Smokey Road Middle School

965 Smokey Road | Newnan, Ga 30263 | (770) 254-2840 | Fax (770) 304-5933

Athletic Forms/Video

STUDENT ATHLETE REQUIRED DOCUMENTATION

Students who wish to participate in the various athletics offered at any Coweta County Middle School need to have the correct paperwork completed and turned in to the appropriate coach prior to any practice or tryout. Paperwork consists of: parent authorization, release form, training room consent form, physical, heat warning advisory, and athletics warning film form. Parents need to view the athletics warning film with their child before signing.

 

1. Current Physical Evaluation


Each participant must have a certificate of an annual physical examination on file at the school prior to participating in athletic try-outs, practices, or games that indicates the student is physically approved for participation.

Physical exams will be good for twelve months from the date of the exam. EXCEPTION: any physical examination taken on or after April 1 in the preceding year will be accepted for the following (GHSA) school year.


The physical exam must be conducted by a licensed medical physician, or doctor of Osteopathic medicine, or a physician's assistant.

The exam must be signed by a doctor, but the doctor's stamp is acceptable if it is in script, and information appears elsewhere on the form identifying him or her as a medical doctor.


It is required that all students use the physical examination form approved by the American Academy of Pediatrics that is found in the GHSA Forms Notebook. The form must have “Revised 7/1/2005 Mandatory” in the upper left corner of the History page.

 

2. Report Card from the Previous Semester

 

Each participant must pass five (5) out of six (6) subjects the semester previous to the proposed semester of participation for the 2009-2010 calendar year. Each subject must be passed with a minimum grade of 70. Transfer students from out of county may not have more than one (1) failing grade and be eligible to participate. The connections grades of the previous semester will be averaged as one of the subjects. Each school is to send an eligibility form to the commissioner prior to the first contest for a sport.

 

3. Proof of Insurance

 

All athletes must have insurance to participate. Insurance information must be included with their paperwork. Coweta County middle schools will not endorse any insurance. Should an athlete's family not have coverage, they should be encouraged to purchase their own or purchase the insurance provided through the school. The “school-type insurance” will cover athletic participation. If Medicaid is listed as the insurance, the athlete's Medicaid number should be on his or her paperwork. It will be the parent's responsibility to maintain current insurance information at the school.

 

4. Signed Warning Film Statement

 

All student athletes' parent/guardian must view the current year warning film and sign this form stating they have full understanding of the dangers involved in participating athletics.

 

5. Signed Coweta County Middle School Student Athlete Contract

 

All student athletes and their parents must sign this form stating they have full understanding of the guidelines set forth in the Coweta County Middle School Student Athlete Participation Guidelines.

 

6. Hot Weather Practice Procedures (Heat Index)

 

All parents must sign this form stating they understand hot weather practice procedures.

These forms are required for all participants: