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Spring 2010-2011
Sports Offerings




            All Photos courtesy of Jeff Dreke
Dear Students, Parents and Guardians,

Before crafting this document I went back and reviewed last year‘s brochure. In my opening paragraph
I noted the temperatures of -26 and -17. This year…only -5. We’re warming up so let’s think spring!
This packet contains all of the information needed to register for our spring sports offerings. Again we
are offering track, golf, tennis, sailing and crew.

In the brochure you will find several forms including eligibility information, registration form and an
athletic commitment form. Please remove these pages, fill them out COMPLETELY, and return them
to the Athletic Director. Please keep in mind that payment is not required at this time; your account
will be billed for the sport you sign up for.

      Deadline for Registration is Monday, January 31, 2011.
                  Late registrations will only be accepted if there is room on the team.
                                    A $50.00 late fee will be assessed.


Our goal is to teach life skills through the athletics that we offer at ISM. COMMITMENT and
RESPONSIBILITY are two of the biggest values we attempt to teach. COMMITMENT to the team is
an important aspect of athletics. We ask that each parent and student consider where athletics falls into
the life of the student athlete and be ready to fulfill the commitment to the team. It is the
RESPONSIBILITY of the student athlete to inform his/her coach when they will miss a practice or
game. Student Athletes are also RESPONSIBLE for their work in the classroom and behavior on and
off the field.


 Please remember your child’s schedule when filling out the registration form to avoid conflicts.
          Your account will be billed. Do not send payment with the registration form.
               Cancellation Policy: Because we make a commitment to our
                coaches and leagues, you are obligated to the sport you sign up for
                           unless it is cancelled. Please choose wisely!


We encourage all families to become involved in the Husky Booster Club. This Club plays an active
role in the success of ISM athletics. The Booster Club will be meeting on March 2 at 7:00 p.m. in the
ISM Library. We hope that you will join us. Please contact the Athletic Director or Julie Dreke
(jsdreke@msn.com) to find out how you can contribute to the success of Husky Athletics.

GO HUSKIES!!!
Chad D. Eischens                                 Joel Carufel
Athletic Director                                Assistant Athletic Director
ceischens@ism-sabis.net                          jcarufel@ism-sabis.net
952-918-1833                                     952-918-1800 ext. 610
Guidelines for Student Participation in
                          Extracurricular Activities
ISM athletics support the philosophy that the playing field is an extension of the classroom where we
utilize athletics to learn life skills. To that affect our participants are truly Student Athletes.

The following information is taken from the ISM Student Handbook:

◊ Students must be making satisfactory progress towards meeting The School’s requirements for
   graduation.

◊ All students participating in Minnesota State High School League (MSHSL) activities are governed
   by MSHSL rules and regulations.

◊ Students who receive a failing grade at the end of any term must write and follow an academic plan
   set in conjunction with the SMC, the AQC (6-12) or Guidance Counselor (9-12), and parents, to
   include tutor sessions, which will allow them to spend the proper amount of time studying to
   ensure academic success.

◊ As long as sufficient effort and progress, as determined by The School, is being realized, the
   student may participate in extracurricular activities.

◊ If a student should fail a course in two consecutive terms, the student will not be allowed to
   participate in extracurricular activities. The SMC and the AQC will work with the student and family
   to determine an appropriate course of action.

◊ By definition extracurricular activities includes all school sponsored events and activities, fee based
   or otherwise.
Registration Form
                            Due to the Athletic Director
                     By Monday, January 31, 2011
                 Late registrations will only be accepted if there is room on the team.
                                   A $50.00 late fee will be assessed.
                                         (Please write legibly!)

Student Name                                     Grade        ___ Date       ______

Parent/Guardian Name                                                         ______

Parent/Guardian Home/Work Phone #                                            ______

Email __________________________________________________________________

Parent/Guardian Signature

Sport Choices (check one)                                                    Fees
◊ Varsity Boys Track and Field                                               $245.00

◊ Varsity Girls Track and Field                                              $245.00

◊ 6-8 Grade Boys Track and Field                                             $245.00

◊ 6-8 Grade Girls Track and Field                                            $245.00

◊ 4-12 Grade Boys Tennis                                                     $250.00

◊ 4-12 Grade Girls Tennis                                                    $250.00

◊ 4-12 Grade Golf                                                            $285.00

◊ 7-12 Grade Boys and Girls Sailing                                          www.lmss.us

◊ 14-17 Year Old Boys and Girls Crew                                         www.tcyrc.org
The International School of Minnesota Athletic Commitment

Individual and team success in sports results from commitment. The extent to which young athletes are able to make such
commitments reflects their maturity as well as their dedication to family, friends, school, and team. Your school and coach already
have made a similar kind of commitment. For these reasons, we ask you to read and agree to the following:

As an athlete in my school, I promise:
• To be a worthy representative of my teammates and coaches, abiding by school and community expectations
     and reflecting my team’s values of commitment and hard work.
• To reflect the knowledge that a commitment to victory is nothing without the commitment to hard work in
     practice.
• To attend every practice unless excused by my coach.
• To understand that my future as a responsible adult relates more to my academic than my athletic activities.
• To find the time to satisfy my family relationships and responsibilities
• To accept the responsibilities of team membership: cooperation, support of my teammates, share
    responsibilities, positive interaction, and mutual respect.

Cooperation among coaches, athletes, parents, and school personnel is essential if students are to realize the values of athletic
participation. Like coaches and athletes, parents must make commitments to the athletic program to assure such cooperation. We ask
that you read the following and, as needed, discuss your reactions with your child’s coach or Athletic Director.

As the parent of an athlete in this school, I promise:
• To provide the coach with any information on physical limitations.
• To work closely with all school personnel to assure an appropriate academic as well as athletic experience for
     my child.
• To assure that my child will attend all scheduled practices and athletic contests.
• To acknowledge the ultimate authority of the coach to determine strategy and player selection.
• To promote mature behavior from students and parents during athletic contests.
I have read the above statements and promise to live up to them:

Student Name _____________________________                     Grade ____________

Student Signature ____________________________                 Date _____________

Bill my account.                                               Yes_____ No    _____
I have read and understand the ISM Athletic Handbook.          Yes_____ No    _____
My child has a current physical on file at ISM.                Yes_____ No    _____
I am willing to volunteer at athletic events.                  Yes_____ No    _____

Parent/Guardian Name _____________________________________

Parent/Guardian Signature __________________________________

Home # ________________________

Work # ________________________

Cell # _________________________

Email ______________________________________________


                                PLEASE RETURN THIS PAGE WITH YOUR REGISTRATION
The following is information from
  the Minnesota State High School
           League (MSHSL)
       regarding eligibility. All
Student Athletes in grades 7-12 and
their parents must read and sign one
      form per year. If you have
completed a form for a fall or winter
 sport you do not need to complete
                 another.
      Return this form with your
        registration. You cannot
practice or play without this form on
    file with the Athletic Director.
 Please contact the Athletic Director
     if you have any questions or
                concerns.
2010-2011
                               ATHLETIC ELIGIBILITY BROCHURE
Students: Your participation in high school activities is dependent on your eligibility. PROTECT that eligibility by reviewing with your parent(s)/guardian(s) this
summary of Minnesota State High School League rules which govern your participation. Complete regulations are found in the MSHSL Official Handbook which is
available at each member high school and which is also posted on the MSHSL Web site: www.mshsl.org. Please keep this brochure for reference, and if there is a
question about any rule interpretation, CONTACT YOUR SCHOOL PRINCIPAL OR ATHLETIC/ACTIVITIES DIRECTOR.
I understand that once I sign the eligibility statement all eligibility rules apply:
         Twelve (12) months of the year;
         Whether I am currently participating or not;
         Continuously from the first signing of the statement.
Parents/Guardians: REVIEW the following rules with your son or daughter. Your role in stressing the value of following these rules cannot be overstated.
Checklist for Student Eligibility (If you cannot check all 11 items, see your athletic/activities director or principal)
______ 1. Making academic progress toward graduation.                                    ______ 8. Have not and will not compete in non-school events in my sport after
______ 2. Will not have turned 20 before the start of the season in which I                          reporting for the school team.
             participate.                                                                ______ 9. Have not and will not use or possess tobacco or alcoholic
______ 3. Physical exam within the last three (3) years on file with the school.                     beverages, use, consume, have in possession, buy, sell or give
______ 4. Have not transferred schools.                                                              away any other controlled substance, including steroids.
______ 5. Will not play more than four (4) seasons in any sport in grades 9-12.          ______ 10. Have not and will not violate the racial/religious/sexual
______ 6. Have not dropped out of school or repeated a grade while in high                           harassment/violence/and hazing bylaws of the MSHSL.
             school.                                                                     ______ 11. I agree to fully cooperate in any investigation honestly and truthfully.
______ 7. Have not accepted cash in any amount or merchandise valued at
             more than $100 for participating in a sport.

     INFORMED CONSENT: By its nature, participation in interscholastic athletics includes risk of injury and the transmission of infectious diseases such as HIV,
     Hepatitis B, herpes and others. Although serious injuries are not common and the risk of HIV transmission is almost nonexistent in supervised school athletic
     programs, it is impossible to eliminate all risk. Participants have the responsibility to help reduce that risk. Participants must obey all safety rules, report all
     physical and hygiene problems to their coaches, follow a proper conditioning program, and inspect their own equipment daily.

