Davie County Schools Logo

Forms

ATHLETICS

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


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 

 

PDF

http://davie.k12.nc.us/files/3315/9319/2464/COVID-19_Release_DCS_4842-4689-7600_v.1.pdf

Kindergarten

Medicine Authorization

Nutrition

Student Self Administered Medication