Student-Athlete Handbook 2017-2018

STUDENT-ATHLETE HANDBOOK 2017-2018

HANALANI SCHOOLS ATHLETIC DEPARTMENT hanalani.org/athletics • [email protected] • (808) 625-0737 x237 Throughout the Student-Athlete Handbook, “parent” also refers to legal guardian.

NOTICE OF NONDISCRIMINATORY POLICY Hanalani Schools does not discriminate on the basis of race, religion, color, national and ethnic origin, gender, or disability in the areas of admission, financial aid, athletics, and other school-administered programs. STUDENT-ATHLETE HANDBOOK

TABLE OF CONTENTS

HANALANI ATHLETICS ...... 02 School Information ...... 03 Mission & Philosophy ...... 04 League Affiliations ...... 05 Sports Offered ...... 06

PARTICIPATION ...... 08 Eligibility ...... 09 Ineligible Students ...... 12 Pac-5 Athletics ...... 13 Tryouts ...... 14

CONDUCT ...... 15 Code of Conduct ...... 16 Guidelines for Parents ...... 17

ATHLETIC POLICIES ...... 19 In-season ...... 20 Off-season ...... 22 Concussion Management Program ...... 23 ILH Policies ...... 26

FORMS ...... 28 Eligibility Checklist ...... 29 Physical Examination for the Athletes ...... 31 Student-Athlete Handbook Agreement ...... 33 Concussion Program Consent ...... 35 Return-to-Play Plan ...... 34 HANALANI SCHOOLS

HANALANI ATHLETICS School Information ...... 03 Mission & Philosophy ...... 04 League Affiliations ...... 05 Sports Offered ...... 06

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SCHOOL INFORMATION

Hanalani Schools 94-294 Anania Drive Mililani, HI 96789

Phone: (808) 625-0737 Fax: (808) 625-0691 Email: [email protected]

Colors: Purple and Gold Mascot: Royal

ADMINISTRATION Head of School ...... Mark Sugimoto Upper School Principal: ...... Winston Sakurai

ATHLETIC DEPARTMENT Hanalani Schools Student Activity Center SAC-110

Phone: (808) 625-0737 x237 Fax: (808) 625-0691

Interim Athletic Director ...... Justin Suderman [email protected] Gym Manager ...... Nicole Craig [email protected] Athletic Trainer ...... TBD [email protected]

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MISSION & PHILOSOPHY

STATEMENT The mission of Hanalani athletics is to develop students in leadership, sportsmanship, and Christian character so that they may honor God through their lives. A competitive interscholastic sports program provides a venue for students to acquire essential life skills and lessons such as team work, sacrifice, determination, and leadership. The theme for Hanalani athletes is “run to win” (I Corinthians 9:24- 27). Winning is not only determined by the scoreboard, but it is also determined by the attitudes and actions on the court or field. It is demonstrat- ing self-control during adversity. It is playing hard until the buzzer sounds. We want students to understand that in life or on the field, he or she rep- resents Christ. Participation in Hanalani’s athletic program is a privilege, not a right. Student-athletes must fulfill Hanalani Schools’ academic and behavioral expectations. All participants are considered students first and then athletes.

GOALS The Athletic Department aims to: • “Run to win” • Honor God in all things • Develop Christian character and leaders • Cultivate school pride among the student body, parents, and alumni • Develop a culture and tradition of competitive sports teams

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LEAGUE AFFILIATIONS

INTERSCHOLASTIC LEAGUE OF HONOLULU (ILH) Established in 1909, the ILH is an athletic activity league comprised of 24 member schools participating in 37 different sports. Hanalani Schools has been an ILH member since 2001.

HAWAII HIGH SCHOOL ATHLETIC ASSOCIATION (HHSAA) Founded in 1956, the HHSAA is dedicated to supporting and promoting athletics as part of the high school education program. The HHSAA is comprised of 96 public and private schools throughout the Hawaiian islands.

PAC FIVE ATHLETICS (PAC-5) Pac-5 is a consortium of 18 independent schools that combine to field teams to compete in the ILH and the HHSAA. The Pac-5 program gives student-athletes the opportunity to participate in sports that Hanalani does not provide, such as football, soccer, wrestling, and judo.

CHRISTIAN SCHOOL ATHLETIC LEAGUE (CSAL) The CSAL provides elementary students with the opportunity to begin to learn and develop fundamental skills of basketball and volleyball. The CSAL aims to foster an appreciation for team sports and sportsmanship while emphasizing participation and the total development of the elementary students through athletic competition.

NATIONAL FEDERATION OF STATE HIGH SCHOOL ASSOCIATIONS (NFHS) The NFHS establishes consistent standards and rules for competition and works to improve participation experience. All Hanalani coaches obtain and maintain certifications through the NFHS.