                                                                   GENERAL RULES
1.    *ACADEMIC — (Credit Requirement) To be eligible, a student                               C.    Penalty:
      must be making satisfactory progress toward the school’s                                       1. First Violation: After confirmation of the first violation, the
      requirement for graduation.                                                                        student shall lose eligibility in that sport for the next two
2.    *AGE — A student representing a member school in League                                            (2) consecutive interscholastic contests or two (2) weeks of
      activities shall be under 20 years of age at the start of the season.                              that season, whichever is greater. If there are fewer than
      If, however, a student has started a season, the student will be                                   two (2) events remaining in that sport, the loss of eligibility
      permitted to complete that season after reaching the student’s 20th                                will continue into the next season in that sport. Note: This
      birthday. Adapted athletes are eligible to participate until their 22nd                            means that a senior who violates the bylaws at the end of
      birthday provided they meet all other eligibility requirements.                                    one sport season will lose eligibility for two (2) games in
3.    FOREIGN EXCHANGE STUDENTS — Approved Foreign                                                       the next sport season in which the student participates.
      Exchange Students are limited to 1 calendar year of high school                                2. Second Violation: After confirmation of the second
      eligibility beginning with their 1st date of enrollment and                                        violation, the student shall lose eligibility in that sport for
      attendance.                                                                                        the next six (6) consecutive interscholastic contests or three
      INTERNATIONAL STUDENTS – students not participating in a                                           (3) weeks, whichever is greater.
      CSIET approved foreign exchange program are eligible only at the                               3. Third Violation: After confirmation of the third or
      B-squad or JV level for one calendar year.                                                         subsequent violations, the student shall lose eligibility in
4.    AMATEUR — A student must be an amateur in that sport. A                                            that sport for the next twelve (12) consecutive
      student may not receive cash or merchandise for athletic                                           interscholastic contests or four (4) weeks, whichever is
      participation. A student does not lose her/his amateur status because                              greater.
      of reimbursement for officiating, instructing, teaching or coaching a              6.    PROGRESSIVE AND CONSECUTIVE PENALTIES: Penalties
      sport.                                                                                   shall be progressive and consecutive beginning with the student’s
5.    ATHLETIC CAMPS AND CLINICS —                                                             first participation in a League activity and continuing through the
      A. School Year: Students may attend athletic camps and clinics                           student’s high school career.
            which have been approved by their high school principal.                     7.    AMATEUR STATUS AND AWARDS BYLAW — Acceptable
      B. Summer Vacation Period: Non-school specialized athletic                               awards to students in recognition of participation in high school
            camps and clinics do not require approval.                                         activities include medals, ribbons, letters, trophies, plaques and
            1. The non-school sponsored camp or clinic fee must be                             other items of little or no intrinsic value ($100.00 or less).
                provided by the student or the student’s parent(s) or                          Violation will render a student ineligible for participation in that
                guardian, unless other arrangements are approved by the                        activity.
                Board of Directors.                                                      8.    COLLEGE/UNIVERSITY TEAMS — Individuals who have
            2. A student may attend a camp or clinic where a member of                         participated with a college or university team are ineligible for
                the school’s coaching staff (sophomore, B-Squad, junior                        participation in any activity of the League.
                varsity or varsity) in that sport owns, administers, directs,            9.    FAIR HEARING PROCEDURE — The League Constitution
                organizes, or serves as an instructor or is a staff member                     provides a Fair Hearing Procedure for the student or parent
                during the student’s attendance.                                               contesting a school’s determination of ineligibility for a student.
The student has 10 calendar days in which to appeal the                          Lessons/Training: During the MSHSL high school season
      school’s decision. The appeals process includes an appeal before a               athletes may take lessons from professionals and other non-
      hearing panel at the school and the right, if desired, to appeal that            school coaches without limit as to where, when or who may
      decision to the League’s Board of Directors. An independent                      provide the training. Athletes may not miss a high school
      hearing examiner will hear the appeal and make written findings of               practice, game, or meet to take a lesson or train for a non-
      fact, conclusions and a recommendation for the Board of Directors                school event. Athletes may take lessons and or train with a
      following the hearing. The Board’s decision shall be final. A                    non-school team/club during the high school season in the
      complete listing of the Fair Hearing Procedure may be obtained                   same sport.
      from the athletic director or principal of the high school or on Web             Competition: Athletes will be able to compete in non-school
      at www.mshsl.org in the Publications section.                                    events/competitions that do not match the events in which
10.   *ENROLLMENT, ATTENDANCE, AND REQUIRED                                            athletes currently compete in high school competition.
      SUBJECT LOAD — Students must be fully enrolled in (as defined                    Exception: Summer Vacation Period — Students may
      by the Minnesota Department of Education) and attending the                      participate in non-school competitions, meets, games,
      school before they are eligible to represent that school in MSHSL                tournaments in the same sport they currently play at the high
      sponsored activities. Students must be properly registered, attending            school level during the summer vacation period. See definition
      school and classes regularly, and enrolled in the required number of             of summer vacation below: 14.C.
      credits to graduate in four (4) years after first entering the 9th grade.        Summer Coaching waiver: If a student participates on a team
11.   *GENERAL ELIGIBILITY — In order to be eligible for regular                       coached by a member of the high school coaching staff,
      season and MSHSL tournament competition, a student must be                       coaching contact shall end on July 31 unless a conditional
      fully enrolled as defined by the Minnesota Department of Education               extension to the summer waiver is granted by the school’s
      and a bona fide member of his or her high school in good standing.               athletic director.
      A student who is under penalty of exclusion, expulsion or                        Students may take private lessons during the MSHSL season.
      suspension, whose character or conduct violates the Student Code            B.   During the School Year, Prior To and Following the High
      of Responsibilities and is not in good standing, shall be ineligible             School Sports Season: A student may participate in contests,
      for a period of time as determined by the principal.                             meets or tournaments as an individual competitor or as a
      Student Code of Responsibilities                                                 member of a non-school team provided that these activities are
      As a student participating in my school’s interscholastic activities, I          voluntary and not influenced or directed by a salaried or non-
      understand and accept the following responsibilities:                            salaried member of the student’s sophomore, B-squad, junior
      1. I will respect the rights and beliefs of others and will treat others         varsity or varsity high school coaching staff.
      with courtesy and consideration.                                                 1. A student may not use any type of high school uniform.
      2. I will be fully responsible for my own actions and the                        2. A student may not receive coaching or training from a
      consequences of my actions                                                           salaried or non-salaried member of the student’s sophomore,
      3. I will respect the property of others.                                            B-squad, junior varsity or varsity high school coaching staff
      4. I will respect and obey the rules of my school and the laws of my                 in that sport. Power skating, tennis, gymnastics, and indoor
      community, state and country.                                                        soccer are included in this limitation.
      5. I will show respect to those who are responsible for enforcing the            3. A student may receive training through private lessons
      rules of my school and the laws of my community, state and                           from a person who is not a salaried or non-salaried member
      country.                                                                             of the student’s sophomore, B-squad, junior varsity or
      A student ejected from a contest shall be ineligible for the next                    varsity high school coaching staff in that sport.
      regularly scheduled game or meet at that level of competition and                4. A student’s fee for non-school coaching or training must be
      all other games or meets in the interim at any level of competition,                 provided by the student or the student’s parent(s) or
      for the first ejection. All subsequent ejections shall result in                     guardian(s) unless approved by the Board of Directors.
      ineligibility for four (4) regularly scheduled games or meets.              C.   Summer Vacation Period:
12.   *GRADUATE — A student shall not be a graduate of a high                          A student may compete as an individual or as a member of a
      school or any secondary school. This includes foreign exchange                   nonschool team even though competing on a high school team
      students and international students.                                             in the same sport. Summer shall be defined as June 1 through
13.   LAST DATE TO JOIN A TEAM — To be eligible for section                            Labor Day. Summer for the sport of soccer shall be defined as
      and state competition, a student must be a member of that school’s               June 1 through Sunday immediately preceding the official
      team not later than the fourth Monday from the official start of that            starting date of the MSHSL high school soccer season. Note:
      sport season. Gymnasts must be on the school’s team not later than               Students may participate in activities during the summer, as
      the third Monday from the official start of that season. When a                  defined above, even though their high school sport season in
      sport season begins on a Monday, that day shall be counted as the                the same sport has begun. For example, students may play in
      first Monday.                                                                    a non-school tennis tournament while a member of the high
14.   NON-SCHOOL COMPETITION AND TRAINING FOR                                          school team or participate in road races while a member of the
      TEAM AND INDIVIDUAL SPORTS —                                                     cross country team through Labor Day. Soccer is excluded
      A. During the High School Season: During the high school                         from dual participation as defined above.
            season a student may not participate as a member of a team or         D.   Penalty:
            as an individual competitor in non-school sponsored games,                 1. First Violation: After confirmation of the first violation, the
            meets, tournaments or contests, in the same sport.                             student shall lose eligibility in that sport for the next two
            Participation defined: practice, training, tryouts, scrimmaging                (2) consecutive interscholastic contests or two (2) weeks of
            and competing. Season Defined: The high school season shall                    that season, whichever is greater. If there are fewer than
            run from the first date that practice may begin until the team is              two (2) events remaining in that sport, the loss of eligibility
            eliminated in MSHSL tournament competition. Baseball,                          will continue into the next season in that sport. Note: This
            Softball and Skiing are exceptions to this rule.                               means that a senior who violates the bylaws at the end of
            Exception: Non-School Training During the High School                          one sport season will lose eligibility for two (2) games in
            Season for Athletes Who Qualify as Individual competitors                      the next sport season in which the student participates.
            to the State Tournament: (Swimming, Cross Country,                         2. Second Violation: After confirmation of the second
            Tennis, Skiing, Gymnastics, Wrestling, Synchronize                             violation, the student shall lose eligibility in that sport for
            Swimming, Golf, and Track and Field)                                           the next six (6) consecutive interscholastic contests or three
(3) weeks, whichever is greater.                                       which there is a change of residence and occupancy in
            3. Third Violation: After confirmation of the third or                     Minnesota by the student’s parents. If the student’s parents
                subsequent violations, the student shall lose eligibility in           move from one public school district attendance area to
                that sport for the next twelve (12) consecutive                        another public school district attendance area, the student will
                interscholastic contests or four (4) weeks, whichever is               be eligible in the new public school attendance area or a non-
                greater.                                                               public school if the student transfers at the same time the
            4. Penalties are progressive and consecutive.                              student’s parents move.
      E. Special Considerations:                                                       If the parents move from one public school district attendance
            1. National Teams and Olympic Development Programs —                       area to another, the student shall continue to be fully eligible if
                    The MSHSL may permit participation by high school                  the student continues enrollment in the prior school for the
                    students on bona fide national teams or in Olympic                 balance of the current marking period or for the balance of the
                    development programs if:                                           academic school year. If the student elects either of the current
                a. The program is approved and supported by the national               enrollment options above, the student will be fully eligible
                    governing body of the sport or if there is an Olympic              upon transfer to the new school.
                    development program of training and competition.                   A student who elects not to transfer upon a parent’s change in
                b. Directly funded by a national governing body on a                   residence shall continue to be eligible at the school in which
                    national level.                                                    the student is currently enrolled.
                c. Authorized by a national governing body for athletes          3. Court Ordered Residence Change for Child Protection: the
                    having potential for future national team participation.           student’s residence is changed pursuant to a child protection
                Students who are invited to participate on National Teams or           order placement in a foster home, or a juvenile court
                in Olympic Development Programs must contact their high                disposition order.
                school principal to obtain an application form. This must be     4. Custody of Student: a student of legally divorced parents who
                completed at least thirty (30) days prior to participation.            have joint physical custody of the student may move from one
            2. During the school year, students who participate for their              custodial parent to the other custodial parent and be fully
                school in a sport may participate through training, try-out            eligible at the time of the move. The student may utilize this
                or competition on a National Team or in a United States                provision only one time during grades 9-12 inclusive.
                Olympic Development Program provided the student                 5. Move from Out of State: if a student’s parents move to
