May 15 th, 2018 LUMSDEN HIGH SCHOOL P.O. Box 449 300 Broad Street Lumsden, SK SOG 3C0 Telephone: (306) 731-2262 Facsimile: (306) 731-2494 E-mail: lumsdenhighschool @pvsd.ca Principal: Mr. J. Harvey Vice Principal: Ms. C. Smith ur mission is to encourage pride <5t excellence in a community of learning. Dear Football Players & Parents: The 2018 Lumsden Devil Football season is quickly approaching. Spring Camp will run from Monday, June 4 th to Friday June 8 th. Coaching the camp will be this falls High School coaching staff, as well as current and former players from the University of Regina Rams and the Regina Thunder. Please note that there is NO JR RMF BANTAM TEAM in Lumsden this year. Age appropriate players are still eligible to play RMF in Regina if they choose. The schedule for receiving equipment for the camp is as follows: (After 3:30 is also available if arrangements are made) Wed, May 30 (12:00-1:00) - Grade 11 Equipment distributions Wed, May 30 (12:00-1:00) - Grade 10 Equipment distributions Thurs, May 31 (12:00-1:00) - Grade 9 Equipment distributions Fri, June 1 (12:00-1:00) - Grade 8 Equipment distributions (LES) Grade 8's from South Shore, Clive Draycott, Stewart Nicks, and Pense (and other communities) will receive their equipment on the Monday of Camp (other arrangements can be made if they are in Lumsden before June 1 st ) Practice Time: Mon, June 4 - Fri, June 8 4:00-5:30 M-F **Times may be adjusted throughout the week** The registration for the 2018 season will be as follows: Team fees $280.00 ($100 registration $100 travel $50 LHS Athletic Fee $30 photos). Cheques are to be made payable to Lumsden High School. Fees AND forms (hand them in together) are to be given to Coach Dunville or Mrs. Cooper prior to June 1 st, 2018. Due to the high number of students playing football, we ask that they supply their own girdles, cleats, football socks (solid black), and practice jersey (forest green-defense, white-offence). We will have a limited quantity of girdles with integrated pads in them for sale @ $40.00. Act early to get one from the school (check for available sizes first), or get one from any sports store in Regina. We have practice jerseys with Devils logo @ $20.00. Game socks will be $10.00/pair, and anything else will be free to all players to be used for practice purposes. Please include these costs in your cheque if you intend on purchasing any of these items. Practice pants are available from the team at no charge. All Registration Forms, Student-Athlete contracts and fees are due on or before Tuesday June 1 st, 2018. Sincerely, Luke Dunville Head Coach, Lumsden Devils Football
Lumsden High School Devils Football Player Registration Form Last Name: First Name: Mailing Address: Town: Postal Code: Player Telephone: Player Cell Phone: Player Email Address: Student Birthdate: Height: (Month/Day/Year) Current Grade: Weight: Parent/Guardian Name(s): Parent Telephone: Parent Email: Home: Cell: Alternate Contact Person: Hospitalization: Telephone: Known Health/Medical Condition(s):
LUMSDEN HIGH SCHOOL STUDENT ATHLETE CONTRACT In order to participate in athletics and remain part of a team, the following rules must be upheld. 1 I understand that participation in extra-curricular activities is a privilege, not a right. 2. I must maintain satisfactory standing and attendance in all my subject areas. I must remember that academics are a priority. 3. I must attend school for the full day to be eligible for practice or a game that day/evening. If I must be absent, the reason must be acceptable by the school office. If I am going to be absent, it is my responsibility to have my parent's inform the school office. 4. I must not be absent for classes the day after a game for recuperation, except in the case of injury where a doctor's note is presented or the coach is informed of the details. 5. I must attend practice to be eligible to play. Missed practices may result in decreased game time. The amount of lost playing time will be dependent upon the circumstances surrounding the absence(s). 6. If my classroom behaviour is not acceptable, I may be deemed ineligible to play. The school administration and coaches will consult to determine possible consequences. 7. Suspension from class automatically carries with it a player suspension from practice and competition. 8. I realize it is an honour and a privilege to represent Lumsden High School. I will conduct myself at all times in a manner which brings admiration and respect to me and Lumsden High School. Parent Signature Student Signature Date This form must be submitted to your coach.
Lumsden High School Health Certificate and Parents' Permission Form Date: To whom it may concern: My son/daughter has my permission to participate in activities and sports conducted by Lumsden High School. I also agree to have my son/daughter examined by a physician following an illness or injury to re-establish the bill of good health, and that this or any other medical examination is my sole responsibility. (Please check the category or individual sports below). He/She can take part in: All Sports: Or only the following: Badminton Basketball Cross Country Curling Football Golf Track and Field Volleyball Please complete the following: Student Name Grade Age Student Birth Date Hospitalization # Family Physician Family Physician Phone Number Personal Health Insurance Provider Parent/gaurdian Information: Name Home # Cel# Name Home # Cel # Please provide information regarding any previous medical history.
FORM E - 7 Saskatchewan High Schools Athletic Association Health Certificate and Parents' Permission Form Date: To whom it may concern: I am satisfied that my son/daughter,, is in good health to take part in strenuous activities. He/she has my permission to participate in those physical activities and sports conducted by (school name). I also agree with the need to have my son/daughter examined by a physician following an illness or injury to re-establish the bill of good health, and that this or any other medical examination is my sole responsibility. (Please check the category or individual sports below) He/she can take part in All Sports or only the following: BADMINTON BASKETBALL CROSS COUNTRY CURLING FOOTBALL GOLF SOCCER TRACK & FIELD VOLLEYBALL WRESTLING (For our reference, please complete) Student Name: Family Physician: Parents' Signature: Grade: Address: Name: Age: Phone: Address: Birth Date: Hospitalization No. Phone: This form is to be returned to the school and kept on permanent record file for future reference. M.S.I, or G.M.S.;
(A parent or guardian must complete this side) FORM E - 7 1. Past history (Check if yes, and year r TONSILLITIS PNEUMONIA SCARLET FEVER EPILEPSY HIGH BLOOD PRESSURE KIDNEY DISEASE SMALL POX RHEUMATISM BLEEDING DISORDER possible): BRUISE EASILY ] INFLUENZA POLIOMYELITIS TUBERCULOSIS ~ RECURRENT BOILS " HERNIA ~~ TETANUS - Year Booster Other Diseases 2. Previous Surgery: 3. Previous Injuries (Sprains, strains, fractures, torn muscles, ligament injuries, dislocations). If yes, check below and describe: SKULL: Fracture "Knock Outs'VConcussions FACE INJURY: Eye Ear Nose SPINE: Neck Lower Back SHOULDER UPPER ARM ELBOW FOREARM WRIST HAND PELVIS HIP UPPER LEG KNEE LOWER LEG ANKLE FOOT CHEST and RIBS ABDOMINAL (stomach) 4, Remarks: