Language
  • English (US)

  • 2020-2021

    Oak Ridge Schools Athletics Compliance 

    Welcome to Oak Ridge Schools Athletics for the 2020-2021 academic year.  

    Each student who wishes to participate in athletics must fill out the form below PRIOR to participation.  

    Please DO NOT PRINT.  Clicking submit at the end will ensure forms are submited correctly.  Computer users may use your mouse to sign and initial required boxes.  Mobile and touch screen users may sign and initial on your screen for required boxes.

    In addition, you will need to submit a copy of a physical dated AFTER APRIL 15, 2020.  This can be turned in to the main office of your school. Those forms will be provided at the Free Physical Event.  

    For questions or help with this form email: ORwildcatsAT@gmail.com

    IF YOU ARE USING A MOBILE PHONE CLICK THIS LINK FOR THE MOBILE OPTIMIZED FORMS: MOBILE OPTIMIZED FORMS


  •

  • PARENTAL CONSENT & EMEGENCY TREATMENT

  • I/We give consent for the above named student to represent Oak Ridge High School in Athletics. It is understood that such activity involves the potential for injury. It is acknowledged that even with competent coaching, the use and care of good equipment, and the observance of rules, injuries are still a possibility. On rare occasions these injuries can be severe and lead to a disabling condition or death.
     
    Permission is granted to Oak Ridge High School for the physicians, coaches and/or athletic trainers to render aid, treatment, medical or surgical care deemed reasonable and necessary to protect the health and well being of the above named individual.
     
    PARENTS: Many hospitals and doctors will not treat a child without parental consent (unless a matter of life or death). It is required that you complete the information below so that if your child requires a visit to the hospital while
    under the supervision of the school, this will allow the hospital to treat the injury.
     
    I have read and understand that I accept financial responsibility for any injury not covered by the school accident insurance or my hospitalization insurance. I further understand that it will be my responsibility to file claims for injuries
     
    I/We have read the Field Trip policy with our student. Student will abide by all ORHS Field Trip rules, making up any class work missed. It is understood that I will be responsible for the loss or damage to personal property of others or injury to another person caused by the above named student, It is also understood that the City of Oak Ridge and the Oak Ridge School System is responsible only for injuries that result from the negligence of their staff. Oak Ridge High School will not be responsible for the liability or insurance coverage of private or public carriers.
  • Clear

  • EMERGENCY CONTACT INFORMATION

  •  -
  •  -  - Pick a Date
  •  -
  •  -
  •  -
  •  -
  •  -
  •  -
  •  -  - Pick a Date
  •  -  - Pick a Date

  • 2020-2021

    INSURANCE COVERAGE WAIVER

    In order to participate in interscholastic athletics at Oak Ridge High School, each participant must be covered by an insurance policy; or Oak Ridge High School must have on file a statement signed by the parent/guardian indicating coverage under another health or hospitilalization insurance policy.  Oak Ridge Schools does not carry blanket student accident insurance policies.  You must apply for coverage if your child is not covered under another policy.

  • I understand that I accept financial responsibility for any injury not covered by the school accident or my hospitalization insurance. I further understand that it will be my responsibility to file claims for injuries received.
     
    CoverKids offers free health coverage to uninsured children based on family income. There are two easy ways to apply. Visit  www.coverkids.com to apply online or call 1-866-620-8864 to request an application.
     
    Only interscholastic football for grades 9, 10, 11, and 12 requires the special premium for the fall and spring football program. All other sports are covered under the regular accident policy when the student has paid the premium.
     
    FIELD TRIPS- ATHLETICS
     
    Athletic trips are treated as any school-sponsored field trip. A student must abide by all ORHS Field Trip rules, including any additional rules deemed necessary by the coach. Serious violations, i.e., theft, vandalism, alcohol, will result in school disciplinary action, including being banned from future field trips.
     
    A field trip violation could affect a student remaining on a team.
     
    It is understood that on any authorized field trip the student has the privilege and responsibility for making up any class work missed
     
    If the student behaves in a manner unsuitable for the coaches or chaperone, I agree to accept a collect long distance call and to provide transportation for their return to Oak Ridge.
     
    Oak Ridge High School will not be responsible for the liability or insurance coverage of private or public carriers.

