2014 BCHS Softball Packet1. Please see the attached schedules for team conditioning. The GHSA (Georgia

High School Association) met April 14th and decided to allow high school teams to have spring try outs beginning April of 2015. This year we will have try-outs August 4th-5th.

2. We will keep a total of 22-23 players this year.

3. Start running and throwing NOW! If you plan to make the team, you must be in shape now. We will condition every day. It will be hard to make this year’s team if you are not in good physical condition.

4. Each girl must purchase black cleats (white trim is ok), and black hair ribbons. There will be a team store available in June to purchase the other required attire for practices and games. If you purchased this last year you will not need it.

5. Eighth grade players will not be allowed to try out for the JV team this year.

6. Our budget each season runs at approximately $13,000. Yearly items=$4,500, Tournament Fees/Rooms $7,000, and Officials = $1,500. Last year’s fundraisers covered this amount. Sign Sponsors $5000, Summer Tournament $5000, T-Shirt Sale $500, Gate $1500, and Christmas Trees $1000. We will discuss this more in depth at the parent meeting.

The team is asking for new uniforms. I have priced these through BoomBah.Red Jersey/Black Pants/Belt/Socks $125 per player (everyone should have black pants)Black Jersey/Red Pants/Belt/Socks $125 per player22 players @ $250 each = $5,500 (I am ok with whatever we decide. We can order one set, two, or play with what we currently have. We could also go with a slightly cheaper jersey which would save between $500-$1000. If we decide on new uniforms, money will be needed ASAP!)

7. BCHS will be having mass physicals after school May 2nd. The cost is $5.

If you must be absent or have any other concerns pleasecontact me ASAP @ (912) 663-1787.

Thanks,Al Butler

ALL PAPERWORK

IS DUE

MAY 5TH !!!!!

YOU CAN NOT PARTICIPATE WITHOUT IT!!!

BRYAN COUNTY BOARD OF EDUCATIONPaul Brooksher, Superintendent

BRYAN COUNTY HIGH SCHOOL Parental Consent and Insurance Information Form

Warning: Although participation in supervised interscholastic athletics and school activities may be one of the least hazardous in which students will engage in or out of school, BY ITS NATURE, PARTICIPATION IN INTERSCHOLASTIC ATHLETICS and SCHOOL ACTIVITIES INCLUDES A RISK OF INJURY WHICH MAY RANGE IN SEVERITY FROM MINOR TO LONG-TERM CATASTROPHIC, INCLUDING PERMANENT PARALYSIS FROM THE NECK DOWN OR DEATH. Although serious injuries are not common in supervised school athletic programs or the school setting, it is only possible to minimize, not eliminate the risk.

Students can and do have the responsibility to reduce the chance of injury. STUDENTS AND PLAYERS MUST OBEY ALL SAFETY RULES, REPORT ALL PHYSICAL PROBLEMS TO TEACHERS/COACHES, FOLLOW A PROPER CONDITIONING PROGRAM, AND INSPECT THEIR EQUIPMENT DAILY.

By signing this permission form, you acknowledge that you have read and understand this warning. PARENTS OR STUDENTS WHO DO NOT WISH TO ACCEPT THE RISKS DESCRIBED IN THIS WARNING SHOULD NOT SIGN THIS PERMISSION FORM.

I (we) hereby give permission for my (our) child, ____________________________________, to:1. Compete in all athletics at Bryan County High School under the Georgia High School Association except

________________________________________________________________.2. Accompany any school team/activity on any form if its’ local or out-of-town trips.3. I hereby verify that the information on this form is correct and understand that any false information may result in my

son/daughter being declared ineligible for participation.4. I consent to Internet storage and delivery of this information to medical providers as appropriate.

This acknowledgement of risk and consent to allow participation shall remain in effect until revoked in writing.

Insurance Information (please check one)

____My son/daughter is adequately and currently covered by accident insurance that will cover injuries sustained while participating in any school-authorized activity.

