North Region Cross Country Booklet October 2014 North Region Cross Country Committee Cross-Country Safety Guidelines attached. Course Maps will be on separate email attachments. No ‘hardcopies’ will be delivered. Very Important Reminders Washrooms: The Park has allowed us access to the washrooms provided they are used responsibly by the students participating at the meets. We do not want to lose this privilege so let’s be vigilant about sending adult supervisors at your school’s designated time as per the Washroom Schedule included in this package. Parking: Parking is allowed only in the designated parking lots at Earle Bales. Emergency access routes cannot be blocked. This year cars not parked in the parking lots will be towed at the owner’s expense. Community Centre: The Community Centre is OUT of BOUNDS unless the days Master Convenor determines that the weather conditions pose a safety risk to the students and adults. If the Community Centre needs to be used all schools are responsible for any clean up that will be necessary to restore the facility to pre-use conditions. Clothing: Students must come prepared to the meets for all weather conditions! Garbage in the Park: In our efforts to respect the environment, we ask all students, staff and spectators coming to the cross-country meets to reduce, recycle and reuse. In addition to caring for our environment, we also need to keep the parks clean so that we can continue to have permits granted for our meets. PLEASE SEND HOME REMINDERS ASKING PARENTS AND STUDENTS TO HELP US REDUCE THE AMOUNT OF GARBAGE LEFT BEHIND IN THE PARK.
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North Region
Cross Country
Booklet
October 2014
North Region
Cross Country Committee
Cross-Country Safety Guidelines attached.
Course Maps will be on separate email attachments.
No ‘hardcopies’ will be delivered.
Very Important Reminders
Washrooms: The Park has allowed us access to the washrooms provided they are used responsibly by the
students participating at the meets. We do not want to lose this privilege so let’s be vigilant about sending
adult supervisors at your school’s designated time as per the Washroom Schedule included in this package.
Parking: Parking is allowed only in the designated parking lots at Earle Bales. Emergency access routes
cannot be blocked. This year cars not parked in the parking lots will be towed at the owner’s expense.
Community Centre: The Community Centre is OUT of BOUNDS unless the days Master Convenor
determines that the weather conditions pose a safety risk to the students and adults. If the Community
Centre needs to be used all schools are responsible for any clean up that will be necessary to restore the
facility to pre-use conditions.
Clothing: Students must come prepared to the meets for all weather conditions!
Garbage in the Park: In our efforts to respect the environment, we ask all students, staff and spectators coming
to the cross-country meets to reduce, recycle and reuse. In addition to caring for our environment, we also need
to keep the parks clean so that we can continue to have permits granted for our meets. PLEASE SEND HOME REMINDERS ASKING PARENTS AND STUDENTS TO HELP US REDUCE THE
AMOUNT OF GARBAGE LEFT BEHIND IN THE PARK.
NORTH REGION CROSS-COUNTRY 2014
PLEASE REVIEW CAREFULLY
***********
********
1. Please make a copy of the booklet for your Principal.
2. Order your buses early. Volunteers please arrive on time.
3. Grades 3 and 4 walkthrough begins at 9:45 a.m. SHARP!!!
4. A) Please review Qualifying Procedures from Divisional and Regional Meets.
B) Same Sticker Procedures for “Qualifying Teams” from the Divisional
Meets as last year.
5. Review ORDER OF EVENTS. See inside booklet for details.
6. If extra stickers are required, they are AVERY FILE LABELS 5160. Some
extras will be available on your race day.
7. A washroom supervision schedule will be used.
8. Keep all permission and media consent forms on file at your school.
9. The convenors strongly recommend that athletes should compete only at their
age appropriate level. Runners should not race against older runners,
especially at a longer distance.
