District Athletic Handbook.

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1 District Athletic Handbook

2 TABLE OF CONTENTS Welcome letter. 3 Code of Conduct... 4 Mission Statement 5 Fees... 5 Uniforms... 5 Conference... 5 Prerequisites for Participation.. 5 Academic eligibility... 6 Athlete Code of Conduct.. 6 Playing Time 7 Practice Time 7 Transportation.. 7 Parent Involvement... 7 Seasons. 8 On-line Payment Directions Concussion Facts for Athletes.. 10 Concussion Facts for Parents Game Schedules Parent and Student Athletic Contract.. 15 Emergency List Form Concussion statement / acknowledgement form 17 Release/Waiver/Athletic Fees

3 Laveen Elementary School District Intramural Athletic Program Dear Parents/Guardians and Athletes, Congratulations! We are honored to welcome you to the Laveen Elementary School District Intramural Athletic Program. We anticipate a hardworking, fun, and successful season for all schools. Being a part of a team is not only extremely rewarding, but also a commitment. Student athletes will have the opportunity to learn the importance of teamwork and fair play, promote school-community spirit, and develop a sense of accomplishment. In all areas of life, rules and regulations are important to provide orderly, positive, and fair experiences for the people involved. This handbook attempts to give you the basic rules and regulations set by the Laveen Elementary School District Intramural Athletic Program. Please read this handbook carefully. It contains important information to help student athletes be successful. After reading the information, the Parent and Student Athlete Contract, the emergency contact list, concussion waiver, and any athletic fees need to be returned to your coach or administrators. Sincerely, Todd Morgan Todd Morgan District Athletic Director 3

4 Laveen Elementary School District Intramural Athletic Program Laveen s Spectator Code of Conduct Laveen School District Intramural Athletic Program plays an important role in promoting the physical, social, and emotional development of children. It is therefore essential for parents, coaches, and officials to encourage youth athletes to embrace the values of good sportsmanship. Moreover, adults involved in youth sports events should be models of good sportsmanship and should lead by example by demonstrating fairness, respect, and self control. By purchasing admission, attending, and/or participating in this Intramural athletic event, you are agreeing to be responsible for your words and actions and shall conform to the following code of conduct: I will not engage, nor encourage any other person to engage, in unsportsmanlike conduct with any coach, parent, player, participant, official, or any other attendee. I will not engage, nor encourage any other person to engage, in any behavior which would endanger the health, safety, or well being of any coach, parent, player, participant, official, or any other attendee. I will not engage, nor encourage any other person to engage, in the use of profanity. I will treat, and encourage others to treat, coaches, parents, players, participants, officials, and any other attendees with respect regardless of race, creed, color, national origin, sex, sexual orientation, or ability. I will not engage, nor encourage any other person to engage, in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official, or any other attendee. I will not engage, nor encourage any other person to engage, in verbal or physical threats or abuse aimed at any coach, parent, player, participant, official, or any other attendee. I will not initiate, nor encourage any other person, to initiate a fight or scuffle with any coach, parent, player, participant, official, or any other attendee. By purchasing admission, attending, and/or participating in this Intramural athletic event, you are agreeing that you understand if you fail to the following code of conduct listed above, you are subject to the following disciplinary action, including, but not limited to, the following: Verbal warning issued by appropriate personnel Written warning issued by appropriate personnel Suspension or immediate ejection from the athletic event Forfeiture of the cost of admission for all parties involved Suspension from multiple athletic events Season suspension or multiple season suspension from athletic events 4

