30 LOGBRIDGE ROAD

MIDDLETON, MA 01949

Student Name_______________________ Year of Graduation_______ Today’s Date___________

Home Town_______________Date of Birth_____________Home Phone_____________________

Work numbers: Father________________ Mother__________________________

I understand that Athletic participation is voluntary. I further understand that:

I hereby give permission for my son / daughter to participate in the interscholastic athletic program at North Shore Technical High School.

Boys Basketball___________ Winter Track______________

Girls Basketball___________

A physical examination, within the last thirteen months, is required for participation in athletics. No student may begin practice without a current physical. A record of that physical, including the date of the exam, must be on file with the athletic office prior to your child participating in any practice sessions or games.

In the event, in your opinion, my son/daughter requires medical treatment, and if neither parent can be reached, you have my permission, and I hereby designate you as my agent, to have him/her treated at a medical facility.

NAME AND NUMBER OF INSURANCE POLICY:_______________________________________

                                                                                    _______________________________________

SIGNATURE OF PARENT/GUARDIAN:__________________________________________

SIGNATURE OF PLAYER______________________________________________________

Student Name______________________________

On days that school is in session, North Shore Technical High School will provide transportation home for its athletes after most afternoon games and practices. These late buses will usually leave school between 6 - 6:15 pm on practice days, and 6:30 - 7:00 pm on game days when a team is playing at another school. Athletes from Essex Aggie, who live in the North shore Regional District, may take the North Shore late buses home.

On days that school is not in session or after night games, transportation will not be provided. On those days students must provide their own transportation both to and from North Shore Tech. Athletes will be given ample notice of the dates for which there will be no late buses.

During the winter season the following sports are offered: boy's basketball, girl’s basketball, and indoor track. There is only one gym in which to practice. This means that not all teams can practice at the same time. Also, due to some evening games, occasional early release days, etc, there will be some "down" time on a regular basis. During this time students are encouraged to study and do any homework that they may have. A designated area of the school will be available for your son/daughter to pass the time. There will be a member of the staff in that area.

Also during this "down" time, students may be allowed to walk to the Market Basket shopping area, the strip mall where the Dairy Queen is located and to Dunkin Donuts. Students ARE NOT allowed to cross Rt. 114 on foot..

If you have any questions please feel free to call me at (978) 762-0001 ext. 258.

John R. Lynch - Athletic Director

                                        Parent signature____________________________

                                        Student Signature___________________________

If after the second or subsequent violations the student, of his/her own volition, becomes a participant in an approved chemical dependency program or treatment program, the student may be certified for reinstatement in MIAA activities after a minimum of 40% of events. The director or a counselor of a chemical dependency treatment center must issue such certification. All decimal parts of an event will be truncated i.e. All fractional parts of an event will be dropped when calculating the 40% of the season.

48.1 Taunting includes any actions or comments by coaches, players, or spectators which are intended to bait, anger, embarrass, ridicule, or demean others, whether or not the deeds or words are vulgar or racist. Included is

conduct that berates, needles, intimidates, or threatens based on race, gender, ethnic origin or background, and conduct that attacks religious beliefs, size, economic status, speech, family, special needs, or personal

characteristics.

Examples of taunting include but are not limited to: "trash talk", defined as verbal communication of a personal nature directed by a competitor to an opponent by ridiculing his/her skills, efforts, sexual orientation, or lack of

success, which is likely to provoke an altercation or physical response; and physical intimidation outside the spirit of the game, including "in the face" confrontation by one player to another, standing over/straddling a tackled or fallen player, etc.

48.2 Athletic participants may wear sun glare black only under their eyes.

269:17 HAZING; ORGANIZING OR PARTICIPATING; HAZING DEFINED.

Section 17. Whoever is a principal organizer or participant in the crime of hazing, as defined herein, shall be punished by a fine of not more than three thousand dollars or by imprisonment in a house of correction for not more than one, [sic] year, or both such fine and imprisonment.

The term ``hazing'' as used in this section and in sections eighteen and nineteen, shall mean any conduct or method of initiation into any student organization, whether on public or private property, which willfully or recklessly endangers the physical or mental health of any student or other person. Such conduct shall include whipping, beating, branding, forced calisthenics, exposure to the weather, forced consumption of any food, liquor, beverage, drug or other substance, or any other brutal treatment or forced physical activity which is likely to adversely affect the physical health of any such student or other person, or which subjects such student or other person to extreme mental stress, including extended deprivation of sleep or rest or extended isolation.

Notwithstanding any other provisions of this section to the contrary, consent shall not be available as a defense to any prosecution under this action.

269:18 FAILURE TO REPORT HAZING.

Section 18. Whoever knows that another person is the victim of hazing as defined in section seventeen and is at the scene of such crime shall, to the extent that such person can do so without danger or peril to himself or others, report such crime to an appropriate law enforcement official as soon as reasonably practicable. Whoever fails to report such crime shall be punished by a fine of not more than one thousand dollars.