JCA Athletics Online Forms

JCA Athletic Participation, Insurance, Steroid, and Concussion Form

    WE CERTIFY THAT WE HAVE RECEIVED AND READ THE JCA STUDENT HANDBOOK. WE UNDERSTAND THE GUIDELINES INCLUDING THE ELIGIBILITY RULES
  • Insurance Information

    I GIVE CONSENT FOR MY SON/DAUGHTER TO REPRESENT JCA AND TO ACCOMPANY ANY SCHOOL TEAM WHICH HE/SHE IS A MEMBER ON ANY LOCAL OR OUT-OF-TOWN TRIPS. I AUTHORIZE THE COACH/SCHOOL REPRESENTATIVE TO USE THEIR BEST JUDGEMENT IN SEEKING EMERGENCY MEDICAL TREATMENT FOR MY SON/DAUGHTER. I AGREE NOT TO HOLD THE SCHOOL OR ANYONE ACTING IN THEIR BEHALF RESPONSIBLE FOR ANY INJURY OCCURING TO THE ABOVE NAMED STUDENT/ATHLETE IN THE COURSE OF SUCH ATHLETIC ACTIVITIES OR TRAVEL.A STUDENT ATHLETE MUST BE COVERED BY FAMILY INSURANCE. MY SON/DAUGTHER IS COVERED BY:
  • IHSA Steroid Testing Policy - Consent to Random Testing

    In January 2008, the Illinois High School Association s Board of Directors approved a plan developed by the IHSA s Sports Medicine Advisory Committee to implement random testing for steroids and performance-enhancing dietary supplements of teams and individuals qualifying for state finals competition. Beginning in 2009, any student-athlete who ingests or otherwise uses substance from the associations banned drug classes, without written permission by a licensed physician, to treat a medical condition, violates IHSA By-law 2.170 and its subsections, and is subject to IHSA penalties, including ineligibility from competition. The IHSA will test certain randomly selected individuals and teams that participate in state series competitions for banned substances. The results of all tests shall be considered confidential and shall only be disclosed to the student, his or her parents, and his or her school. By signing below, we consent to random testing in accordance with the IHSA s steroid testing policy. We understand that, if the student or the student’s team participates in state series competitions, the student may be subject to testing for banned substances. No student-athlete may participate in IHSA state series competition unless the student and the student’s parent/guardian consent to random testing. A complete list of the current IHSA Banned Drug Classes can be accessed at http://www.ihsa.org/initiatives/sportsMedicine/files/IHSA_banned_drug_classes.pdf.
  • Concussion Information Agreement

    What can happen if my child keeps on playing with a concussion or returns too soon? Athletes with the signs and symptoms of a concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often fail to report symptoms of injuries. Concussions are no different. As a result, education of administrators, coaches, parents and students is the key to studentathlete’s safety. If you think your child has suffered a concussion Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. IHSA Policy requires athletes to provide their school with written clearance from either a physician licensed to practice medicine in all its branches or a certified athletic trainer working in conjunction with a physician licensed to practice medicine in all its branches prior to returning to play or practice following a concussion or after being removed from an interscholastic contest due to a possible head injury or concussion and not cleared to return to that same contest. In accordance with state law, all IHSA member schools are required to follow this policy. You should also inform your child’s coach if you think that your child may have a concussion. Remember it’s better to miss one game than miss the whole season. And when in doubt, the athlete sits out. For current and up-to-date information on concussions you can go to: http://www.cdc.gov/ConcussionInYouthSports/
    I have read the above Concussion Information agreement and agree to follow all guidelines set forth by JCA and the CDC.

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