_____________________________ _______________________________ __________________Company providing insurance Name of insured policy/group number

____My son/daughter is not currently covered by accident insurance.

________________________________ __________________Student signature date

________________________________ __________________Signature of Person authorized to Consent for Student date(parent or legal guardian)

________________________________ __________________Relationship to student witness

BRYAN COUNTY BOARD OF EDUCATIONPaul Brooksher, Superintendent

Bryan County High School Athletics

Authorization to Release Medical Information and Consent for Medical Treatment

I, ___________________________________, (parent or guardian OR 18-year-old patient) hereby authorize and consent Bryan County School System’s Certified Athletic Trainer(s) and/or its Consulting Physicians to provide any requested medical information on a need-to-know basis to other physicians, certified athletic trainers, other healthcare providers, school coaching staff and school administration information that directly pertains to my / my child’s athletic participation at Bryan County High School. Said authorization to release medical information shall include, but is not necessarily limited to, information concerning illnesses, injuries, treatments, hospitalizations, examinations, X-rays, or other forms of evaluation and diagnostic testing while participating in competitive athletics at the above-named school. I further authorize the Certified Athletic Trainer, school official, coach, or chaperone involved in the activity to seek medical aid or render care if such attention is necessary in the sole discretion of the person involved. In the event of emergency, and when I cannot be immediately reached by telephone or in person, I give permission to Emergency Medical Services and the physician selected by the Certified Athletic Trainer or school official to provide proper care including, but not necessarily limited to, hospitalization, injections, anesthesia, diagnostics, or emergency surgery for my child.

I understand that I may revoke this authorization by providing written notice to the Athletic Director of Bryan County High School. I also understand that I am waiving my right to privacy with regard to the medical records and patient identifiable information by authorizing the release of my information.

This authorization shall be valid for one (1) year commencing on the effected date executed below. I understand that the release of information is being carried out with my consent and so assume full responsibility.

If patient is less than 18 years of age and not self-supporting or not otherwise able to give consent:

_________________________________________ ___________________________Parent or Guardian Date

_____________________________________________ _______________________________Relationship to Patient Witness

If patient is 18 years of age or self-supporting:

________________________________________ ___________________________Signature of Patient Date

_____________________________________________ ______________________________Witness Date

LADYSKIN SOFTBALL

Athletic Parent Contract

One of the goals of the athletic department at Bryan County High School is to make the athletic experience a positive one for the athletes, the parents, and those who choose to watch our teams perform. To achieve that goal we must all work together and support each other.

In effort to facilitate that, we ask that each parent/guardian read the following guidelines regarding their role as a parent/guardian of an interscholastic athletics participant.

By signing this contract you are demonstrating your support for the sportsmanship initiatives being undertaken by this program.

1. As a parent, I recognize that it is vital that I support the efforts and decisions of the coaching staff. In the event that I have a question regarding my child's role on the team I will communicate those concerns to the coach in a respectful fashion (not during or immediately after a game when emotions are high).

2. As a parent, I also recognize the importance of being a positive role model. Therefore, I agree to conduct myself in a manner consistent with good sportsmanship at all contests, both at BCHS as well as opposing school sites. I agree to cheer in a positive fashion for outstanding play and will refrain from criticizing the efforts of the officials, the players (both teams), and the decisions made by the coaches.

3. As a parent, I also recognize that I have great influence over the actions of my athlete. I will refrain from making negative comments concerning the BCHS Softball program and the coaching staff to my athlete at all times, especially at home.

4. I will also refrain from conversing with the players during practices or games without consent from the coaching staff. Emergency situations are the only exception.

5. Attendance at practice is a priority for all team members. As a parent of a team member, I will make every attempt to assure that my child will be able to attend all practices and contests. In the event of a foreseen absence, the coaching staff will be notified as early as possible. I will also support any disciplinary actions set forth by the coaching staff due to the absence.

6. I will support and endorse all the rules, policies and procedures discussed in the BCHS Student/Parent Athletic Handbook.

