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Forms

If you have questions about the physical form contact the applicable site Trainer or Athletic Director as follows:

Davie County High  School
David Riegel, Athletic Trainer
riegeld@davie.k12.nc.us

North Davie Middle School
Trish King, Athletic Director
kingt@davie.k12.nc.us

South Davie Middle School 
Ben Baity, Athletic Director
baityb@davie.k12.nc.us

William Ellis Middle School
Leah Reynolds, Athletic Director
reynoldsl@davie.k12.nc.us


-The start of NCHSAA fall sports is delayed until at least September 1. 
-The first five (5) student days of the 2020-2021 school year will be designated as a “dead period” for ALL sports, allowing school staff to focus on the start of school.
-NCHSAA Phase One of the summer conditioning and workouts will continue until further notice.


The North Carolina High School Athletic Association (NCHSAA) and Davie County Schools are requiring student-athletes to complete the following:

-Physical Examination Form (See PPE form specific information below based on the examination date)
-Initial Screening Question Form
-Gfeller-Waller Concussion Awareness Form
-DCS Acknowledgement of Risk, Waiver of Liability Regarding Voluntary Participation in Athletics and Other Activities


NCHSAA INITIAL SCREENING TO PARTICIPATE IN ATHLETIC ACTIVITY DURING COVID-19 FORM (PDF)
All student-athletes students wishing to be involved in athletics are required to complete this form before being allowed to participate in ANY organized activity

NCHSAA PREPARTICIPATION SPORTS EXAMINATION 2020-2021
NCHSAA NOTE - ABOUT THE PREPARTICIPATION SPORTS EXAMINATION
All student-athletes who had a valid Preparticipation Examination (PPE) form dated anytime between March 1, 2019 – May 1, 2020 (used for the 2019-2020 seasons) will be granted a temporary one-year extension through the end of the 2020-2021 academic year. If the student does not have a valid form from these dates, they will need an updated physical form before any summer workout or season participation.

DATE OF CURRENT PHYSICAL | REQUIREMENT FOR 2020-2021
-Before 03/01/19 | Need valid, up-to-date physical before participating.
-On or after 03/01/19 through 05/01/20 | Granted a temporary extension to participate through the end of the 2020-2021 academic year, but the student-athlete and parents/guardians are required by Davie County Schools to complete the history portion of the PPE.
-
On or after 05/02/20 | Will participate based on the current policy of being “valid for 395 days”, but the student-athlete and parents/guardians are required by Davie County Schools to complete the history portion of the PPE.

STUDENT-ATHLETES WITH A VALID PPE FORM DATED on or after MARCH 1, 2019 - MAY 1, 2020
All student-athletes who had a valid Preparticipation Examination (PPE) form dated anytime between March 1, 2019 – May 1, 2020 (used for the 2019-2020 seasons) will be granted a temporary one-year extension through the end of the 2020-2021 academic year. Davie County Schools requires student-athlete and parents/guardians to review, fill-out, and sign this portion of the form before participating in any summer workout or season participation.

STUDENT-ATHLETES WITH PPE FORM DATED before MARCH 1, 2019
All student-athletes who have a Preparticipation Examination (PPE) form dated before March 1, 2019, are required to have an up-to-date physical before any summer workout or season participation

Bilingual NCHSAA Sports Preparticipation Physical Examination Form (PDF)


GFELLER-WALLER CONCUSSION AWARENESS
Information Sheet and Concussion Statement Form (PDF) Reviewed and signed by the student-athlete and parents/guardians to permit the student to participate.  For more information about concussion awareness in NC and the Gfeller-Waller Concussion Awareness Act, click here.

English  (PDF)
Spanish (PDF)  


DCS ACKNOWLEDGEMENT OF RISK, WAIVER OF LIABILITY REGARDING VOLUNTARY PARTICIPATION IN ATHLETICS AND OTHER ACTIVITIES  

English (PDF)


Tickets / Passes / Booster Club Membership
Booster Club Membership
Football Season Tickets
All Sport Passes
Family Package
Reserved Parking Pass 
Donations

In anticipation of reopening the North Carolina High School Athletic Association (NCHSAA) and Davie County Schools are requiring student-athletes to complete the following:

-Physical Examination Form (See PPE form specific information below based on the examination date)

-Initial Screening Question Form

-Gfeller-Waller Concussion Awareness Form

-DCS Acknowledgement of Risk, Waiver of Liability Regarding Voluntary Participation in Athletics and Other Activities

 

NCHSAA INITIAL SCREENING TO PARTICIPATE IN ATHLETIC ACTIVITY DURING COVID-19 FORM (PDF)
All student-athletes students wishing to be involved in athletics are required to complete this form before being allowed to participate in ANY organized activity

 

NCHSAA PREPARTICIPATION SPORTS EXAMINATION 2020-2021

NCHSAA NOTE - ABOUT THE PREPARTICIPATION SPORTS EXAMINATION
All student-athletes who had a valid Preparticipation Examination (PPE) form dated anytime between March 1, 2019 – May 1, 2020 (used for the 2019-2020 seasons) will be granted a temporary one-year extension through the end of the 2020-2021 academic year. If the student does not have a valid form from these dates, they will need an updated physical form before any summer workout or season participation.

 

DATE OF CURRENT PHYSICAL | REQUIREMENT FOR 2020-2021

Before 03/01/19 | Need valid, up-to-date physicalbefore participating.

On or after 03/01/19 through 05/01/20 | Granted a temporary extension to participate through the end of the 2020-2021 academic year, but the student-athlete and parents/guardians are required by Davie County Schools to complete the history portion of the PPE.

On or after 05/02/20 | Will participate based on the current policy of being “valid for 395 days”, but the student-athlete and parents/guardians are required by Davie County Schools to complete the history portion of the PPE.

STUDENT-ATHLETES WITH A VALID PPE FORM DATED on or after MARCH 1, 2019 - MAY 1, 2020

Bilingual NCHSAA Sports Preparticipation Physical Examination Form (PDF)- Required by Davie County Schools

All student-athletes who had a valid Preparticipation Examination (PPE) form dated anytime between March 1, 2019 – May 1, 2020 (used for the 2019-2020 seasons) will be granted a temporary one-year extension through the end of the 2020-2021 academic year. Davie County Schools requires student-athlete and parents/guardians to review, fill-out, and sign thisportion of the formbefore participating in any summer workout or season participation.

 

STUDENT-ATHLETES WITH PPE FORM DATED before MARCH 1, 2019

Bilingual NCHSAA Sports Preparticipation Physical Examination Form(PDF)

All student-athletes who have a Preparticipation Examination (PPE) formdated before March 1, 2019, are required to have an up-to-date physical before any summer workout or season participation

 

GFELLER-WALLER CONCUSSION AWARENESS
Information Sheet and Concussion Statement Form (PDF) Reviewed and signed by the student-athlete and parents/guardians to permit the student to participate.  For more information about concussion awareness in NC and the Gfeller-Waller Concussion Awareness Act, click here.

 

English

Spanish

 

DCS ACKNOWLEDGEMENT OF RISK, WAIVER OF LIABILITY REGARDING VOLUNTARY PARTICIPATION IN ATHLETICS AND OTHER ACTIVITIES

 

DCS Acknowledgement of Risk, Waiver of Liability Regarding Voluntary Participation in Athletics and Other Activities (PDF)