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SPORTS OFFERED

FALL SPORT START DATE TIME PRACTICE LOCATION Girls’ JV/V Bowling Mon, Jul 31 3:15 PM Leeward Bowl Boys’ JV/V Bowling Mon, Jul 31 3:15 PM Leeward Bowl Girls’ Cross Country (all) Mon, Jul 31 3:15 PM Hanalani Schools Boys’ Cross Country (all) Mon, Jul 31 3:15 PM Hanalani Schools Girls’ Int Volleyball Mon, Aug 07 3:15 PM Hanalani Schools Girls’ V Volleyball Mon, Jul 31 3:15 PM Hanalani Schools

WINTER SPORT START DATE TIME PRACTICE LOCATION Girls’ Int Basketball Mon, Oct 09 3:00 PM Hanalani Schools Girls’ V Basketball Mon, Oct 30 3:00 PM Hanalani Schools Boys’ Int Basketball Mon, Oct 09 3:00 PM Hanalani Schools Boys’ V Basketball Mon, Nov 20 6:00 PM Hanalani Schools Girls’ Swimming (all) Mon, Nov 6 5:00 PM Mililani YMCA Boys’ Swimming (all) Mon, Nov 6 5:00 PM Mililani YMCA

SPRING SPORT START DATE TIME PRACTICE LOCATION Int/V Baseball Mon, Jan 29 4:00 PM CORP* Girls’ Golf (all) Mon, Feb 05 4:00 PM Mililani Golf Course Boys’ Golf (all) Mon, Feb 05 4:00 PM Mililani Golf Course Girls’ Track & Field (all) Mon, Feb 05 3:15 PM Hanalani Schools Boys’ Track & Field (all) Mon, Feb 05 3:15 PM Hanalani Schools Boys’ Int/V Volleyball Mon, Feb 05 3:00 PM Hanalani Schools

* Central O‘ahu Regional Park

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PAC-5 SPORTS

FALL SPORT START DATE TIME PRACTICE LOCATION Boys’ Int Football Mon, Jul 17 4:00 PM Mid-Pacific Institute Boys’ V Football Mon, Jul 17 4:00 PM Mid-Pacific Institute

WINTER SPORT START DATE TIME PRACTICE LOCATION Girls’ Int Soccer Mon, Oct 16 4:00 PM Kapi‘olani Park Girls’ JV Soccer Mon, Oct 23 4:00 PM Kapi‘olani Park Girls’ V Soccer Mon, Nov 06 4:00 PM Kapi‘olani Park Boys’ Int Soccer Mon, Oct 16 4:00 PM Kapi‘olani Park Boys’ JV Soccer Mon, Oct 23 4:00 PM Kapi‘olani Park Boys’ V Soccer Mon, Nov 13 4:00 PM Kapi‘olani Park Girls’ Int/V Wrestling Mon, Nov 06 4:15 PM University Lab School Boys’ Wrestling (all) Mon, Nov 06 4:15 PM University Lab School

SPRING SPORT START DATE TIME PRACTICE LOCATION Girls’ Judo (all) Mon, Feb 05 4:00 PM Our Redeemer Boys’ Judo (all) Mon, Feb 05 4:00 PM Our Redeemer Girls’ Int/V Softball Mon, Feb 05 4:15 PM Ala Wai Park

Athletes interested in tennis should contact the Athletic Director. Start dates are subject to change.

Read more about Pac-5 Athletics on page 13. Read more about Transporta- tion on page 21.

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PARTICIPATION Eligibility ...... 09 Ineligible Students ...... 12 Pac-5 Athletics ...... 13 Tryouts ...... 14

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ELIGIBILITY

Students in grades 7 through 12 who are full-time enrolled at Hanalani Schools are eligible to participate in the athletic program provided they also meet and maintain the following eligibility requirements:

PARENTAL CONSENT Student-athletes amust have parental consent and proof of adequate medical coverage before participating in any part of the athletic program. See the Student-Athlete Handbook Agreement Form on page 31.

PHYSICAL EXAM Each year, student-athletes must submit a health physical form signed by an eligible healthcare professional (physician, physician’s assistant, or ad- vanced practice nurse). Physicals expire one (1) year from the date of the exam. See the Physical Exam for Athletes form on page 30.

STUDENT-ATHLETE HANDBOOK AGREEMENT This handbook contains participation and procedural information regarding the Hanalani athletic program as well as the expectations of the student-athlete and their parents. Both the parent and the student-athlete must read the Student-Athlete Handbook and sign the agreement form. See the Student-Athlete Handbook Agreement Form on page 33.

CONCUSSION MANAGEMENT PROGRAM In accordance with Hawaii law (HB 2273 SD1 and Act 197), the Athletic De- partment has developed a CDC-compliant plan that allows student-athletes to gradually return to athletic participation after sustaining a concussion. Read more about the Concussion Management Program on page 23. See the Concussion Management Program Consent Form on page 35.

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IMPACT BASELINE ASSESSMENT All student-athletes must complete the Immediate Post-Concussion Assess- ment and Cognitive Testing (ImPACT) baseline assessment before participation on Hanalani or Pac-5 sports teams. Group testing will take place at the beginning of each school year. Student-athletes may also schedule a time to take the assessment in the Athletic Office by contacting the Athletic Director. Read more about the ImPACT baseline assessment on page 23.

PAC-5 CLEARANCE Pac-5 athletes who have completed the eligibility requirements must request a Pac-5 Clearance Form from the Athletic Office. The Pac-5 Clearance Form must be signed and submitted by the Athletic Director before participation in any Pac-5 Athletics event, including practices, games, and scrim- mages. Read more about Pac-5 Athletics on page 13.

LEVELS OF COMPETITION Competition levels are delineated strictly by school grade level as follows: • Elementary: Grades 4-6* • Intermediate (Int): Grades 7-9 • Junior Varsity (JV): Grades 9-11 • Varsity (V): Grades 9-12

Once a student-athlete participates at a higher level of competition in a sport, that student-athlete is no longer eligible to participate at a lower level of competition in that particular sport.

ACADEMIC EXPECTATIONS Student-athletes are required to maintain a minimum of a 2.0 grade point average (GPA). Student-athletes who are placed on academic probation shall be immediately ineligible to play in any sports event. See the Ineligi- ble Students section on page 12.

* Elementary students participate interscholastically through the Christian School Athletic Leage (CSAL). Please refer to the CSAL Parent Handbook for more information. 10 STUDENT-ATHLETE HANDBOOK

BEHAVIORAL EXPECTATIONS Athletes are expected to adhere to the conduct guidelines in place for all students at Hanalani Schools. Student-athletes who are placed on disciplinary porbation shall be immediately ineligible to play in any sports event. See the Ineligible Students section on page 12.

OUTSIDE PARTICIPATION Outside participation is defined as participation in any non-school-sponsored, formally organized activity that includes formal practices, scrim- mages, or games. Hanalani athletes may not participate in an outside sports league for the same ILH sport in which they currently participating. For example, an ILH volleyball player may not participate in an outside volleyball league during the ILH volleyball season, but he or she may participate outside of the league in a different sport such as basketball or soccer. Students must obtain permission from both their coach and the Athletic Director to participate in a Hanalani sport and an outside sport at the same time.

DUAL PARTICIPATION Student-athletes are eligible to participate in two (2) ILH sports during the same season with permission from the Athletic Director. Considerations of dual participation include: • Ability to balance school and athletic responsibilities • Ability to fully commit to both sports teams • Approval of special arrangements by both sports’ coaches

No student-athlete may participate in athletic events for both sports on the same calendar day unless one or both teams are involved in ILH cham- pionship events or state tournament events.

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INELIGIBLE STUDENTS

Students are ineligible for athletic participation in the following situations:

ACADEMIC PROBATION Student-athletes who are placed on academic probation shall be immediately ineligible to participate in athletic events. A student-athlete will remain ineligible until he or she demonstrates adequate grades on weekly grade checks and a mid-quarter or quarter report card. Student-athletes coming off academic probation must obtain clearance from the Upper School Principal in order to return to athletics. For more information on academic probation, please see the Parent & Student Handbook.

DISCIPLINARY PROBATION Behavioral probation standards are determined by the Upper School administration. Students who are placed on disciplinary probation shall be immediately ineligible to participate in athletic events. Student-athletes coming off disciplinary probation must obtain clearance from the Upper School Principal in order to return to athletics. For more information on disciplinary probation, please see the Parent & Student Handbook.

OVER 18 YEARS OF AGE Student-athletes who reach the age of nineteen (19) prior to September 1 shall be ineligible to participate in interscholastic sports, regardless of their grade level in school.

SCHOOL TRANSFER Students who transfer to Hanalani Schools from an ILH school or O ‘ahu public school who participated on a sports team at their previous school will be ineligible for one (1) year to participate in that same sport at Hanala- ni. For questions regarding transfer students, contact the Athletic Director.

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PAC-5 ATHLETICS

The Pac-5 Athletics program is a consortium of independent schools whose mission is to field competitive sports teams within the ILH. This ar- rangement allows Hanalani students to participate in sports that Hanalani does not offer, such as football, soccer, wrestling, and judo.

IMPORTANT In the event that both Hanalani and Pac-5 field a team in the same sport and in the same division, the student-athlete must participate on the Hanalani sports team.

PAC-5 CLEARANCE FORM Hanalani students who wish to participate on a Pac-5 sports team must contact the Athletic Director with their intent to participate. In addition to the eligibility requirements for Hanalani student-athletes, athletes who would like participate on a Pac-5 team must also have a Pac-5 Clearance Form on file with the Pac-5 office. This form must be signed and submitted by the Hanalani Athletic Director. See the Eligibility Checklist on page 29.

PRACTICES AND TRANSPORTATION Most Pac-5 teams practice in Honolulu. One-way transportation to weekday practice locations is available for a flat-rate season fee. Athletes must arrange their own transportation home from practices as well as to and from practices and games that fall on a weekend or other non-school days (including during breaks and on holidays). Read more about Transporta- tion on page 21.

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TRYOUTS

Some athletic teams conduct tryouts and make cuts. All students and parents must acknowledge and accept the following policies regarding tryouts:

• Coaches select the athletes they assess will best perform on a cohe- sive team. • Coaches make roster decisions based on the number of students trying out, performance during tryouts, skill level, athleticism, and potential. • Coaches determine the level of competition (Intermediate, Junior Varsity, and Varsity) based on tryouts. Coaches will place players at a level they feel will be best for the player and for the team. • The duration of tryouts varies. • Interested athletes must try out every season. A roster position in the previous season does not guarantee a position on the same team for the current year. • Student-athletes who do not attend tryouts will be unable to participate in that sport. • Student-athletes who miss the regularly scheduled tryouts due to an overlapping Hanalani or Pac-5 sport will be allowed to try out for the team after their season is complete.

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CONDUCT Code of Conduct ...... 16 Guidelines for Parents ...... 17

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CODE OF CONDUCT

Student-athletes represent their school, their team, their classmates, their families, and God. Playing at Hanalani Schools is a privilege and should be taken seriously. To ensure the athletes are developing to their fullest potential on and off the court, players are expected to live according to the Athlete Code of Conduct.

ATHLETE CODE OF CONDUCT A student-athlete will: • Always give his or her best • Exemplify Christian character • Demonstrate self-discipline • Demonstrate a positive attitude • Dedicate him- or herself to the team • Attend and be prepared for every practice and game • Study as hard as he or she plays

Any student-athlete who does not behave in an acceptable manner will be addressed by the Athletic Director and/or the Upper School Principal. Hanalani Schools and its administration, therefore, reserve the right to revoke any and all such privileges of athletic participation when deemed necessary or when a violation to the school’s policies and overall philosophy occurs.

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GUIDELINES FOR PARENTS

The Athletic Department and the administration recognize how important parents are to the success of the athletic program and the sports teams.

ROLE OF THE PARENT The Athletic Director and the administration ask for and appreciate parents’ support in the following ways: • Be positive and encouraging! • Support and respect the efforts made by the athletes, their coaches, and the Athletic Department. • Promote sportsmanship and the development of good character and discipline in the student-athletes and the athletic program. • Communicate promptly and thoroughly with coaches and the Ath- letic Director. Information that needs to be disclosed includes—but is not limited to—health or safety issues, academic concerns, and potential schedule conflicts. • Direct concerns regarding your athlete and/or the team to the coach. Roster decisions, playing time, play calling, and team strategy are judgment decisions made by coaches and do not require justification.

AVOID • Complaining and negativity • Seeking to influence or direct the activites or policies of the coaches, athletic administration, or school. • Undermining the coaches, athletic administration, or school through petty criticism, disparaging remarks, or any other form of disrespect. • Berating officials, fans, or anyone else at any school-sanctioned event.

Parents and spectators that fail to adhere to these guidelines will be removed from the event.

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COMMUNICATION PROTOCOL To discuss a concern, please use the following protocol: • Address concerns regarding your child and his or her teammates to the coach directly. • Roster decisions, playing time, play calling, and team strategy are judgment decisions made by the coach and do not require justification. • Do not attempt to confront coaches immediately before or immediately after a game. These are highly emotional times for both coaches and parents and are not conducive to rational discussion. • Carefully consider your concerns prior to requesting a conference. A day or two of reflection often brings a more reasonable perspective. • Call the coach to set up an appointment. • If the conference does not provide a satisfactory resolution, call the Athletic Director. • If the Athletic Director deems it necessary, an appointment may be scheduled to discuss the matter.

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ATHLETIC POLICIES In-season ...... 20 Off-season ...... 22 Concussion Management Program ...... 23 ILH Policies ...... 26

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IN-SEASON

PRACTICES Athletes are expected to attend all practices and to give 100% of their effort during practices. Athletes should arrive on time to practices, if not earlier. Athletes are expected to be prepared for the time commitment required to participate on a sports team. In general, practices are held on weekdays; competitions are held on weekdays or weeknights and occa- sionally on Saturdays. Practices and competitions are also held during school breaks. If a student has an activity that conflicts with practice, he or she must notify the coach well in advance. If a student misses practice without approval, he or she should expect consequences.

STUDY HALLS All participants are considered students first and foremost, and then athletes. For this reason, study halls will be scheduled for Varsity and JV teams. All study halls will be scheduled before practices or games. Coach- es will designate a time and place for their team’s study halls. Students may request a study hall in place of their physical education (PE) class scheduled during their sports season. Students that request this study hall will receive PE credit as a Pass/Fail grade that will not affect the student’s GPA. Students must return to PE at the beginning of the next quarter. Students who quit their sports team mid-season will have their study hall privileges revoked. They will return immediately to PE participation and will receive a grade of zero (0) for all missed PE assignments. Athlete study halls must be requested through the Athletic Director and must be taken in the Athletic Office. Athlete Study Hall Request forms may be obtained from the Athletic Director.

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FEES Hanalani Schools does not charge a fee for sports participation. There may, however, be sport-specific costs for items such as team shirts, gear, and equipment for which the athlete is responsible.

UNIFORMS All student-athletes are required to wear Hanalani Schools’ attire at all practices and games. Practice attire must be the Hanalani Royals practice shirts or designated practice jerseys. Unless otherwise specified, game uniforms are issued by the Athlet- ic Department and are expected to be returned at the end of the season. Once the uniforms are issued, the athlete is liable for the replacement cost of any item that is lost, stolen, or damaged. Uniforms must be returned within one (1) week of the completion of the season at the team post-season meeting. Student-athletes who do not return athletic uniforms will be assessed a replacement fee.

TRANSPORTATION Transportation to weekday competitions will be provided for Hanalani athletes. All athletes are responsible for transportation to and from event locations on weekends and other non-school days such as holidays. One- way transportation is available for Pac-5 athletes for a flat-rate season fee. Contact the Athletic Director for more specific questions regarding transportation.

WEIGHT ROOM When not use by an athletic team or coach, Hanalani Upper School students may use the Kokobun Fitness Room upon submission of a Weight Room Waiver form which may be obtained from the Athletic Director. Stu- dents must sign in and out of the weight room with the Athletic Office. Students are responsible for the replacement costs of equipment that is damaged or goes missing while they are in the weight room.

