SEMINOLE COUNTY PUBLIC SCHOOLS



center50927000Middle SchoolSPORTS PROGRAM 2017-2018 Included in Packet:GuidelinesSupplement Information Middle School Sports Activity Fee Remittance Form-2016-2017Supplement CodesPrincipal Approved Supplements Form (Appoint/Terminate/Change form)Forms Needed for participation SEMINOLE COUNTY PUBLIC SCHOOLS2017-2018 MIDDLE SCHOOL SPORTS PROGRAM GUIDELINESFielding Teams for Participation: Schools are expected to field a team in each sport. However, a school is not required to field a team if lack of student interest makes it impossible or if the principal is unable to find a qualified coach. Participation Fees: The Principal shall determine the amount of the participation fee for each sport based on the total cost necessary to support each activity at the school and district level. Other means may also be used to collect funds to defray the cost of these activities.Rosters: For insurance purposes, an Activity Roster must be submitted for ALL activities to the School Sports Coordinator. Activity Rosters must be sent in .xlsx (Excel) format. ?An unduplicated count of all sports participants must be submitted to Mary Lane for insurance renewal by the end of the year. (Count your physicals at the end of the year)Activity Fees:Prior to the first game/meet of each sport, schools are required to submit to Finance, an Internal Accounts check for the amount of the required activity fee, PLUS additional funds needed when using a Sports Supplement (see Supplement Information). The required Activity fee for the 2016-2017 school year is $30 per participating student, with a minimum of $1,000 per activity (Example: if a school has 30 participating students: 30x$30=$900, the school must submit $1,000. If a school has 50 participating students: 50 x $30=$1,500, the school must submit $1,500.)Activity fees are used to pay the following common expenses:TransportationOfficialsSupplies/Trophies/RibbonsSchool-based Sports Coordinator (1 per school)MS Sports Coordinator (Laurel Robinson)Activity Remittance Forms:An Activity Remittance Form and Roster (see attached) must accompany all Internal Accounts checks submitted for Activity Fees &/or Sports Supplements (see Supplement Information).*An Activity Remittance form and Roster must be submitted for activities for which a Sports Supplement will be used. Example: Cheer/Dance (see Sport Supplements). A $757.50 Sports Supplement payment is required for Cheer/Dance per semester. A copy of the Activity Remittance Form and roster MUST be sent to the Secondary Education Dept. Attn: Jennifer Oberosler.Activity Schedule:SportSeasonDates:Volleyball 1st 9 weeks-5 game schedule with a tournament8/29/17-10/21/17Cross Country2nd 9 weeks-4 tri-meets with a county meet10/23/17-12/9/17Track3rd 9 weeks- 4 tri-meets with a county meet1/8/18-3/10/18Basketball4th 9 weeks-5 game schedule with a tournament3/5/18-5/5/18Admission to Events:The cost for admission to all middle school events is $3.00 for adults and $1.00 for students. Gate receipts for home contests are to be deposited into the host school’s sports fund to help offset the costs associated with the programs. The profit from gate receipts for District Championship events are to be split between the host school and the district. If no host school is involved, the gate receipts will be submitted to the district to offset the cost of the program.Sports Physical Information:Release and Consent form (usually associated with field trips) may be used for students who are trying out for activities. A physical, a notarized copy of SCPS form 985a, an emergency card and a sports waiver will be required if a student is on the team. It is due before the first meet or game.Student Expectations: Grades: At least a 2.0 GPA from the previous 9 weeks of the season that must be maintained during the season. Incoming 6th grade students will start with a clean slate.Behavior: Students must adhere to the Citizenship Standards Policy for participation in school sponsored extra-curricular activities as outlined in the Student Code of Conduct. The coach has the discretion to dismiss an athlete from the team upon administrative approval for any violation of the citizenship standards. SUPPLEMENT INFORMATIONAll supplements must be submitted by using the attached Principal Approved Supplement Form (also used to appoint, change, or terminate). The Principal Approved Supplement Form MUST be submitted to the Secondary Education Dept. Attn: Jennifer Oberosler for Executive Director approval.*See attached document from the Payroll Department for correct Supplement codes. Intramural Supplements (paid out of District funds- project 4250)Each school receives 12-$1,310 intramural supplements. **This supplement may only be used for activities in which all students may participate.**If an Intramural Supplement is used for the MS Sports Program, one supplement will equal 75% of the $1,310 ($982.50). $982.50 equals 100% of the middle school intramural sports supplement. The remaining 25% may be applied to another needed supplement.*Intramural Supplements CANNOT be used for a NON-SCPS employee.B. Sports Supplements (paid out of cost center 9027 (Secondary Education) funds- project 4871)Sports Supplement may be used with any activity. For example, if a principal wishes to offer an activity and no longer has an Intramural Supplement available, he/she may use a Sports Supplement. Schools using a Sports Supplement MUST submit the appropriate additional funds to cover the Sports Supplement (see below for additional funds required)Volleyball: ($982.50 + benefits = $1136)Cross Country: ($982.50 + benefits = $1136)Track/Field: ($982.50 + benefits = $1136)Basketball: ($982.50 + benefits = $1136)School Coordinator ($655 + benefits = $757.50)Cheer/Dance: ($655 + benefits = $757.50) *per semester*Sports Supplements may be used for a NON-SCPS employee (OPS procedures must be followed for non-employees).Coaches may receive more than one supplement if coaching multiple activities or if coaching the same activity with different practice times (Example: Varsity/Junior Varsity, Boys/Girls). Multi-activity supplements must be submitted at the beginning of