Please continue to remain patient as we layout out a strategic road map for a safe return to play for all student-athletes. 1Gm@Q?{xwQoiM2}HFqJ'3U3iP+lh'=.H+{7qg!Fo Find your closest UM Urgent Care location, get directions, and reserve your . Prince George's County Public Schools Athletics Physical Examinations Physical Examination Form 023-F01 Evaluacin fsica Health Forms COVID-19 Forms COVID-19 Home Test Results Form Formulario de Resultados de Pruebas en Casa Covid-19 Additionally, behind the school environment, activities provide an essential means for students to contribute to the immediate and broader welfare of the community to which they belong and from which they derive benefits. If this is not possible, the PPE should be conducted at least 6 weeks before the first preseason practice to allow time to evaluate the athlete and treat any medical conditions found during the visit. A supplemental history form forAthletes with a Disabilityis also available. Driving Directions, Frederick County Public Schools 191 South East Street Frederick, MD 21701 Examinations in locker rooms or gymnasiums are discouraged as it does not provide the athlete with a confidential space for the PPE. endobj
Examinations in locker rooms or gymnasiums are discouraged as it does not provide the athlete with a confidential space for the PPE. Pursuant to these regulations, the Out of District process is available for all applicants from February 1 - March 1 each year for the following school year. 0000000016 00000 n
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14201 School Lane 301-669-6055 Division: Chief of School Support and School Leadership Reports To: Area 3 - High Schools Welcome to our world, "The Other Side of Education". WCPS Athletics. Millions of children participate in sports. endobj
We're 67,000 pediatricians committed to the optimal physical, mental, and social health and well-being for all infants, children, adolescents, and young adults. The athlete does not present apparent clinical contraindications to practice Note: Online registration is currently closed for all schools. Please refer to the Concussion, Baseline Testing, and Sudden Cardiac Arrest Parent packet available in the Health and Safety Section. xA
04_:8'MF4C. It is also endorsed by the National Athletic Trainers Association and the National Federation of State High School Associations. yGdw4J;p"`F!|pu&Aivq1h More importantly, we are dedicated to serving the whole child; academically, socially and emotionally. 191 South East Street 0000003257 00000 n
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Adaptedfrom the National Federation of State High School Associations, Carroll County Career and Technology Center, Required Paperwork for Athletes Who Have Played a Season in Current School Year, CCPS Student Athlete Probable Head Injury Procedure, MD Medical Clearance for Suspected Head Injury. Please Note: Your Out of District Form MUST be signed, either electronically or printed, signed and scanned, prior to returning to outofdistrict@fcps.org. 1552 0 obj<>
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These forms can be obtained from your child's school or online from the Montgomery County Public Schools (MCPS) website at www.montgomeryschoolsmd.org: MCPS Form 525-12, Authorization to Provide Medically Prescribed Treatment, Release and Indemnification Agreement, MCPS Form 525-13, Authorization to Administer Prescribed Medication, Release and 0000009443 00000 n
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Public Information Requests COVID-19 Dashboard The Coordi-nator of Athletics will initiate a . This includes any injuries/ illness that may not be school related (Club/ off campus).The MD notes should include a diagnosis with any restriction or treatments; these are not "attendance" notes. Prince Georges County Public Schools requires the following forms to be printed, read, and completed online in order . Please select the school where your child is registered/enrolled below to complete the participation forms. Choose My Signature. Please note this form should not be used in place of the Special Olympics form. Learn what others are saying. 0000024866 00000 n
Information regarding middle school athletics registration can be found here. The physician should keep a copy of this form in the chart for their records). Parental authorization or notification will NOT be accepted in place of the medical release/note. 0000003419 00000 n
The new Athletics online registration system is here! 0000002928 00000 n