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OFF-SEASON

Most sports provide students with opportunities to participate in strength and conditioning programs and off-season skill development. These programs are voluntary but are highly encouraged. It is important for each athlete to develop his or her athletic abilities and skills during the off-season. The Athletic Department often runs or hosts skills clinics and Sum- mer Leagues during the off-season. Coaches will give athletes direction on off-season development. Contact the Athletic Director or team coach for more information on off-season development.

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CONCUSSION MANAGEMENT PROGRAM

In 2010, the NFHS established a new rule stating that “any player who shows signs, symptoms, or behaviors associated with a concussion must be removed from the game and shall not return to play until cleared by an appropriate health-care professional.” In compliance with the NFHS rule change as well as state and national guidelines, Hanalani Schools and the Pac Five Athletics program have instituted the following guidelines for all student-athletes participating in collision and contact sports. Hanalani student-athletes will be administered baseline assessments once every two (2) years, which will provide the students-athletes’ primary care physicians with objective information to compare pre- and post-injury.

IMPACT BASELINE ASSESSMENT Hanalani uses a software tool called Immediate Post Concussion Assess- ment and Cognitive Testing (ImPACT) in order to better manage concussions sustained by student-athletes. ImPACT is a computerized exam utilized in many professional, collegiate, and high school sports programs across the country to successfully diagnose and manage concussions. If an athlete is believed to have suffered a head injury during competition, ImPACT is used to help determine the severity of head injury and when the injury has fully healed. The non-invasive ImPACT assessment is set up in video-game style format and takes between 20 and 30 minutes to complete. It is a simple assessment, and many athletes enjoy the challenge of taking the test. Essentially, the ImPACT exam is an athletic physical exam for the brain. It tracks information such as memory, reaction time, speed, and concentration. It is not an IQ test.

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The ImPACT exam establishes baseline scores prior to beginning contact sport practice or competition. After a concussive injury, the injured athlete is re-assessed and the scores are compared to the baseline score. Athletes will only be considered for return to their activities if the post-injury scores are comparable to the baseline scores. If a concussion is suspected in a Hanalani athlete, parents will be promptly contacted with all details, and the athlete must re-take both tests. The information gathered can also be shared with the athlete’s family doctor. The test data will enable health professionals to determine when beginning return-to-play protocol is appropriate and safe for the injured athlete. Information gathered from the ImPACT assessments may also be used in studies conducted by this school, the ILH, the University of Hawai‘i, local physicians, neuropsychologists, the State of Hawaii Department of Education, and the National Athletic Trainers’ Association. In order to ensure your child’s anonymity, Hanalani uses an anonymous data submission system. After a student-athlete takes the cognitive status assessments, the Athletic Director will collaborate with the student-athlete’s physician and/ or a neuropsychologist to determine if the student-athlete is ready to start the Return-to-Activity Plan (page 25). This team approach ensures the health and safety of each concussed student-athlete.

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RETURN-TO-ACTIVITY PLAN

STEP 1: Complete cognitive rest. This may include staying home from school or limiting school hours and study for several days. This should be prescribed by a physician and supported by school administration. Activities requiring concentration and attention may worsen symptoms and delay recovery.

STEP 2: Return to school full time.

Steps 3 through 7 will be supervised by the Athletic Director and the Ath- letic Trainer. Each step is separated by a minimum 24 hours. If symptoms occur during any step, the athlete will return to the previous step.

STEP 3: Light exercise. This step cannot begin until the treating physician clears the student-athlete for further activity. At this point, the student-athlete may begin walking or riding a stationary bike.

STEP 4: Running in the gym or on the field.

STEP 5: Non-contact training drills in full equipment. Weight training can begin.

STEP 6: Full contact in practice or training.

STEP 7: Play in game.

Please see the Concussion Management Program Consent form on page 35.

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ILH POLICIES

OPERATIONS In addition to Hanalani ‘s requirements, student-athletes must also adhere to ILH procedures. The ILH establishes its own operational procedures in the following areas: • Eligibility • Academic standings • Sports participation • Outside participation • Transfer student-athletes • Coach and athlete conduct

Parents and students should not communicate with the ILH office or other athletic departments. Any questions or concerns should be directed to- wards the Hanalani Athletic Director.

REFRESHMENTS Visiting teams and their parents, supporters, coaches, and school repre- sentatives are prohibited from consuming or distributing any food, snacks, or meals on the campuses of other schools. Only drinks are allowed to be distributed. This rule only applies to school sites and facilities, not to public facilities such as Kapi‘olani Park, Central O‘ahu Regional Park, and commu- nity baseball fields. The ILH penalty for breaking this rule is a fine of $100.00 which will be assessed to the person who violates the refreshment rule.

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ADMISSIONS Admission will be charged for all levels of basketball, judo, volleyball, and wrestling. The prices for admission tickets are as follows: • General admission: $6.00 • Senior citizens (65+ years): $4.00 • Students (12+ years): $4.00 • Children under 5 years: Free

Students must present a Hanalani student ID to receive free admission to Hanalani athletic events. Students will need to pay for admission to state tournament games and public sites such as Hans L’Orange Field, Les Murakami Stadium, Aloha Stadium, and the Waipio Soccer Complex. Stu- dents must present student IDs to receive discounted student prices at these sites. Discount admission cards are available for purchase at Hanalani home games and in the Athletic Office for $50.00.The understanding, cooperation, and support of all spectators at admission events is greatly appreciated by all member schools.

