Discovery Canyon Campus Academ y School District 20 1810 North Gate Bouleva rd, Colorado Springs, CO 80921 Phone: 719-234-1800 Fa x: 719-234-1899 Website:http://www.asd2 0.org /DCC/ Andie Ruskin Mario Rom ero Jim Bailey Principal fo r Grades PK - Principal fo r Grades 6-8 Principal fo r Grades 9-12 a n d ie.ruskin @asd2 0.org ma rio.romero @asd20.o rg james.bailey@a sd20.o rg 2017-2018 6 th 8 th Co-Ed Intramural Golf In conjunction with Flying Horse Golf Club, Discovery Canyon Campus is excited to offer Fall Intramural Golf for all middle school boys and girls. Due to space limitation this intramural will be limited to the first 30 complete registration packets. Please complete the PK 8 Intramural Emergency Contact Form and the Release for School Sponsored Clubs and Intramural Sport Activities Form. Each participant must have a current physical (no more than one year old) on file at the school. These forms can also be found on the MS Athletics web page and in this registration packet. Registrations will be taken beginning Wednesday, September 13, 2017. Because golfers must supply their own clubs, golf balls and all other equipment and Flying Horse Golf Club has waived greens fees, there is no cost per participant. The coaches may decide to design an optional polo shirt that golfers may purchase if they so desire. Various aspects of the game to include game etiquette will be covered throughout the season. Flying Horse has generously donated 3 tee-times each day of practice so while 10 golfers will be at Flying Horse, the remaining 20 golfers will remain at DCC practicing short game strategies and techniques. Rotation of players will provide opportunities for all golfers to play at Flying Horse. Golfers going to Flying Horse on their rotation are required to walk with a coach from DCC to the Flying Horse Club House. This is approximately a 2 mile walk; golfers clubs will be transported in the capped bed of Mr. Gary s pickup truck. PARENTS DO NOT HAVE THE OPTION TO DRIVE PLAYERS TO THE CLUB HOUSE. If a golfer elects to not walk to the club they can choose to remain back at DCC and work with the golfers at the school. A list of players and who will be picking them up from the club house will be provided to the security personnel at Flying Horse so it is imperative that players and parents realize the importance of timely pickup by listed parent/guardian. Any player misconduct determined by coaching staff will result in the golfer s permanent removal from the roster. PARENTS, EVEN IF THEY ARE MEMBERS OF THE FLYING HORSE GOLF CLUB, MAY NOT WALK THE COURSE WITH THE TEAM DURING PRACTICE. One common campus, one common purpose, one common goal student success!
Tentative practice/play schedule is as follows: Thursday, September 28 th Team organizational meeting at DCC, mandatory player attendance, no clubs needed for this date Tuesday, October 3 rd Thursday, October 5 th Tuesday, October 10 th Thursday, October 12 th Tuesday, October 17 th Thursday, October 18 th NO PRACTICE due to Parent/Teacher Conferences Tuesday, October 24 th Thursday, October 26 th Students participating in the Flying Horse rotation will practice 3:20-5:30 and will be ready to be picked up at Flying Horse Golf Club no later than 5:30 pm. Students participating in the short game rotation at DCC will practice from 3:20-4:45 pm and should be picked up from DCC (via MS kiss-n-go) no later than 5:00 pm. All athletes will need a water bottle, golf clubs, and golf appropriate course attire to participate in Flying Horse and DCC based activities. Appropriate attire for cool weather should be planned for if golfers are not appropriately prepared they will not be allowed to participate. All registered students should report to the Middle Level Gym by 3:20 p.m. every day of practice. The registration form is attached. Please return the completed signature page, registration form, release, and physical to Mrs. Schraml in Campus Services beginning September 13. To participate in Flying Horse/DCC intramural golf I agree to abide by the conditions/rules as indicated above and all coach decisions: Player Printed Name: Player Signature: Parent/Guardian Signature: Date: Date:
DISCOVERY CANYON CAMPUS PreK-8 th 2017-2018 INTRAMURAL EMERGENCY FORM Name: Grade: Intramural Session(s): IM GOLF Parent Email Address: Home Phone: Father s Cell : Mother s Cell: Father s Work: Mother s Work: Male Parent/Guardian Name: Female Parent/Guardian Name: Emergency Contact Name: Emergency Contact Phone: Allergic to any medications (Please list): Other health problems to be aware of: Physician: Physician Phone: Hospital Preference: Insurance Company: Policy # In the event of an emergency, and in the event that I (we) cannot be contacted, I (we) the undersigned parent or legal guardian give my (our) permission to school authorities to perform first aid and/or arrange for emergency medical services. As the parent/l egal guardian of this student, it is understood that playing or participating in any sport can be dangerous activity involving many risks of injury. By signing below, the student/parent/legal guardian hereby assumes all risks associated with participation and agree to hold Discovery Canyon, Academy School District 20, coaches, and volunteers harmless from any and all liability, actions, causes of action, debts, claims, or demands of any kind and release any assumption of risk for your heirs, estate, executor, adminis trator, assignees and for all members of the family. Additionally, by signing this form, they are agreeing to abide by all intramural rules, and reasonable authority of staff and that the athlete has been deemed physically able to participate in running and recreational activities by a physician. Parent/Guardian Signature Date Parent/Guardian Signature Date Please turn in forms to Campus Services offices. If you have any questions regarding PreK-8 Intramurals, please contact the Athletic Director s Secretary at 234-3821.
