Series 604.4.1.3.5P - Administrative Staffing Summary for Middle School Student Participation in High School Junior Varsity or Varsity Athletic Activities-Gifted Athlete
Adopted: November 1986
Revised: January 2013
School ___________________________________ Grade__________ Sport____________
A. Options discussed:
B. The following members of this committee met and considered the above-named student’s request to participate in a junior varsity or varsity level athletic activity.
______________________________________ Middle School Principal
______________________________________ High School Principal
______________________________________ Middle School Athletic Director
______________________________________ High School Athletic Director
______________________________________ Middle School Head Coach
______________________________________ High School Head Coach
______________________________________ School Psychologist
C. We recommend/do not recommend (circle one) that the above-named student be given the opportunity to participate on a junior varsity or varsity level team.
D. Reasons for recommendation:
Signature of middle school principal
I agree/disagree (circle one) with the committee’s recommendation.
Signature of director of secondary education