                receives an individual invitation from the United States               Minnesota from a state or country outside of Minnesota and if
                Olympic Committee or the United States National                        the student moves at the same time the parent establishes a
                Governing Body on the national level for that sport.                   residence in a Minnesota public school district attendance area,
            3. Students who have completed their eligibility in a sport are            the student shall be eligible at the first school the student
                exempt from the non-school competition and training rules              attends in Minnesota.
                in that sport.                                                   6. Enrollment Options Program: a student who utilizes Minnesota
15.   *PHYSICAL EXAMINATION AND PARENTS PERMIT —                                       Statute 124D.03 Enrollment Options Programs, and transfers
      Any student who intends to participate in high school                            without a corresponding change of residence by the student’s
      interscholastic athletics and cheerleading activities must have on               parents shall elect one of the following:
      file in the school, a record of a physical examination performed                 a. retain full eligibility for varsity competition for one (1)
      within the previous three (3) years. A health questionnaire shall be                  calendar year at the school where the student was enrolled
      completed annually and could indicate the need for a physical                         prior to the transfer after which time the student shall
      examination prior to participation. The signature of the parent or                    become fully eligible at the school to which the student has
      guardian approving participation is required.                                         open enrolled; or
16.   *SEASONS OF PARTICIPATION — No student may                                       b. be eligible only at the non-varsity level in the school to which
      participate in more than four (4) seasons in any sport while enrolled                 the student has open enrolled for one (1) calendar year.
      in grades 9-12, semesters 1-8 inclusive.                                C. If none of the provisions in Section 2 (above) are met, the student is
17.   *SEMESTERS IN HIGH SCHOOL — A student shall not                            ineligible for varsity competition for a period of one (1) calendar
      participate in an interscholastic contest after the student’s eighth       year beginning with the first day of attendance in the new school.
      semester in grades 9-12 inclusive. All eight semesters shall be            1. Students are immediately eligible for competition at the non-
      consecutive, beginning in the 9th grade. The attendance of 15 days             varsity level.
      or more in one semester or participation in a practice or contest will     2. A student may not obtain eligibility as a result of a transfer. If
      count as a semester in administering this standard.                            at the time of transfer the student was not fully eligible in the
18.   JUNIOR HIGH PARTICIPATION — Participation in high                              previous school, the student shall be ineligible in the new
      school interscholastic programs is limited to students in grades 7-12          school. A student who was not in good standing at the time of
      inclusive. Students in grade 7, 8 and 9 may participate if enrolled            transfer shall be ineligible until the penalty from the previous
      in the regular continuation school for the educational unit and if all         school has been served.
      other eligibility requirements of the League have been met.                3. Each time a student transfers and the conditions of the transfer
      Elementary students in grades 1-6 are not eligible for participation           do not meet any of the provisions of Bylaw 111.2.A., the
      in any MSHSL-sponsored activity; B-squad, junior varsity or                    student will be ineligible for varsity competition for a period of
      varsity level.                                                                 one (1) calendar year beginning with the first day of attendance
19.   TRANSFER RULE — Bylaw 111                                                      at the new school. For example, if a student, while serving a
      A. A transfer student is eligible for varsity competition provided             one-year transfer suspension, transfers to another school and
            the student was in good standing on the date of withdrawal               none of the provisions of Bylaw 111.2.A. are met, an additional
            from the last school the student attended and one (1) of the             one-year suspension will be applied. The student will begin
            provisions in Section B (below) is met.                                  serving the additional one-year suspension immediately
      B. A transfer student is eligible for varsity competition if:                  following the completion of the previous one-year suspension.
            1. 9th Grade Option: The student is enrolling in 9th grade for   20. *MOOD-ALTERING CHEMICALS
                 the first time.                                                 A. Bylaw
      2. Family Residence Change: the student transfers from one                       Twelve (12) months of the year, a student shall not at any
            public school district attendance area to another public school            time, regardless of the quantity: (1) use or consume, have
            district attendance area at any time during the calendar year in           in possession a beverage containing alcohol; (2) use or
consume, have in possession tobacco; or, (3) use or                                    The school district will discipline or take appropriate action
       consume, have in possession, buy, sell, or give away any                               against any student, teacher, administrator, volunteer, coach,
       other controlled substance or drug paraphernalia.                                      official contractor or employee of the school district who
       1. The bylaw applies continuously from the first signing of                            retaliates against any person who makes a good faith report of
          the student Eligibility Brochure.                                                   alleged sexual, racial, religious harassment, violence or hazing
       2. It is not a violation for a student to be in possession of a                        or against any person who testifies, assists, or participates in an
          controlled substance specifically prescribed for the                                investigation, or against any person who testifies, assists or
          student’s own use by her/his doctor.                                                participates in a proceeding or hearing relating to such sexual,
    B. Penalty:                                                                               racial, religious harassment, violence or hazing. Retaliation
       1. First Violation: After confirmation of the first violation, the                     includes, but is not limited to, any form of intimidation,
          student shall lose eligibility for the next two (2)                                 reprisal or harassment.
          consecutive interscholastic contests or two (2) weeks of a                     D.   Penalties for Category I Activities:
          season in which the student is a participant, whichever is                              1. First Violation: the student shall lose eligibility for the next two
          greater. No exception is permitted for a student who                                       (2) consecutive interscholastic contests or two (2) weeks, 14
          becomes a participant in a treatment program.                                              calendar days, of a season in which the student is a participant,
                                                                                                     whichever is greater. Recommendations: 1) It is recommended
       2. Second Violation: After confirmation of the second
                                                                                                     that the school develop a local education program through
          violation, the student shall lose eligibility for the next six                             which the student would receive information about sexual,
          (6) consecutive interscholastic contests in which the student                              racial, religious harassment, violence or hazing. 2) It is
          is a participant or three (3) weeks, whichever is greater. No                              recommended that, when appropriate, the school refer a
          exception is permitted for a student who becomes a                                         student to a community agency or a professional individual
          participant in a treatment program.                                                        outside the school for counseling.
       3. Third and Subsequent Violations: After confirmation of the                              2. Second Violation: the student shall lose eligibility for the next
          third or subsequent violations, the student shall lose                                     six (6) consecutive interscholastic contests or three (3) weeks,
                                                                                                     21 calendar days, whichever is greater, in which the student is
          eligibility for the next twelve (12) consecutive
                                                                                                     a participant. Recommendation: It is recommended that before
          interscholastic contests in which the student is a participant                             being re-admitted to activities following suspension for the
          or four (4) weeks, whichever is greater. If after the third or                             second violation, the student shall show evidence in writing
          subsequent violations, the student has been assessed to be                                 that the student has received counseling from a community
          chemically dependent and the student on her/his own                                        agency or professional individual such as a school counselor,
          volition becomes a participant in a chemical dependency                                    medical doctor, psychiatrist, or psychologist.
          program or treatment program, then the student may be                                   3. Third or Subsequent Violations: the student shall lose
          certified for reinstatement in MSHSL activities after a                                    eligibility for the next twelve (12) consecutive interscholastic
                                                                                                     contests or four (4) weeks, 28 calendar days, whichever is
          minimum period of six (6) weeks. Such certification must
                                                                                                     greater, in which the student is a participant.
          be issued by the director or a counselor of a chemical
                                                                                                  4. Penalties are progressive and consecutive.
          dependency treatment center.
                                                                                         E.   Penalties for Category II Activities:
       4. Penalties are progressive and consecutive.
                                                                                              Each member school shall develop penalties that it will apply
       5. Denial Disqualification: A student shall be disqualified
                                                                                              to the participants in these activities. A current copy of the
          from all inter-scholastic athletics for nine (9) additional                         member school’s policy shall be kept on file in the member
          weeks beyond the student’s original period of                                       school.
          ineligibility when the student denies violation of the                     22. SERVING AN MSHSL PENALTY — a student must be a
          rule, is allowed to participate and then is subsequently                       student in good standing, and able to be placed in the game, meet or
          found guilty of the violation.                                                 contest except for the penalty being served. (Students who are not
21. *SEXUAL/RACIAL/RELIGIOUS HARASSMENT/                                                 in good standing due to suspension, expulsion, injury, illness,
    VIOLENCE and HAZING                                                                  family vacations, etc are not able to be placed in a game, meet or
    A. Reference Bylaw 209.00:
                                                                                         contest and are therefore not able to count those contests toward the
       A student shall not engage in the sexual, racial, religious
                                                                                         penalty).
       harassment, violence or hazing during the school year or any
       portion of an activity season that occurs prior to the start of the
       school year or after the close of the school year.
    B. Reporting Procedures:
             1. Any person who believes he or she has been the victim of
                sexual, racial, religious harassment, violence or hazing or any      * Denotes rules applicable to cheerleaders
                person with knowledge or belief of conduct, which may                                                                                Revised 4-15-10
                constitute hazing, shall report the alleged acts immediately to
                an appropriate school district official designated by this policy.
             2. The building principal is the person responsible for receiving
                reports of sexual, racial, religious harassment, violence or
                hazing at the building level. Any person may report hazing
                directly to a school district human rights officer or to the
                superintendent.
             3. Teachers, administrators, officials, volunteers, and employees
                of the school district shall be particularly alert to possible
                situations, circumstances or events which might include sexual,
                racial, religious harassment, violence or hazing. Any such
                person who receives a report of, observes, or had other
                knowledge or belief of conduct, which may constitute sexual,
                racial, religious harassment, violence or hazing, shall inform
                the building principal immediately.
             4. Submission of a good faith complaint or report of sexual,
                racial, religious harassment, violence or hazing will not affect
                the complainant or reporter’s future employment, grades or
                work assignments.
     C.   Reprisal
2010-2011 MSHSL ATHLETIC ELIGIBILITY STATEMENT
    Statement to be signed by the participant from a MSHSL member school and by the participant’s parent or guardian
•     I have read, understand, and acknowledge receiving the 2010-2011 Athletic Eligibility Brochure, which contains only a summary
      of the eligibility rules of the Minnesota State High School League. I understand that a copy of the Official Handbook of the
      MSHSL is on file with the senior high school athletic director and or principal and that I may review it, in its entirety, if I so
      choose. The Official Handbook and MSHSL bylaws are also posted on the MSHSL Web site: www.mshsl.org under Handbook.
•     I understand that once I sign the eligibility statement all eligibility rules apply:
         -- Twelve (12) months of the year;
         -- Whether I am currently participating or not;
         -- Continuously from the first signing of the statement through the completion of my high school eligibility.
•     I further understand that a member school of the MSHSL must adhere to all of the rules and regulations that pertain to the League
      athletic activities a school may sponsor and that local rules may be more stringent, and penalties more severe, than MSHSL rules.
                                                STUDENT CODE OF RESPONSIBILITIES
•     As a student participating in my school’s interscholastic activities, I understand and accept the following responsibilities:
      -- I will respect the rights and beliefs of others and will treat others with courtesy and consideration.
      -- I will be fully responsible for my own actions and the consequences of my actions.
      -- I will respect the property of others.
      -- I will respect and obey the rules of my school and the laws of my community, state and country.
      -- I will show respect to those who are responsible for enforcing the rules of my school and the laws of my community, state and
      country.
           A student whose character or conduct violates the Student Code of Responsibilities or is suspended or expelled is not
           in good standing and is ineligible for a period of time as determined by the principal. While a student not in good
           standing, a student may not serve any penalty for MSHSL Bylaw violations.
•     Informed Consent: By its nature, participation in interscholastic athletics includes risk of injury and the transmission of infectious
      diseases such as HIV, Herpes and Hepatitis B and others. Although serious injuries are not common and the risk of HIV
      transmission is almost nonexistent in supervised school athletic programs, it is impossible to eliminate all risk. Participants have
      the responsibility to help reduce that risk. Participants must obey all safety rules, report all physical and hygiene problems to their
      coaches, follow a proper conditioning program, and inspect their own equipment daily. PARENTS, GUARDIANS OR
      STUDENTS WHO MAY NOT WISH TO ACCEPT THE RISK DESCRIBED IN THIS WARNING SHOULD NOT
      SIGN THIS FORM. STUDENTS MAY NOT PARTICIPATE IN AN MSHSL-SPONSORED ACTIVITY WITHOUT
      THE STUDENT’S AND PARENT’S/GUARDIAN’S SIGNATURE.
•     I consent to the athletic trainer or coach treating injuries and authorize them to discuss those injuries with and release any
      applicable medical information or records relating to those injuries to coaches, school staff and other qualified health care
      providers as deemed necessary within their scope of practice.