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FORMS Eligibility Checklist ...... 29 Physical Examination for the Athletes ...... 31 Student-Athlete Handbook Agreement ...... 33 Concussion Program Consent ...... 35 Return-to-Play Plan ...... 36

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HANALANI ATHLETICS ELIGIBILITY CHECKLIST

All items on this checklist must be fulfilled in order for a student to be eligible to participate in any part of the Hanalani athletic program. These forms are due on the start date of the respective sport(s).

CURRENT PHYSICAL EXAM FORM Student-athletes must obtain an updated physical each year. Physicals expire one (1) year from the date of the exam.

ATHLETIC HANDBOOK AGREEMENT FORM Student-athletes and their parents must read the Student-Ath- lete Handbook and sign the athletic handbook agreement form.

CONCUSSION MANAGEMENT PROGRAM CONSENT FORM It is required that parents and student-athletes understand and consent to the Hanalani Schools concussion program and the Return-to-Play Plan.

IMPACT BASELINE ASSESSMENT Student-athletes must complete the ImPACT baseline assessment prior to participation. The ImPACT test must be repeated every two (2) years. Contact the Athletic Director schedule a time to complete the assessment.

PAC-5 CLEARANCE FORM. Pac-5 athletes only. Once all forms are submitted, Pac-5 athletes must contact the Athletic Director and request that a Pac-5 clearance form be sent to the Pac-5 Athletics office.

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30 Hawaii State Department of Education PHYSICAL EXAMINATION FOR ATHLETES Student’s Name M/F______Date of Birth______/______/______Grade (Print) Last First MI Month Day Year Address______Home Phone______Student Resides With ______Street No. City State Zip Code Fall Sport ______Winter Sport ______Spring Sport ______

Father’s/Guardian’s Name Bus. Phone Cell or Pager______

Mother’s/Guardian’s Name Bus. Phone Cell or Pager______

Emergency Contact Bus. Phone Cell or Pager______Name & Relationship Emergency Contact Bus. Phone Cell or Pager______Name & Relationship Emergency Contact Bus. Phone Cell or Pager______Name & Relationship Health and/or Insurance Carrier ______Policy # ______

The student and parent/guardian consent and authorize school officials through an Athletic Health Care Trainer (AHCT), qualified coach/staff, or physician as determined by the school, to provide any first aid and/or emergency care as well as follow-up first aid or medical treatment that may be reasonably necessary for the student as determined by a school official in the course of athletic practice, competition or travel.

The student and parent/guardian further consent and authorize the school’s AHCT to provide appropriate therapeutic modalities in order to return student to athletic competition, such care to be conducted under the direction of a physician.

The student and parent/guardian further consent and authorize the school’s AHCT to administer baseline and/or post injury concussion management assessment in order to manage a concussion or suspected head trauma, such care to be conducted under the direction of a physician.

The student and parent/guardian hereby consent to the release of medical information by physician to school to obtain information regarding the medical history, records of injury or surgery, serious illness, and rehabilitation results of the student from his/her physician(s). We understand that the purpose of this request for medical information is to assist the school in the management or rehabilitation of an injury/illness. This information is confidential and except as provided in this release will not be otherwise released by the parties in charge of the information. This release remains valid until revoked by the adult student or parent/guardian in writing. Signature of Student______Signature of Parent/Guardian ______Date ______(parent/guardian fill out back side of this form)

To be completed by Physician only Height ______feet & inches Weight ______lbs Blood Pressure______/______Pulse______bpm Vision: R 20/______L 20/ ______Corrected: Yes No Pupils: Equal ____ Unequal ____ Asthma ______(Medication Used) Diabetes ______(Medication Used) Allergies ______(Medication Used) MEDICAL NORMAL COMMENTS INITIALS Appearance Eyes/ears/nose/throat Hearing Lymph nodes Heart/Murmurs Pulses Lungs Abdomen Skin Genitalia MUSCULOSKELETAL Neck Back/Spine Shoulder/arm Elbow/forearm Wrist/hand/fingers Hip/thigh Knee Calf/ankle Foot/toes Other (Over)