Player’s Name ___________________ Parents/Guardians Names _________________________

Parents/Guardians Signature __________________________________________

LADYSKIN SOFTBALL ATHLETIC CONTRACT

1. Members of the softball team are responsible for these rules and regulations, beginning with the first meeting until the last game. By joining this team, players have agreed to abide by all of the following conditions.

2. Players are expected to follow coach's instructions, directions, and decisions. Instructions from outside sources such as other coaches, friends, or adults need to be discussed with the coaching staff.

3. Coaches recognize the following order of priorities: 1) Family 2) Academics 3) Softball. Additional commitments beyond this scope should be considered before joining this team.

4. As a member of this team, you have made a commitment to be in attendance. Players are expected to be at all practices, games and team activities. You have been provided with a schedule of games. Any player missing a practice or game, might not start the following game. College visitation trips are excused absences with prior permission from your coach. You must inform a coach prior to the absence.

5. Players are not to question umpires calls. Players are not to use negative comments towards teammates or to the visiting team and coaching staff. Remember negative comments make negative players.

6. Players are not to converse with or acknowledge parents/fans during games and practices. Stay focused!

7. Bench players are team members. They may be inserted in to the lineup at any time and should be mentally ready. Stay positive and be alert!

8. Throwing of bats, helmets, gloves or other actions of displayed anger on the field may result in a player’s removal from the game or practice. Players ejected from a game for poor sportsmanship will be suspended from that game and the 2 following games.

9. Your appearance and conduct while in or out of uniform is important. Avoid confrontations which may result in a suspension or termination from the team.

11. Any player may be moved to the Junior Varsity or Varsity level at any time. Coaches will discuss this with players as the situation arises.

12. All players must ride school transportation (bus) to and from all games.

13. Players are to be dressed and ready for practice 15 minutes after the last bell rings. Players must have the following items daily: (proper uniform decided by team). Players will get dressed in the locker room or restrooms. Your equipment (glove, cleats, etc) should always be with you (tennis shoes for rainy days).

14. Cell phones are not allowed during practices or games.

15. If players are injured or not at full ability to play, you must notify your coach. If you are unable to participate with the team you may not practice or play until released by the BCHS trainer.

Athlete Signature __________________________________________________

DON’T FORGET

TO ATTACH A COPY

OF YOUR

INSURANCE

CARD!!!!!

■■■ Pre-participation Physical Evaluation HISTORY FORM (Note: This form is to be filled out by the patient and parent prior to seeing the physician. The physician should keep this form in the chart.)

Date of Exam ___________________________________________________________________________________________________________________

Name __________________________________________________________________________________ Date of birth __________________________

Sex _______ Age __________ Grade _____________ School _____________________________ Sport(s) __________________________________

Medicines and Allergies: Please list all of the prescription and over-the-counter medicines and supplements (herbal and nutritional) that you are currently taking

Do you have any allergies? Yes No If yes, please identify specific allergy below. Medicines Pollens Food Stinging Insects

Explain "Yes" answers below. Circle questions you don't know the answers to.

GENERAL QUESTIONS

1. Has a doctor ever denied or restricted your participation in sports for any reason?

2. Do you have any ongoing medical conditions? If so, please identify below: Asthma Anemia Diabetes Infections Other: _______________________________________________

3. Have you ever spent the night in the hospital? 4. Have you ever had surgery?

HEART HEALTH QUESTIONS ABOUT YOU 5. Have you ever passed out or nearly passed out DURING or

AFTER exercise? 6. Have you ever had discomfort, pain, tightness, or pressure in your

chest during exercise? 7. Does your heart ever race or skip beats (irregular beats) during exercise? 8. Has a doctor ever told you that you have any heart problems? If so,

check all that apply:

Yes

Yes

No

No

MEDICAL QUESTIONS 26. Do you cough, wheeze, or have difficulty breathing during or

after exercise? 27. Have you ever used an inhaler or taken asthma medicine? 28. Is there anyone in your family who has asthma? 29. Were you born without or are you missing a kidney, an eye, a testicle

(males), your spleen, or any other organ? 30. Do you have groin pain or a painful bulge or hernia in the groin area? 31. Have you had infectious mononucleosis (mono) within the last month? 32. Do you have any rashes, pressure sores, or other skin problems? 33. Have you had a herpes or MRSA skin infection? 34. Have you ever had a head injury or concussion? 35. Have you ever had a hit or blow to the head that caused confusion,

prolonged headache, or memory problems? 36. Do you have a history of seizure disorder?