•     I further understand that in the case of injury or illness requiring transportation to a health care facility, that a reasonable attempt
      will be made to contact the parent or guardian in the case of the student-athlete being a minor, but that, if necessary, the student-
      athlete will be transported via ambulance to the nearest hospital.
•     By signing this we acknowledge that we have read the information contained in the Athletic Eligibility Brochure and Statement.
The student/parent authorizes the release of documents and other pertinent information by the school in order to determine
student eligibility. In addition, the student/parent understands and agrees that public information shall include names and
pictures of students participating in or attending extra-curricular activities, school events, and High School League activities
or events.

__________________________________________________________________________________________
Student’s Printed Name                  Birth Date                        Grade in School

__________________________________________________________________________________________
Student’s Signature                                                            Date

__________________________________________________________________________________________
Parent’s or Guardian’s Signature                                               Date
MSHSL ANNUAL SPORTS HEALTH QUESTIONNAIRE

DATE        ______ / ______ / __________
Name _______________________________________                                                     Male____ Female____ Age ____                                  Birth Date ______ / ______ / ________
Grade ____             School _________________________________                                                 Sport(s) ______________________________________________
Address ___________________________________________________________________________________________________
Phone       ____________________________                                       Date of Last Sports Qualifying Physical Exam (SQPE) _____ / ______ / ________

                               Check Yes or No boxes for each question or Circle question numbers for which you cannot answer.

Since your last complete Sports Qualifying Physical Exam with your physician or your Year 2 Annual Health Questionnaire, please respond to
the following questions:

                                                                                                                                                                                                            YES        NO
 1.   Has a doctor restricted your participation in sports for any reason without clearing you to return to sports? ..................................
                                                   IMPORTANT HEART HEALTH QUESTIONS ABOUT YOU
 2.   Have you passed out or nearly passed out during or after exercise? ..............................................................................................
 3.   Have you had discomfort, pain, tightness, or pressure in your chest during exercise? ...................................................................
 4.   Does your heart race or skip beats (irregular beats) during exercise? .............................................................................................
 5.   Do you get light-headed or feel more short of breath than expected during exercise? ....................................................................
 6.   Have you had an unexplained seizure? ...........................................................................................................................................
                                           IMPORTANT HEART HEALTH QUESTIONS ABOUT YOUR FAMILY
 7.   Has anyone in your immediate family died suddenly and unexpectedly for no apparent reason?...................................................
 8.   Has any family member or relative died of heart problems or had an unexpected or unexplained sudden death before age 50
      (including drowning, car accident, or Sudden Infant Death Syndrome)? .........................................................................................
 9.   Has anyone in your immediate family had instances of unexplained fainting, seizures, or near drowning? ....................................
10.   Has anyone in your immediate family developed hypertrophic cardiomyopathy, Marfan Syndrome, arrhythmogenic right
      ventricular cardiomyopathy, long QT Syndrome, short QT Syndrome, Brugada Syndrome, or catecholaminergic polymorphic
      ventricular tachycardia?....................................................................................................................................................................
11.   Has anyone in your immediate family been diagnosed with Marfan Syndrome, arrhythmogenic right ventricular
      cardiomyopathy, long QT Syndrome, short QT Syndrome, Brugada Syndrome, or catecholaminergic polymorphic ventricular
      tachycardia? .....................................................................................................................................................................................
12.   Does anyone in your immediate family under age 50 have a heart problem, pacemaker, or implanted defibrillator? .....................
                                                                           MEDICAL RISK QUESTIONS
13.   Have you had infectious mononucleosis (mono) within the last month? ..........................................................................................
14.   Have you had a head injury or concussion that still has symptoms like continuing headaches? .....................................................
15.   Have you had numbness, tingling, weakness in, or inability to move your arms or legs after being hit or falling?...........................

Parents or Legal Guardians—please note:
    •   A “YES” answer to any of the above questions will require a clearance note from a physician prior to
        participation.
    •   Please list below any health concerns, medications, or allergies that may be important for the coaches or
        athletic/activities director to know.




I do not know of any existing physical or additional health reason that would preclude participation in sports. I certify that the answers to the above
questions are true and accurate and I approve participation in athletic activities.


              Parent or Legal Guardian Signature                                                                                Athlete Signature                                                              Date

Athletic/Activity Director Notes: (a YES answer to any of the questions above requires a clearance note from a
physician prior to participation.)




SQPE Due                               /                /                                                                                         CLEARED FOR SPORTS                                       YES         NO

Reference: Pre-participation Physical Evaluation (Third Edition): AAFP, AAP, AMSSM, AOSSM, AOASM ; McGraw-Hill, 2004.
                                                                                                                                                                                                           Revised 9/2/2009
Varsity Boys and Girls
               Track and Field




Practice is held five days per week, Monday through Friday, generally
from 4:00 – 6:00 p.m. Practice will start on Monday, March 14. A meet
schedule will be posted on the ISM athletic website when it becomes
available.
th      th         th
         6 , 7 & 8 Grade
   Boys and Girls Track and Field




Practice is held five days per week, Monday through Friday, generally
from 4:00 – 6:00 p.m. Practice will start on Monday, March 14. A meet
schedule will be posted on the ISM athletic website when it becomes
available.
th        th
                4 -12 Grade
             Boys and Girls Tennis




Practice is held after school two times per week, either Mondays and
Wednesdays or Tuesdays and Thursdays, from approximately April 4 –
May 27 at ISM and Holasek Hills tennis courts (just west of ISM). This is
a club level sport and no official competitions are planned. Athletes will
receive instruction on the basics of tennis including serving, volleying,
scoring, individual and partner play. Students will be grouped according
to ability or age. Students should provide their own racquet, one can of
balls and wear proper clothing and shoes. Students (parents) are
responsible for their own transportation to and from Holasek Hills.
th                   th
                            4 – 12 Grade
                          Boys and Girls Golf




     PGA Instructor, Kevin Lucken, is the Teaching Professional at Interlachen Country Club and owner of The Golf
                  Connection, Inc. We are excited to have him as ISM's Head of Golf Development.

Golf instruction will be held four days per week, Monday through Thursday, from approximately April 4 through May 27.
   Lessons will be held at Interlachen Country Club's driving range from 4:30 to 5:30 p.m. (group 1 on Mondays and
Wednesdays, group 2 on Tuesdays and Thursdays. 5 students per group). Students will be grouped by age. Parents are
                                responsible for transporting students to and from Interlachen.
                      Interlachen Country Club is located at 6200 Interlachen Blvd., Edina, MN 55436

                              ISM's Golf Development Program will cover topics including:
                                                        Putting
                                                       Chipping
                                                       Pitching
                                                         Sand
                                                  Full swing (irons)
                                                 Full swing (woods)

  The program will also cover general rules, etiquette, and course management to help prepare each student for future
                                                        competition.

   Additionally, we have partnered with area executive courses to offer tee times for participating students. This is an
     optional opportunity for students to put practice into play. The cost of any green fees would be in addition to the
   registration fee and would be approximately $10 for 9 holes. Parents of younger students would be responsible for
                            following all course rules regarding supervision of younger players.




                    This program is limited to the first 10 students who sign up!
th                  th
                        7 – 12 Grade
                     Boys and Girls Sailing




"Sailing is a sport that teaches confidence, and leadership. The positive
attitude, critical thinking, and problem solving developed by competitive
sailing are also essential academic skills."
Sailing is open to boys and girls in grades 7-12 through the Lake Minnetonka Sailing School (LMSS). The
season runs from approximately March 16 through May 28. Students are expected to participate in several
regattas scheduled throughout the season. Please see the following information from the LMSS for registration
and contact information if you have questions.

Join the excitement and be part of a nationwide phenomenon — the fastest growing and only co-educational
high school sport in America — High School Sailing. High school sailing teams train on Lake Minnetonka and
compete in local, regional and national venues. Our JV (7th and 8th grade) and Varsity (9th-12th grade) practice
Monday -Thursday. New for 2011 are four Saturday JV regattas are scheduled.