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ALTERNATE TRANSPORTATION FOR SCHOOL SPONSORED EVENTS 0
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All forms must be submitted to the school athletic director for final clearance prior to student tryouts or practice. 0
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It provides helpful guidance on the proper timing, setting and structure of the evaluation to improve the health and, was developed by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American. 0000011898 00000 n
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There are no language selections available at this time. 191 South East Street maryland sports physical form 2021 Upon publication of this packet, these forms MUST be utilized when completing required DIAA forms for athletic participation.. Each year, the .7 pages ? This examination shall be performed by a licensed physician, certified physician assistant under the supervision of a licensed physician or a certified nurse practitioner. HCPS requires online registration for all Middle School Athletic programs. New Digital Ticketing Process for HOME Athletic Events in 2022 - 23. Sports Physical - dated within 365 days of the start of the season for 2022-2023 History Form Preparticipation Physical Evaluation Preparticipation and History Version - Spanish Schedules may be found on County Sports Zone MIDDLE SCHOOL INTERSCHOLASTIC HANDBOOK - COMING SOON!! This form should be placed into the athlete's medical file and should not be shared with schools or sports organizations. WCPS students have opportunities to participate in 19 sports with 28 teams in a gender-balanced program.The WCPS athletic program operates under the jurisdiction of the Maryland Public Secondary Schools Athletic Association (MPSSAA) and the National . Copyright 2002-2023 Blackboard, Inc. All rights reserved. Schoology Investigate all complaints, including requesting additional information from complainants and affected parties if necessary. When determining medical eligibility, the primary care provider should haveexpereincein evaluating athletes and determining if they are medically able to compete. High Schools Online Participation Forms. Washington County Public Schools 10435 Downsville Pike Hagerstown, MD 21740. Media Requests Discrimination undermines our communitys long-standing efforts to create, foster, and promote equity, inclusion, and acceptance for all. Decide on what kind of signature to create. {Q]^)"-npg8 |.4Zs$/&'jY?)k;-n6VzdJ! 0000013909 00000 n
The frequency of a PPE is determined by the state. Contact Us. Left Tab - Return to School - What will the Day be Like for a Student? The Preparticipation Physical Evaluation (PPE) Monograph, 5th Edition serves as a resource for medical providers to keep athletes safe and healthy while participating in sports. Digital Form Submission - Forms may be completed using the, Email Form Submission - Forms may be submitted by email to the Supervisor of Behavior Analysts at. Dropbox completed forms will be sent to the Supervisor of Behavior Analysts. Complaints may be submitted orally or in writing by any student, parent, guardian, staff member, or other individual. 0000012318 00000 n
0
General Phone (301) 766-2800. PPE 5th Edition Form - History espanol. Blue Ribbon Task Force . Interscholastic Athletics Interscholastic Athletics John Eager Howard Administration Building 4400 Shell Street Capitol Heights, MD 20743 Phone No. x][s8~OU&@6$\&S}PlV"j$9 PMUd]hhnq^<=7u&?_e>u_xuY/c^{~7cw}c^{I,o~y)U~{7w?x.E~m|>O,dY ?VVAp&~_Anb\M5&){3?`te(}6Y{;b/-0] Injury Clearance Form. endstream
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As part of the online registration process for MCPS athletics, students and parents/guardians are required to review health and safety information, including materials on baseline testing, concussions, sudden cardiac arrest and key COVID-19 resources recommended by the Maryland State Department of Education. %PDF-1.7
Physical Examination Form. Contact Form Virtual Tutoring COVID-19 Information Important Documents: Sports Physical - dated within 365 days of the start of the season for 2022-2023. Postal Mail Submission - Forms may be sent by U.S. Mail to: The FCPS Supervisor of Behavior Analysts may be contacted at, The Ombuds for Frederick County Public Schools may be contacted at. 0000024426 00000 n
Copyright 2023 American Academy of Pediatrics. Division of Curriculum and Instruction / Departments / Curriculum Programs and Services / Athletics / Links and Forms. endobj