Release for School Sponsored Clubs and Intramural Sport Activities Academy School District Twenty strives to provide a safe environment for school approved clubs and intramural sport activities that will stimulate and challenge students; we cannot guarantee an accident will not occur. Voluntary participation in supervised school clubs and sport activities may be one of the least hazardous environments any student is involved in. However, participation in some clubs and sports (e.g., karate, skate board, etc.), includes an inherent risk of injury which may range in severity from minor to long-term catastrophic injury. Although serious injuries are not common in supervised programs, it is impossible to eliminate all risk. Students participating in a club or sport activity must obey all safety rules, report all physical problems to the club or sport activity supervisor and shall be responsible for the safe condition of their own equipment. By signing this permission form, we acknowledge that we have read and understand this warning and understand the inherent risks associated with this club or sport activity. We further understand that we are responsible for obtaining any medical, accident, or other insurance that we deem appropriate; the district does not provide student accident insurance. The District makes available to parents student accident insurance information which may be purchased at parent s expense. I understand that the School District and its employees may have certain legal protections and immunities from liability with respect to any property damage or personal injury that may occur during the activity. The School District and its employees have not waived these protections and immunities. I understand that the School District and its employees may also have certain legal obligations with respect to the activity. By signing this form, I am not releasing the School District and its employees from any of their legal obligations. However, on behalf of myself, my student, and our family and representatives, I release and hold harmless the School District and its employees from and against all claims for any damages or injuries incurred by my student from any cause, including, but not limited to, my student s own misconduct or the actions or omissions of third parties. I understand that for purposes of this Release, the term employees includes the School District s directors, employees, servants, and volunteers. I hereby give my consent for my child to participate in at School for either the duration of the club/sport activity or until my student chooses to quit the club/sport activity and I hereby release the School District and hold it and its employees harmless against any liability for injuries my student may incur as a result of participating in the club or activity identified above. Participant Signature: (only if over the age of 18) Parent Signature: Date: Date: Emergency Contact Name: Emergency Contact Number:
*GOOD FOR ONE YEAR ONLY!* Middle School Statement by Physician and Parent for Athletic Participation Physician s Statement I hereby certify that I have examined and he/she was found physically fit to engage in athletics at Discovery Canyon Campus. Please indicate sport(s), if any, in which he/she SHOULD NOT participate: Please indicate by checking the box if the student has been screened for: Scoliosis Vision Hearing Physician Signature Date Parent or Guardian Permission WARNING: Although participation in supervised intramural/interscholastic athletics and activities may be one of the least hazardous in which any student will engage in or out of school, BY ITS NATURE, PARTICIPATION IN INTRAMURAL/INTERSCHOLASTIC ATHLETICS INCLUDES A RISK OF INJURY WHICH MAY RANGE IN SEVERITY FROM MINOR TO LONG-TERM CATASTROPHIC. Although serious injuries are not common in supervised school athletic programs, it is impossible to eliminate this risk. Participants can and have the responsibility to help reduce the chance of injury. PLAYERS MUST OBEY ALL SAFETY RULES, REPORT ALL PHYSICAL PROBLEMS TO THEIR COACHES, FOLLOW A PROPER CONDITIONING PROGRAM, AND INSPECT THEIR OWN EQUIPMENT DAILY. By signing this Permission Form we acknowledge that we have read and understood this warning. PARENTS OR STUDENTS WHO DO NOT WISH TO ACCEPT THE RISKS DESCRIBED IN THIS WARNING SHOULD NOT SIGN THIS PERMISSION FORM. I hereby give my consent for my son/daughter to compete in athletics for DCC except those crossed out: football, softball, cross country, wrestling, volleyball, basketball, track and field. Student s Grade Student Name (please print) Date Parent or Guardian s Signature