5 Mission Statement The mission of the Laveen Elementary School District Intramural Athletic program is to provide a safe, positive, and supportive learning environment where students have the opportunity to learn the values of athletic competition while learning the skills necessary to compete and enriching their school experience. Fees In order to successfully achieve this mission, it will be necessary to charge participation fees. Fees will be charged for transportation, uniforms, officials, coaching, equipment, etc. Fees will be charged in one of two ways: 1) Tax Credit the preferred method in 1997 the State Legislature passed a bill (ARS ) that allows an individual to receive a dollar for dollar tax credit for donations paid to schools for extracurricular activities. Taxpayers can contribute and receive a credit on their Arizona state taxes for any amount up to $400 for couples, $200 for individuals. By using this method of payment, you can maximize the amount of benefit directly to your school at no cost to you. Forms are available from the district, administrators, coaches, or on-line at This fee would be a one-time charge that would not be charged on a per-sport basis. 2) An annual per sport fee will be determined on an annual basis. For the school year, the fee will be $45.00 for the first sport the student plays. If they play additional sports, the fee will be $30.00 for those new sports, as long as they do not require an additional uniform. 3) On-line fee processing will be made available this year to parents who wish to pay on-line (see pages 12 and13). Admission to each regular season game is $2.00 for adults and $1.00 for elementary students. Admission is free to all children below school age (birth to 5 years old). Tickets will be available at the door the day of the game. There will be no refund of athletic fees if an athlete quits or is removed from the team. Uniforms The student athlete will be provided a t-shirt and shorts for the team uniform. No other uniform(s) will be allowed unless prior approval is given by the District Site Coordinator. The uniform will be the property of the athlete. Conference The eight schools of the Laveen Elementary School District (Cheatham, Desert Meadows, Laveen, M.C. Cash, Paseo Pointe, Rogers Ranch, Trailside Point, and Vista del Sur) will comprise the Laveen Conference. Our schools are obligated to comply with the rules and play the schedules assigned to them. Prerequisites for Participation Complete physical given by an authorized physician (less than 12 months old) Provided a copy of proof of insurance that covers the student athlete Completed emergency contact form Signed Parent and Student Athletic Contract Signed Concussion Statement and Acknowledgement form Student watch the concussion video Academic eligibility Fully paid athletic fees Students are to be in 6th-8th grade at a Laveen Elementary School District school (4th and 5th grade students will be allowed to participate with prior approval of Site Coordinator based on each individual skills and other possible circumstances) All above prerequisites must be met prior to any participation (including practice) in the program. 5

6 Academic Eligibility Being a student athlete requires great responsibility to maintain good academic standing. Grades will be checked at the start of the season. They will be checked throughout the season on a bi-weekly basis. Athletes become academically ineligible if he/she has one or more D s in any academic or elective class. This means that all athletes carry a minimum grade of C in all classes. Athletes that fail to meet this requirement will receive a twogame suspension, with the possibility of that suspension continuing until their grade requirements have been met. During this period of academic ineligibility, athletes may practice, but they may not participate in any athletic contest during the two-game suspension. Athletic seasons go by very quickly and if an athlete is suspended for more than two games, several games could be missed. STUDENT FIRST, ATHLETE SECOND. In-School Detention / Suspended on Game Day If a student athlete serves an in-school detention or was suspended from school during the day of an event, he/she will not be allowed to participate in that evening s contest Athlete Code of Conduct Athletes are required to attend school for a full school day in order to participate in practice or competition. Cooperate with all school personnel (i.e., teachers, coaches, bus drivers, custodians, administrators). Report on time for all practices and contests unless excused by the coach in advance. Excessive absences (excused and unexcused) will adversely affect the cohesiveness of the team and will limit the athlete s participation in scheduled contests. Travel to and from contests under the supervision of the coach. The team coach may authorize alternate return transportation by the athlete s parents only. Remain academically eligible. Take care of school equipment and return it personally in a timely manner upon leaving the team or concluding the season. Never wear school issued uniforms other than for contests or when the coach/site administration gives you permission. Demonstrate a high level of sportsmanship. Be honest and lawful. Athletes are expected to maintain a high level of conduct in school and out. The use of tobacco, illegal drugs, or alcohol is strictly prohibited and is cause for removal from the Intramural athletic program for the remainder of the year. Athletes quitting a sport must clear all responsibilities with the coach. Follow all team, school, and Arizona Interscholastic Association rules Athletes who exhibit chronic or serious behavior problems may be placed on suspension or declared ineligible for the rest of the season. Suspended athletes must attend practices and home contests, but will not be allowed to participate or travel to away contests. Always demonstrate proper conduct and good sportsmanship. This includes, but is not limited to: o Treat officials, opponents, teammates, and coaches with courtesy and respect. o Respect the rules of the game without seeking to evade or break the spirit or letter of the rules o Consider visiting teams and their spectators as honored guests. o Behave courteously as a responsible guest at other school sites. o Be gracious in victory and defeat. 6