medically eligible for sports without restrictions, medically eligible for sports without restriction, but further evaluation, medically eligible for certain sports listed on the, not medically eligible for any sports, pending further, The PPE writing group has developed a standard. To make an oral complaint, individuals can provide information through the following means: The Supervisor of Behavior Analysts will complete the following steps in order to promptly respond to complaints: Retaliation, harassment, or negative educational consequence is strictly prohibited against any complainant (or any member of their family) for filing the complaint or otherwise participating in the complaint process. Mental health is an essential component of overall health. The primary care provider should review the medical history in a private setting with the athlete and their guardian and again in private with the athlete should there be any confidential information the athlete would like to discuss. Find AAP guidance on the preparticipation physical exam including downloadable medical history forms, the physical exam form, medical eligibility forms and information specifically for athletes with a disability. 0000003095 00000 n
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The PPE physical evaluation form guides primary care providers in conducting a system-based examination to include cardiovascular, nervous system, general medical conditions, respiratory system, gastrointestinal and urogenital, dermatological,musculoskeletaland mental health. Find it onshopAAP. Note:Online registration is currently closed for all schools. 0000017114 00000 n
is also available. This site provides information using PDF, visit this link to download the Adobe Acrobat Reader DC software. trailer
Contact Us. {nY(Pmolo.`M 1552 52
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Listen to our podcasts and read our blog posts. Find Your School Feeder Area Just Click Here to register. 570 0 obj
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The PPE was developed by the American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, AmericanOrthopaedicSociety for Sports Medicine and the American Osteopathic Academy of Sports Medicine. Title IX Training link: https://www.wcboe.org/Page/6008, Blackboard Web Community Manager Privacy Policy (Updated). Please note this form should not be used in place of the Special Olympics form. Learn more about your, The Preparticipation Physical Evaluation (PPE) Monograph, 5th Edition serves as a resource for medical providers to keep athletes safe and healthy while participating in sports. The PPE physical evaluation form guides primary care providers in conducting a system-based examination to include cardiovascular, nervous system, general medical conditions, respiratory system, gastrointestinal and urogenital, dermatological, When determining medical eligibility, the primary care provider should have. ` O
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For forms, links and benefits, see the Employee Benefits section. If the child is participating in the Special, Special OlympicsMedical Form Instructions, Special OlympicsArticle 1 Sports Rules (appendix E), talk to Susannah Briskin, MD, FAAP, lead author of the, AAP Covid-19 Guidance: Return to Sport, about, infection prevention during youth sports and safely returning to physical activity after, Long-term Follow-up Care for Childhood, Adolescent and Young Adult Cancer Survivors, Roadmap for Care of Cancer Survivors: Joint Report Updates Recommendations, American Academy of Pediatrics Offers Guidance for Caring and Treatment of Long-Term Cancer Survivors, Childhood Cancer Survivors: What to Expect After Treatment, Transition Plan: Advancing Child Health in the Biden-Harris Administration, Childrens Health Care Coverage Fact Sheets, Prep- Pediatric Review and Education Programs. AACPS prohibits discrimination in its educational programs, and in employment, on the basis of actual or perceived race, color, religion, national origin, sex, age, marital status, sexual orientation, genetic information, gender identity, or disability. It provides helpful guidance on the proper timing, setting and structure of the evaluation to improve the health andwell beingof athletes. %
