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Lacey Township Middle School Winter Athletics 2019-2020

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 High School 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
Boy's Basketball - November 04, 2019 to March 01, 2020
Girl's Basketball - November 04, 2019 to March 01, 2020
Wrestling - November 04, 2019 to March 01, 2020
Winter Cheerleading - November 04, 2019 to March 01, 2020
Intramural Basketball - November 04, 2019 to March 01, 2020
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