Clyde A. Erwin Middle School Athletic Packet
To: Clyde A. Erwin Middle School Athletes, Parents and Coaches
From: Chip Cody – Athletic Director
Date: August 6, 2012
Subject: Middle School Athletic Forms, Insurance Information and Participation Requirements
The Buncombe County Board has expressed concern about their liability in case of an injury to an athlete and to the so-called “waivers” of liability. They have been advised that the “waivers” alone are not sufficient to protect them from claims should a student athlete be injured.
So that each of us (student athletes, parents, coaches, administration) can be sure that we understand the risks involved in athletics and that each of our student athletes is properly insured, I am requiring that our coaches have the Athletic Participation Form properly completed and on file in the principal’s office before a student is allowed to try out of participate in an interscholastic sport. The Athletic Participation Form must be read, completed and signed by a parent/guardian. If this form is not appropriately signed, the student cannot participate in athletics.
Once your child has qualified to be on a school team, a copy of the student’s receipt giving evidence that the student has purchased the Buncombe County Athletic Insurance is required. The cost for insurance is $5.25. Also, a fee of $20.00 is required to cover transportation expenses. Both of these expenses must be paid prior to the first game. Each charge is a once-a-year charge. If a student plays more than one sport, that child will only have to pay once.
By granting permission for your child to participate in athletic competition, you, the legal guardian, acknowledge such a risk exists.
ATHLETIC INSURANCE INFORMATION FOR PARENTS
Clyde A. Erwin Middle School Athletics
2012 -2013
Buncombe County Board of Education requires each student-athlete to carry athletic insurance even though you may have other insurance for your child. The cost to you is only $5.25, payable to Clyde A. Erwin Middle School. Each student-athlete is required to pay before the first contest.
Parents will need to purchase the student accident athletic insurance plan for the 2008-2009 school year in order for you child to participate in school-sponsored and supervised interscholastic athletics. The athletic plan in insured by United Healthcare.
Please read through the benefits. This plan is not intended to reimburse 100% of the bills, but is designed to assist you with the expenses incurred. Note the benefit limits within the policy. The maximum benefit is $25,000 for any one accident, which is in excess of the amount for other collectable insurance or health plans you may have.
For the best insurance coverage, we recommend that you also purchase student insurance form the school. This inexpensive coverage will greatly increase the benefits you will receive if your child is injured while participating in interscholastic athletics.
How to file a claim for an athletic injury:
1. The student must see a doctor within 30 days of the injury.
2. Obtain a claim form from the school or from www.k12studentinsurance.com. The school must complete the top part of the form AND MUST SIGN THE CLAIM FORM.
3. Fill in the rest of the information on the claim form and SIGN IT. Send the claim form and original itemized bills to the claims address on the claim form. Keep a copy of the claim form and all bills.
4. If you have other applicable insurance, you must also file with that company. When you receive the Explanation of Benefits (EOB) from them showing what has been paid, forward these forms to the school insurance company.
5. Once the claim form, the itemized bills and the EOB forms have been received, the school insurance can process your claim. REMEMBER – Filing a claim after an injury is YOUR responsibility.
Please see the front office for further information on additional insurance coverage. Forms are located at Clyde A. Erwin Middle School. Parents are responsible for mailing in ALL insurance enrollments, except for the ($5.25) Athletic Coverage, which the school handles after the student-athlete turns the money into their coach.
Updates for 2012 - 2013
Below are two updates to the athletic program at Clyde A. Erwin Middle School that we bring to your attention. Each year, we find new and unique situations arise. So, each year, we will address the newest items in an update-type page intended for the upcoming athletic school year.
Item I. Athletic Discipline Committee
Athletes assigned two (2) ISS during the sports season for any reason will be referred to the Athletic Discipline Committee (ADC) and receive a minimum of a one-game suspension. The one-game suspension will be served immediately after the second ISS assignment. The ADC will provide its recommendation to the principal regarding the season eligibility of the student athlete. The ADC will meet as soon as possible after the assignment of the second ISS. Athletes are prohibited from playing in a game until the last day of ISS is served. Athletes may practice with the team but coaches will assign punishment during practice, such as lap running. Athletes dismissed from the sports team may participate in athletics again at the start of the next sports season.
The ADC will seek input from as many sources as possible to help determine the best decision for the student, the team and CAEMS. The ADC will seek input from the student, the student’s parents/guardians, the team coach, teachers, administrators and anyone who might provide pertinent information.
If the ADC determines that it is in the best interest of the student to remain on the team despite a second or subsequent ISS assignment, the ADC will make a recommendation for a consequence and a duration, no less than a one-game suspension (added consequences may include but are not limited to: probation for the season, suspension for more than one game, additional conditioning supervised by the coach for one week, dismissal from the team, etc). Athletes who are waiting to be seen by the ADC will continue to practice with the team.
The ADC will provide a written recommendation to the principal, the coach and the student athlete. A copy of the recommendation will be kept and referred to through the remainder of the sports season.
Item II. Dual – Sport Participation
Two school teams in same season – Athletes may be permitted dual participation on two school teams in the same season provided the athletes and coaches involved can resolve all conflicts in advance regarding expectations, practices, and participation in games or contests. Further, the athlete agrees that if they quit or are dismissed from one dual sport they will not be allowed to continue in the other dual sport for the remainder of that season. The athletic director must approve dual participation of any athlete.
School and non-school participation – Dual participation on a non-school team is allowed as long as the athlete commits to his or her middle school team as their primary commitment. No school practice, contest, game, or team function can be missed for non-school participation without advance approval of the school coach and athletic director. All non-school athletic participation during the school year is secondary to participation in Clyde A. Erwin Middle Athletics and not to be encouraged or discouraged by the Clyde A. Erwin Middle Coaching Staff. Any athlete who without prior approval misses a school athletic practice, contest, game, or function to participate in a non-school athletic event will be reported to the Athletic Discipline Committee, where sanctions will be recommended to the principal.