each activity.602170513843000-3048007366000SEMINOLE COUNTY PUBLIC SCHOOLSMIDDLE SCHOOL SPORTS ACTIVITY FEE REMITTANCE FORM2017-2018 SCHOOL: _____________________________________ INSTRUCTIONS:Prior to the first game/meet of each sport, schools are required to submit an Internal Accounts check for the amount of the required activity fee, PLUS additional funds needed when using a Sports Supplement (see Supplement Information). NO Activity Fee is required for Cheer/Dance.The check, along with the Activity Fee Remittance Form, is to be forwarded to the Finance Department.A copy of the Activity Fee Remittance Form and a roster of participating students, MUST be submitted to Secondary Education Dept. Attn. Jennifer OberoslerIMPORTANT- If a Sports Supplement is used to pay coaches, please submit additional dollars to cover this expense. *See Sports SupplementActivity:(circle one): Volleyball Cross-Country Track Basketball Cheer Dance# of students participating: ________ x $30= $__________ (Activity Fee)*$1,000 min. required. *NO ACTIVITY FEE REQUIRED FOR CHEER/DANCE*Amount remitted for Sports Supplement: $____________ ($757.50 required for Cheer/Dance)_____________________________________________________________________________________________Signature of Person Submitting Form---------------------------------------------------------------------------------------------------------------------------------------TO: FINANCE DEPARTMENT:Attached is an Internal Accounts check that reflects the activity fee &/or Sports Supplement amount for the Middle School Sports Program:School Name: _______________________________ Date: ___________________Amount of Check: _______________________ Internal Accounts Check #:_______________Please credit the funds to the following Account: Fund 100Revenue 3429Project 4871SEMINOLE COUNTY PUBLIC SCHOOLS, FLORIDADepartment of Human Resources400 East Lake Mary BoulevardSanford, FL 32773-7127(407) 320-0000, FAX 320-0284, TDD 320-0290, Internet Approved SupplementsAppoint/Terminate/Change Secondary Education/ MS 2016 – 2017SchoolSchool YearAppoint/Terminate/Change (IMPORTANT please use the first letter of the appropriate designation in the first column)*(Please refer to supplement listing for effective dates of seasonal coaching supplement)ALL COLUMNS MUST BE COMPLETED IN ORDER FOR SUPPLEMENTS TO BE PROCESSEDA/T/C%NAMEEMPLOYEE ID#SUPPLEMENTCODEEffective DateALaurel Robinson4263MS Sports Coordinator8/13/16 Director’s SignatureDateSCPS 1032(Rev. 05/04)K:\HRDOCS \ Forms \ 1032382905-13398500SEMINOLE COUNTY PUBLIC SCHOOLS, FLORIDARELEASE AND CONSENTTHIS FORM MUST BE READ AND SIGNED BY PARENT(S) OR GUARDIAN(S) OF EVERY MINOR.STUDENT NAME: ____________________________________________________________________________LastFirstMII/We do hereby approve of our child attending: ___________________________________________________________________________________________________________________________________________________I/We acknowledge that the Seminole County Public Schools, Florida, is not liable for medical expenses, hospital expenses, or other such charges incurred for such services as may be rendered for or on behalf of my/our child as a result of injury or sickness. I/We understand that if my/our child is injured or becomes sick, Seminole County Public Schools, Florida, will not be liable unless the injury or illness is the result of negligent conduct on the part of an employee of Seminole County Public Schools, Florida.Child’s Allergies: ____________________________________________________________________PHYSICIAN INFORMATIONChild’s Physician: _____________________________________________________________________________Address of Physician: _____________________________________________ Telephone Number: _______________ _________________________________________MEDICAL INSURANCE INFORMATIONMedical Insurance Co.: ________________________________________________________________________Address: ________________________________________________ Telephone Number: ________________Policy #: _______________________ Group #: ______________________Parent/Guardian Signature: _____________________________________ Date: ____/____/____Parent/Guardian Telephone Number: _______________________________________(work)(home)Emergency Telephone Number: ________ (and ) Contact Person: ___________________________SCPS FORM 504 (Rev. 9/95)Seminole County Public Schools, FloridaSports Screening/Physical & Parent/Student Release FormAddendum to SCPS Form 985I.In addition to the routine medical evaluation required by s.1006.20, Florida Statutes and FHSAA Bylaw 11.8, we understand and acknowledge that we are hereby advised that the student should undergo a cardiovascular assessment, which may include such diagnostic tests as electrocardiogram (EKG), echocardiogram (ECG) and/or cardio stress test.II.I further hereby authorize the use or disclosure of my individually identifiable health information should treatment for illness or injury become necessary. I understand that his authorization is voluntary and that I may revoke it at any time by submitting the revocation in writing to my school.III.I hereby grant to SCPS the right to review all records relevant to my athletic eligibility including, but not limited to, my records relating to enrollment and attendance, academic standing, age, discipline, finances, residence and physical fitness.IV.I understand that the authorizations and rights are voluntary and that I may revoke them at any time by submitting said revocation in writing to my school. By doing so, however, I understand that I will no longer be eligible for participation in interscholastic athletics.I/We Parent(s) and Student Athlete have read this information carefully and know it contains a release. This form must be signed in the presence of a notary.PRINT NAME CLEARLYStudent Student Signature Date Parent Parent Signature Date State of FloridaCounty of Sworn to and subscribed before me this day of 200 ( ) is personally known or produced identification ( ) type of identification produced 320040015176500Notary StampSignature of Notary Public ................
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