Originally Adopted by Duplin County Board of Education

August 3, 1999

2011-2012 School Year Updated June 2011

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Table of Contents

Philosophy and Sportsmanship____________________________________Page 2-3

Introduction Page 4

NCHSAA Athletic Eligibility Page 5

DCS Athletic Code of Ethics and Standards Page 6-8

Information of Student-Athletes___________________________________Page 9-10

NCHSAA EJECTION POLICY__________________________________Page 11

Athletic Insurance Page 12-14

Infectious Disease Information Page 15 - 16

Parental Permission Form________________________________________Page 17

Sport Participation History Form Pages 18

Sports Medical History Form Page 19

Permission for Medical Treatment Page 20

Concussion Return to Play Page 21

Parent and Coach Protocols______________________________________ Page 22

Student-Athlete Parent Pledge____________________________________Page 23

Student-Athlete Pledge__________________________________________Page 24

Acknowledgment of Handbook Page 25

Athletic Philosophy

The goal of athletics is to provide the best opportunities for student/athletes to excel in

teamwork, sportsmanship, self-discipline and character. The purpose is to provide each

participant with experiences that will be positive and memorable and that help develop

the capacity for commitment to a cause, acceptance of responsibility and loyalty towards

any chosen endeavor.

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Sportsmanship

The following policy statement from the National Federation of State High School

Associations expresses the concept of sportsmanship as follows:

“The ideals of good sportsmanship, ethical behavior, and integrity permeate our

culture. The values of good citizenship and high behavioral standards apply equally to all

activity disciplines. In perception and practice, good sportsmanship shall be defined as

those qualities of behavior which are characterized by generosity and genuine concern for

others. Further, an awareness is expected of the impact of an individual’s influence on

the behavior of others. Good sportsmanship is viewed as a concrete measure of the

understanding and commitment to fair play, ethical behavior and integrity.”

One of the main goals of the athletic program is to teach the concepts of sportsmanship.

Good sportsmanship requires that everyone be treated with respect. This includes

members of the opposing team, officials, coaches, and spectators.

Good sportsmanship includes showing courtesy and kindness towards your opponent as

well as fellow team members. The contest is judged by the effort of the participants and

not by putting down your opponent.

Winning is exciting, but winning at any coast is not the goal. Negative treatment of any

participant is outside the spirit and interest of the contest.

Please note that administrators may ask students, parents and fans to leave an athletic

contest should they fail to exhibit proper sportsmanship toward players, opponents,

officials and other fans.

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Introduction to Duplin County Schools Athletics

For Parents and Student-Athletes

This athletic booklet is designed to inform coaches, parents and student-athletes of the

rules, regulations, and information that help develop the rich tradition of competition in

Duplin County Schools Athletics.

The primary purpose of the Duplin County Schools’ athletic program is to promote the

physical, mental, social, emotional, and moral well being of the participant. It is hoped

that athletics will help athletes in our schools and will be a positive force in preparing our

youth for an enriching and contributing role in the 21st Century.

Student athletes must be taught that participation in athletics is a privilege that carries

with it varying degrees of honor, responsibility, and sacrifice. Since competition is a

privilege and not a right, those who choose to participate shall be expected to follow the

rules established by the Athletic Department and other specific coaches’ rules for their

sport. Each student-athlete represents his/her school and student body. The coach and

parent have the responsibility to lead by example and to promote healthy wholesome

athletic programs free from unsportsmanlike conduct.

The athletic program is an important and integral part of the total school program and is

open to participation by all students regardless of individual differences. It is understood

that coaching staffs give extra time, energy, and responsibilities that are unique to a

successful athletic program. In order to provide the highest standards for our athletic

programs coaches must willingly assume these obligations. These individuals must

understand they will make sacrifices not required of others in the areas of time, effort,

obligation, and the ideals of sportsmanship.

The athletic departments and administrators will enforce all rules and regulations as

described in the Parent and Student-Athlete Handbook and the Duplin County Schools

Policy Manual pertaining to academics and conduct.