7 Playing Time The athlete s effort, attendance, attitude, physical conditioning, skill, and the number of students on each team are some of the factors considered by a coach when determining playing time. Every reasonable effort will be made to give each athlete a fair share of playing time. THERE IS NO GUARANTEED PLAYING TIME. Practice Time Practices are held at the discretion of the coach. Practices may be scheduled on Saturdays or school breaks at the coach s discretion. Athletes are required to be at each practice and to be on time. Transportation Transportation will be provided by Laveen School District Transportation Department to and from all athletic contests. However, this is only to and from the school. Athletes must provide their own transportation home from the school. All athletes are required to use school transportation and may not participate in away contests if they use alternate transportation unless permission is received from the coach in advance. Transportation will also be provided after school on practice days. The bus will be dropping off students at bus stops within walking distance of their homes. District provided transportation, including school buses, is a privilege, not a right. Athletes must follow all directions of bus driver and comply with all rules regarding the bus. Any athlete that does not follow directions or that violates bus rules will lose their bus riding privileges. Parent Involvement Mandatory meeting(s) are held for parent(s)/legal guardian(s) of the student athlete. If the parent(s)/legal guardian(s) are not able to attend they must speak to the head coach directly to review the expectations and conduct of the parent(s)/legal guardian(s) and student athlete. Parent(s)/legal guardian(s) cooperation, communication, and support between school personnel, coaches, athletes, and parents are essential to the success of an Intramural athletic program and to ensure students have a positive and enriching experience. Should a parent have any concerns, call and make an appointment to discuss any issues. Approaching the coach before, during, and/or after a game is not the proper time to talk. Coaches have other responsibilities before, during, and/or after the game. The parent(s)/legal guardian(s) will be allowed to arrange a meeting with the coach and/or principal to discuss any concerns. Concerns that are NOT APPROPRIATE to discuss with a coach are: playing time of the student athlete, team strategy or play calling, and other student athletes. 7

8 Parents are expected to: Seasons Accompany their child to as many orientation meetings, athletic contests, and special events that their schedule will permit. Try their best to assure that their child attends all scheduled practices, athletic contests, and team meetings. Refrain from the use of negative statements about the coach or the team in front of their child, and give the coach the opportunity to resolve any concerns. Help their child handle adversity with dignity, be gracious in defeat, humble in victory, and treat others with respect and consideration Be an exemplary role model by displaying good sportsmanship at all times and respecting fans, coaches, officials, directors, and participants. Remember that their involvement and support is vital to their child s overall academic, athletic, and personal success. Fall Season Sports Boys Basketball Softball Winter Season Sports Soccer Volleyball Spring Season Sports Flag Football Girls Basketball Start (tryouts) End Start (tryouts) End Start (tryouts) End August October November February February April Reminder: To participate in sports (practice or game), students must turn in the following paperwork: 1. Completed physical given by an authorized physician 2. Copy of insurance card on file 3. Complete and Emergency List Form 4. Signed Parent and Student Athletic Contract 5. Release / Waiver Form 6. Athletic fees paid in full 7. Signed Concussion Statement & Acknowledgement Form 8. Players watched the concussion video 8

9 O N L I N E P A Y M E N T S N O W A V A I L A B L E! Laveen School District is now providing an easy and convenient way to pay school fees. Parents may pay with VISA or MasterCard credit or debit cards for these items. Our web store accepts payments over the internet 24/7. By contracting with RevTrak, a national credit card payment processor, we provide you a secure site for making payments. Pay the Following Athletic Fees Online: Basketball Flag Football Volleyball Softball Soccer Parents can make payments online while on their home or work computer, any time of the day. It only takes a few minutes to make a payment using a VISA or MasterCard credit or debit card. The convenience of paying online is further enhanced when parents access the store and see a familiar shopping cart (just like shopping online.) To make an online payment follow these simple steps: Visit our school website at Click on Quick Links>Online Payments link Make payment using a VISA and MasterCard debit or credit card A payment receipt will be ed to the address used when setting up the web store Account. To view/print previous online payments or to update login information please click on My Account. Laveen Elementary School District # W. Dobbins Road Laveen, Arizona