The High School Sailing coaching staff is led by former Olympic Sailing Team coach Gordy Bowers and Mark
Dunsworth (JV coach) who train with sailors from a number of the area’s best high school sailing teams. We
turn crews into skippers and vice versa, refine technical and tactical skills, and have a great time in the process.
Our training consists of a daily theme, discussion, questions, demonstration, followed by practice drills, races
and debrief on shore. Our goal is to give the maximum individual and group feedback in order to improve our
sailors’ skills.

There will be an informational meeting at ISM for students in grades 6-12 on Monday February 7 in room 502
at 4:00 p.m. For registration information, including deadlines and costs please go to www.lmss.us or
speak to the ISM Athletic Director.
Twin Cities Youth Rowing Club
                                      Be a part of a terrific sport and join our crew!
                                          No previous experience necessary.

Open to High School students (14-17 years old), TCYR has students enrolled from over 12 different schools throughout
the Twin Cities, but we row on a lake in ISM’s backyard…find out what we’re all about!

TCYR’s coeducational program is offered year-round. We offer competitive rowing in the spring, summer and fall in 4 and
8 person boats on the water. We also offer indoor rowing on ergs (rowing machines) in the winter and in spring before the
lake thaws.

                        Spring season is held after school from 4-6 PM, Monday thru Friday,
                                            from March 22 thru May 21.

   You will train and be coached at our boathouse in Edina and then row on Bryant Lake in Eden Prairie in late spring.
  Membership in Twin Cities Youth Rowing is $275 annually and tuition for the 9 week season is $450. Also included in
your fee are a TCYR racing shirt and 2 one-hour indoor water tank sessions at the University of MN. Also, novices will be
                    eligible to compete against local teams at a local regatta on April 24 at Lake Phalen!

                        Spring registration is online at www.tcyrc.org and begins on February 8th.

                                     COME SEE WHAT THE FUN IS ALL ABOUT!
                            Go to tcyrc.org for information and sign-up…seats are filling fast!

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Spring 2010 2011 registration packet