What You Must Do Before the First Practice

The following things are to be completed by the middle school and high school athletes

before the first practice with any team:

Meet academic eligibility requirements

Take and pass physical examination

Obtain parental signature on physical exam

Emergency information card

Parent information and consent form

Parent and athlete sportsmanship form

Parent signature on at-risk form

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Are You Eligible to Play? DON’T BE LEFT ON THE SIDELINES!

Protect Your Eligibility by Knowing the Rules (adapted from NCHSAA handout)

YOU: Must be a properly enrolled student at the time you participate, must be enrolled no later than

the 15th

day of the present semester; and must be in regular attendance at that school.

Must have been in attendance for at least 85% of the previous semester at an approved school.

Must not have exceeded eight consecutive semesters of attendance or have participated more

than four seasons in any sport since first entering grade 9.

Must not have graduated from high school.

Must be less than 19 years of age on August 31, 2011.

Must live with your parents or legal custodian within the school administrative unit (exceptions

must be approved by your principal and the NCHSAA). A student is eligible if he/she has

attended school within that unit the previous semesters (if eligible in all other respects).

Must not falsify any official eligibility information such as residency/address. Penalty for

such acts will result in loss of eligibility for 365 days.

Must have passed a minimum academic load during the previous semester, and meet local

promotion standards. Students in a “block schedule” must pass three of four courses per

semester and meet local promotion standards. If the school is on an A/B form of block

scheduling, a student must pass six of eight courses during what would traditionally be defined

as a semester.

Must have received a medical examination by a duly licensed physician, nurse practitioner, or

physician’s assistant within the previous 365 days; and if you miss five or more days of practice

due to illness or injury, you must receive a medical release before practicing or playing.

Must not have been convicted of a felony or offense that would be a felony if committed by an

adult.

Must not accept prizes, merchandise, money or anything that can be exchanged for money as a

result of athletic participation. THIS INCLUDES BEING ON A FREE LIST OR LOAN LIST

FOR EQUIPMENT, ETC.

Must not have signed a professional contract, have played on a junior college team or be

regularly enrolled in college.

Must not participate in unsanctioned all-star or bowl games.

May not receive team instructions from your school’s coaching staff during the school year

outside your sport’s season (from first practice through final game.) Instruction is limited to coach

and athletes in SKILL DEVELOPMENT SESSIONS. THESE SESSIONS ARE LIMITED

IN NUMBER TO ONE LESS THAN A TEAM (E.G., 4 IN BASKETBALL) ON A DAILY

BASIS, AND MAY NOT BE HELD DURING CERTAIN PRESCRIBED “DEAD

PERIODS” OF THE YEAR. o May not usually, as an individual or on a team, practice or play during the school day

(from first contest through conference tournament).

May not play, practice or assemble as a team with your coach on Sundays.

May not dress for a contest or practice if you are not eligible to participate.

Must not play more than three games in one sport per week (exception baseball, softball and

volleyball).

Cheerleaders are subject to the same eligibility requirements as all other athletes.

All eligibility guidelines are subject to appeal according to NCHSAA Hardship Rules. Any local

appeals will be decided by a committee appointed by the County Athletic Director made up of an

uninvolved athletic director, uninvolved coach and uninvolved principal.

Additionally, Duplin County athletes must be willing to participate in Duplin County Schools

Athlete Drug Testing Program.

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Duplin County Schools Athletic Code

Of Ethics and Standards

I. General Regulations A. North Carolina High School Athletic Association rules must be followed in all cases

of eligibility, transfer, physical examination, insurance coverage, starting dates, use of

school equipment, etc. Each coach has the responsibility to know, to inform team

members and parents, and to enforce school, North Carolina High School Athletic

Association regulations, and the North Carolina Department of Public Instruction

Regulations in these matters.

B. Any conduct at or away from school that is determined by the head coach and school

administration to be detrimental to the athletic program, school, or school district will

result in counseling by the head coach and a school administrator with possible

suspension.

C. No athlete may quit one sport and try out for another after the season has begun

without the mutual consent of both coaches and the Athletic Director.