RS 06-1385 (Rev. of RS 03-0094) Parent/Guardian and Student to fill out before Physical Examination Explain “Yes” answers below. Circle question you don’t know the answer to. Yes No Yes No 1. Has a doctor ever denied or restricted your participation in   25. Do you cough, wheeze or have difficulty breathing during or after   sports for any reason? exercise? 2. Do you have an ongoing medical condition (like diabetes or  26. Have you ever used an inhaler or taken asthma medicine?   asthma)? 3. Are you currently taking any prescription or nonprescription   27. Were you born without or are you missing a kidney, an eye, a   (over the counter) medicines or pills? testicle, or any other organ? 4. Do you have allergies to medicines, pollens, foods or stinging   28. Have you had infectious mononucleosis (mono) within the last   insects? month? 5. Have you ever passed out or nearly passed out DURING   29. Do you have any rashes, pressure sores, or other skin problems?   exercise? 6. Have you ever passed out or nearly passed out AFTER   30. Have you had a herpes skin infection?   exercise? 7. Have you ever had discomfort, pain or pressure in your chest   31. Have you ever had a head injury or concussion?   during exercise? 8. Does your heart race or skip beats during exercise?   32. Have you been hit in the head and been confused or lost your   memory? 9. Has a doctor ever told you that you have: (circle all that apply)   33. Have you ever had a seizure?   High blood pressure A heart murmur High Cholesterol A heart infection 34. Do you have headaches with exercise?   35. Have you ever had numbness, tingling, or weakness in your arms   or legs after being hit or falling? 10. Has a doctor ever ordered a test for your heart?   36. Have you ever been unable to move your arms or legs after being   (for example, ECG, echocardiogram) hit or falling? 11. Has anyone in your family died for no apparent reason?   37. When exercising in the heat, do you have severe muscle cramps,   or become ill? 12. Does anyone in your family have a heart problem?   38. Do you have any hearing problems?   13. Has any family member or relative died of heart problems or of  39. Do you have a hearing device?   sudden death before age 50? 40. Do you have a family member with hearing problems? 14. Has a family member died while exercising?     15. Does anyone in your family have Marfan Syndrome?   41. Has a doctor told you that you, or does someone in your family   have sickle cell trait or sickle cell disease? 16. Have you ever spent the night in a hospital?   42. Have you had any problems with your eyes or vision?   17. Have you ever had surgery?   43. Do you wear glasses or contact lenses?   18. Have you ever had an injury, like sprain, muscle or ligament   44. Do you wear protective eyewear, such as goggles or a face shield?   tear, or tendonitis, that caused you to miss a practice or game? 45. Are you happy with your weight? If yes, list affected area: ______  46. Would you like to lose weight?  

19. Have you had any broken or fractured bones or dislocated   47. Would you like to gain weight?   joints? If yes, list affected area: ______48. Has anyone recommended you change your weight or eating habits?   20. Have you had a bone or joint injury that required x-rays, MRI,   49. Do you limit or carefully control what you eat?   CT, surgery, injections, rehabilitation, physical therapy, a 50. Do you have any concerns that you would like to discuss with a brace, a cast, or crutches? If yes, list affected area: doctor?   ______51. Do you feel depressed?   21. Have you ever had a stress fracture?   52. Do you have a history of multiple or long nosebleeds?   22. Have you been told that you have or have you had an x-ray for   53. MALES ONLY: Do you ever have or had swelling of your   atlantoaxial (neck) instability? testicles or groin? 23. Do you regularly use a brace or assistive device?   FEMALES ONLY  24. Has a doctor ever told you that you have asthma or wheezing?   54. Have you ever had a menstrual period?   EXPLAIN “YES” answers here: 55. How many periods have you had in the last 12 months?  (Add additional pages if necessary)

  I hereby verify to the best of my knowledge that the answers which have been provided to the above questions are correct.

Signature of Student______Signature of Parent/Guardian ______Date ______

Clearance: (Place a check in appropriate box below) Cleared for all sports Cleared after completing evaluation/rehabilitation for Not cleared for: Collision (Football)  Contact (Baseball, Basketball, Cheerleading, Judo, Softball, Soccer, Volleyball, Wrestling)  Non contact  Strenuous Moderately Strenuous  Non-strenuous Reason not cleared: Physician’s Recommendation Name of Physician Date of Physical Exam Address Telephone Signature of Physician Fax Number RS 06-1385 (Rev. of RS 03-0094) Parent/Guardian and Student to fill out before Physical Examination Explain “Yes” answers below. Circle question you don’t know the answer to. Yes No Yes No HANALANI SCHOOLS 1. Has a doctor ever denied or restricted your participation in   25. Do you cough, wheeze or have difficulty breathing during or after   sports for any reason? exercise? 2. Do you have an ongoing medical condition (like diabetes or  26. Have you ever used an inhaler or taken asthma medicine?   asthma)? 3. Are you currently taking any prescription or nonprescription   27. Were you born without or are you missing a kidney, an eye, a   (over the counter) medicines or pills? testicle, or any other organ? 4. Do you have allergies to medicines, pollens, foods or stinging   28. Have you had infectious mononucleosis (mono) within the last   insects? month? STUDENT-ATHLETE HANDBOOK 5. Have you ever passed out or nearly passed out DURING   29. Do you have any rashes, pressure sores, or other skin problems?   exercise? AGREEMENT FORM 6. Have you ever passed out or nearly passed out AFTER   30. Have you had a herpes skin infection?   exercise? 7. Have you ever had discomfort, pain or pressure in your chest   31. Have you ever had a head injury or concussion?   during exercise? 2017-2018 8. Does your heart race or skip beats during exercise?   32. Have you been hit in the head and been confused or lost your   memory? 9. Has a doctor ever told you that you have: (circle all that apply)   33. Have you ever had a seizure?   High blood pressure A heart murmur I hereby give my permission for High Cholesterol A heart infection 34. Do you have headaches with exercise?   35. Have you ever had numbness, tingling, or weakness in your arms   to participate in a Hanalani Schools-sponsored athletic sport(s) program or legs after being hit or falling? 10. Has a doctor ever ordered a test for your heart?   36. Have you ever been unable to move your arms or legs after being   during the 2017-2018 school year. I understand that participating on a (for example, ECG, echocardiogram) hit or falling? 11. Has anyone in your family died for no apparent reason?   37. When exercising in the heat, do you have severe muscle cramps,   school-sponsored athletic team is a privilege and not a right that I possess or become ill? 12. Does anyone in your family have a heart problem?   38. Do you have any hearing problems?   or demand. It is also my responsibility as a participant that my goal and 13. Has any family member or relative died of heart problems or of  39. Do you have a hearing device?   sudden death before age 50? 40. Do you have a family member with hearing problems? mission is to be God-honoring in the areas of family, school, and     14. Has a family member died while exercising? athletics. 15. Does anyone in your family have Marfan Syndrome?   41. Has a doctor told you that you, or does someone in your family   have sickle cell trait or sickle cell disease? 16. Have you ever spent the night in a hospital?   42. Have you had any problems with your eyes or vision?   17. Have you ever had surgery?   43. Do you wear glasses or contact lenses?   I authorize Hanalani Schools’ personnel to provide emergency treatment 18. Have you ever had an injury, like sprain, muscle or ligament   44. Do you wear protective eyewear, such as goggles or a face shield?   tear, or tendonitis, that caused you to miss a practice or game? 45. Are you happy with your weight? for any injury or illness my child may experience during an athletic practice, If yes, list affected area: ______  46. Would you like to lose weight?   scrimmage, or contest. I understand that Hanalani Schools does not carry