Yes No

High blood pressure High cholesterol Kawasaki disease

A heart murmur A heart infection Other: _____________________

37. Do you have headaches with exercise? 38. Have you ever had numbness, tingling, or weakness in your arms or

legs after being hit or falling? 9. Has a doctor ever ordered a test for your heart? (For example, ECG/EKG,

echocardiogram) 10. Do you get lightheaded or feel more short of breath than expected

during exercise? 11. Have you ever had an unexplained seizure? 12. Do you get more tired or short of breath more quickly than your friends

during exercise? HEART HEALTH QUESTIONS ABOUT YOUR FAMILY 13. Has any family member or relative died of heart problems or had an

unexpected or unexplained sudden death before age 50 (including drowning, unexplained car accident, or sudden infant death syndrome)?

14. Does anyone in your family have hypertrophic cardiomyopathy, Marfan syndrome, arrhythmogenic right ventricular cardiomyopathy, long QT syndrome, short QT syndrome, Brugada syndrome, or catecholaminergic polymorphic ventricular tachycardia?

15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator?

16. Has anyone in your family had unexplained fainting, unexplained seizures, or near drowning?

BONE AND JOINT QUESTIONS 17. Have you ever had an injury to a bone, muscle, ligament, or tendon

that caused you to miss a practice or a game? 18. Have you ever had any broken or fractured bones or dislocated joints? 19. Have you ever had an injury that required x-rays, MRI, CT scan,

injections, therapy, a brace, a cast, or crutches? 20. Have you ever had a stress fracture? 21. Have you ever been told that you have or have you had an x-ray for neck

instability or atlantoaxial instability? (Down syndrome or dwarfism) 22. Do you regularly use a brace, orthotics, or other assistive device? 23. Do you have a bone, muscle, or joint injury that bothers you? 24. Do any of your joints become painful, swollen, feel warm, or look red?

Yes

Yes

No

No

39. Have you ever been unable to move your arms or legs after being hit or falling?

40. Have you ever become ill while exercising in the heat? 41. Do you get frequent muscle cramps when exercising? 42. Do you or someone in your family have sickle cell trait or disease? 43. Have you had any problems with your eyes or vision? 44. Have you had any eye injuries? 45. Do you wear glasses or contact lenses? 46. Do you wear protective eyewear, such as goggles or a face shield? 47. Do you worry about your weight? 48. Are you trying to or has anyone recommended that you gain or

lose weight? 49. Are you on a special diet or do you avoid certain types of foods? 50. Have you ever had an eating disorder? 51. Do you have any concerns that you would like to discuss with a doctor? FEMALES ONLY 52. Have you ever had a menstrual period? 53. How old were you when you had your first menstrual period? 54. How many periods have you had in the last 12 months?

Explain "yes" answers here

25. Do you have any history of juvenile arthritis or connective tissue disease?

I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct.

Signature of athlete __________________________________________ Signature of parent/guardian ____________________________________________________________ Date _____________________

©2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. HE0503 9-2681/0410

■■■ Pre-participation Physical EvaluationPHYSICAL EXAMINATION FORM

Name __________________________________________________________________________________ Date of birth __________________________

PHYSICIAN REMINDERS 1. Consider additional questions on more sensitive issues

• Do you feel stressed out or under a lot of pressure? • Do you ever feel sad, hopeless, depressed, or anxious? • Do you feel safe at your home or residence? • Have you ever tried cigarettes, chewing tobacco, snuff, or dip? • During the past 30 days, did you use chewing tobacco, snuff, or dip? • Do you drink alcohol or use any other drugs? • Have you ever taken anabolic steroids or used any other performance supplement? • Have you ever taken any supplements to help you gain or lose weight or improve your performance? • Do you wear a seat belt, use a helmet, and use condoms?