10. Safety is the convenor’s first and foremost concern, therefore:
a) The services of a Professional Athletic Therapy Association will be
available to service the needs of the athletes and coaches. All
SERIOUS injuries should be reported to the race officials for
treatment. Bring your own First Aid kits for minor scrapes.
b) Proper environmental precautions must be taken (cold, wet, hot, sunny
weather must be prepared for).
c) Runners with inhalers and/or epipens must keep their
inhalers/epipens with them at all times, especially while running.
d) It is very important that coaches supervise their students throughout the
day but especially immediately after a race. All runners must be
accounted for after each race. Any runner returning to his/her
coach with a sticker still on, after a race, must report to the
scorer’s table. 11. Please refer to the Excursion Manual for proper supervision ratios.
12. Please refer to the Ontario Interschool Safety Guideline for information and
sample permission forms.
13. Runners must have a minimum of 20 training days prior to their first meet.
***Daily results will be available outside of the entrance office.
Coaches are responsible for getting these BEFORE their next meet. Results will be emailed to the schools in the evening. ***
NORTH REGION ATHLETIC ASSOCIATION
On behalf of the North Region Athletic Association, we would like to
extend our thanks to:
Master Convenors: Shawna Campbell, Principal St Wilfrid
Lucia Graziano, Teacher St Robert
Michael Sullivan, Retired Teacher
And the rest of the cross country volunteers for their hard
work and cooperation in participating in this year’s Cross-
Country Meets.
Thank you to:
Rob Kelly
and
Nelli Domingues
For permits and operational logistics
NORTH REGION CROSS-COUNTRY 2014
SCHEDULE OF EVENTS
“DIVISIONAL EVENTS” EARL BALES PARK
Tuesday October 14th Meet 1
Wednesday October 15th Meet 2
Thursday October 16th Meet 3
“REGIONAL EVENT” EARL BALES PARK
Tuesday October 21st Regionals
CITY FINALS EARL BALES PARK
Tuesday October 28th City Final
The City Cross-Country Championships will be hosted by
The North Region Athletic Association
At Earl Bales Park in North York.
All meets will be run even if there is a slight rain.
Please be prepared for these conditions.
NORTH REGION CROSS COUNTRY
DIVISIONS
2014
Earl Bales Park
2014-2015
NORTH REGION
CROSS-COUNTRY GROUPINGS
FINAL DATES
Divisionals: October 14, 2014 Regional: October 21, 2014
October 15, 2014
October 16, 2014
City: October 28, 2014
Locations: Earl Bales (divisional & Regional)
Earl Bales (city)
MEET 1
OCTOBER 14
MEET 2
OCTOBER 15
MEET 3
OCTOBER 16
Blessed Sacrament St. Robert St. Bonaventure
Regina Mundi St. Cyril St. Fidelis
St. Monica St. Edward St. Augustine
St. Conrad St. Agnes Our Lady of Wisdom
St. Gabriel St. Norbert St. Charles Borromeo
St. Thomas Aquinas St. Kevin St. Raphael
Saint Kateri Blessed Trinity Sts. Cosmas & Damian
St. Gerald St. Jerome St. Timothy
St. Paschal Baylon Precious Blood St. Wilfrid
St. Antoine Daniel D’Arcy McGee Msgr. Charbonnel
Blessed Margherita St. Jane Frances Our Lady of Assumption
St. Matthias St. Charles Garnier St. Matthew
Immaculate Conception St. Margaret Holy Redeemer
St. Francis Xavier St. Francis de Sales Our Lady of Guadaloupe
St. Martha
*****Reminder******
AGE, DIVISIONS, DISTANCE AND ORDER OF RACES
Note: EACH SCHOOL ALLOWED ONLY 8 RUNNERS PER RACE.
***
Grade 8 BOYS 3000m 2001 (or earlier)
Grade 8 GIRLS 2500m 2001(or earlier)
Grade 7 BOYS 2500m 2002
Grade 4 GIRLS 1500m 2005
Grade 4 BOYS 1500m 2005
Grade 3 GIRLS 1500m 2006 (or later)
Grade 3 BOYS 1500m 2006 (or later)
Grade 5 GIRLS 2000m 2004
Grade 5 BOYS 2000m 2004
Grade 6 GIRLS 2000m 2003
Grade 6 BOYS 2000m 2003
Grade 7 GIRLS 2000m 2002
Remember there is an age restriction to every race.
This age is your athlete’s age as of January 1, 2014.
In determining which category to enter your students, use only the year
indicated in the far right column. It will eliminate a great deal of confusion.
ATTIRE:
All participants should be properly equipped with shorts, (or track pants if inclement
weather), running shoes, a school T-shirt or jersey. Cover-ups, sunscreen, hats, and
extra water are also recommended. Extra running shoes and socks are suggested.
NO SOCCER SHOES OR SHOES WITH SPIKES (CLEATS) ARE
ALLOWED.
Students wearing said equipment will be disqualified!
Each competitor will also be required to wear an identification sticker with the
specifications on it that are outlined later in the booklet.
RUNNER’S BEHAVIOUR
Runners whom officials judge to have conducted themselves in a very
unsportsmanlike manner: deliberate pushing, tripping, using foul language, not
following course markings, obstructing competitors when being overtaken, WILL BE
DISQUALIFIED. Adult Course Marshalls can pull a runner who is in obvious
physical discomfort.
IMPORTANT: For safety concerns, students are not permitted to run with any type
of listening device i.e., Ipod, MP3, etc.
SPECTATORS, COACHES, PARENTS AND OTHERS….
Spectators and parents should not be on the course or interfere with the runners for
any reason. The individual(s) interfering may cause their school (team) to be
penalized. Any injuries or emergencies will be addressed by the organizing
committee. Students are not permitted to bring footballs, softballs, soccer balls,
ipods, listening devices or radios to any meet.
RESULTS Please Read Carefully
Results will be available at the conclusion of each race by the entrance office.
Coaches are responsible for writing the names of the qualifiers from their
particular school. No summary booklets will be available on race day. Results will
be emailed to the schools.
GARBAGE
Each school is to bring TWO large garbage bags for their use.
MAPS OF COURSE
The maps for the various courses are enclosed with the package that will be sent soon.
It is important that you familiarize your team with the course before the race begins,
specifically during the walk through.
DISQUALIFICATIONS Running off the course.
All runners are expected to run the course as outlined on the maps of the courses.
Any runner who runs a different route will be subject to disqualification by the course
marshals.
FIRST AID KIT, LUNCHES, WEATHER PROTECTION Because there are few picnic tables available, teams are asked to sit on the grass. Schools are urged to
bring A FIRST AID KIT, BLANKETS, PLASTIC SHEETS, UMBRELLAS, GARBAGE BAGS
ETC. for their convenience.
CANCELLATION AND RAINDATE
The only reason that the meet will be cancelled is due to very inclement weather, a
message will be sent on EMAIL from Nelli Domingues, Resource Teacher to the
principal, secretary and the athletic rep. of your school by 8:00 a.m. Schools are
asked to check these sources and not the SBSSS/North office. Convenors will notify
schools later in the day regarding a rain date.
OFFICIALS
Each school must provide officials at their DIVISIONAL MEET. They will be
assigned a role and should meet with the HEAD CONVENOR no later than 9:15
a.m. on the day of the meet. If someone cannot attend their scheduled job they
are responsible for finding a suitable replacement.
WASHROOM SUPERVISION
A washroom supervision schedule has been very effective in the past. A schedule is
enclosed within this booklet. Please refer to the schedule for your assigned time.
Supervision will be for approximately 15 minutes at a time. Please have a school
designate available.
STUDENT BEHAVIOUR
In the past, behaviour at the North Region meets has been very good. It is hoped that
this standard will be maintained through the careful supervision by all coaches. It is
especially important that the finish line area be kept clear of students, parents and
coaches to facilitate scoring. Any questions or concerns regarding results or scoring at
the finish line or scoring table should be addressed by coaches, not parents and
directed to the meet directors to address. Please try to limit the number of students
using the washroom facilities at any one time to avoid loitering.
For further information, please EMAIL
Shawna Campbell, Lucia Graziano
Or
Mike Sullivan
IMPORTANT INFORMATION FOR COACHES TO NOTE
NAME TAGS: DO NOT PIN! PLEASE KEEP DRY!
PUT ON RUNNER JUST BEFORE THEIR RACE.
A) DIVISIONAL MEETS:
Name tags have been provided with the school name, 3 letter computer codes,
the age and sex of the runner as well as the distance. Coaches need to add the
runner’s name (print clearly) above the school name with a waterproof pen.
Each participant will need only one WHITE tag for their race; ONLY USE
WHITE TAGS supplied by the Physical Education Department. Please keep
them dry.
B) REGIONAL FINAL:
The coach of those advancing to the North Region Meet will have to pick up
their completed stickers from the meet convenor the morning of the meet. The
stickers will be completely filled in identifying name, age and race. Please
check that these stickers are accurate.
Sample: Use only waterproof ink to mark labels (markers run).
John Smith
Holy Runners-HRN
Grade 4 Boy
1500m
C) HELPFUL HINT:
For your convenience, affix a colour-coded mark to the bottom right corner of
each participant’s nametag so that they will be easily visible on the scoring
table.
Please read revised “ADVANCING TEAM” sticker procedures on next
pages!!!
SCORING FOR ‘DIVISIONAL’ MEETS, & ADVANCEMENT
(October 14, 15, 16)
1 Coaches are responsible on the day of their meet for noting all their own team
and individual qualifiers who will be advancing to the next meet. Results will
be posted at the Ticket Chalet.
2 Each race is scored in the following manner at the DIVISIONAL level:
1st place = 60 points, 2nd place = 59 points, 3rd place = 58 points, etc…
The winning school at the end of the day is the school that accumulates the
highest total points
The runners must be able to finish their designated distance during practices
without walking.
It is not necessary to enter the maximum 8 runners as only the top 3 runners
in each race from each school score points.
3 Awards: See Award Structure Page
4 Schools with three or more runners in a race are eligible for team awards and
advancement. See: Qualifiers From Divisional & Regional Meets Page.
a) The first three runners from each team will count towards a team
score and;
b) The first three runners from each of the two teams with the highest
point totals will advance as a team to the Regional Finals, no matter
where they finish in the race.
c) A 4th, 5th, 6th, 7th, 8th, 9th, or 10th Team Runner qualifies ONLY if that
runner finishes in the TOP 22.
d) All runners will wear white stickers only. The top two teams from
divisional and regional meets win a champion and finalist pennant
respectively and advance as to the next meet. However, they will still
wear white stickers. At the regional and City meets all schools are
now eligible to win a team pennant. A third runner on the top two
winning teams who finishes outside the first 22 runners still advances
to the next meet. See Sample on Qualifiers page.
5 Individuals will still advance to the Regional Finals if they are among the top
22 runners.
6 ONE Divisional school champion will be determined for each day by adding
the scores of the top three runners from each school for each of the twelve
races. Highest score wins.
Checklist for coaches: A Kleenex, UMBRELLAS, cell phone if possible
B Permission forms on file at the school
C Supervisors (TCSB policy 1:10)
D Bus list for school office
E First Aid Kit
F Stopwatch, clipboard, pens, markers
G Blankets, cover-ups, sunscreen, water
SCORING AT REGIONAL FINAL MEET, & ADVANCEMENT
(October 21st)
1 Coaches are responsible on the day of their meet for noting all their
own team and individual qualifiers who will be advancing to the City
Meet.
2 Each race is scored in the following manner at the REGIONAL level:
1st place = 60 points, 2nd place = 59 points, 3rd place = 58 points, etc..
3 Awards: See Award Structure Page
4 The TOP 2 teams win a champion and finalist pennant respectively.
A The first three runners from each team will count towards a
team score; B The first three runners from each of the two teams with the
highest point totals will advance to CITY finals, no matter
where they finish in the race.
C A 4th, 5th, 6th, etc. team runner qualifies ONLY if that runner
finishes in the TOP 22 finishers.
5 Individuals will still advance to the City Finals if they are among the
top 22 runners.
6 The Regional Champion and Finalist Awards are determined by adding
the scores of all entered athletes from each school in all races. Highest
Total Wins.
7 Information about the CITY FINALS will be distributed to all schools
from the NORTH REGION ATHLETIC ASSOCIATION following
Regionals.
NORTH REGIONAL FINALS
Tuesday, October 21st, 2014 at EARL BALES PARK
1 ORDER OF EVENTS:
The order of events will be the same as the order of races at the three
Divisional Meets.
2 ENTRIES: From each Divisional Championship, the SAME format was used to
qualify runners for North Regional Meet. The number of teams and
individuals to qualify will be the same from all Divisional Meets. A
team consists of a minimum 3 runners, a maximum of 8.
*****PLEASE REVIEW QUALIFYING PROCEDURES CAREFULLY*****
AWARDS
***
I) DIVISIONALS
a) There will be a PENNANT awarded to the Championship school team in all
three meets.
b) There will be a PENNANT awarded to the Finalist school team in all three
meets.
c) There will be MEDALS awarded to the 1st, 2nd, and 3rd place winners in each
race.
d) There will be numbered RIBBONS for 4th through 10th place.
e) There will be PARTICIPANT RIBBONS for 11th place on that will be handed
out either in the chute as the runners finish or in bundles at the announcer’s
table.
f) There will be up to 8 TEAM RIBBONS for the winning team of each race.
II) REGIONAL FINALS
a) A PLAQUE will be presented to the overall winning school.
b) PENNANTS will be awarded to the first, second and third place schools.
c) MEDALS will be awarded to the top 3 finishers in each race.
d) RIBBONS will be awarded to 4th to 10th place finishers in each race.
e) A PENNANT and 4 RIBBONS will be awarded to the winning team in each
race.
Qualifiers From Divisional & Regional Meets
1 Only the first 22 finishers in each race will advance to the next meet. This
includes all members of the TOP TWO Qualifying Teams.
2 An advancing team MUST consist of a minimum of THREE runners up to
a maximum of 8 from a DIVISIONAL Meet, and FOUR from the Regional
Meet.
3 Therefore, if an advancing team’s 3rd qualifying runner finishes after the first
22 runners (i.e. 23rd, 24th, 25th, etc), that third team runner WILL ADVANCE
to the next meet. (See Example Below).
4 However, a 4th, 5th, 6th, 7th, or 8th qualifying team runner must finish in the top
22 finishers in order to advance. There are no exceptions.
NOTE: a) Only the TOP 3 runners on a team are used for scoring
purposes;
b) Where 2 TEAMS are tied for qualifying to the next meet, the
position of the highest placed team runner will be used to break
the tie.
SAMPLE RACE SCORING SUMMARY: DIVISIONAL AND REGIONAL
NOTE: a) 1st=60 points, 2nd=59 points, 3rd=58 points, 4th=57 points, etc.
b) All team scores have been totalled.
1 Q 12 Q 23 T-2 (DNQ) 34 DNQ
2 T-1 13 Q 24 T-1* 35 DNQ
3 T-2 14 Q 25 DNQ 36 DNQ
4 Q 15 Q 26 DNQ 37 DNQ
5 T-1 16 Q 27 DNQ 38 DNQ
6 Q 17 Q 28 T-1 (DNQ) 39 DNQ
7 Q 18 Q 29 DNQ 40 DNQ
8 Q 19 T-2 30 T-1 (DNQ) 41 DNQ
9 Q 20 T-2 31 DNQ 42 DNQ
10 T-2 21 T-2 32 DNQ 43 DNQ
11 Q 22 T-2 33 DNQ 44 DNQ
From this race scenario:
a) T-1 totalled 152 points and T-2 totalled 151 points (from the top 3 team
finishers).
b) Three of T-1’s team advance (minimum required), even though the third best
finisher was 24th*.
c) All SIX of T-2’s team advance because all six placed in the first 22 finishers.
d) In this particular case a total of 23 runners will advance to the next meet
instead of the usual 22.
WASHROOM SCHEDULE Divisionals
Please make sure your school’s volunteer is on time. Thanks.
TIME Meet #1
October 14th
Meet #2
October 15th
Meet #3
October 16th
9:40 Blessed Sacrament St. Robert St. Bonaventure
10:00 Regina Mundi St. Cyril St. Fidelis
10:20 St. Monica St. Edward St. Augustine
10:40 St. Conrad St. Agnes Our Lady of Wisdom
11:00 St. Gabriel St. Norbert St. Charles Borromeo
11:20 St. Thomas Aquinas St. Kevin St. Raphael
11:40 Saint Kateri Blessed Trinity Sts. Cosmas & Damian
12:00 St. Gerald St. Jerome St. Timothy
12:20 St. Paschal Baylon Precious Blood St. Wilfrid
12:40 St. Antoine Daniel D’Arcy McGee Msgr. Charbonnel
1:00 Blessed Margherita St. Jane Frances Our Lady of
Assumption
1:20 St. Matthias St. Charles Garnier St. Matthew
1:40 Immaculate Conception St. Margaret Holy Redeemer
2:00 St. Francis Xavier St. Francis de Sales Our Lady of
Guadaloupe
2:20 St. Martha
2:40
Washroom Schedule
North Regional Finals
Tuesday, October 21st, 2014
9:40 Blessed Sacrament St. Robert St. Bonaventure
10:00 Regina Mundi St. Cyril St. Fidelis
10:20 St. Monica St. Edward St. Augustine
10:40 St. Conrad St. Agnes Our Lady of Wisdom
11:00 St. Gabriel St. Norbert St. Charles Borromeo
11:20 St. Thomas Aquinas St. Kevin St. Raphael
11:40 Saint Kateri Blessed Trinity Sts. Cosmas & Damian
12:00 St. Gerald St. Jerome St. Timothy
12:20 St. Paschal Baylon Precious Blood St. Wilfrid
12:40 St. Antoine Daniel D’Arcy McGee Msgr. Charbonnel
1:00 Blessed Margherita St. Jane Frances Our Lady of
Assumption
1:20 St. Matthias St. Charles Garnier St. Matthew
1:40 Immaculate Conception St. Margaret Holy Redeemer
2:00 St. Francis Xavier St. Francis de Sales Our Lady of
Guadaloupe
2:20 St. Martha
Coaches:
The following is an APPROXIMATE timeline for races that you may wish to share
with parents, etc.
Please ensure they are aware that depending upon conditions, etc. races could take
place earlier or later than these approximate times.
10:30 Grade 8 Race 1 3000m Boys
10:45 Grade 8 Race 2 2500m Girls
11:00 Grade 7 Race 3 2500m Boys
11:15 Grade 4 Race 4 1500m Girls
11:30 Grade 4 Race 5 1500m Boys
11:45 Grade 3 Race 6 1500m Girls
12:00 Grade 3 Race 7 1500m Boys
12:15 Grade 5 Race 8 2000m Girls
12:30 Grade5 Race 9 2000m Boys
12:45 Grade 6 Race 10 2000m Girls
1:00 Grade 6 Race 11 2000m Boys
1:15 Grade 7 Race 12 2000m Girls
Sample
Cross-Country Running Parent/Guardian Information Form
Dear Parent/Guardian:
Your son/daughter has expressed an interest in trying out for the school’s cross-country running
team. Please review the information below and complete the permission form as indicated.