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12 Intramural Sports Fall Schedule Date Home Visitor Boys Basketball Softball Monday, September 11 Trailside Point Cheatham 4:35 p.m. 4:35 p.m. Monday, September 11 Desert Meadows Rogers Ranch 4:35 p.m. 4:35 p.m. Tuesday, September 12 Vista del Sur Laveen 4:35 p.m. 4:35 p.m. Tuesday, September 12 M.C. Cash Paseo Pointe 4:35 p.m. 4:35 p.m. Wednesday, September 13 Rogers Ranch Trailside Point 4:35 p.m. 4:35 p.m. Wednesday, September 13 Cheatham Desert Meadows 4:35 p.m. 4:35 p.m. Thursday, September 14 Laveen M.C. Cash 4:35 p.m. 4:35 p.m. Thursday, September 14 Paseo Pointe Vista del Sur 4:35 p.m. 4:35 p.m. Monday, September 18 Cheatham Rogers Ranch 4:35 p.m. 4:35 p.m. Monday, September 18 Vista del Sur M.C. Cash 4:35 p.m. 4:35 p.m. Tuesday, September 19 Trailside Point Desert Meadows 4:35 p.m. 4:35 p.m. Thursday, September 21 Laveen Paseo Pointe 4:35 p.m. 4:35 p.m. Monday, September 25 Vista del Sur Trailside Point 4:35 p.m. 4:35 p.m. Monday, September 25 M.C. Cash Desert Meadows 4:35 p.m. 4:35 p.m. Tuesday, September 26 Cheatham Laveen 4:35 p.m. 4:35 p.m. Tuesday, September 26 Rogers Ranch Paseo Pointe 4:35 p.m. 4:35 p.m. Wednesday, September 27 Trailside Point M.C. Cash 4:35 p.m. 4:35 p.m. Wednesday, September 27 Desert Meadows Vista del Sur 4:35 p.m. 4:35 p.m. Thursday, September 28 Laveen Rogers Ranch 4:35 p.m. 4:35 p.m. Thursday, September 28 Paseo Pointe Cheatham 4:35 p.m. 4:35 p.m. Monday, October 2 Laveen Trailside Point 4:35 p.m. 4:35 p.m. Monday, October 2 Paseo Pointe Desert Meadows 4:35 p.m. 4:35 p.m. Tuesday, October 3 Vista del Sur Cheatham 4:35 p.m. 4:35 p.m. Tuesday, October 3 M.C. Cash Rogers Ranch 4:35 p.m. 4:35 p.m. Wednesday, October 4 Trailside Point Paseo Pointe 4:35 p.m. 4:35 p.m. Wednesday, October 4 Desert Meadows Laveen 4:35 p.m. 4:35 p.m. Thursday, October 5 Cheatham M.C. Cash 4:35 p.m. 4:35 p.m. Thursday, October 5 Rogers Ranch Vista del Sur 4:35 p.m. 4:35 p.m. October Post-Season TBD 4:35 p.m. 4:35 p.m. 12

13 Intramural Sports Winter Schedule Date Home Visitor Soccer Volleyball Wednesday, November 29 Cheatham Trailside Point 4:35 p.m. 4:35 p.m. Wednesday, November 29 Rogers Ranch Desert Meadows 4:35 p.m. 4:35 p.m. Thursday, November 30 Laveen Vista del Sur 4:35 p.m. 4:35 p.m. Thursday, November 30 Paseo Pointe M.C. Cash 4:35 p.m. 4:35 p.m. Monday, December 4 Trailside Point Rogers Ranch 4:35 p.m. 4:35 p.m. Monday, December 4 Desert Meadows Cheatham 4:35 p.m. 4:35 p.m. Tuesday, December 5 Vista del Sur Paseo Pointe 4:35 p.m. 4:35 p.m. Tuesday, December 5 M.C. Cash Laveen 4:35 p.m. 4:35 p.m. Wednesday, December 6 Cheatham Vista del Sur 4:35 p.m. 4:35 p.m. Wednesday, December 6 Rogers Ranch M.C. Cash 4:35 p.m. 4:35 p.m. Thursday, December 7 Laveen Desert Meadows 4:35 p.m. 4:35 p.m. Thursday, December 7 Paseo Pointe Trailside Point 4:35 p.m. 4:35 p.m. Monday, December 11 M.C. Cash Vista del Sur 4:35 p.m. 4:35 p.m. Monday, December 11 Rogers Ranch Cheatham 4:35 p.m. 4:35 p.m. Tuesday, December 12 Paseo Pointe Laveen 4:35 p.m. 4:35 p.m. Thursday, December 14 Desert Meadows Trailside Point 4:35 p.m. 4:35 p.m. Monday, December 18 Vista del Sur Rogers Ranch 4:35 p.m. 4:35 p.m. Monday, December 18 M.C. Cash Cheatham 4:35 p.m. 4:35 p.m. Tuesday, December 19 Desert Meadows Paseo Pointe 4:35 p.m. 4:35 p.m. Tuesday, December 19 Trailside Point Laveen 4:35 p.m. 4:35 p.m. Tuesday, January 9 Cheatham Paseo Pointe 4:35 p.m. 4:35 p.m. Tuesday, January 9 Rogers Ranch Laveen 4:35 p.m. 4:35 p.m. Thursday, January 11 Vista del Sur Desert Meadows 4:35 p.m. 4:35 p.m. Thursday, January 11 M.C. Cash Trailside Point 4:35 p.m. 4:35 p.m. Tuesday, January 16 Laveen Cheatham 4:35 p.m. 4:35 p.m. Tuesday, January 16 Rogers Ranch Paseo Pointe 4:35 p.m. 4:35 p.m. Wednesday, January 17 Trailside Point Vista del Sur 4:35 p.m. 4:35 p.m. Wednesday, January 17 Desert Meadows M.C. Cash 4:35 p.m. 4:35 p.m. January Post-Season TBD 4:35 p.m. 4:35 p.m. 13