D. Athletes must travel to contest in transportation provided by the school. Athletes

must travel away from contest on school transportation unless one of the following

exceptions occurs:

1. Injury to a participant, which would require alternate transportation.

2. Prior arrangement between the participant’s parent/guardian and the coach

for the student to ride with the parent/guardian or coach. Parent or guardian

must sign extra curricular activity travel release.

E. A display of unsportsmanlike conduct toward an opponent or official or use of

profanity during a practice or contest will result in counseling by the head coach and

possible suspension. All athletes will respect the integrity and judgment of all athletic

officials. All sanctions listed in the NCSHAA Handbook will apply as well as these

sanctions.

F. Unexcused absence from scheduled practice will result in:

1. An athlete should always consult his/her coach before missing practice.

Missing practice or a game without good reason will be dealt with severely. Sudden

illness or some other emergency would be good reason for missing a practice or game.

You should notify your coach before you miss a practice or game.

2. An athlete shall not participate in athletics on the day he has been absent from

any class without just reason and prior approval. If an athlete is too ill to

attend class, he is too ill to participate in athletics.

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3. Student athletes who do not attend school for at least ½ day on the day of a

contest will not be allowed to participate in that contest. Exceptions will be

excused by the principal or athletic director.

G. Completion of the sports season is required in order for the student to be eligible for

any award (letter, team, individual, or academic). (Exception: injury that limits

participation.) No awards shall be given to any student suspended for the remainder of

the season for Athletic Code violation. (Other guidelines for awards are to be determined

by the coaches.)

H. Support personnel (statisticians, managers, student trainers, camera crew, etc.) who

are associated with athletics must follow the same attendance and academic requirements

as athletes.

II. School Attendance Requirements A. Students who do not attend school for at least two full class periods on the day of

contest will not be allowed to participate in that contest. (Example: 1st, 2

nd, 3

rd, 4

th, 1

st

and 4th)

Exceptions will be excused by the principal or athletic director.

B. A student who has been injured and has had medical treatment cannot participate

again until the date indicated by the student’s doctor.

III. Alcohol and Drug A. Duplin County Schools maintains a zero tolerance on selling of any illegal substance

including medical prescriptions or facsimiles. This will result in immediate suspension

from athletics.

B. Use or possession of alcohol beverages, tobacco, drugs, narcotics, or hallucinating

agents by athletic program participants is strictly prohibited.

Penalties:

1st Offense – Suspended from team practice and play for two weeks, however, the

athlete must attend practice. The athlete is required to attend counseling sessions

via an approved mental health or counseling agency. All cost will be covered by

the athlete or athlete’s family. The student will be required to submit for drug

testing on demand within six weeks of positive test. Student must provide

verification of mental health counseling at cost to student and family.

2nd

Offense – All athletic eligibility will be terminated for 365 days.

Any student athlete testing positive during their off season will be required to sit out the

same time during their sport for next season. All athletes will be afforded due process by

appealing to the superintendent and to the Duplin County Board of Education. Any

appeals must be made in writing to the superintendent or designee within five days. The

decision must be made within five days after appeal is received by the superintendent.

Any student athlete testing positive on an initial or random test may be required to submit

to a drug screen as deemed appropriate.

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C. All student athletes will be subject to drug testing at the beginning of each academic

year and when randomly selected. All athletes and their parents will be required to sign a

wavier in order for the athlete to be in the drug testing program. Any student on an

athletic eligibility list must be part of the drug testing program. Any athlete refusing to

be part of the testing forfeits their right to participate in athletics for 365 days. The same

penalties apply as for use of possession of alcohol or other drugs.

D. Any student athlete that uses alcohol or any illegal substance (marijuana, drugs,

steroids, or any substance without medical approval) will be suspended from athletic

participation, but he/she will also be subject to school rules and regulations.

IV. Tobacco Usage

Use or possession of tobacco by athletes is prohibited. Any athlete using tobacco

substances will be suspended from athletic participation and be subject to local school

consequences:

1st Offense – 1 game suspension and cession class

2nd

Offense – 2 weeks suspension

3rd

Offense – eligibility will be terminated for the remainder of the year

Confirmation and proof of use will result in the above penalties.

