West Nashville Sports League Basketball Addendum Packet 2017 Season. Assistant Coach: Grade: Gender: Team Name (if desired):

Transcription

1 West Nashville Sports League Basketball Addendum Packet 2017 Season LEAVE THIS PACKET HERE TONIGHT! Head Coach: Assistant Coach: Grade: Gender: Team Name (if desired):

2 WNSL BASKETBALL COACH CERTIFICATION: Please make sure to complete all these forms in the Addendum packet and it here tonight! 1. Disclosure Form 2. Code of Conduct 3. Coach Bio 4. Team Assessment 5. Scheduling Requests 6. Practice Request Form 7. Uniform Information 8. Practice Request Form 9. Medallion Request Form 10. Christmas Tournament Form 11. Christmas Tournament Paper Registration

3 WNSL VOLUNTEER COACHING DISCLOSURE You MUST answer ALL questions. We will be running background checks! Legal First Name: Last Name: Middle Initial: Date of Birth: Address: Best Phone: Social Security Number: List Any Other City and States of Residence (Last 5 Years): Please circle YES or NO: Have you ever been convicted of a violent crime? YES NO If YES, please explain: Have you ever been convicted of a crime against a person? YES NO If YES, please explain: Have you previously had experience working with children? YES NO I understand that the information I have provided is subject to verification. Signature: Today s Date:

4 WNSL COACH CODE OF CONDUCT I will be a positive role model for my players. I will lead by example and always demonstrate sportsmanship and emphasize fair play. I will place the well-being of every player (whether he/she is on my team or not) ahead of my personal desire to win. I will organize practices that are both fun and challenging, designed to teach techniques and strategies that encourage team-play. I will emphasize skills development and improvement based on each individual player s needs, helping him/her gain confidence and self-esteem. I will consistently treat my players honestly and fairly. I will aim to be both a good communicator and listener. I will be generous in praise and never publically criticize. I will maintain an open line of communication with parents and encourage them to participate as instructors, team parents or liaisons. I will become knowledgeable in the rules of the sport, teach them to the players and support all league policies and regulations. I will inspect practice and game venues to ensure safe playing conditions. I will require players to be properly equipped at all times. I will teach safe and proper technique. I will abide by all WNSL policies. If there is a problem following these procedures, I understand that I will relinquish my coaching duties. I understand I am strictly a volunteer coach and not a member of the WNSL Board. I will create a healthy environment for sports by refraining from drug, alcohol and tobacco use. I will treat all players with respect, realizing this sport is created to benefit them. Coach s Signature: Coach s Printed Name: Today s Date:

5 WNSL COACH BIO We would love to learn a little more about you. Please take a few minutes to fill out this form and turn it in at the Coaches Meeting. Name: Including yourself, how many members are in your family? Employer: Occupation: How many years have you lived in Nashville? College You Attended: Did you play sports in high school or college? Which sports? How many years have you coached Basketball? How many of those years in the WNSL? What is your primary goal this season? How will you measure whether your season was a success? Do you think equal playing time should be mandated? Why or why not? Thanks for coaching!

6 COACH S PRESEASON TEAM ASSESSMENT Please complete the following information so that we may gain some insight into your team s ability and may place it appropriately. If you are coaching multiple teams, please fill out one sheet for each team: On a scale of 1-10 with 10 being the best, please give -or- I Have No Idea an honest evaluation of your team s competitiveness: I desire to play the strongest competition possible: Has this team played together in the past? If YES, how many years? What was the team s division and record last year? Is your team playing in a Fall League right now? If YES, which one and what is you record? YES NO YES NO YES NO If your team has players in different grades, how Grade: Players: Many are in each grade? Grade: Players: How many times per week will you practice? Have you already begun practicing? If you have multiple teams in the same age group, did you split talent evenly or stack one team? If you stacked, which team is this? YES NO SPLIT STACK A-TEAM B-TEAM Considering the formation and ability of your team, please select your preference from one of the following three competition levels: GOLD: An above average team, usually with handpicked players by a coach or after a tryout. Also teams that have been together and done well in the past. This division has more relaxed, true-to-the-game rules and playing time is not monitored. SILVER: Typically a school entry or a group of friends/classmates, teams in this division are average to above-average for their age group in ability and fundamentals. BRONZE: Fun is the name of the game in this level -- generally recreational and newly-formed teams aiming to improve their skills but not wishing to play tough competition.

7 Basketball Game Schedule Request Coach Last Name: Gender: Grade: **Are you the head coach of two teams? If yes, Grade and Gender of the second team: While there are absolutely no guarantees, THIS IS YOUR CHANCE to provide specific scheduling requests. Please think through any conflicts now. If something comes up between now and December 5 th, please scott@wnsl.net. WNSL Basketball Schedule January 7 January 14 January 21 January 28 Form Instructions: Use the calendar to the left to make any schedule requests. Note that all requests are exactly that, and none of them are guaranteed. Please do not abuse this form by requesting all 10 a.m. games or something similar. 1. To indicate that your team cannot play on a given Saturday, place an X in the appropriate box. (If you are unavailable to play on a Saturday, you may only play 7 games.) 2. You may select certain games times for a few games, but not all. Coaches that have two teams will be given priority. (This is not a guarantee; all teams should have an assistant coach.) February 4 February 11 February 18 February Work related scheduling conflicts will be given high priority, but social events will not (unless school related). Also note the following dates of importance: n MLK Day is Jan. 16 (Weekend of Jan. 14) n Professional Development is Feb. 20: (Weekend of Feb. 18) If you have other scheduling notes, including players playing on other WNSL basketball teams (include coach name and grade level), please indicate them here.