Pre-participation Physical Evaluation Form - The Pre-participation Physical Evaluation Form is valid for one year (for high school athletes) and two years (for middle school athletes) from the date of the exam, and covers participation for all sports within that time period. Learn more about yourstate PPElaw. Should you have any questions reg arding these materials please contact the Health Center at 410-779-4966 or Dana Moran at 410 . The Medical Eligibility 221 Form is the only form that should be submitted to a school or sports organization. Please contactpermissions@aap.orgif forms will be integrated into an EHR. AUM is a fast-growing university with a department of athletics that currently supports 11 NCAA sponsored sports. The AAP has developed and published position statements with recommended public policy and clinical approaches to reduce the incidence of firearm injuries in children and adolescents and to reduce the effects of gun violence. 301-669-6050 Fax No. Medical Eligibility Form. Instructional Materials (Single Textbook Adoption Program), Equity and Accelerated Student Achievement, Joint Initiative to Eliminate the Opportunity Gap, Elearning Resources for Students & Teachers, AACPS School Superintendent's Listening and Learning Tour, Chaperone/ Volunteer Background Investigations, School Board Appointment Commission (SBAC), Integrated Disability and Leave Management, Alternative Teacher Certification Programs, Business & Community Partners of the Year, International Student & Family Welcome Center (IWC). PPE: Preparticipation Physical Evaluation Internet Explorer Alert Lead in Water Testing If this is not possible, the PPE should be conducted at least 6 weeks before the first preseason practice to allow time to evaluate the athlete and treat any medical conditions found during the visit. Educational experiences gained through activities programs are opportunities to learn, promote and reinforce the elements that influence students to become productive citizens in a democratic society. FCPS requires that a student shall be examined and certified as being physically fit to participate in any tryout, practice or contest of a school team. h
qH`M\PqEq_EDjT-!LT!Ux+|Ly{{/xOPS?\h1zoZii(bR3Lg? Wi-Hi Sports Schedule. 0000017593 00000 n
Read more about our non-discrimination policy here. Agree to Supervise. 0000003986 00000 n
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Notification of Suspected Head Injury. 0000013750 00000 n
The PPE, also known as the sports physical, ideally will be conducted in the medical home during the health supervision appointment by the athletes primary care provider. <>/Metadata 1190 0 R/ViewerPreferences 1191 0 R>>
Bayside Conference Constitution. Parents/guardians must complete the online registration process for studentsparticipating in the MCPS interscholastic athletics program,prior to participating in practices or tryouts. 599 0 obj
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Please email applications in PDF Format ONLY, no photos/pictures. Commitment to Equity S?XsCpv&ALjad1Z,BWF00F6D=!mFV. 0000014029 00000 n
Arundel HS: Community Development & Global Citizenship, Crofton HS: Safety and Security in the Digital Age A, North County HS: International Trade, Transportation & Tourism, Old Mill HS: International Economics & Finance, Severna Park HS: Business, Innovation & Leadership, South River HS: Global Communications & Public Affairs, Southern HS: Design: Preservation & Innovation, Arundel HS: Community Development & Global Citizenship old, Broadneck HS: Environmental Literacy old, Chesapeake HS: Information Management old, Crofton: Safety and Security in the Digital Age, North County HS: International Trade, Transportation & Tourism-old, Old Mill HS: International Economics & Finance-old, Severna Park HS: Business, Innovation & Leadership- old, South River HS: Global Communications & Public Affairs-old, Southern HS: Design: Preservation & Innovation- old, Current News and Information for Families, County Championship Photos and Final Standing, Guide for Student Athletes & Parents(includes permission form), Guide for Student Athletes & Parents - espanol, Pre-Participation Physical Evaluation Form, Pre-Participation Head Injury/Concussion Report, Anne Arundel County Coaches/Officials Report. 0000024669 00000 n