V. Before any athletic suspension provided for under these rules shall take effect, the

student shall be verbally advised by the head coach of the alleged violation and the

student will have an opportunity to explain or justify the action.

VI. The rules and regulations in this code shall pertain to any violations, on and off

school premises, as students represent the school at all times.

VII. Any student charged with a felony will be under the guidelines of Duplin County

Extracurricular Suspension policy. Any student found guilty of a felony will be

suspended from the athletic team he/she is participating in according to North Carolina

High School Athletic Association rules.

VIII. Awards An athletic award is a symbol of athletic accomplishment, good sportsmanship and

observance of athletic policies. Student-athletes, managers, trainers, and cheerleaders are

eligible to earn awards. No student-athlete may receive an award in a sport for which

he/she is academically ineligible at the completion of the season or if under suspension

for an athletic violation. Candidates must complete the season’s play; however, this

requirement may be waived in cases of physical injury. No athlete’s awards will be

issued (to an athlete) until all obligations are turned in to the coach.

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Information for Athletes

Conflicts Between Activities Students are sometimes involved in concurrent activities, and there may be conflicts in

schedules. Communication between coaches and sponsors of conflicting activities is

vital. Consideration must be given to the importance of the event and the role the

student-athlete will play in it.

Doctor Visits Medical expenses are the responsibility of the athlete/family.

Written verification from the doctor is required when a physician removes an

athlete from practices or games.

Written verification from the doctor is required t return to athletic competition

after the doctor releases the athlete to play again.

Written verification or release from a medical doctor for any head injury for

an athlete to return to practice or play.

Insurance All Duplin County student athletes must purchase interscholastic sports insurance to try-

out and participant on an athletic team including cheerleaders. The athletic insurance is

an accident policy for students without other insurance and secondary to any other

insurance the student athlete has. The Double Option insurance for 2010-2011 is $20.00

per athlete and the catastrophic insurance required by the North Carolina High School

Athletic Association is $3.75 for a total of $23.75. (See American Advantage Marketing

Group)

This “All Sports” Policy is not meant to pay 100% of the bill, but is

designed to assist parents with the expenses incurred. The maximum

benefit is $25,000 for any one accident, which is in excess of the amount

from other collectable insurance or health plans parents may have.

If an athlete is injured while participating in a high school or middle school sponsored

and supervised interscholastic event, parents are responsible for filing a claim. Claim

forms are to be available at all high schools and middle schools. A school employee

must complete Part A of the claim form since the injury was during a school-sponsored

event. The school personnel completing the form should be knowledge of the event such

as coach, athletic director, sports medicine technician.

Sports Medicine Technician and coaches should keep a record of all injuries and any

claims filed as a result of injuries.

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Participation in Two Sports in One Season Dual participation will be discouraged. However, student-athletes may participate in

more than one sport during one season with the approval of both coaches. Practice

schedules will be worked out between the coaches involved. If contests conflict, coaches

will decide in which contest the student-athlete is to compete. The student-athlete must

realize that extra time for practice is necessary to compete in two sports in one season.

The student-athlete must meet the requirements of both sports. If the requirements of one

or both sports are not met, the student-athlete may be cut from the sport(s).

Team Selection Policies Each coach of a junior varsity or varsity sport has his/her own policy on how he/she will

choose his/her team. In some sports, cutting a team down to manageable size is a

necessity. Coaches will explain their policy to candidates for their team at the first

meeting. A student-athlete may be cut form a team anytime during the season for

appropriate reasons.

Sportsmanship Ejection Student athletes and coaches ejected for non-sportsmanlike conduct will be penalized

according to the NCHSAA guidelines. All students ejected are required to take the

online sportsmanship course, complete the test and submit their certification of

completion prior to being allowed to return to an athletic contest after their game

suspension. All coaches ejected for unsportsmanlike conduct will follow the same

procedure and certification of completion must be submitted prior to return to coaching.