14 Intramural Sports Spring Schedule Date Home Visitor Girls Basketball Flag Football Monday, February 26 Cheatham Laveen 4:35 p.m. 4:35 p.m. Monday, February 26 Rogers Ranch Paseo Pointe 4:35 p.m. 4:35 p.m. Tuesday, February 27 Vista del Sur Desert Meadows 4:35 p.m. 4:35 p.m. Tuesday, February 27 M.C. Cash Trailside Point 4:35 p.m. 4:35 p.m. Wednesday, February 28 Laveen Rogers Ranch 4:35 p.m. 4:35 p.m. Wednesday, February 28 Paseo Pointe Cheatham 4:35 p.m. 4:35 p.m. Thursday, March 1 Desert Meadows M.C. Cash 4:35 p.m. 4:35 p.m. Thursday, March 1 Trailside Point Vista del Sur 4:35 p.m. 4:35 p.m. Monday, March 5 Vista del Sur Cheatham 4:35 p.m. 4:35 p.m. Monday, March 5 M.C. Cash Rogers Ranch 4:35 p.m. 4:35 p.m. Tuesday, March 6 Desert Meadows Laveen 4:35 p.m. 4:35 p.m. Tuesday, March 6 Trailside Point Paseo Pointe 4:35 p.m. 4:35 p.m. Thursday, March 8 Cheatham M.C. Cash 4:35 p.m. 4:35 p.m. Thursday, March 8 Rogers Ranch Vista del Sur 4:35 p.m. 4:35 p.m. Tuesday, March 20 Laveen Trailside Point 4:35 p.m. 4:35 p.m. Tuesday, March 20 Paseo Pointe Desert Meadows 4:35 p.m. 4:35 p.m. Wednesday, March 21 Vista del Sur Laveen 4:35 p.m. 4:35 p.m. Wednesday, March 21 M.C. Cash Paseo Pointe 4:35 p.m. 4:35 p.m. Thursday, March 22 Rogers Ranch Trailside Point 4:35 p.m. 4:35 p.m. Thursday, March 22 Cheatham Desert Meadows 4:35 p.m. 4:35 p.m. Monday, March 26 Laveen M.C. Cash 4:35 p.m. 4:35 p.m. Monday, March 26 Paseo Pointe Vista del Sur 4:35 p.m. 4:35 p.m. Tuesday, March 27 Trailside Point Cheatham 4:35 p.m. 4:35 p.m. Tuesday, March 27 Desert Meadows Rogers Ranch 4:35 p.m. 4:35 p.m. Monday, April 2 Cheatham Rogers Ranch 4:35 p.m. 4:35 p.m. Monday, April 2 M.C. Cash Vista del Sur 4:35 p.m. 4:35 p.m. Tuesday, April 3 Laveen Paseo Pointe 4:35 p.m. 4:35 p.m. Tuesday, April 3 Trailside Point Desert Meadows 4:35 p.m. 4:35 p.m. April 4-10 Post-Season TBD 4:35 p.m. 4:35 p.m. 14

15 Laveen Elementary School District Intramural Athletic Program Parent and Student Athlete Contract Student Athlete Commits and Agrees to: Practices are mandatory except on weekends. Remain academically eligible. Respect school equipment and property, teammates, coaches, opponents, and officials. Parent(s)/Guardian(s) Commits and Agrees to: Respect coach, players, and officials. Attend games to support your child as much as your schedule allows. Be at school when times are given for pick-up. Take care of financial obligations (i.e., participation fees). Student Athlete Pick-Up All parent(s)/guardian(s) should pick up student-athletes at their school following contests. Please understand that times will differ based on locations, game lengths, etc. We, the undersigned, understand that we are responsible for fees, grades, behavior, and practices. We also understand that we are representatives of the school and the community of Laveen. Signing this contract allows me to be a part of the Laveen Elementary School District Intramural Athletic Program. Additionally, signing this contract indicates that we have read the athletic handbook, and we agree to the expectations of the athletes and parents. Student Athlete Signature Date Parent/Guardian Signature Date 15