  • 2020-2021

    Oak Ridge High School

    Student Athlete/Parent or Legal Guardian Concussion Statement

     

    MUST BE SIGNED AND RETURNED TO OAK RIDGE HIGH SCHOOL PRIOR TO PARTICIPATION IN ALL ATHLETIC ACTIVITIES

     

  • TSSAA CONCUSSION POLICY

    AFTER READING THE INFORMATION SHEET I AM AWARE OF THE FOLLOWING INFORMATION:

  • A concussion is a brain injury which should be reported to my parents, my coach(es) or a medical professional if one is available.

  • A concussion cannot be "seen".  Some symptoms might be present right away.  Other symptoms can show up hours or days after an injury.

  • I will tell my parents, my coach, and/or a medical professional about my injuries and illnesses.

  • I will not return to play in a game or practice if a hit to my head or body causes any concussion-related symptoms.

  • I will/my child will need written permission form a health care provider* to return to play or practice after a concussion.

  • Most concussions take days or weeks to get better.  A more serious concussion can last for months or longer.

  • After a bump, blow, or jolt to the head or body an athlete should receive immediate medical attention if there are any danger signs such as loss of consciousness, repeated vomiting, or a headache that gets worse.

  • After a concussion, the brain needs time to heal.  I understand that I am/my child is much more likely to have another concussion or more serious brain injury if return to play or practice occurs before the concussion symptoms go away.

  • Sometimes repeat concussion can cause serious and long-lasting problems and even death.

  • I have read the concussion symptoms on the Concussion Information Sheet found here: https://tssaa.org/wp-content/uploads/concussion.pdf

  •  -  - Pick a Date
  •  -  - Pick a Date

  • Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form

     

    What is Sudden Cardiac Arrest?

    Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly.  When thishappens, blood stops flowing to the brain and other vital organs.  SCA doesn't just happen to adults; it takes the lives of students too.  However, the causes of sudden cardiac arrest in students and adults can be different.  A youth athlete's SCA will likely result from an inherited condition, while an adult's SCA may be caused by either inherited or lifestyle issues.  SCA is NOT a heart attack.  A heart attack may cause SCA, but they are not the same.  A heart attack is caused by a blockage that stops the flow of blood to the heart.  SCA is a malfunction in the heart's electrical system, causing the heart to suddenly stop beating.

    How common is sudden cardian arrest in the United States?

    SCA is the #1 cause for death for adults in this country.  There are about 300,000 cardiac arrests outside hospitals each year.  About 2,000 patients under 25 die of SCA each year.  It is the #1 cause of death for student athletes.

    Are there warning signs?

    Although SCA happens unexpectedly, some people may have signs or sypmtoms such as:

    • Fainting or seizures during exercise
    • Unexplained shortness of breath
    • Dizziness
    • Extreme fatigue
    • Chest pains
    • Racing heart

    These symptoms can be unclear in athletes, since people often confuse these warning signs with physical exhaustion.  SCA can be prevented if the underlying causes can be diagnosed and treated.

    What are the risks of practicing or playing after experiencing these symptoms?

    There are risks associated with continuing to practice or play after experiencing these symptoms.  When the heart stops, so does the blood that flows to the brain and other vital organs.  Death or permanent brain damage can occur in just a few minutes.  Most people who experience SCA die from it.

    Public Chapter 325 - the Sudden Cardiac Arrest Prevention Act

    The act is intended to keep youth athletes safe while practicing or playing.  The requirements of the act are:

    All youth athletes and their parents or guardians must read and sign this form.  It must be returned to the school before participation in any athletic activity.  A new form must be signed and returned each school year.

    Adapted from PA Department of Health: Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form. 7/2013

    The immediate removal of any youth athlete who passes out or faints while participating in an athletic activity, or who exhibits any of the following symptoms:

    (i) Unexplained shortness of breath

    (ii) Chest pains

    (iii)Dizziness

    (iv) Racing heart rate

    (v) Extreme fatigure and

    Establish as policy that a youth athlete who has been removed from play shall not return to the practice or competition during which the youth athlete experienced symptoms consistent with sudden cardiac arrest.

    Before returning to practice or play in an athletic activity, the athlete must be evaluated by a Tennessee licensed medical doctor or an osteopathic physician. Clearance to full or graduated return to practice or play must be in writing.

     

    I have reviewed and understand the symptoms and warning signs of SCA.

  •  -  - Pick a Date
  •  -  - Pick a Date
  • Should be Empty:
Jotform Logo
Now create your own JotForm - It's free! Create your own JotForm