Sports Medicine Room The sports medicine room is available for all male and female athletes. The athletes are

offered a wide variety of services to help meet the demands of athletic competition. The

following are guidelines to be followed when using the training room.

No student is permitted in this room without the sports first responder or coach

being with him/her.

Only student-athletes needing treatment and/or rehabilitation of an athletic injury

are allowed in this area.

Do not treat yourself! All taping, bandaging, and treatments will be done by the

sports first responder staff or other designated medical staff, (doctor, physician

assistant, physical therapist, chiropractor or nurse).

Wear appropriate clothing – this is a co-ed facility.

Only the sports first responder staff is to switch the whirlpool on or off.

Do not use or remove supplies without permission. No athlete may participate until all

issued supplies have been returned or paid

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NCHSAA EJECTION POLICY

The policy applies to all persons involved in an athletic contest, including student-athletes, coaches, managers and game administrators. The following examples include behavior or conduct which will result in an ejection from a contest:

1. Fighting, which includes, but is not limited to, combative acts such as: *An attempt to strike an opponent with a fist, hands, arms, legs or feet *An attempt to punch or kick an opponent, regardless of whether or not contact is made *An attempt to instigate a fight by committing an unsportsmanlike act toward an opponent that causes an opponent to retaliate *Leaving the bench area to participate in a fight (contact or no contact) 2. Biting observed by an official 3. Taunting, baiting or spitting toward an opponent 4. Profanity, directed toward an official or opponent 5. Obscene gestures, including gesturing in such a manner as to intimidate 6. Disrespectfully addressing (physically contacting an official is subject to automatic expulsion and can result in ineligibility for remainder of career) an official Penalty for an ejection for the above reasons:

*Football - ejection from the contest and miss the next contest at that level and contests in the interim (EXCEPTION: fighting equals 2 missed contests)

*All other sports - ejection from that contest; miss the next two contests at that level and all contests in the interim (EXCEPTION: fighting equals 4 missed contests) Players receiving two ejections for unacceptable behavior as defined above will be suspended from all sports for the remainder of that sport season. Receiving a third ejection in a school year will result in suspension from athletics for one calendar year (365 days from the date of the third ejection).

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Duplin County Schools

INFECTIOUS DISEASE

The North Carolina High School Athletic Association has adopted a policy in an effort to

minimize the possibility of transmission of any infectious disease during a high school

athletic practice or contest. Copies of the policy have been made available to member

schools, and additional copies can be obtained from the NCHSAA office. Each school is

strongly encouraged to develop its own action plan for the prevention of the transmission

of infectious diseases.

REDUCING THE RISK OF CONTRACTING

BLOODBORNE INFECTIONS

(HIV and Hepatitis B Virus)

Universal Hygienic Precautions for the Athletic Setting

1. Before competing, cover any open wounds you might have to reduce the transfer of

blood from one open wound to another.

2. Athletes should render first-aid to themselves and cover their own wounds, whenever

possible. This reduces the risk of transmitting a bloodborne virus from one person to

another.

3. When rendering first-aid to others, wear protective gloves any time blood or other

body fluids containing visible blood, open wounds, or mucous membranes are involved.

Clean gloves should be worn for each athlete or the recurrence of an injury with the same

athlete if any practice or competition has occurred following initial treatment.

4. If you get someone else’s blood or other body fluids containing visible blood on

yourself, wear protective gloves and wipe it off with a disposable towel using a solution

known to inactivate bloodborne pathogens. Soap and water or antiseptic hand cleaner in

conjunction with clean cloth/paper towels or antiseptic towelettes, are recommended by

OSHA. Cloth towels should be used only once before laundering and disposable

towels/towelettes should be discarded properly. Proper disposal would be the use of a

plastic-lined container with a lid, labeled with a biohazardous waste label.

5. If blood or other body fluids containing visible blood are present during practice or

competition, play should be stopped, the injured athlete removed from the activity and

given proper attention, and any contaminated surfaces should be cleaned. A uniform

saturated with blood should be changed. Any open wounds should be cleaned, the

bleeding should be stopped, and the wounds should be covered before the athlete is

allowed to continue participation.

