Forms and Eligibility

Middle School Activities Participation Form 

• Students must maintain academic eligibility in accordance with school policy.

• A current physical examination and completed athletic registration forms are required prior to participation, including proof of student insurance.

• Attendance at practices and adherence to the Student-Athlete Code of Conduct are expected.

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Physical Form

A current physical examination and completed athletic registration forms are required prior to participation, including proof of student insurance.

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Student Accident Insurance is available for K-12 and PTC students enrolled in Pinellas County Schools. Coverage is required for students participating in sports and certain extracurricular activities.

This plan does not contain a deductible provision.
Coverage may be purchased at any time during the 2026-2027school year. At School coverage ends on the last day of school.

Exception - Summer School Activities are covered through July 31.

Voluntary K-12 Student Accident Insurance

If you don’t have other insurance, this plan may be a resource to consider. Additionally, even if you have other coverage, this plan can help fill expensive “gaps” caused by deductibles and co-pays.

 Mandatory K-12 Student Accident Insurance (Sports & Activities)

The Pinellas County School Board, like most school boards in the State of Florida, requires students participating in certain school activities to purchase student accident insurance. This requirement will help ensure that every student who participates in certain activities is covered. This coverage is required even if the student is covered by another medical plan or program. There are no exceptions to this requirement as it is school board policy. This policy can be viewed by accessing the following link: School Board Policy 8760.

The following activities will require students to purchase student accident insurance:

Baseball	Flag Football	Swimming
Basketball	FPSA**	Technical Theatre
Bowling	Golf	Tennis
Center for Construction Technologies	Intramurals	Track
Cheerleading	JROTC	Varsity Football
Color Guard	Jr. Varsity Football	Veterinary Asst. Program
Concession Stand	Lacrosse	Volleyball
Cross Country	Marching Band	Weight Lifting
Dance Team	Powder Puff Football	Wrestling
Diving	Soccer
Drum Line	Softball

* Career Academy for International Culture and Commerce

 ** Florida Public Services Association 

THIS IS EXCESS INSURANCE. IT IS PROVIDED TO COVER SOME OF THE OUT OF POCKET EXPENSES ASSOCIATED WITH ACCIDENTS. IT IS NOT INTENDED TO REPLACE YOUR PRIMARY MEDICAL INSURANCE. ANY OTHER MEDICAL INSURANCE POLICY WILL BE EXPECTED TO PAY BEFORE THE EXCESS STUDENT ACCIDENT INSURANCE POLICY.

DIRECTIONS FOR ENROLLMENT:

1. Click on "Browse Rates", click on "Pick your state", then select Pinellas County Schools. Under the rate information, click on the Brochure (English or Spanish) if you want to view the high/low benefit plans before making your purchase.
2. Open New Account - Create an account with a User ID and Password. (You must create a new account each school year.) Remember your User ID and Password for future reference and to reprint ID cards if necessary.
3. Add Student & Coverage by clicking the "Add Student" button at the top of the page. Continue to add each student by clicking on the "Add Student" button until all your students are added.
4. Click on "Add Selected Items to Shopping Cart" then select "Checkout".
5. Select your payment type and click "Continue Checkout". Pay by credit card or e-check. If you do not have a credit card or checking account, contact the local office at 727-656-6980 for assistance.
6. Enter billing information and click "Continue Checkout".
7. Click "Pay and View Receipt" to complete your order. to print your ID card, click on Return to My Account at the bottom of the screen. You will also receive a confirmation email with the ID card.
8. Provide a copy of the ID card to the Coach as proof of enrollment.

Enroll for student accident insurance