  • 1. Spring 2010-2011 Sports Offerings All Photos courtesy of Jeff Dreke
  • 2. Dear Students, Parents and Guardians, Before crafting this document I went back and reviewed last year‘s brochure. In my opening paragraph I noted the temperatures of -26 and -17. This year…only -5. We’re warming up so let’s think spring! This packet contains all of the information needed to register for our spring sports offerings. Again we are offering track, golf, tennis, sailing and crew. In the brochure you will find several forms including eligibility information, registration form and an athletic commitment form. Please remove these pages, fill them out COMPLETELY, and return them to the Athletic Director. Please keep in mind that payment is not required at this time; your account will be billed for the sport you sign up for. Deadline for Registration is Monday, January 31, 2011. Late registrations will only be accepted if there is room on the team. A $50.00 late fee will be assessed. Our goal is to teach life skills through the athletics that we offer at ISM. COMMITMENT and RESPONSIBILITY are two of the biggest values we attempt to teach. COMMITMENT to the team is an important aspect of athletics. We ask that each parent and student consider where athletics falls into the life of the student athlete and be ready to fulfill the commitment to the team. It is the RESPONSIBILITY of the student athlete to inform his/her coach when they will miss a practice or game. Student Athletes are also RESPONSIBLE for their work in the classroom and behavior on and off the field. Please remember your child’s schedule when filling out the registration form to avoid conflicts. Your account will be billed. Do not send payment with the registration form. Cancellation Policy: Because we make a commitment to our coaches and leagues, you are obligated to the sport you sign up for unless it is cancelled. Please choose wisely! We encourage all families to become involved in the Husky Booster Club. This Club plays an active role in the success of ISM athletics. The Booster Club will be meeting on March 2 at 7:00 p.m. in the ISM Library. We hope that you will join us. Please contact the Athletic Director or Julie Dreke (jsdreke@msn.com) to find out how you can contribute to the success of Husky Athletics. GO HUSKIES!!! Chad D. Eischens Joel Carufel Athletic Director Assistant Athletic Director ceischens@ism-sabis.net jcarufel@ism-sabis.net 952-918-1833 952-918-1800 ext. 610
  • 3. Guidelines for Student Participation in Extracurricular Activities ISM athletics support the philosophy that the playing field is an extension of the classroom where we utilize athletics to learn life skills. To that affect our participants are truly Student Athletes. The following information is taken from the ISM Student Handbook: ◊ Students must be making satisfactory progress towards meeting The School’s requirements for graduation. ◊ All students participating in Minnesota State High School League (MSHSL) activities are governed by MSHSL rules and regulations. ◊ Students who receive a failing grade at the end of any term must write and follow an academic plan set in conjunction with the SMC, the AQC (6-12) or Guidance Counselor (9-12), and parents, to include tutor sessions, which will allow them to spend the proper amount of time studying to ensure academic success. ◊ As long as sufficient effort and progress, as determined by The School, is being realized, the student may participate in extracurricular activities. ◊ If a student should fail a course in two consecutive terms, the student will not be allowed to participate in extracurricular activities. The SMC and the AQC will work with the student and family to determine an appropriate course of action. ◊ By definition extracurricular activities includes all school sponsored events and activities, fee based or otherwise.
  • 4. Registration Form Due to the Athletic Director By Monday, January 31, 2011 Late registrations will only be accepted if there is room on the team. A $50.00 late fee will be assessed. (Please write legibly!) Student Name Grade ___ Date ______ Parent/Guardian Name ______ Parent/Guardian Home/Work Phone # ______ Email __________________________________________________________________ Parent/Guardian Signature Sport Choices (check one) Fees ◊ Varsity Boys Track and Field $245.00 ◊ Varsity Girls Track and Field $245.00 ◊ 6-8 Grade Boys Track and Field $245.00 ◊ 6-8 Grade Girls Track and Field $245.00 ◊ 4-12 Grade Boys Tennis $250.00 ◊ 4-12 Grade Girls Tennis $250.00 ◊ 4-12 Grade Golf $285.00 ◊ 7-12 Grade Boys and Girls Sailing www.lmss.us ◊ 14-17 Year Old Boys and Girls Crew www.tcyrc.org
  • 5. The International School of Minnesota Athletic Commitment Individual and team success in sports results from commitment. The extent to which young athletes are able to make such commitments reflects their maturity as well as their dedication to family, friends, school, and team. Your school and coach already have made a similar kind of commitment. For these reasons, we ask you to read and agree to the following: As an athlete in my school, I promise: • To be a worthy representative of my teammates and coaches, abiding by school and community expectations and reflecting my team’s values of commitment and hard work. • To reflect the knowledge that a commitment to victory is nothing without the commitment to hard work in practice. • To attend every practice unless excused by my coach. • To understand that my future as a responsible adult relates more to my academic than my athletic activities. • To find the time to satisfy my family relationships and responsibilities • To accept the responsibilities of team membership: cooperation, support of my teammates, share responsibilities, positive interaction, and mutual respect. Cooperation among coaches, athletes, parents, and school personnel is essential if students are to realize the values of athletic participation. Like coaches and athletes, parents must make commitments to the athletic program to assure such cooperation. We ask that you read the following and, as needed, discuss your reactions with your child’s coach or Athletic Director. As the parent of an athlete in this school, I promise: • To provide the coach with any information on physical limitations. • To work closely with all school personnel to assure an appropriate academic as well as athletic experience for my child. • To assure that my child will attend all scheduled practices and athletic contests. • To acknowledge the ultimate authority of the coach to determine strategy and player selection. • To promote mature behavior from students and parents during athletic contests. I have read the above statements and promise to live up to them: Student Name _____________________________ Grade ____________ Student Signature ____________________________ Date _____________ Bill my account. Yes_____ No _____ I have read and understand the ISM Athletic Handbook. Yes_____ No _____ My child has a current physical on file at ISM. Yes_____ No _____ I am willing to volunteer at athletic events. Yes_____ No _____ Parent/Guardian Name _____________________________________ Parent/Guardian Signature __________________________________ Home # ________________________ Work # ________________________ Cell # _________________________ Email ______________________________________________ PLEASE RETURN THIS PAGE WITH YOUR REGISTRATION
  • 6. The following is information from the Minnesota State High School League (MSHSL) regarding eligibility. All Student Athletes in grades 7-12 and their parents must read and sign one form per year. If you have completed a form for a fall or winter sport you do not need to complete another. Return this form with your registration. You cannot practice or play without this form on file with the Athletic Director. Please contact the Athletic Director if you have any questions or concerns.
  • 7. 2010-2011 ATHLETIC ELIGIBILITY BROCHURE Students: Your participation in high school activities is dependent on your eligibility. PROTECT that eligibility by reviewing with your parent(s)/guardian(s) this summary of Minnesota State High School League rules which govern your participation. Complete regulations are found in the MSHSL Official Handbook which is available at each member high school and which is also posted on the MSHSL Web site: www.mshsl.org. Please keep this brochure for reference, and if there is a question about any rule interpretation, CONTACT YOUR SCHOOL PRINCIPAL OR ATHLETIC/ACTIVITIES DIRECTOR. I understand that once I sign the eligibility statement all eligibility rules apply: Twelve (12) months of the year; Whether I am currently participating or not; Continuously from the first signing of the statement. Parents/Guardians: REVIEW the following rules with your son or daughter. Your role in stressing the value of following these rules cannot be overstated. Checklist for Student Eligibility (If you cannot check all 11 items, see your athletic/activities director or principal) ______ 1. Making academic progress toward graduation. ______ 8. Have not and will not compete in non-school events in my sport after ______ 2. Will not have turned 20 before the start of the season in which I reporting for the school team. participate. ______ 9. Have not and will not use or possess tobacco or alcoholic ______ 3. Physical exam within the last three (3) years on file with the school. beverages, use, consume, have in possession, buy, sell or give ______ 4. Have not transferred schools. away any other controlled substance, including steroids. ______ 5. Will not play more than four (4) seasons in any sport in grades 9-12. ______ 10. Have not and will not violate the racial/religious/sexual ______ 6. Have not dropped out of school or repeated a grade while in high harassment/violence/and hazing bylaws of the MSHSL. school. ______ 11. I agree to fully cooperate in any investigation honestly and truthfully. ______ 7. Have not accepted cash in any amount or merchandise valued at more than $100 for participating in a sport. INFORMED CONSENT: By its nature, participation in interscholastic athletics includes risk of injury and the transmission of infectious diseases such as HIV, Hepatitis B, herpes and others. Although serious injuries are not common and the risk of HIV transmission is almost nonexistent in supervised school athletic programs, it is impossible to eliminate all risk. Participants have the responsibility to help reduce that risk. Participants must obey all safety rules, report all physical and hygiene problems to their coaches, follow a proper conditioning program, and inspect their own equipment daily. GENERAL RULES 1. *ACADEMIC — (Credit Requirement) To be eligible, a student C. Penalty: must be making satisfactory progress toward the school’s 1. First Violation: After confirmation of the first violation, the requirement for graduation. student shall lose eligibility in that sport for the next two 2. *AGE — A student representing a member school in League (2) consecutive interscholastic contests or two (2) weeks of activities shall be under 20 years of age at the start of the season. that season, whichever is greater. If there are fewer than If, however, a student has started a season, the student will be two (2) events remaining in that sport, the loss of eligibility permitted to complete that season after reaching the student’s 20th will continue into the next season in that sport. Note: This birthday. Adapted athletes are eligible to participate until their 22nd means that a senior who violates the bylaws at the end of birthday provided they meet all other eligibility requirements. one sport season will lose eligibility for two (2) games in 3. FOREIGN EXCHANGE STUDENTS — Approved Foreign the next sport season in which the student participates. Exchange Students are limited to 1 calendar year of high school 2. Second Violation: After confirmation of the second eligibility beginning with their 1st date of enrollment and violation, the student shall lose eligibility in that sport for attendance. the next six (6) consecutive interscholastic contests or three INTERNATIONAL STUDENTS – students not participating in a (3) weeks, whichever is greater. CSIET approved foreign exchange program are eligible only at the 3. Third Violation: After confirmation of the third or B-squad or JV level for one calendar year. subsequent violations, the student shall lose eligibility in 4. AMATEUR — A student must be an amateur in that sport. A that sport for the next twelve (12) consecutive student may not receive cash or merchandise for athletic interscholastic contests or four (4) weeks, whichever is participation. A student does not lose her/his amateur status because greater. of reimbursement for officiating, instructing, teaching or coaching a 6. PROGRESSIVE AND CONSECUTIVE PENALTIES: Penalties sport. shall be progressive and consecutive beginning with the student’s 5. ATHLETIC CAMPS AND CLINICS — first participation in a League activity and continuing through the A. School Year: Students may attend athletic camps and clinics student’s high school career. which have been approved by their high school principal. 7. AMATEUR STATUS AND AWARDS BYLAW — Acceptable B. Summer Vacation Period: Non-school specialized athletic awards to students in recognition of participation in high school camps and clinics do not require approval. activities include medals, ribbons, letters, trophies, plaques and 1. The non-school sponsored camp or clinic fee must be other items of little or no intrinsic value ($100.00 or less). provided by the student or the student’s parent(s) or Violation will render a student ineligible for participation in that guardian, unless other arrangements are approved by the activity. Board of Directors. 8. COLLEGE/UNIVERSITY TEAMS — Individuals who have 2. A student may attend a camp or clinic where a member of participated with a college or university team are ineligible for the school’s coaching staff (sophomore, B-Squad, junior participation in any activity of the League. varsity or varsity) in that sport owns, administers, directs, 9. FAIR HEARING PROCEDURE — The League Constitution organizes, or serves as an instructor or is a staff member provides a Fair Hearing Procedure for the student or parent during the student’s attendance. contesting a school’s determination of ineligibility for a student.
  • 8. The student has 10 calendar days in which to appeal the Lessons/Training: During the MSHSL high school season school’s decision. The appeals process includes an appeal before a athletes may take lessons from professionals and other non- hearing panel at the school and the right, if desired, to appeal that school coaches without limit as to where, when or who may decision to the League’s Board of Directors. An independent provide the training. Athletes may not miss a high school hearing examiner will hear the appeal and make written findings of practice, game, or meet to take a lesson or train for a non- fact, conclusions and a recommendation for the Board of Directors school event. Athletes may take lessons and or train with a following the hearing. The Board’s decision shall be final. A non-school team/club during the high school season in the complete listing of the Fair Hearing Procedure may be obtained same sport. from the athletic director or principal of the high school or on Web Competition: Athletes will be able to compete in non-school at www.mshsl.org in the Publications section. events/competitions that do not match the events in which 10. *ENROLLMENT, ATTENDANCE, AND REQUIRED athletes currently compete in high school competition. SUBJECT LOAD — Students must be fully enrolled in (as defined Exception: Summer Vacation Period — Students may by the Minnesota Department of Education) and attending the participate in non-school competitions, meets, games, school before they are eligible to represent that school in MSHSL tournaments in the same sport they currently play at the high sponsored activities. Students must be properly registered, attending school level during the summer vacation period. See definition school and classes regularly, and enrolled in the required number of of summer vacation below: 14.C. credits to graduate in four (4) years after first entering the 9th grade. Summer Coaching waiver: If a student participates on a team 11. *GENERAL ELIGIBILITY — In order to be eligible for regular coached by a member of the high school coaching staff, season and MSHSL tournament competition, a student must be coaching contact shall end on July 31 unless a conditional fully enrolled as defined by the Minnesota Department of Education extension to the summer waiver is granted by the school’s and a bona fide member of his or her high school in good standing. athletic director. A student who is under penalty of exclusion, expulsion or Students may take private lessons during the MSHSL season. suspension, whose character or conduct violates the Student Code B. During the School Year, Prior To and Following the High of Responsibilities and is not in good standing, shall be ineligible School Sports Season: A student may participate in contests, for a period of time as determined by the principal. meets or tournaments as an individual competitor or as a Student Code of Responsibilities member of a non-school team provided that these activities are As a student participating in my school’s interscholastic activities, I voluntary and not influenced or directed by a salaried or non- understand and accept the following responsibilities: salaried member of the student’s sophomore, B-squad, junior 1. I will respect the rights and beliefs of others and will treat others varsity or varsity high school coaching staff. with courtesy and consideration. 