Palos Verdes PeninsulaHigh School

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Athletic & Activity Clearance Procedure

In order to participate in extracurricular sports and activities, students must have the required paperwork on file.

The 2018-19 Athletic/Activity Packet which includes all of the required participation forms and instructions, information about student accident insurance, and form auto-fill capability can be downloaded here:

 

Procedure For Getting "Cleared" (complete the steps in order!):

  1. Print out and complete all required forms (see details below). Be sure that parent/guardian and student sign each form as needed.
  2. For all sports (including Dance teams), take Physical form to the Health Office and get "Yellow Card / Clearance Form" signed off there
  3. Take all remaining forms and your Participation Donation´╗┐ (see details below) to the Student Store
  4. Give Anti-Hazing Pledge form to your coach or activity advisor
 

 

PART 1: Required Forms For All Sports and Activities:

  • The YELLOW CARD (aka Clearance Form) completed and signed by parent/guardian. The card can be picked up in the Athletic Office or Student Store or printed from page 19 of the Athletic/Activity Packet. A new card is required for every sport or activity the student participates in.
  • Athletic/Activity Report form listing insurance coverage and signed by parent and student. All students participating in extra-curricular activities must have insurance. This is page 21 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • Athletic and Co-Curricular Code of Conduct form signed by parent and student. This is page 28 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • F-603 Voluntary Sports / Non-sports Waiver form signed by parent. This is page 30 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • F-605 Voluntary Activity form signed by parent and student. This is page 32 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • Anti Hazing Pledge form signed by parent and student. This form is turned in to the coach or advisor, so a new form is required for every sport or activity the student participates in. This is page 33 of the Athletic/Activity Packet. Students must turn in this form for every sport and activity.
 
 
PART 2: ***ADDITIONAL FORMS REQUIRED For All Sports and Dance Teams (but not for Activities):
  • You must have a Physical Examination Report on file in the Health Office. This form must be signed by a physician and must be an original (no copies). Physical Forms are valid for one calendar year. This is page 20 of the Athletic/Activity Packet.
  • Concussion Information Sheet signed by parent. This is page 24 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • Sudden Cardiac Arrest Sheet signed by parent. This is page 27 of the Athletic/Activity Packet. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  • ´╗┐Opioid Facts Sign-off Sheet - signed by parent and student. This is a new requirement beginning January 2019. A student only needs to turn in this form once per school year regardless of the number of sports and activities.
  

PART 3: Other Forms

  • Parents that plan on providing transportation to activities for other students besides their own must have a Volunteer Driver Form on file in the Hawthorne Office. This form is pages 31 & 32 of the Athletic/Activity Packet. A copy of the parent's driver license must accompany the form.

 

PART 4: Participation Donation Information

 
The suggested Participation Donations for the 2018-19 school year is calculated based on the number of students participating in the activities, the events scheduled for the activities, and the cost of officiating, competition fees and transportation. Each activity will have a different suggested amount based on these variables. Participation donations do NOT  include the coaching or adviser stipends. While the suggested participation donation is not mandatory, it is needed in order to keep all activities and clubs viable.
 
As always, the student's involvement in any given activity will not be curtailed or increased based upon any donation. The donation, whether made or not made, will be completely confidential, known only by the Student Store, and will never be shared with the coaching staff or activities advisors. The coaches/advisors will only be made aware of the bottom line so that he/she can make prudent financial decisions regarding his/her program(s).
 
View the recommended Participation Donation amounts here:
 
PART 5: Student Accident Insurance
All sports and activity participants are required to show proof of insurance. If your student needs an insurance policy, here is one option: