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Policies/ Health Form

Schilling Farms Middle School
Physical Education Department

The following information is distributed to students and parents so they may be acquainted with the routine procedures in the physical education classes at Schilling Farms Middle School.

Physical education at Schilling Farms Middle School is an integral part of the entire school curriculum with special emphasis on educating the body for the same life that the academic disciplines are educating the mind. There are similar requirements that must be accomplished as is done in all classes. For example: class participation, written tests, skill tests and the acceptance of responsibility.

Students will have physical education uniforms, and will be required to dress out beginning the second week of school:

Uniforms
Schilling Farms Middle PE T-Shirt (Grey)
Schilling Farms Middle PE Gym Shorts (Black)
Athletic/Cross-Training/Running Shoe
White Socks
Towel (optional)

It is suggested that you purchase the uniform a size larger to allow for yearly growth and shrinkage from weekly washing. Also, purchasing two sets of clothing allows for one to be clean while the other is being washed. For comfort in cold weather the student in encouraged to bring a pair of sweat pants/shirt to wear in addition to the PE clothing.

The main reason for dressing out for physical education is personal cleanliness and hygiene. A change of clothing is very important in maintaining a clean body. If desired, deodorant, foot sprays, or powder in plastic or metal containers may be used. NO GLASS!

Students may not wear another students PE uniform. Plus, students may not wear athletic shorts under their PE uniform.

Label your physical education clothes (last name, first initial) following trying them on for size. This is a must requirement. A permanent marker does a neat job, and will not wash out for months. A lost uniform or article may be claimed only by the student whose name appears on the clothing.

Lockers will be provided for your use by the PE department. These lockers are for PE use only. Do not place a permanent lock on these lockers. Please clean the locker(s) following your class period.

THERE WILL BE NO “HORSEPLAY” IN THE LOCKERROOM OR SHOWERS at anytime. Towel snapping, squirting water in the dressing areas, throwing of equipment, etc… will not be tolerated. READ AND HEED!

Every student will dress out and participate daily. Those who have a legitimate written excuse signed by a physician may be excused from the activity (per SFMS handbook). Such excuses will have a five day duration, unless otherwise specified by the physician.

Written note’s by parents for injury and/or illness will be accepted, however students must dress out in their PE uniform. If the student fails to dress out, in their PE uniform, the child receives a non-dress grade.

Procedure to be followed for non-participation in physical education:
a. Present your doctor’s note to your PE teacher, and/or
b. Present your parent’s note to your PE teacher, and dress out in PE uniform.
c. The excused student is expected to be with their class at all times, in order to receive information on skills which may appear in future written tests.
ALL excused students MUST bring paper, pen and pencil to class.

Watches and rings or jewelry will not be worn to or during class. Someone could be seriously injured and a valuable watch or keepsake may be damaged beyond repair.

NOTE: Schilling Farms Middle School instructors ARE NOT responsible for any lost or
stolen articles, including money.

Our mission at Schilling Farms Middle School is to provide a safe, stimulating, and nurturing learning environment.

OBJECTIVES: To present a well-rounded program to prepare students to be responsible citizens and to have an understanding and appreciation of various activities and games which will help them develop physically, socially, and emotionally.

Our goals in physical education are:
a. Better individual physical fitness.
b. A spectator’s appreciation of sports according to social, hygienic, and safety
standards necessary. (A positive attitude)
c. Ability to learn activities with the recreational carryover value for a happier
adult and family life.
d. Better understanding and knowledge of sport skills.
e. Development of “Good Sportsmanship” and ability to get along with one’s
classmates.
f. Development of one’s ability to WIN or LOSE with equal pride.
g. Relaxation and relieving of tensions.

ACADEMIC GRADING
1. Students will receive A, B, C, D, and F letter grades. Students may earn
twenty (20) points a day; ten (10) points for dressing out and ten (10) points
for participation.
2. He/She will be prepared for each class, dressing in Schilling Farms Middle PE
uniform, white socks and athletic/cross-training/running shoes.
Unacceptable School Attire (per student handbook):
a. Failure to dress for PE, in the Schilling Farms Middle PE uniform;
b. Exposed undergarments (boys and girls);
c. Pants or shorts worn below the natural waistline;
d. Tight tops, shorts, pants (including Spandex) NO Pajama pants.
ALL infractions will result in students signing our Documentation Book for
failure to dress for PE.