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Strategic Plan Upper Marlboro, MD 20772, 2023, Prince George's County Public Schools, International High School at Langley Park, Website Accessibility Requests and Feedback Form. It is also endorsed by the National Athletic Trainers Association and the National Federation of State High School Associations. Copyright 2022 Frederick County Public Schools, Privacy Policy | Accessibility | Public Information Act | Non-Discrimination, Show sub menu for For Families & Students, Formulario de Resultados de Pruebas en Casa Covid-19, Health Information Card - fill out, print and submit, Authorization for Management of Anaphylaxis, Clean Intermittent Catherization (CIC) Authorization, Maryland Medical Orders for Life Sustaining Treatment, Application to Enroll a Nonresident Student, (Online Version) Bullying, Harassment or Intimidation Incident Form, Bullying, Harassment or Intimidation Incident Form, Maryland Work Permit Information for Teens, Learner's Permit School Attendance Certification, Parent or Guardian Audio Visual Permission Form, Formulario de Permiso Audiovisual de los Padres o Tutores, Request for Reconsideration of Instructional Material, Transportation Information Update Form: Spanish, Transportation Information Update Form: French, English Restraint and/or Exclusion Complaint Form, Spanish Restraint and/or Exclusion Complaint Form, Sign Language Interpreting Request Process, download the Adobe Acrobat Reader DC software. Participation in activities offers or reinforces responsible social processes. Bullying, Harassment, and Intimidation Form, Child Care Resources (Maryland Family Network), Extended Learning Opportunities in High School, Family Portal - How to Register, Link to Log In, Free School Meals for 2022 - 2023 School Meals, Virtual Learning (Blended Virtual Program), BEACON Study: Wicomico Schools Impact on Local Economy, Community Use of Schools/Facility Rentals, Superintendent's Reports to the Community, Accelerated Learning Programs (Magnet & T.A.D. <>/ExtGState<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>>
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Central Office 0000025153 00000 n
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Call: 240-740-3000 | Spanish Hotline: 240-740-2845E-mail: ASKMCPS@mcpsmd.org, Call: 301-517-8100 | E-mail: ersc@mcpsmd.org, 19952021 Montgomery County Public Schools, 850 Hungerford Drive, Rockville, Maryland 20850, Parents/guardians must complete the online registration process for students. FindOutFirst Email & Text Prince Georges County Public Schools requires the following forms to be printed, read, and completed online in order for a student to be eligible to participate in high school interscholastic athletics. 0000001947 00000 n
Bus Status Information The experiences and opportunities offered in early childhood lay the foundation for how children grow, learn, build relationships, and prepare for school. hbbd```b``3 duf`C`=X$&XD2^ lO|@> "9\k30RDg` If the child is participating in the SpecialOlympicsplease use: Special OlympicsMedical FormSpecial OlympicsMedical Form InstructionsSpecial OlympicsArticle 1 Sports Rules (appendix E). Textbooks for Review Upon publication of this packet, these forms MUST be utilized when completing required DIAA forms for athletic participation.. Each year, the . Safety & Emergency Management %PDF-1.4
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Early childhood is a pivotal period of child development that begins before birth through age 8. 0000006168 00000 n
Productive citizenship may be demonstrated through accepting responsibility self-worth, sportsmanship, integrity, fairness, optimism, self-sacrifice-- placing the welfare of others ahead of self acceptance of others regardless of abilities or background dignity, self-respect/discipline and thinking independently while having a commitment to group or collective goals which go beyond winning. Athletics registration is done electronically through theParentVue Portal. Mardela Sports Schedule. General Phone (301) 766-2800. 0000001736 00000 n
q=t}0{k'O=jISc. %%EOF
participating in the MCPS interscholastic athletics program. Injury/accident/illness since physical form approval: Families shall self-report to the athletic director, head coach, and or . Report Positive Student and Staff COVID Cases, Office of Human Resources and Development, Out-of-Season Participation Standards and Regulations, MCPS Waiver of Liability and Hold Harmless Release Related to COVID-19 for Participation in Interscholastic Athletics, Pre-participation Physical Evaluation Form, Student-Parent Participation Contract and Parent Permission Form, Student-Parent Participation Contract and Permission Form, Concussion, Baseline Testing, and Sudden Cardiac Arrest, Consent Form ImPact Baseline Concussion Testing, MSDE Concussion Awareness and Sudden Cardiac Arrest Awareness Parent/Student-Athlete Acknowledgement Statement, MSDE Pre-participation Head Injury/Concussion Reporting Form for Extracurricular Activities, Parent/Guardian Approval For Trips (Transportation Form), Wrestling Weight Certification Permission Form, Middle School Athletics registration information can be found, Football Insurance Parent Letter and brochure - available in. 0000011944 00000 n