1. A student may not use any type of high school uniform. 2. I will be fully responsible for my own actions and the 2. A student may not receive coaching or training from a consequences of my actions salaried or non-salaried member of the student’s sophomore, 3. I will respect the property of others. B-squad, junior varsity or varsity high school coaching staff 4. I will respect and obey the rules of my school and the laws of my in that sport. Power skating, tennis, gymnastics, and indoor community, state and country. soccer are included in this limitation. 5. I will show respect to those who are responsible for enforcing the 3. A student may receive training through private lessons rules of my school and the laws of my community, state and from a person who is not a salaried or non-salaried member country. of the student’s sophomore, B-squad, junior varsity or A student ejected from a contest shall be ineligible for the next varsity high school coaching staff in that sport. regularly scheduled game or meet at that level of competition and 4. A student’s fee for non-school coaching or training must be all other games or meets in the interim at any level of competition, provided by the student or the student’s parent(s) or for the first ejection. All subsequent ejections shall result in guardian(s) unless approved by the Board of Directors. ineligibility for four (4) regularly scheduled games or meets. C. Summer Vacation Period: 12. *GRADUATE — A student shall not be a graduate of a high A student may compete as an individual or as a member of a school or any secondary school. This includes foreign exchange nonschool team even though competing on a high school team students and international students. in the same sport. Summer shall be defined as June 1 through 13. LAST DATE TO JOIN A TEAM — To be eligible for section Labor Day. Summer for the sport of soccer shall be defined as and state competition, a student must be a member of that school’s June 1 through Sunday immediately preceding the official team not later than the fourth Monday from the official start of that starting date of the MSHSL high school soccer season. Note: sport season. Gymnasts must be on the school’s team not later than Students may participate in activities during the summer, as the third Monday from the official start of that season. When a defined above, even though their high school sport season in sport season begins on a Monday, that day shall be counted as the the same sport has begun. For example, students may play in first Monday. a non-school tennis tournament while a member of the high 14. NON-SCHOOL COMPETITION AND TRAINING FOR school team or participate in road races while a member of the TEAM AND INDIVIDUAL SPORTS — cross country team through Labor Day. Soccer is excluded A. During the High School Season: During the high school from dual participation as defined above. season a student may not participate as a member of a team or D. Penalty: as an individual competitor in non-school sponsored games, 1. First Violation: After confirmation of the first violation, the meets, tournaments or contests, in the same sport. student shall lose eligibility in that sport for the next two Participation defined: practice, training, tryouts, scrimmaging (2) consecutive interscholastic contests or two (2) weeks of and competing. Season Defined: The high school season shall that season, whichever is greater. If there are fewer than run from the first date that practice may begin until the team is two (2) events remaining in that sport, the loss of eligibility eliminated in MSHSL tournament competition. Baseball, will continue into the next season in that sport. Note: This Softball and Skiing are exceptions to this rule. means that a senior who violates the bylaws at the end of Exception: Non-School Training During the High School one sport season will lose eligibility for two (2) games in Season for Athletes Who Qualify as Individual competitors the next sport season in which the student participates. to the State Tournament: (Swimming, Cross Country, 2. Second Violation: After confirmation of the second Tennis, Skiing, Gymnastics, Wrestling, Synchronize violation, the student shall lose eligibility in that sport for Swimming, Golf, and Track and Field) the next six (6) consecutive interscholastic contests or three
  • 9. (3) weeks, whichever is greater. which there is a change of residence and occupancy in 3. Third Violation: After confirmation of the third or Minnesota by the student’s parents. If the student’s parents subsequent violations, the student shall lose eligibility in move from one public school district attendance area to that sport for the next twelve (12) consecutive another public school district attendance area, the student will interscholastic contests or four (4) weeks, whichever is be eligible in the new public school attendance area or a non- greater. public school if the student transfers at the same time the 4. Penalties are progressive and consecutive. student’s parents move. E. Special Considerations: If the parents move from one public school district attendance 1. National Teams and Olympic Development Programs — area to another, the student shall continue to be fully eligible if The MSHSL may permit participation by high school the student continues enrollment in the prior school for the students on bona fide national teams or in Olympic balance of the current marking period or for the balance of the development programs if: academic school year. If the student elects either of the current a. The program is approved and supported by the national enrollment options above, the student will be fully eligible governing body of the sport or if there is an Olympic upon transfer to the new school. development program of training and competition. A student who elects not to transfer upon a parent’s change in b. Directly funded by a national governing body on a residence shall continue to be eligible at the school in which national level. the student is currently enrolled. c. Authorized by a national governing body for athletes 3. Court Ordered Residence Change for Child Protection: the having potential for future national team participation. student’s residence is changed pursuant to a child protection Students who are invited to participate on National Teams or order placement in a foster home, or a juvenile court in Olympic Development Programs must contact their high disposition order. school principal to obtain an application form. This must be 4. Custody of Student: a student of legally divorced parents who completed at least thirty (30) days prior to participation. have joint physical custody of the student may move from one 2. During the school year, students who participate for their custodial parent to the other custodial parent and be fully school in a sport may participate through training, try-out eligible at the time of the move. The student may utilize this or competition on a National Team or in a United States provision only one time during grades 9-12 inclusive. Olympic Development Program provided the student 5. Move from Out of State: if a student’s parents move to receives an individual invitation from the United States Minnesota from a state or country outside of Minnesota and if Olympic Committee or the United States National the student moves at the same time the parent establishes a Governing Body on the national level for that sport. residence in a Minnesota public school district attendance area, 3. Students who have completed their eligibility in a sport are the student shall be eligible at the first school the student exempt from the non-school competition and training rules attends in Minnesota. in that sport. 6. Enrollment Options Program: a student who utilizes Minnesota 15. *PHYSICAL EXAMINATION AND PARENTS PERMIT — Statute 124D.03 Enrollment Options Programs, and transfers Any student who intends to participate in high school without a corresponding change of residence by the student’s interscholastic athletics and cheerleading activities must have on parents shall elect one of the following: file in the school, a record of a physical examination performed a. retain full eligibility for varsity competition for one (1) within the previous three (3) years. A health questionnaire shall be calendar year at the school where the student was enrolled completed annually and could indicate the need for a physical prior to the transfer after which time the student shall examination prior to participation. The signature of the parent or become fully eligible at the school to which the student has guardian approving participation is required. open enrolled; or 16. *SEASONS OF PARTICIPATION — No student may b. be eligible only at the non-varsity level in the school to which participate in more than four (4) seasons in any sport while enrolled the student has open enrolled for one (1) calendar year. in grades 9-12, semesters 1-8 inclusive. C. If none of the provisions in Section 2 (above) are met, the student is 17. *SEMESTERS IN HIGH SCHOOL — A student shall not ineligible for varsity competition for a period of one (1) calendar participate in an interscholastic contest after the student’s eighth year beginning with the first day of attendance in the new school. semester in grades 9-12 inclusive. All eight semesters shall be 1. Students are immediately eligible for competition at the non- consecutive, beginning in the 9th grade. The attendance of 15 days varsity level. or more in one semester or participation in a practice or contest will 2. A student may not obtain eligibility as a result of a transfer. If count as a semester in administering this standard. at the time of transfer the student was not fully eligible in the 18. JUNIOR HIGH PARTICIPATION — Participation in high previous school, the student shall be ineligible in the new school interscholastic programs is limited to students in grades 7-12 school. A student who was not in good standing at the time of inclusive. Students in grade 7, 8 and 9 may participate if enrolled transfer shall be ineligible until the penalty from the previous in the regular continuation school for the educational unit and if all school has been served. other eligibility requirements of the League have been met. 3. Each time a student transfers and the conditions of the transfer Elementary students in grades 1-6 are not eligible for participation do not meet any of the provisions of Bylaw 111.2.A., the in any MSHSL-sponsored activity; B-squad, junior varsity or student will be ineligible for varsity competition for a period of varsity level. one (1) calendar year beginning with the first day of attendance 19. TRANSFER RULE — Bylaw 111 at the new school. For example, if a student, while serving a A. A transfer student is eligible for varsity competition provided one-year transfer suspension, transfers to another school and the student was in good standing on the date of withdrawal none of the provisions of Bylaw 111.2.A. are met, an additional from the last school the student attended and one (1) of the one-year suspension will be applied. The student will begin provisions in Section B (below) is met. serving the additional one-year suspension immediately B. A transfer student is eligible for varsity competition if: following the completion of the previous one-year suspension. 1. 9th Grade Option: The student is enrolling in 9th grade for 20. *MOOD-ALTERING CHEMICALS the first time. A. Bylaw 2. Family Residence Change: the student transfers from one Twelve (12) months of the year, a student shall not at any public school district attendance area to another public school time, regardless of the quantity: (1) use or consume, have district attendance area at any time during the calendar year in in possession a beverage containing alcohol; (2) use or
  • 10. consume, have in possession tobacco; or, (3) use or The school district will discipline or take appropriate action consume, have in possession, buy, sell, or give away any against any student, teacher, administrator, volunteer, coach, other controlled substance or drug paraphernalia. official contractor or employee of the school district who 1. The bylaw applies continuously from the first signing of retaliates against any person who makes a good faith report of the student Eligibility Brochure. alleged sexual, racial, religious harassment, violence or hazing 2. It is not a violation for a student to be in possession of a or against any person who testifies, assists, or participates in an controlled substance specifically prescribed for the investigation, or against any person who testifies, assists or student’s own use by her/his doctor. participates in a proceeding or hearing relating to such sexual, B. Penalty: racial, religious harassment, violence or hazing. Retaliation 1. First Violation: After confirmation of the first violation, the includes, but is not limited to, any form of intimidation, student shall lose eligibility for the next two (2) reprisal or harassment. consecutive interscholastic contests or two (2) weeks of a D. Penalties for Category I Activities: season in which the student is a participant, whichever is 1. First Violation: the student shall lose eligibility for the next two greater. No exception is permitted for a student who (2) consecutive interscholastic contests or two (2) weeks, 14 becomes a participant in a treatment program. calendar days, of a season in which the student is a participant, whichever is greater. Recommendations: 1) It is recommended 2. Second Violation: After confirmation of the second that the school develop a local education program through violation, the student shall lose eligibility for the next six which the student would receive information about sexual, (6) consecutive interscholastic contests in which the student racial, religious harassment, violence or hazing. 2) It is is a participant or three (3) weeks, whichever is greater. No recommended that, when appropriate, the school refer a exception is permitted for a student who becomes a student to a community agency or a professional individual participant in a treatment program. outside the school for counseling. 3. Third and Subsequent Violations: After confirmation of the 2. Second Violation: the student shall lose eligibility for the next third or subsequent violations, the student shall lose six (6) consecutive interscholastic contests or three (3) weeks, 21 calendar days, whichever is greater, in which the student is eligibility for the next twelve (12) consecutive a participant. Recommendation: It is recommended that before interscholastic contests in which the student is a participant being re-admitted to activities following suspension for the or four (4) weeks, whichever is greater. If after the third or second violation, the student shall show evidence in writing subsequent violations, the student has been assessed to be that the student has received counseling from a community chemically dependent and the student on her/his own agency or professional individual such as a school counselor, volition becomes a participant in a chemical dependency medical doctor, psychiatrist, or psychologist. program or treatment program, then the student may be 3. Third or Subsequent Violations: the student shall lose certified for reinstatement in MSHSL activities after a eligibility for the next twelve (12) consecutive interscholastic contests or four (4) weeks, 28 calendar days, whichever is minimum period of six (6) weeks. Such certification must greater, in which the student is a participant. be issued by the director or a counselor of a chemical 4. Penalties are progressive and consecutive. dependency treatment center. E. Penalties for Category II Activities: 4. Penalties are progressive and consecutive. Each member school shall develop penalties that it will apply 5. Denial Disqualification: A student shall be disqualified to the participants in these activities. A current copy of the from all inter-scholastic athletics for nine (9) additional member school’s policy shall be kept on file in the member weeks beyond the student’s original period of school. ineligibility when the student denies violation of the 22. SERVING AN MSHSL PENALTY — a student must be a rule, is allowed to participate and then is subsequently student in good standing, and able to be placed in the game, meet or found guilty of the violation. contest except for the penalty being served. (Students who are not 21. *SEXUAL/RACIAL/RELIGIOUS HARASSMENT/ in good standing due to suspension, expulsion, injury, illness, VIOLENCE and HAZING family vacations, etc are not able to be placed in a game, meet or A. Reference Bylaw 209.00: contest and are therefore not able to count those contests toward the A student shall not engage in the sexual, racial, religious penalty). harassment, violence or hazing during the school year or any portion of an activity season that occurs prior to the start of the school year or after the close of the school year. B. Reporting Procedures: 1. Any person who believes he or she has been the victim of sexual, racial, religious harassment, violence or hazing or any * Denotes rules applicable to cheerleaders person with knowledge or belief of conduct, which may Revised 4-15-10 constitute hazing, shall report the alleged acts immediately to an appropriate school district official designated by this policy. 2. The building principal is the person responsible for receiving reports of sexual, racial, religious harassment, violence or hazing at the building level. Any person may report hazing directly to a school district human rights officer or to the superintendent. 3. Teachers, administrators, officials, volunteers, and employees of the school district shall be particularly alert to possible situations, circumstances or events which might include sexual, racial, religious harassment, violence or hazing. Any such person who receives a report of, observes, or had other knowledge or belief of conduct, which may constitute sexual, racial, religious harassment, violence or hazing, shall inform the building principal immediately. 4. Submission of a good faith complaint or report of sexual, racial, religious harassment, violence or hazing will not affect the complainant or reporter’s future employment, grades or work assignments. C. Reprisal