2. Consider reviewing questions on cardiovascular symptoms (questions 5-14).

EXAMINATION Height Weight Male Female BP / ( / ) Pulse Vision R 20/ L 20/ Corrected Y N MEDICAL Appearance • Marfan stigmata (kyphoscoliosis, high-arched palate, pectus excavatum, arachnodactyly,

arm span > height, hyperlaxity, myopia, MVP, aortic insufficiency) Eyes/ears/nose/throat • Pupils equal • Hearing Lymph nodes Heart a

• Murmurs (auscultation standing, supine, +/- Valsalva) • Location of point of maximal impulse (PMI) Pulses • Simultaneous femoral and radial pulses Lungs Abdomen Genitourinary (males only)b

Skin • HSV, lesions suggestive of MRSA, tinea corporis Neurologic c

MUSCULOSKELETAL Neck Back Shoulder/arm Elbow/forearm Wrist/hand/fingers Hip/thigh Knee Leg/ankle Foot/toes Functional

• Duck-walk, single leg hop

NORMAL

ABNORMAL FINDINGS

aConsider ECG, echocardiogram, and referral to cardiology for abnormal cardiac history or exam. bConsider GU exam if in private setting. Having third party present is recommended. cConsider cognitive evaluation or baseline neuropsychiatric testing if a history of significant concussion.

  Cleared for all sports without restriction   Cleared for all sports without restriction with recommendations for further evaluation or treatment for ______________________________________________________________________________

____________________________________________________________________________________________________________________________________________

  NOT cleared

 Pending further evaluation

 For any sports

 For certain sports ________________________________________________________________________________________________________________________

Reason ____________________________________________________________________________________________________________________________

Recommendations ___________________________________________________________________________________________________________________________________

_______________________________________________________________________________________________________________________________________________ I have examined the above-named student and completed the preparticipation physical evaluation. The athlete does not present apparent clinical contraindications to practice and participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents. If condi- tions arise after the athlete has been cleared for participation, the physician may rescind the clearance until the problem is resolved and the potential consequences are completely explained to the athlete (and parents/guardians).

Name of physician (print/type) _____________________________________________________________________________________________________ Date ________________ Address ___________________________________________________________________________________________________________ Phone _________________________

Signature of physician _______________________________________________________________________________________________________________________, MD or DO

©2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. HE0503 9-2681/0410

■■■ Pre-participation Physical Evaluation CLEARANCE FORM

Name _______________________________________________________ Sex M F

Age _________________ Date of Birth _________________

 Cleared for all sports without restriction

  Cleared for all sports without restriction with recommendations for further evaluation or treatment for ______________________________________________

_________________________________________________________________________________________________________________________

  Not cleared

 Pending further evaluation

 For any sports

 For certain sports ___________________________________________________________________________________________________

Reason _________________________________________________________________________________________________________

Recommendations

_____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

I have examined the above-named student and completed the pre-participation physical evaluation. The athlete does not present apparent clinical contraindications to practice and participate in the sport(s) as outlined above. A copy of the physical exam is on record in my office and can be made available to the school at the request of the parents. If conditions arise after the athlete has been cleared for participation, the physician may rescind the clearance until the problem is resolved and the potential consequences are completely explained to the athlete (and parents/guardians).

Name of physician (print/type) _________________________________________________________________________________ Date ________________

Address _______________________________________________________________________________________ Phone _________________________

Signature of physician __________________________________________________________________________________________________, MD or DO

EMERGENCY INFORMATION

Allergies _____________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

Other information _______________________________________________________________________________________________________________

_____________________________________________________________________________________________________________________________

___________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

____________________________________________________________________________________________________________________________

_____________ ©2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. HE0503 9-2681/0410