Follow the step-by-step instructions below to design your aid sports physical form: Select the document you want to sign and click Upload. <>
Employee Wellness, Athletics After the examination, the primary care provider can find the athlete: The PPE writing group has developed a standardmedical eligibility form. hSYPY!M1! 0000004621 00000 n
Athletic Trainer (LAT) or designee. Any student, parent, guardian, staff member, or other individual can freely express concerns regarding the use of Physical Restraint and/or Exclusion Practices. Contact Form General Standards and Forms for Participation in Interscholastic Athletics School Year 2021-2022 The Purpose of this Guide . *PBab=eOM1i f6Xz_sQ| VIC0]C|nj=2};52cX@p{wG=,[v*B{. 624 0 obj
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Physical & Medical History Sheet. 0000002855 00000 n
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The frequency of a PPE is determined by the state. MD, DO, DC, NP, or PA SHARED EMERGENCY INFORMATION Allergies: Medications: Other information: Emergency . Please visit the Athletics sectionfor more information and to register your child. Office of the Ombuds 0000002258 00000 n
You can also send the application via fax to 240-236-2480 or via US mail to Department of Student Services, Orchard Grove Elementary School, 5898 Hannover Drive, Frederick, MD 21703. Health Services Please save a copy for your records. 2010 of Family Physicians,American Academy of Pediatrics,American Collegeof SportsMedicine,American Medical Society for Sports Medicine,American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Home Instruction (Home Schooling) You must have an appointment. High School Interscholastic Athletics Interscholastic athletics is an integral part of the high school student's total educational experience. You must be a Cecil County resident. Athletics Parent/Student Online Registration for Athletics. 0000001364 00000 n
Elevating all studentseliminating all gaps, PRE-PARTICIPATION COVID-19 Supplemental Questions for Students Physical, For a specific school phone #, please see the School List. Parkside Sports Schedule. Medical Card. 0000003747 00000 n
Create your signature and click Ok. Press Done. Below are some helpful resources to assist parents/guardians with the online registration process and with securing a physical evaluation prior to in-person engagement. UM Urgent Care offers affordable sports and camp physicals at all of our centers. The Supervisor will provide a written determination simultaneously to all parties no later than sixty (60) days from the receipt of the complaint. <>
To make a written complaint, individuals can complete the Physical Restraint and/or Exclusion Complaint Form and submit the form through any of the following means: Supervisor of Behavior Analysts, Office of Special Education Copyright 2002-2023 Blackboard, Inc. All rights reserved. endstream
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Any questions about completing the online registration process should be directed to your local school Athletics Specialist or Athletic Coordinator. FCPS will continue to work closely with our community and the United States Department of Justice to improve practice, and design programs and strategies that support the diverse needs of our student population. 0000014296 00000 n
Volunteer Training and Registration. 0000008031 00000 n
HostsDavid Hill, MD, FAAP, and Joanna Parga-Belinkie, MD, FAAP,talk to Susannah Briskin, MD, FAAP, lead author of theAAP Covid-19 Guidance: Return to Sport, aboutinfection prevention during youth sports and safely returning to physical activity afterrecovering from COVID-19. 0000003580 00000 n
FREE PHYSICALS FOR CECIL ATHLETES Wednesday, June 7, 2023 at Elkton High Only physical forms dated after 6/1/23 will be honored for school year 23-24. Pre-Participation Head Injury/Concussion Report. Activities are a social force which teach values/achievement by providing a mechanism for student physical, psychological and emotional growth, which may not be found in similar form and circumstances in the classroom curriculum and are at once concurrent and concomitant with, and entirely supportive of student intellectual/cognitive development achieved in the education environment. %PDF-1.6
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Frederick County Public Schools
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