  • 11. 2010-2011 MSHSL ATHLETIC ELIGIBILITY STATEMENT Statement to be signed by the participant from a MSHSL member school and by the participant’s parent or guardian • I have read, understand, and acknowledge receiving the 2010-2011 Athletic Eligibility Brochure, which contains only a summary of the eligibility rules of the Minnesota State High School League. I understand that a copy of the Official Handbook of the MSHSL is on file with the senior high school athletic director and or principal and that I may review it, in its entirety, if I so choose. The Official Handbook and MSHSL bylaws are also posted on the MSHSL Web site: www.mshsl.org under Handbook. • I understand that once I sign the eligibility statement all eligibility rules apply: -- Twelve (12) months of the year; -- Whether I am currently participating or not; -- Continuously from the first signing of the statement through the completion of my high school eligibility. • I further understand that a member school of the MSHSL must adhere to all of the rules and regulations that pertain to the League athletic activities a school may sponsor and that local rules may be more stringent, and penalties more severe, than MSHSL rules. STUDENT CODE OF RESPONSIBILITIES • As a student participating in my school’s interscholastic activities, I understand and accept the following responsibilities: -- I will respect the rights and beliefs of others and will treat others with courtesy and consideration. -- I will be fully responsible for my own actions and the consequences of my actions. -- I will respect the property of others. -- I will respect and obey the rules of my school and the laws of my community, state and country. -- I will show respect to those who are responsible for enforcing the rules of my school and the laws of my community, state and country. A student whose character or conduct violates the Student Code of Responsibilities or is suspended or expelled is not in good standing and is ineligible for a period of time as determined by the principal. While a student not in good standing, a student may not serve any penalty for MSHSL Bylaw violations. • Informed Consent: By its nature, participation in interscholastic athletics includes risk of injury and the transmission of infectious diseases such as HIV, Herpes and Hepatitis B and others. Although serious injuries are not common and the risk of HIV transmission is almost nonexistent in supervised school athletic programs, it is impossible to eliminate all risk. Participants have the responsibility to help reduce that risk. Participants must obey all safety rules, report all physical and hygiene problems to their coaches, follow a proper conditioning program, and inspect their own equipment daily. PARENTS, GUARDIANS OR STUDENTS WHO MAY NOT WISH TO ACCEPT THE RISK DESCRIBED IN THIS WARNING SHOULD NOT SIGN THIS FORM. STUDENTS MAY NOT PARTICIPATE IN AN MSHSL-SPONSORED ACTIVITY WITHOUT THE STUDENT’S AND PARENT’S/GUARDIAN’S SIGNATURE. • I consent to the athletic trainer or coach treating injuries and authorize them to discuss those injuries with and release any applicable medical information or records relating to those injuries to coaches, school staff and other qualified health care providers as deemed necessary within their scope of practice. • I further understand that in the case of injury or illness requiring transportation to a health care facility, that a reasonable attempt will be made to contact the parent or guardian in the case of the student-athlete being a minor, but that, if necessary, the student- athlete will be transported via ambulance to the nearest hospital. • By signing this we acknowledge that we have read the information contained in the Athletic Eligibility Brochure and Statement. The student/parent authorizes the release of documents and other pertinent information by the school in order to determine student eligibility. In addition, the student/parent understands and agrees that public information shall include names and pictures of students participating in or attending extra-curricular activities, school events, and High School League activities or events. __________________________________________________________________________________________ Student’s Printed Name Birth Date Grade in School __________________________________________________________________________________________ Student’s Signature Date __________________________________________________________________________________________ Parent’s or Guardian’s Signature Date
  • 12. MSHSL ANNUAL SPORTS HEALTH QUESTIONNAIRE DATE ______ / ______ / __________ Name _______________________________________ Male____ Female____ Age ____ Birth Date ______ / ______ / ________ Grade ____ School _________________________________ Sport(s) ______________________________________________ Address ___________________________________________________________________________________________________ Phone ____________________________ Date of Last Sports Qualifying Physical Exam (SQPE) _____ / ______ / ________ Check Yes or No boxes for each question or Circle question numbers for which you cannot answer. Since your last complete Sports Qualifying Physical Exam with your physician or your Year 2 Annual Health Questionnaire, please respond to the following questions: YES NO 1. Has a doctor restricted your participation in sports for any reason without clearing you to return to sports? .................................. IMPORTANT HEART HEALTH QUESTIONS ABOUT YOU 2. Have you passed out or nearly passed out during or after exercise? .............................................................................................. 3. Have you had discomfort, pain, tightness, or pressure in your chest during exercise? ................................................................... 4. Does your heart race or skip beats (irregular beats) during exercise? ............................................................................................. 5. Do you get light-headed or feel more short of breath than expected during exercise? .................................................................... 6. Have you had an unexplained seizure? ........................................................................................................................................... IMPORTANT HEART HEALTH QUESTIONS ABOUT YOUR FAMILY 7. Has anyone in your immediate family died suddenly and unexpectedly for no apparent reason?................................................... 8. Has any family member or relative died of heart problems or had an unexpected or unexplained sudden death before age 50 (including drowning, car accident, or Sudden Infant Death Syndrome)? ......................................................................................... 9. Has anyone in your immediate family had instances of unexplained fainting, seizures, or near drowning? .................................... 10. Has anyone in your immediate family developed hypertrophic cardiomyopathy, Marfan Syndrome, arrhythmogenic right ventricular cardiomyopathy, long QT Syndrome, short QT Syndrome, Brugada Syndrome, or catecholaminergic polymorphic ventricular tachycardia?.................................................................................................................................................................... 11. Has anyone in your immediate family been diagnosed with Marfan Syndrome, arrhythmogenic right ventricular cardiomyopathy, long QT Syndrome, short QT Syndrome, Brugada Syndrome, or catecholaminergic polymorphic ventricular tachycardia? ..................................................................................................................................................................................... 12. Does anyone in your immediate family under age 50 have a heart problem, pacemaker, or implanted defibrillator? ..................... MEDICAL RISK QUESTIONS 13. Have you had infectious mononucleosis (mono) within the last month? .......................................................................................... 14. Have you had a head injury or concussion that still has symptoms like continuing headaches? ..................................................... 15. Have you had numbness, tingling, weakness in, or inability to move your arms or legs after being hit or falling?........................... Parents or Legal Guardians—please note: • A “YES” answer to any of the above questions will require a clearance note from a physician prior to participation. • Please list below any health concerns, medications, or allergies that may be important for the coaches or athletic/activities director to know. I do not know of any existing physical or additional health reason that would preclude participation in sports. I certify that the answers to the above questions are true and accurate and I approve participation in athletic activities. Parent or Legal Guardian Signature Athlete Signature Date Athletic/Activity Director Notes: (a YES answer to any of the questions above requires a clearance note from a physician prior to participation.) SQPE Due / / CLEARED FOR SPORTS YES NO Reference: Pre-participation Physical Evaluation (Third Edition): AAFP, AAP, AMSSM, AOSSM, AOASM ; McGraw-Hill, 2004. Revised 9/2/2009
  • 13. Varsity Boys and Girls Track and Field Practice is held five days per week, Monday through Friday, generally from 4:00 – 6:00 p.m. Practice will start on Monday, March 14. A meet schedule will be posted on the ISM athletic website when it becomes available.
  • 14. th th th 6 , 7 & 8 Grade Boys and Girls Track and Field Practice is held five days per week, Monday through Friday, generally from 4:00 – 6:00 p.m. Practice will start on Monday, March 14. A meet schedule will be posted on the ISM athletic website when it becomes available.
  • 15. th th 4 -12 Grade Boys and Girls Tennis Practice is held after school two times per week, either Mondays and Wednesdays or Tuesdays and Thursdays, from approximately April 4 – May 27 at ISM and Holasek Hills tennis courts (just west of ISM). This is a club level sport and no official competitions are planned. Athletes will receive instruction on the basics of tennis including serving, volleying, scoring, individual and partner play. Students will be grouped according to ability or age. Students should provide their own racquet, one can of balls and wear proper clothing and shoes. Students (parents) are responsible for their own transportation to and from Holasek Hills.
  • 16. th th 4 – 12 Grade Boys and Girls Golf PGA Instructor, Kevin Lucken, is the Teaching Professional at Interlachen Country Club and owner of The Golf Connection, Inc. We are excited to have him as ISM's Head of Golf Development. Golf instruction will be held four days per week, Monday through Thursday, from approximately April 4 through May 27. Lessons will be held at Interlachen Country Club's driving range from 4:30 to 5:30 p.m. (group 1 on Mondays and Wednesdays, group 2 on Tuesdays and Thursdays. 5 students per group). Students will be grouped by age. Parents are responsible for transporting students to and from Interlachen. Interlachen Country Club is located at 6200 Interlachen Blvd., Edina, MN 55436 ISM's Golf Development Program will cover topics including: Putting Chipping Pitching Sand Full swing (irons) Full swing (woods) The program will also cover general rules, etiquette, and course management to help prepare each student for future competition. Additionally, we have partnered with area executive courses to offer tee times for participating students. This is an optional opportunity for students to put practice into play. The cost of any green fees would be in addition to the registration fee and would be approximately $10 for 9 holes. Parents of younger students would be responsible for following all course rules regarding supervision of younger players. This program is limited to the first 10 students who sign up!
  • 17. th th 7 – 12 Grade Boys and Girls Sailing "Sailing is a sport that teaches confidence, and leadership. The positive attitude, critical thinking, and problem solving developed by competitive sailing are also essential academic skills." Sailing is open to boys and girls in grades 7-12 through the Lake Minnetonka Sailing School (LMSS). The season runs from approximately March 16 through May 28. Students are expected to participate in several regattas scheduled throughout the season. Please see the following information from the LMSS for registration and contact information if you have questions. Join the excitement and be part of a nationwide phenomenon — the fastest growing and only co-educational high school sport in America — High School Sailing. High school sailing teams train on Lake Minnetonka and compete in local, regional and national venues. Our JV (7th and 8th grade) and Varsity (9th-12th grade) practice Monday -Thursday. New for 2011 are four Saturday JV regattas are scheduled. The High School Sailing coaching staff is led by former Olympic Sailing Team coach Gordy Bowers and Mark Dunsworth (JV coach) who train with sailors from a number of the area’s best high school sailing teams. We turn crews into skippers and vice versa, refine technical and tactical skills, and have a great time in the process. Our training consists of a daily theme, discussion, questions, demonstration, followed by practice drills, races and debrief on shore. Our goal is to give the maximum individual and group feedback in order to improve our sailors’ skills. There will be an informational meeting at ISM for students in grades 6-12 on Monday February 7 in room 502 at 4:00 p.m. For registration information, including deadlines and costs please go to www.lmss.us or speak to the ISM Athletic Director.
  • 18. Twin Cities Youth Rowing Club Be a part of a terrific sport and join our crew! No previous experience necessary. Open to High School students (14-17 years old), TCYR has students enrolled from over 12 different schools throughout the Twin Cities, but we row on a lake in ISM’s backyard…find out what we’re all about! TCYR’s coeducational program is offered year-round. We offer competitive rowing in the spring, summer and fall in 4 and 8 person boats on the water. We also offer indoor rowing on ergs (rowing machines) in the winter and in spring before the lake thaws. Spring season is held after school from 4-6 PM, Monday thru Friday, from March 22 thru May 21. You will train and be coached at our boathouse in Edina and then row on Bryant Lake in Eden Prairie in late spring. Membership in Twin Cities Youth Rowing is $275 annually and tuition for the 9 week season is $450. Also included in your fee are a TCYR racing shirt and 2 one-hour indoor water tank sessions at the University of MN. Also, novices will be eligible to compete against local teams at a local regatta on April 24 at Lake Phalen! Spring registration is online at www.tcyrc.org and begins on February 8th. COME SEE WHAT THE FUN IS ALL ABOUT! Go to tcyrc.org for information and sign-up…seats are filling fast!