heart problems or warning signs of sudden cardiac arrest to the healthcare provider doing the medical examination. I understand how to request at my cost the administration of an electrocardiogram, in addition to a comprehensive physical examination required to participate in a youth athletic activity. I understand the athletic director may be able to assist mealter my student’s AP class load. **THIS SECTION IS REQUIRED FOR XXXXXX COURSE REQUESTS** L’Anse Creuse Public Schools Reduced Instructional Time Approval School Year: 2023-2024 Start Date: TBD Home School: L’Anse Creuse High School – North Attending School: Xxxxxxxxx X. Xxxxxx Center Student Information Student’s Name: Grade: Parent/Student Request This will serve as authorization to reduce classes for the above student for the 2023-24 school year (not fewer than 80% required hours per school year) for the following reason(s) Transportation time to and from Xxxxxxxxx X. Xxxxxx Center. X Student’s Signature Date X Parent/Guardian Signature School Approval Date ATHLETE AGREEMENT As In our professional judgement, the student’s educational needs would be best served by a parentreduced schedule (878.4 hour minimum, in accordance with section 101 of the State School Aid Act – ML 388.1701). It is agreed that if the pupil fails to show satisfactory performance under a reduced schedule, he/guardian she will be required to return to a full schedule. Permission for the attached reduced schedule has been granted for the requested reasoning in accordance with Department policies as specified in the Pupil Membership Accounting and as an athlete it is important Auditing Manual. Transportation time to recognize the signsand from Xxxxxxxxx X. Xxxxxx Center. Principal’s Signature February 17, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form, you are stating 2023 Date **THIS SECTION IS REQUIRED FOR SCHEDULING COURSES** Course Request Approval & AP Enrollment Agreement My signature below confirms that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet. Athlete Agreement: I, have read the Concussion and Head Injury Information sheet. I have had reviewed and agree upon the opportunity to read more information on concussions on the Centers for Disease Control above course requests and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand confirms that I must be removed from practice/play if a concussion is suspected. I understand that I must be evaluated by an appropriate health care provider and provide to my coach written clearance to participate in the activity from the health care provider before I may return to practice/play. I understand that after a head injury my brain needs time to heal and that it may not heal properly if I return to practice/play too soon. I have read and understand the Sudden Cardiac Arrest Information sheetexpectations of an AP Course. I understand that I should stop activity/exercise immediately if I have any warning signs of sudden cardiac arrest and report the symptoms to my coaches and my parents/guardians. Athlete SignatureX Student’s Signature Date X
Appears in 1 contract
Samples: www.lc-ps.org
Parent Agreement. I, have read the DPI’s Concussion and Head Injury Information sheet. I have had the opportunity to read more information about concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I agree that my child must be removed from practice/play if a concussion is suspected. I understand that it is my responsibility to seek medical treatment if a suspected concussion is reported to me. I understand that my child cannot return to practice/play until they are evaluated by an appropriate health care provide provider and provide written clearance from the health care provider to their coach. I understand concussions can have a serious effect on a young, developing brain and need to be addressed correctly. I have read the Sudden Cardiac Arrest information sheet. I understand that my child should stop activity/exercise immediately if they have any warning signs of sudden cardiac arrest. I understand it is recommended that if my child has any warning signs of sudden cardiac arrest while exercising, they have a medical examination before exercising or returning to participation in their sport. I understand that I or my child should report a family history of heart problems or warning signs of sudden cardiac arrest to the healthcare provider doing the medical examination. I understand how to request at my cost the administration of an electrocardiogram, in addition to a comprehensive physical examination required to participate in a youth athletic activity. I understand the athletic director may be able to assist me. Parent/Guardian Signature Signature: Date ATHLETE AGREEMENT As a parent/guardian and as an athlete it is important to recognize the signs, symptoms, and behaviors of concussions and sudden cardiac arrest. By signing this form, you are stating that you have read the Department of Public Instruction’s (DPI) and the Wisconsin Interscholastic Athletic Association (WIAA) Concussion and Head Injury information sheet and Sudden Cardiac Arrest Information sheet. Athlete Agreement: I, have read the Concussion and Head Injury Information sheet. I have had the opportunity to read more information on concussions on the Centers for Disease Control and Prevention’s (CDC) websites. I understand what a concussion is and how it may be caused. I also understand the common signs, symptoms, and behaviors. I understand the importance of reporting a suspected concussion to my coaches and my parents/guardian. I understand that I must be removed from practice/play if a concussion is suspected. I understand that I must be evaluated by an appropriate health care provider and provide to my coach written clearance to participate in the activity from the health care provider before I may return to practice/play. I understand that after a head injury my brain needs time to heal and that it may not heal properly if I return to practice/play too soon. I have read the Sudden Cardiac Arrest Information sheet. I understand that I should stop activity/exercise immediately if I have any warning signs of sudden cardiac arrest and report the symptoms to my coaches and my parents/guardians. Athlete Signature: Date
Appears in 1 contract
Samples: cdnsm5-ss10.sharpschool.com