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Lacey Township Middle School Fall Athletics 2019-2020

Registration Deadline 09/30/2019

ONLINE REGISTRATION

This is the online registration form for Lacey Township Athletics. Registration for all sports shall be completed online and submitted to the school before the registration deadline.

Per the State of New Jersey and the Scholastic Student-Athlete Safety Act
With the passage of the Scholastic Student-Athlete Safety Act, New Jersey has set the standard by requiring that thorough evaluation be conducted for the silent cardiac abnormalities that may lead to the sudden death of a student-athlete. The below requirements are mandated by the state of New Jersey without exception to participate in athletics for the 2019-2020 school year.

Requirements for Participation in Athletics
A student-athlete would be eligible for participation in athletics ONLY IF they meet ALL of the following criteria:

  1. Parent/Guardian and student-athlete must complete the FamilyID registration form and submit to Lacey Township Athletics by the registration deadline.
  2. Preparticipation Physical Exam Form (page 3 of this document) must be printed and submitted to the school after it is completed by a health care provider who:
    • is a licensed physician, advanced practice nurse or physician assistant; and
    • completed the Student-Athlete Cardiac Assessment Professional Development Module
    • The school Doctor still has to review and sign-off on your physical once the form is handed in
  3. Health History Update Questionnaire (page 4 of this document) must be printed and submitted to the school after it is completed by a health care provider who:
    • is a licensed physician, advanced practice nurse or physician assistant; and
    • completed the Student-Athlete Cardiac Assessment Professional Development Module

*Please note that either #2 or #3 is mandatory for medical clearance and athletic participation, depending when the student/athlete's last full yearly physical was completed.

Because the Preparticipation Physical Exam Form and the Health History Update Questionnaire (pages 3 & 4) require the signature of a health care provider, you must print these pages and then submit them to the school to be approved by the board-approved school doctor.

The NJ State Student-Athlete Cardiac Assessment Professional Development Module can be accessed by clicking here.

Locations
Sections
Field Hockey - July 15, 2019 to November 06, 2019
Cross Country - July 15, 2019 to November 08, 2019
Girls Soccer - July 15, 2019 to November 08, 2019
Boys Soccer - July 15, 2019 to November 08, 2019
Girls Volleyball - August 12, 2019 to October 25, 2019
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