Sport

Student-Athlete Tryout/Late Addition Approval/Male Practice Player Tracking Form

Step 1: Student-Athlete Information: Sport

Name CUID

City, State Date of Birth

Email Phone #

Term/Yr. First Enrolled at Clemson

Have you ever attended another 2 or 4-year institution as a full- time student? If yes, list colleges previously attended and when.

Start date of tryout:

Head Coach's Signature:

Date:

ATHLETIC COMPLIANCE SERVICES USE ONLY:TRACKING

Step 2: SA Visits Sport Office (Head Coach Use Only):

The student named has requested permission to tryout with your team for a maximum of 14 days.- Student will not practice and/or participate with theteam until you have received notification from AthleticCompliance Services that eligibility has been granted.

- You must notify the Compliance Office at the end of thetwo week period whether the student will join the team orhave no further affiliation with the team.

- Student-Athlete will be included on all rosters, the NCAAsquad list and in other data used during the academicyear if he/she becomes a member of the team.

End date of tryout:

Add to Roster per coach's request: YES NO

Start date of practice:

A maximum of 14 days for certification (recruited student-athlete)

A maximum of 45 days for certification (non-recruited student-athlete)

Last day of practice within grace period:

ATHLETIC COMPLIANCE SERVICES USE ONLY:Step 3: SA Visits Sports Medicine Staff

Provide medical insurance and proof of a physical examination (including Sickle Cell Results)

Danny Poole - Football (864)656-2113Donna Bullock - W Bball, VB, Tennis (864)656-1951 Travis Johnston - Baseball (864)656-4226Raz Razayeski - Men's Soccer/Golf (864)656-1957Brad Crowe - Men's Basketball (864)656-1960 Alora Sullivan - Women's Soccer (864)656-2113 Katie Rovtar -Track & Field, Rowing (864)656-2343

DRUG-TEST CONSENT: YES STUDENT-ATHLETE

STATEMENT:NO

BUCKLEY: YES NO IRL/TRANSFER: YES NO

TRANSFER TRACER: YES NO N/A

QUALIFIER STATUS: Qualifier Non- Qualifier

Other:

Medical Liability Waiver for Tryout

Testing Info for Tryouts (MD signed Physical & Sickle Cell Results)

Tryout Medical History

Insurance Card (must be billable)My signature verifies that the student-athlete has presented the above requirements and is cleared to participate.

Athletic Trainer’s Signature: Date:

STUDENT-ATHLETE IS: Not eligible to practice or compete

Eligibility to practice only,until Date:

Eligible to compete Date:

Step 4: SA Visits Compliance Office:

Return form to Athletic Compliance Services for approval to participate in the designated tryout period.

Cc: Sport Administrator, Head Coach, SID, Equipment, Strength & Conditioning, Athletic Trainer, Faculty Athletics Representative, Academic Services

Compliance Signature:

Date:

Comments:

Student-Athlete Tryout Approval & Tracking Form

YESNO

FORMS

Office U

se Only

Continuing: Initial: Transfer:

ATHLETIC COMPLIANCE SERVICES USE ONLY: ELIGIBLITY REVIEW

Enrollment Status:

If transfer - TYPE:Two-year Four-year 4-2-4 Four-year (Non-NCAA)

Multiple previous institutions (ex: 4-4-4 or 2-2-4) YES NO

Full-Time Enrollment YES NO

Compliance Signature:

Date:

TRYOUT/WALK-ON PROCEDURES

1. Head Coach or designee notifies Compliance by email that a tryout will take place on a

specific date or dates. The Head Coach or designee must complete this form

3 days prior to the tryout.

There are 3 requirements to tryout: full time enrolled student at Clemson, physical examination with completed Clemson Sports Medicine

forms proof of health insurance.

2. Head Coach or designee distributes medical “tryout” packets (from SportsMedicine) to interested tryout participants. It is the responsibility of each Sportto disseminate and gather these forms, not Sports Medicine or Compliance.

3. At least 3 days prior to the start of the tryout, the completed Tryout form with fullnames and University ID numbers, must be provided to Compliance.

4. Prior to the tryout date, Brad Woody will notify the Sport by email which studentsare permitted to go through the tryout procedure. Tryouts can be no longer than14 days.

5. If a “tryout walk-on” is chosen to be a member of the team upon completion ofthe tryout period, then the Head Coach or designee will notify compliance and theindividual will complete all the information requested on the walk on form. Thefollowing must be completed on the form prior to full practice as a member of theteam:

Have a full physical administered by Sports Medicine Complete all required NCAA and institutional forms with compliance. Be cleared through academics services

6. The compliance staff will notify the head coach when a “walk-on” is eligible tocontinue practicing/conditioning and competing as a member of the team.