16 Laveen Elementary School District Intramural Athletic Program Emergency List Form Please include two or more emergency phone numbers for us to contact you in case of an emergency. It could be family members, friends, babysitters, neighbors, work phone numbers, or cellular phone numbers. Student Athlete s Name: Home Phone: Father: Work phone: Cell Phone: Mother: Work phone: Cell Phone: Other: Work phone: Cell Phone: Other: Work phone: Cell Phone: 16

17 CONCUSSION STATEMENT AND ACKNOWLEDGEMENT FORM I, (student), acknowledge that I have to be an active participant in my own health and have the direct responsibility for reporting all of my injuries and illnesses to the school staff (e.g., coaches, team physicians, athletic training staff). I further recognize that my physical condition is dependent upon providing an accurate medical history and a full disclosure of any symptoms, complaints, prior injuries and/or disabilities experienced before, during or after athletic activities. By signing below, I acknowledge: I have fully watched the concussion video provided by the Laveen Elementary School District. The Laveen Elementary School District has provided me with specific educational materials including the CDC Concussion fact sheet ( on what a concussion is and has given me an opportunity to ask questions. I have fully disclosed to the staff any prior medical conditions and will also disclose any future conditions. There is a possibility that participation in my sport may result in a head injury and/or concussion. In rare cases, these concussions can cause permanent brain damage, and even death. A concussion is a brain injury, which I am responsible for reporting to the family physician, parent and/or coach of the team. A concussion can affect my ability to perform everyday activities, and affect my reaction time, balance, sleep, and classroom performance. Some of the symptoms of concussion may be noticed right away while other symptoms can show up hours or days after the injury. If I suspect a teammate has a concussion, I am responsible for reporting the injury to the school staff. I will not return to play in a game or practice if I have received a blow to the head or body that results in concussion related symptoms. I will not return to play in a game or practice until my symptoms have resolved AND I have written clearance to do so by a qualified health care professional. Following concussion the brain needs time to heal and you are much more likely to have a repeat concussion or further damage if you return to play before your symptoms resolve. The following sports have been identified as high risk for concussion; basketball, contact football, soccer, softball, and spirit line. I represent and certify that I and my parent/guardian have read the entirety of this document and fully understand the contents, consequences, and implications of signing this document and that I agree to be bound by this document. Student Athlete s Name: Date: Signature: Parent or legal guardian must print and sign name below and indicate date signed. Name: Date: Signature: 17

18 Student-Athlete Name: Section I: Information (Last) (First) (MI) Male: Female: Grade: Date of Birth: Address: City: ZIP: Mother s Name: Father s Name: Home Phone: Home Phone: School Attended Section II: Release and Waiver I fully release Laveen Elementary School District No. 59 from any and all responsibility and liability in connection with my child s participation in the Intramural athletic programs. I understand that I am solely responsible for ensuring that my child is healthy and physically fit to participate, and for providing my child with any health and accident insurance and for paying any and all related costs that may arise. Section III: Athletic Fees I understand that my son/daughter cannot participate in boys/girls Intramural athletic programs unless he/she has fully paid athletic participation fees. I understand that these fees are a minimum of $45 per sport and cover uniforms, transportation, and other athletic needs. Option 1 Option 2 Option 3 I am making a full tax credit donation to the Intramural athletic program. I understand that this total amount is $400 for couples and $200 for individuals during the 2016 calendar year. This option allows student(s) from this family to participate in the Intramural athletic program for the full academic year. I am paying the $45 fee for my son/daughter to participate in for one sport in the Laveen Intramural Athletic program. I am paying the $30 fee for my son/daughter to participate in their second sport of in the Laveen Intramural Athletic program (NOTE: Student must have already participated in another sport during the school year). PARENT/GUARDIAN SIGNATURE: DATE: Your signature above signifies agreement with all provisions of this registration form. (Please check option 1, 2, or 3) Note: To be able to claim the amount paid as a Tax Credit Donation on Arizona State Tax return forms, a completed Tax Credit Donation form must also be submitted. The maximum amount that can be donated in calendar year 2017 is $400 for a couple filing jointly or $200 for an individual. All checks are to be made out to the Laveen School District. OFFICE USE: Amount donated: Date: 18

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