RETURN TO PHYSICAL ACTIVITY/TRAINING NOTICE AND RESPONSIBILITIES

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Please read the Return to Play Notice and Acknowledgment of Responsibilities Document:

https://docs.google.com/document/d/1DYhEMjKvBOPJElIQdV6Bg5nOLTEqL01xhOCutlo2xpc/edit?usp=sharing

PLEASE READ BEFORE SIGNING:
The Rowland Unified School District (“District”) is pleased to announce the partial reinstatement of its athletic programs and activities. Activities permitted to resume are determined according to strict adherence to federal, state, and local public health orders, measures, and other guidance in order to best protect our athletes, staff, and community. Generally, the District plans to begin holding workouts with the primary purpose of focusing on conditioning and cardiovascular development of our athletes in preparation for future full reinstatement of athletic programs, activities, and contests.

As always, participation in District athletic activities is strictly voluntary. To help athletes and parents/guardians understand both the potential risks of participating in athletic activities during pandemic conditions, as well as the precautionary measures implemented by the District in response in order to make informed decisions, athletes and parents/guardians are required to read and consider the following when deciding whether to return to athletic activities. Furthermore, you are required to sign and return this form if your child intends to participate in the athletic program prior to your child’s participation. Separately, Parents/guardians and athletes are encouraged to read the guidance provided by the California Interscholastic Federation (CIF), which can be found at https://cifstate.org/covid-19/6.12.20_release.

Student Last Name *

Student First Name *

Student Grade *

Student ID# *

Sport(s) *

RETURN TO PHYSICAL ACTIVITY/TRAINING NOTICE AND RESPONSIBILITIES

Risks of Exposure to COVID-19

COVID-19 is a new disease and information regarding risk factors associated with this disease is limited. At this time, the Center for Disease Control (CDC) believes that people of all ages are at risk of experiencing severe symptoms from COVID-19, though older adults and people with serious underlying health conditions may be at a higher risk. While the District has taken extensive measures in an effort to reduce the risk of COVID-19, this risk cannot be completely eliminated. Consequently, for the safety of our staff, students, parents, and other visitors, the District requires all persons participating in its activities during this pandemic to acknowledge an assumption of the risk and agree to abide by District COVID-19 protocols, as follows:

Student and Parent/Guardian Responsibility
Assumption of Risk. I understand and acknowledge the risk to myself and Student of becoming exposed to or infected by COVID-19 at a District-sponsored activity, which exposure or infection may result from the actions, omissions, or negligence of myself or others.
Agreement to Abide by COVID-19 Protocols.
I and Student will not enter School grounds or facilities if I and/or Student feel ill, which includes, but is not limited to, the following symptoms: fever, cough, difficulty breathing, shortness of breath, chest pain, and/or bluish lips or face. I understand and acknowledge that I and Student may be denied entrance or admittance if the School determines that I am, and/or Student is/are, showing any such symptoms. I warrant and represent that I am not aware of any medical condition of myself and/or my Student, which would render it inappropriate for me and/or Student to participate in the activity.
I and Student shall comply with existing public health orders issued by Federal, state, and local authorities in addition to Board Policies, Administrative Regulations, and school rules related to the aforementioned activities. I understand and acknowledge that failure to abide by this agreement may result in me and/or Student, being removed from the District-sponsored activity.
Student will be screened for symptoms of COVID-19 prior to workout and/or activity. This could include temperature check and recorded screening question responses. Persons with positive symptoms will not be allowed to participate.
Student should abide by all limitations on the number of people permitted in a particular area at the same time, as directed by coaches and other District personnel. Student must maintain 6-feet social distancing while in locker rooms and meeting rooms (When we are allowed to be inside).
Student must practice good hygiene including proper hand-washing, coughing and sneezing etiquette, wiping down all sports/weight equipment thoroughly before and after individual use, shower and wash workout clothing immediately upon returning home.
Student will wear face covering upon entering/exiting, while on campus, and during practice with the exception of swimming, distance running, or other high intensity aerobic activity. The face covering must cover nose and mouth. No shared towels, clothing, shoes, water bottle, or use of drinking fountains will be permitted.
I and Student will follow drop off and pick up procedures and adhere to scheduled times of practice/activity. No early arrivals and/or loitering after practice sessions is allowed. I and Student will enter and exit facilities promptly as scheduled.
I and Student recognize that cancellation of training, as well as the possibility of teams isolating for 2 weeks, may happen with little notice as a result of recurrent outbreak or knowledge that a staff member or student has contracted or is exhibiting symptoms of COVID-19.
Student must complete a pre-participation physical and submission of all athletic clearance documentation prior to starting any workouts.
Student will remain with designated cohort of students throughout the entire session and will not interact with students/staff from other cohorts and will remain within the designated spaces for the cohort.
I will not be permitted entry/access to and within any athletic facility until further notice.

I request that my student participate in the District-sponsored activity. I am the parent and/or legal guardian of the above-named Student, and I request that Student be allowed to participate in the District-sponsored activity, and I give my permission for Student to do so.

Select Yes to grant permission: *

Yes

I have been notified of the RUSD Reopening Guidelines. I understand that participation is voluntary and that I have an obligation to not allow my student to participate in an on-campus program if he/she has any symptoms (cough, shortness of breath, difficulty breathing, fever, chills, muscle pain, sore throat, or new loss of taste or smell). If my student has a temperature and/or answers affirmatively to any of the screening questions, I understand that he/she will be sent home and not allowed to return to campus for 10 days. I understand that it is the recommendation for vulnerable individuals not to participate in any workouts during the Los Angeles County Road to Recovery. I further understand it is my responsibility to contact school administration if my student or a member of our household tests positive for COVID-19.

By clicking on Yes and writing in the names below, I agree to the above statements. *

Yes

PARENT/GUARDIAN Signature (Type name below) *

STUDENT ATHLETE Signature (Type name below) *

Date *

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