SCHOOL ADMINISTRATIVE UNIT #44
Northwood School District
POLICY #JLCAA – STUDENT PHYSICALS & SPORTS
All students in grades K-8 of the Northwood School shall have physicals as outlined herein:
New Hampshire RSA 200:32 states: …"There shall be a complete medical examination by a licensed physician of each child prior to, or upon first entry into the public school system, and thereafter as often as deemed necessary by the local school authority, provided no medical examination shall be required of a child whose parent or guardian objects thereto, in writing, on the grounds such medical examination is contrary to his religious tenets and teachings."…
Based on this N.H. State Law, a child may be excluded from school for non-compliance with this state law. A grace period of thirty days after enrollment may be granted by the School Board. If a physical is not completed within the 30 day grace period, proof of a medical appointment MUST be presented to the school, or the child may be excluded from school.
A medical physical is not required. However, the Northwood School reserves the right to require a physical if in it’s judgment, it would be in the best interests of the child and School District.
Parent Guardian signature on the “Permission to Participate” form indicates that in the parent/guardian’s judgment, the child is medically fit.
Adopted by the Board REVISED by the Board
July 21, 1994 May 1, 2000
THE NORTHWOOD SCHOOL BOARD THE NORTHWOOD SCHOOL BOARD
Althea Behm, Chairperson Norman Dodge
Grace Mattern Robert Clark
B. Lee Mason Catherine McNally
Norman Dodge Richard Levergood
Ann Strout Christine Tappan
School Administrative Unit #44
SAU # 44 569 First New Hampshire Turnpike NORTHWOOD
PRE-SCHOOL NORTHWOOD, N.H. 03261 NOTTINGHAM
PROGRAM (603) 942-1290 STRAFFORD
FAX: (603) 942-1295
HARRY C. FENSOM, JR., Ed. D.
SUPERINTENDENT OF SCHOOLS
ROBYN M. JENISCH JUDITH A. McGANN, M.Ed.
BUSINESS ADMINISTRATOR SPECIAL EDUCATION DIRECTOR
Jill H. Cane, M.Ed. William V. Carozza, M.Ed. Richard A. Jenisch, M.A.
Principal, Principal, Principal,
Northwood School Nottingham School Strafford School
Permission To Participate
Student Name Age Grade
has my permission to participate in at the Northwood
Sport or Activity
Elementary School. I will take responsibility for providing transportation for my child, whenever needed, to and from try outs and/or practices, home games.
In case of an emergency, I authorize the Northwood School Officials to obtain medial treatment for my child.
In order for my child to participate in any sport (practices, games), I know that my child will need to have this permission form signed and placed on file in the School Office prior to participation. The Northwood School reserves the right to require a medical physical, if in the judgment of the School Nurse, it would be in the best interests of the child and School District. Signing this form allows my child to participate in this sport or activity. Further, I recognize that there may be risks of personal injury associated with this activity. I assume those risks and release, indemnify, and hold harmless School Administrative Unit #44, Northwood School Board, Northwood School District, its' employees, agents, and volunteers assisting in this sport or activity from any and all manner of actions of claims related thereto, whether caused by negligence, or otherwise.
This permission, release and indemnity agreement is executed on behalf of the parent(s) or guardians(s) and the student.
The undersigned has read and voluntarily signs this permission form, release and indemnity agreement.
Parent or Guardian Signature Date Signed
Student's Name Home Phone
Mother's or Guardian's Work Phone Father's or Guardian's Work Phone
Family Doctor Doctor's Phone