Cross-country running takes place outside so parents/guardians should ensure their
son/daughter is dressed appropriately for the weather conditions they may encounter. Your
son/daughter should have proper sun protection and an adequate supply of food and fluids for
the meet day.
The practices are scheduled for the following:
Day Time Location
The Cross-Country Meets are scheduled as follows:
Date Time Location Type of Meet
Invitational Meet
Divisional Meet
Regional
City
At times practices and/or meets take place off the school property. The following
transportation arrangements may be used:
walking, school bus, volunteer drivers, public transportation,
taxis
Please retain the “Cross-Country Running Parent/Guardian Information Form”. Please
complete and return to the school a signed copy of the “Cross-Country Running
Parent/Guardian Permission Form”.
ELEMENTS OF RISK NOTICE Within the Toronto Catholic District School Board the safety and well being of students is a prime concern. However the risk of injury exists in every physical activity. Due to the very nature of cross-country running there is always a risk of injury. Every attempt will be made to manage, as effectively as possible, the foreseeable risks involved for students while participating in cross-country running.
Sample
Cross-Country Running Parent/Guardian Permission Form
Name of Son/Daughter: ____________________________ Grade: _______________________
Vigorous physical activity is essential for normal, healthy growth and development. Growing bones and
muscles require not only good nutrition, but also the stimulation of vigorous physical activity to increase
the strength and skills necessary for a physically active lifestyle. Active participation provides
opportunities for students to discover and trust themselves and gain the confidence necessary to play
and work cooperatively and competitively with their peers. Physical education activities at both the
curricular and co-curricular level provide opportunities for students to experience the benefits of physical
fitness, understand and make decisions regarding personal fitness and learn the value of physical
activity in their daily lives.
It is important that your child participate safely and comfortably in the physical education program. In
your child’s best interests we recommend the following:
a) An annual medical examination.
b) Appropriate attire for safe participation (T-shirt, shorts or track pants and running shoes). Hanging
jewellery must not be worn. Jewellery which cannot be removed and which presents a safety
concern must be taped.
c) The wearing of an eyeglass band and/or shatterproof lens if your child wears glasses which cannot
be removed during physical education classes.
d) The wearing of sun protection for all outdoor activities.
e) Safety inspection at home of any equipment brought to school for personal use in class, e.g. skis,
skates, helmets etc.
Please complete the medical information form attached and have your child return it to his/her teacher.
If you require further information, please contact the school
ELEMENTS OF RISK NOTICE Within the Toronto Catholic District School Board the safety and well-being of students is a prime concern. However the risk of injury exists in every physical activity. Due to the very nature of some activities, the risk of injury may increase. Every attempt is made to manage, as effectively as possible, the foreseeable risks involved for students while participating in school physical activities.
Sample
PHYSICAL ACTIVITY MEDICAL INFORMATION FORM Name of Student: ___________________________________
Grade:________________
School: _____________________________
Teacher_____________________________
I would like to inform the school about these facts pertaining to my child’s
physical/medical condition related to his/her participation in Physical
Education Curricular and Intramural Programs.
1. Please indicate if your son/daughter/ward has been subject to any of the
The information on this form is collected under the authority of the Education
Act, R.S.O. 1991, Section170(1).This information is protected under the
Freedom of Information and Protection of Privacy Act and will be utilized only
for the purposes related to the Board’s Policy on Risk Management. Any
questions with respect to this information should be directed to your school
principal.
MEDICAL SERVICES AUTHORIZATION (Optional) In case of emergency medical or hospital services being required by the above listed participant, and with the understanding that every reasonable effort will be made by the school/hospital to contact me, my signature below authorizes medical personnel and/or hospital to administer medical and/or surgical services including anesthesia and drugs. I understand that any cost will be my responsibility. __________________________________________ __________________________ Signature of Parent/Guardian Date