19. Have you had any broken or fractured bones or dislocated   47. Would you like to gain weight?   special insurance coverage for the individual members of the team or the joints? If yes, list affected area: ______48. Has anyone recommended you change your weight or eating habits?   team as a whole, and that it is part of the school’s policy that students must 20. Have you had a bone or joint injury that required x-rays, MRI,   49. Do you limit or carefully control what you eat?   CT, surgery, injections, rehabilitation, physical therapy, a 50. Do you have any concerns that you would like to discuss with a be covered by appropriate insurance before they participate in the athletic brace, a cast, or crutches? If yes, list affected area: doctor?   ______51. Do you feel depressed?   programs. 21. Have you ever had a stress fracture?   52. Do you have a history of multiple or long nosebleeds?   22. Have you been told that you have or have you had an x-ray for   53. MALES ONLY: Do you ever have or had swelling of your   atlantoaxial (neck) instability? testicles or groin? My child and I are aware that participating in any athletic activity can be a 23. Do you regularly use a brace or assistive device?   FEMALES ONLY  24. Has a doctor ever told you that you have asthma or wheezing?   54. Have you ever had a menstrual period?   potentially hazardous situation. We assume all risks associated with partici- EXPLAIN “YES” answers here: 55. How many periods have you had in the last 12 months?  (Add additional pages if necessary) pation in this sport, including—but not limited to—falls, contact with other

 participants, the effects of weather, traffic, and other reasonable risk con-  I hereby verify to the best of my knowledge that the answers which have been provided to the above questions are correct. ditions associated with the sport. All such risks to my child are known and understood by my child and me. Signature of Student______Signature of Parent/Guardian ______Date ______

STUDENT-ATHLETE HANDBOOK AGREEMENT FORM CONT. I have read the 2017-2018 Hanalani Schools Student-Athlete Handbook in its entirety, and I agree to follow the rules, policies, and procedures de- tailed therein. I hereby understand and agree to fully cooperate with the Student-Athlete Handbook behavioral expectations and Code of Conduct guidelines. I also understand that by signing and submitting this form, I al- low my grant consent to have my child transported by authorized personnel in school-approved vehicles for athletic practices and contests.

I understand that Hanalani Schools and its administration reserve the right to revoke any and all such privileges when an infraction or violation occurs to the school’s policy or overall philosophy.

Date Student-Athlete Signature Date Parent/Guardian Signature

MEDICAL INFORMATION Student-Athlete Full/Legal Name

Medical Insurance Provider

Medical Conditions

PRIMARY EMERGENCY CONTACT Parent/Guardian Name Relation Home Phone Cell Email Work SECONDARY EMERGENCY CONTACT Contact Name Relation Home Phone Cell Email Work 34 HANALANI SCHOOLS

CONCUSSION MANAGEMENT PROGRAM CONSENT FORM 2017-2018

I understand that my child is required to complete the Immediate Post Concussion Assessment and Cognitive Testing (ImPACT) assessment in order to participate in a Hanalani Schools-sponsored sport(s) program. I acknowledge that should my child be suspected of sustaining a concussion, he or she will be removed from the athletic activity and shall not return to play until cleared by an appropriate healthcare professional.

I acknowledge that I have received information on Hanalani Schools’ Con- cussion Management Program, that I have read and understood this information, and that I am willing to participate in its implementation. I also acknowledge that I have read and understood the Return-to-Activity Plan.

Student-Athlete Name

Grade Sport(s)

Parent/Guardian Signature

Date

35 HANALANI SCHOOLS

RETURN-TO-ACTIVITY PLAN

STEP 2: Return to school full time.

STEP 4: Running in the gym or on the field.

STEP 5: Non-contact training drills in full equipment. Weight training can begin.

STEP 6: Full contact in practice or training.

STEP 7: Play in game.

36 HANALANI SCHOOLS

NOTES

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