EAST LYME MIDDLE SCHOOL BASKETBALL
2011-2012
Dear Parents and Athletes,
East Lyme Middle School (ELMS) is currently accepting permission slips from boys and girls in grades 6, 7 and 8
that are interested in trying out for the ELMS basketball team. ELMS will be sponsoring boys and girls, Varsity and
Junior Varsity (JV) teams this year. While we strive to encourage participation among all athletes, it is not possible to
keep every student that wants to play basketball on the team. Therefore, the number of participants is limited and will
be based on playing ability, academic standing, and appropriate school behavior. Tryouts will be held November 14, 15,
16 and 17 for boys and November 16, 17 and 18 for girls, 3:00 p.m. to 5:00 p.m. All paperwork (permission slip,
parent/guardian statement, valid physical on file at nurse's office) must be completed and submitted no later than 4:00
p.m. on Thursday, November 10, 2011. Please have the school nurse sign off on the bottom of this permission slip
before turning your slip into the main office. All athletes are required to bring appropriate tryout/practice clothes and
shoes. School P.E. uniforms are not acceptable.
There will be a parent meeting before the first game (time and date TBA) to discuss expectations and put out
important information. Practice days for the boys teams will be Mondays, Thursdays, and Fridays and practice days for
the girls will be held on Tuesdays, Wednesdays and Fridays. All practices will be from 3:00 p.m. to 5:00 p.m. in the ELMS
gym. Please pick your child up promptly at 5:00 p.m. Each team will play 7 basketball games versus other local schools.
The varsity team will play four 8 minutes quarters followed by the JV team playing two 10 minute run-time halves.
We look forward to working with you and your child this year.
Sincerely,
Jeff Drew
Trish Sullivan
ELMS Boys Basketball Coach
ELMS Girls Basketball Coach
---------------------------------------------------------------------------------------------------------------------------------------------------------------I have read the information above and give permission for my son/daughter to tryout and participate with the ELMS
basketball team.
STUDENT'S FULL NAME:____________________________________________
GRADE: _________________________________ TEAM:__________________
PARENT/GUARDIAN SIGNATURE:_____________________________________
DO NOT WRITE BELOW LINE - FOR OFFICIAL USE ONLY
__________________________________________________________________________________________________
*VALID PHYSICAL on file ______________ SCHOOL NURSE SIGNATURE_________________________________
*Please have the school nurse sign off on this form before turning into the main office
PARENT OR GUARDIAN STATEMENT:
1. Before participation in any practice or contest interscholastic athletics, all East Lyme students are required to have a
comprehensive physical examination within a 13 month period preceding the first practice in which a student
participates in any given year. This physical need not be in addition to the physical which is done to meet the
requirement in grades seven and eleven.
2. Parents or guardians are encouraged to have physicals done by the family physician during July and August.
3. Parental permission must be authorized before the start of each season during which the student participates.
I approve of my youngster participating in interscholastic athletics. I will not hold the East Lyme Public Schools or the
East Lyme Board of Education or its employees responsible for any injury sustained while engaging in any practice or
game or while traveling to or from practices or contests. I understand that all students participating in interscholastic
sports are covered by a blanket insurance policy for injuries sustained while engaging in sports under the sponsorship of
the East Lyme Board of Education. (See statement below.)
I/We give our permission for _______________________________ to participate in organized middle school athletics,
realizing that such activity involves the potential for injury which is inherent in all sports. I/We acknowledge that even
with the best coaching, use of appropriate protective equipment and strict observance of rules, injuries are still a
possibility. On rare occasions these injuries can be so severe as to result in total disability, paralysis or even death.
I/We acknowledge that we have read and understand this warning.
(PLEASE USE BLACK INK ONLY)
_____________________________________________________________________________________
***Signature of Parent/Guardian
Date
Ref: East Lyme Board of Education Policy Number 5141.3
STUDENT NAME: ___________________________________
GRADE:___________________________________________
TEAM:____________________________________________
SPORT:____________________________________________
Permission to be seen by ELHS Athletic Trainer as needed:
__________________________________________________
***Signature of Parent/Guardian
Insurance Notice:
The blanket insurance policy referred to above is an excess plan. The medical benefit of this program is an "excess" type benefit that picks up
where other coverage leaves off. If the injured person's expenses or treatment are covered under "no-fault" automobile insurance or any other
blanket or group coverage (such as PHS or Blue Cross) which provides benefits or services for, or by reason of, medical or dental care or treatment,
then this program will pay only the medical expenses not provided or reimbursable under the other coverage. However, the maximum payable as
the result of any one accident will not exceed $500,000 in the aggregate for all covered expenses, except that dental injuries will not exceed
$100,000 in the aggregate.
Announcement:
Tryouts for the girls and boys basketball teams will take place the week of November 14th.
Permission slips are now available in the cafeteria and must be returned to the main office no
later than November 10th.