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6. Do not use common towels to clean surfaces contaminated with blood or other body

fluids containing visible blood. The use of common towels any time during athletics is a

very poor health habit. Personalize towels, cups, and water bottles with the individual’s

name or number.

7. When cleaning contaminated surfaces, use a solution of household bleach and water or

a commercially-prepared, EPA-approved solution. The household bleach solution should

be mixed fresh daily and should be a dilution of nine parts water to one part bleach.

8. All blood contaminated linen such as uniforms and towels should be pre-soaked and

then washed in hot, soapy water.

9. Wash all soiled uniforms, towels, and other dirty linen in warm or hot soapy water.

Use a normal laundry cycle and follow the washer and detergent manufacturer’s

recommendations.

10. In general, use good hygienic practices. Shower after each practice or competition,

using a liberal amount of soap and water. Avoid sharing towels, cups, and water bottles.

In light of continued questions and concerns about the use of creatine and

androstenedione, the Board supports and endorses the same stance of the National

Federation of State high School Associations: “In order to minimize health and safety

risks to student-athletes, maintain ethical standards and reduce liability risks, school

personnel and coaches should never supply, recommend or permit the use of any drug,

medication or food supplement solely for performance-enhancing purposes.”

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Permission For Medical Treatment

Athlete’s Name

Dear Parent or Guardian:

The pre-participation examination is a limited medical checkup to screen your child to

see if he/she can safely participate in sports. The exam does screen for the common

problems that have been shown to be a danger to athletes. It is not a comprehensive

medical exam and often does not detect rare medical conditions. If you have concerns

about your child having a serious medical illness, please schedule a visit with your

personal physician. Additionally, your child’s regular health care, routine physical

examinations, and laboratory testing should continue to come from his/her personal

physician.

I recognize that there are inherent risks in all athletic events (head and spinal cord injuries,

fractures, etc.), and hereby give my permission to High

School for my son/daughter to participate in interscholastic athletic activities.

Permission is hereby granted to School and its authorized

representatives to proceed with any needed medical or minor surgical treatment, x-ray

examination, and immunization for the above named individual. In the event of serious illness,

the need for major surgery, or significant accidental injury, I understand that an attempt will be

made by the attending physician to contact me in the most expeditious manner possible. If said

physician is unable to communicate with me, the treatment necessary for the best interest of the

above named individual may be given.

I hereby release School and members of its athletic staff

including, but not limited to, its coaches, sports first responder, administrators, and all others

connected with school athletic activities, and any attending physicians or surgeons, from any and

all damages for injuries sustained by my son/daughter while participating in any sports activity

connected with School and do hereby agree to hold harmless

any and all of the above from any and all damages which they may suffer as a result of injuries

sustained by my son/daughter while participating as above stated.

Is student named above allergic to any medication? Yes No

If yes, list medications:

Signature Phone # Home

Business

Emergency contact if parent not available Phone #

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Parent-Coach Relationship

Parenting and coaching are both extremely difficult vocations. By establishing an

understanding of each position, we are better able to accept the actions of the other and

provide a greater benefit to children. As parents, when your child is involved in our program,

you have the right to understand what expectations are placed on him/her. This begins with

clear communication from the coach of the sport.

Communications You Should Expect From Your Child's Coach Philosophy of the coach.

Expectations and goals the coach has for your child as well as for the

team/season.

Locations and times of all practices and contests.

Team requirements, special equipment, strength and conditioning programs.

Procedure if your child is injured during participation.

Team rules, guidelines and consequences for infractions.

Lettering criteria.

Team selection process.

Eligibility requirements including attendance.

Proper care and responsibility for equipment issued by the school.

Communication Coaches Expect From Athletes & Parents

· Concerns expressed directly to the coach.

· Notification of any schedule conflicts in advance.

· Notification of illness or injury as soon as possible.