ACADEMIC GRADING (cont.)

3. Knowledge and understanding of activities, skill and performance of activities.
(Testing and observation).
4. Class work and participation (dressing out for PE, effort exerted, warm-ups,
exercises, aerobic activity, team work, strategy, etc.)
5. Physical education is a performance class. Students not participating because
of illness or injury need to complete a written assignment, related to health,
fitness, etc… If students fail to complete the assignment, their grade is
affected, (-10) points for not participating.
6. Students failing to dress for PE (non-excused) need to complete a written
assignment, related to health, fitness, etc… If student fails to complete the
assignment, student will receive a conduct mark, and sign the Documentation
Book.
7. Completing make-up work: A) Read an article about sports, recreation or
health and fitness and write 750 word (14 font), double spaced, report
summarizing the article (report of information, evaluation, interpretation,
controversial issue). Include bibliography.

CONDUCT GRADING
1. Students will receive E, S, N, and U letter grades for conduct.
2. He/She will be on time. Otherwise, student will receive a conduct check and
sign the Documentation Book for tardiness. Truancy, results for failing to show
up for class, in which student receives a written referral.
3. All students will enter/depart the locker room and proceed to their assigned
seat, until they are instructed to line up.
4. Students must remain in the designated area until instructor excuses students.
Failure to do so will result in a referral notice regarding truancy for that day.
5. Students accept the responsibility for following directions and not creating
discipline problems.
6. Students not participating in PE will be assigned an area in which to remain
during the class period.
7. Gum/Candy will not be permitted in the gym. Students chewing gum/candy
during his/her gym period will receive detention.
8. Detention will be assigned for failing to comply with the above policies.
9. All students, regardless of days assigned to PE: For every conduct mark,
students conduct grade is lowered one (1) letter grade, per nine-week session.

Parent’s, please sign and return this form stating that you have read and understand the above stated policies. If you have any questions about these policies please feel free to call us (854-2345). Our Policies and Procedures will be posted on our web pages.

Schilling Farms Middle School PE Staff

_______________________ _________________________________
Parent or Guardian Signature Student Signature

Date__________ PE days/Period________________ PE Instructor________________

Students will not be allowed to participate until both Health Form and Policy and Procedure Form are returned, thus, Academic Grade is impacted.

PHYSICAL EDUCATION (Revised 8-06-06)
HEALTH FORM

Name_______________________________ PE Teacher_______________________ Date ___________

Grade__________ Home Room Instructor________________________________________________

Parents Home Phone___________________ Cell Phone_______________ Work Phone_______________

In the event of a medical emergency, the following information would be extremely helpful with the medical treatment of your child.

Have your child check any of the following medical conditions. (Please X )

____Asthma ____Kidney Problems ____ADD/ADHD ____Stroke
____Artificial Valves ____Artificial Joints ____Artificial Bones ____Nose Bleeds
____Low Blood Pressure ____High Blood Pressure ____Arthritis ____Diabetes
____Epilepsy ____Seizures ____Sickle Cell Anemia ____Sinus Problems
____Vision Problems ____Heart Problems ____Rheumatic Fever ____Headaches
____Other_____________________________________________________________________________
(Please explain any X) ___________________________________________________________________

Is your child allergic to any of the following? (Please X )
____Medicines (If yes, please list)__________________________________________________________
____Foods (If yes, please list)______________________________________________________________
____Other (If yes, please list)______________________________________________________________

Please list medications taken by your child. (A Medication Authorization must be completed for medicine given at school.)

Medication Dosage When Taken
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________

Please list your child’s physician(s).

Name Phone Number
______________________________________________________________________________________
______________________________________________________________________________________

Please list Emergency contact(s).

Name Phone Number
______________________________________________________________________________________
______________________________________________________________________________________

List any reasons why your child should be excluded from or have his/her physical education program modified.
______________________________________________________________________________________
______________________________________________________________________________________

_____________________________________
Parents Signature

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