As your child becomes involved in his/her programs at middle and high school, he/she will

experience some of the most rewarding moments of their lives. It is important to understand

that there also may be times when things do not go the way you and your child wish. At these

times, discussion with the coach is encouraged. It is the first and most integral step to

understanding and resolution.

If You Have A Concern To Discuss With A Coach, You Should :

1. Call or e-mail the coach to schedule an appointment.

2. If the coach cannot be reached, call the School Athletic Director; he/she will set a meeting for

you.

Please do not attempt to address a coach before or after a contest or practice. These can

be emotional times for both the parent and the coach. Meetings of this nature usually do

not promote positive resolutions.

Appropriate/Inappropriate Concerns To Discuss With Coaches

The following topics are appropriate for discussion:

· The treatment of your child.

· Ways to help your child improve his/her skills.

· Concerns about your child's behavior.

Coaches are not expected to respond to questions involving the following topics:

· Amount of playing time, positioning, event entry.

· Team strategies, game tactics, play calling.

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Student Athlete’s Parent Pledge

As a parent, I acknowledge that I am a role model. I will remember that

school athletics is an extension of the classroom, offering learning

experiences for the students. I must show respect for all players, coaches,

spectators, and support groups. I will participate in cheers that support,

encourage, and uplift the teams involved. I understand the spirit of fair play

and the good sportsmanship expected by Duplin County Schools, our school,

our conference, and the State Department of Public Instruction. I hereby

accept my responsibility to be a model of good sportsmanship that comes

with being the parent of a student athlete.

Parent(s) Date

Student Athlete Pledge

As a student, I know I am a role model. I understand the spirit of fair play

while playing hard. I will refrain from engaging in all types of disrespectful

behavior, including inappropriate language, taunting, trash talking, and

unnecessary physical contact. I know the behavior expectations of Duplin

County Schools, my school, my conference, and the State Department of

Public Instruction and hereby accept the responsibility and privilege of

representing this school and community as a student athlete.

Student Athlete Date

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JCDD-E Duplin County High School Student-Athlete Drug

Testing Consent Form

School Year:___________________________

A student athlete and his/her parent/guardian must sign this consent form before the

student athlete is allowed to participate in any game or practice.

I, ____________________________________ (Name of Student), have read and do

hereby declare that I will be a participant in the Board of Education approved policy on

Drug Screening of Athletes. I authorize the school to administer drug testing and to

release the results of the test to my parent(s)/guardian(s), athletic director, head coach,

principal, personnel director, and the superintendent or his/her designee.

I, ______________________________(Name of Parent/Guardian), as the

parent/guardian have read and consent to and authorize the Duplin County School

System to conduct a drug test on my son/daughter; and to the release of information

concerning the results of such test to me, athletic director, head coach, principal, support

service director, and the superintendent or his/her designee.

Any athlete refusing to be tested forfeits their right to participate in athletics for 365 days.

1st Offense - Suspended from team practice and play for two weeks, however the

athlete must attend practice. The athlete is required to attend counseling sessions via

mental health. All cost will be covered by athlete or athlete's family. The student will

be required to submit for drug testing on demand within six weeks of positive test.

Student must provide verification of mental health counseling at cost to student and

family.

2nd Offense - All athletic eligibility will be terminated for 365 days.

______________________________________ ___/____/_____

Student's Signature/Date/Social Security Number

___________________________________________________________________

Sport(s)

_______________________________________ Parent/Guardian's Signature/

____________ ________________/______________

Date Home Phone/Work Phone

________________________________________________________________________

Address

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Duplin County Schools

Department of Athletics

School

Sports

________________________________________________________________________

Acknowledgment of Athletic Handbook

I acknowledge receipt of a Duplin County Schools Coaches Athletic

Handbook and have read the rules concerning eligibility and conduct for

student-athletes. I understand the rules and guidelines of the North Carolina

Department of Public Instruction, the Duplin County Board of Education,

and the school in which I attend. I have viewed the required power point

regulations on eligibility, sports medicine, and sportsmanship.

Signature of Parent Date

Signature of Student Date

Athletic Directors MUST maintain a copy on file for all student-athletes

________________________________________________________________________