8 2017 Uniform Information Sheet Coach Name: Team s Gender: Team s Grade: Please check the Appropriate Statement: My team WILL NOT wear the WNSL uniforms this season because we are providing our own. (Teams wearing their own uniforms must have reversible jerseys [color/white] with numbers on both sides)* My team WILL wear the standard WNSL uniforms this season. *No money will be refunded to teams for not wearing the WNSL uniform and these uniforms will be donated towards the scholarship players.

9 Who Is Eligible Practices Through the WNSL Any team is eligible to request a practice slot, but the intent for WNSL to be involved is solely to assist teams that are not able to secure practices on their own. Therefore WNSL requests times in public school gyms. We have submitted the requests for times shown below and will know soon if we receive any or all of these times. If your team can secure a practice site on-your-own, we request that you do so, leaving the league-secured practice times for the teams without that connection. Space and Fees Passed-on To the Teams WNSL pays significant fees for these gym rentals, which also include custodial fees, and a gym monitor to be on duty at all times. It is necessary for us to pass-along a portion of the fees to offset the costs for these practice facilities. For teams in PK, K, 1 st, and 2 nd Grade, we allot one-half of one crosscourt (one goal) and attempt to place a team of the same age group on the opposite goal (in case coaches want to scrimmage). For teams on 3 rd Grade and above, we allot one full crosscourt (space permitting). The fees for a practice time for the entire season are as follows: For Teams in PK, K, 1 st, and 2 nd Gradeà$150 (equates to approximately $16/practice). For Pre-formed Teams 3 rd Grade and Olderà$200 (equates to approximately $21/practice). Note Free Agent Teams (those formed by WNSL Staff and/or parents with the aid of one or more parents stepping forward to fill a coaching void) will receive a $50 discount off costs for the practice fees. Times We Expect to Be Able to Assign Fridays Fridays (beginning December 2 nd ) at West End Middle School at 6-7 p.m. and 7-8 p.m. Fridays (beginning December 2 nd ) at Bellevue Middle School at 6:30-7:30 p.m. and 7:30-8:30 p.m. (Note The practice sites will not be available on December 23 rd or 30 th and the last Friday practice will be February 17 th ). Sundays Sundays (beginning December 4 th ) at West End Middle School. Times are 1-2 p.m., 2-3 p.m., 3-4 p.m., 4-5 p.m., 5-6 p.m., and 6-7 p.m. Sundays (beginning December 4 th ) at Bellevue Middle School. Times are 1-2 p.m., 2-3 p.m., 3-4 p.m., 4-5 p.m., 5-6 p.m., and 6-7 p.m. (Note: The practice sites will not be available on December 25 th [Christmas], January 1 st [New Years Day], or February 5 th [Super Bowl Sunday].

10 PRACTICE REQUESTS I would like to be considered for a practice time through the league: Coach Address Phone Age Group Gender Will this be your only practice site? Yes No 1 st Choice 2 nd Choice 3 rd Choice 4 th Choice

11 Medallions WNSL no longer gives participation medallions to every player. If you would like to request participation medallions for your team, please fill out this form: Yes, I would like medallions for my team this year: -orno, I would not like medallions for my team this season: Coach s Name: Team Name: Division:

12 2016 WNSL 8 th ANNUAL CHRISTMAS TOURNAMENT INTENTION If you are coaching a team in Grades 1-9, you MUST check a box on this page Coach Name: Team s Gender: Team s Grade: My team WILL participate in the Christmas Tournament I will have to let you know later, we MAY be participating (Deadline is November 28) My team WILL NOT be participating in the Christmas Tournament Christmas Tournament Details: Eligibility: Teams in Grades 1-9 Dates: December 9-11th Location: Gyms in the Nashville Area Cost: $150 for WNSL teams, $200 for non-wnsl teams Registration Deadline: November 28 How to Register: Register online by signing into your account at clicking Register Now and then selecting the appropriate registration box (WNSL team or non- WNSL team). You may also download a registration form from the website or find one in the coach s handbook and mail it in with a check. Only one person per team needs to register

13 WNSL BASKETBALL 2016 CHRISTMAS TOURNAMENT REGISTRATION FORM Please print legibly Team Name: Grade level: Gender: M F Type Team: Elite/ Travel School/Select Team Recreational/League Are you a WNSL winter basketball team? YES NO If yes, will you be wearing WNSL uniforms for the tournament? YES NO Coach s Information: Name: Address: City: State: Zip: Best phone number: Team Contact: Check here if contact information is the same as above: Name: Address: City: State: Zip: Best phone number: Release: In consideration of being allowed to participate, I,, the undersigned representative of the above-listed team, waive all claims for injury, accident, or loss of any kind and hereby release the West Nashville Sports League and all tournament facilities, their employees, members and representatives from any claims. In addition, I verify that all information contained on this form is accurate. Signature: Date: Special Scheduling Requests (if applicable): We will try to honor any scheduling requests though we cannot guarantee them. Entry fees ($150 for WNSL Teams & $200 for Non-WNSL teams) are non-refundable after Nov. 28, Registration is incomplete until the fee has been collected. SEND COMPLETED Registration to one of the following: Mail: WNSL, P.O. Box 50710, Nashville, TN Fax: SCOTT@WNSL.NET

14 CONCUSSION INFORMATION AND SIGNATURE FORM FOR COACHES Public Chapter 148, effective January 1, 2014, requires that school and community organizations sponsoring youth athletic activities establish guidelines to inform and educate coaches, youth athletes and other adults involved in youth athletics about the nature, risk and symptoms of concussion and head injury. (Adapted from CDC Heads Up Concussion in Youth Sports ) Sign and return this page. I have read the Concussion Information and Signature Form for Coaches Initial I should not allow any student-athlete exhibiting signs and symptoms consistent with concussion to Initial return to play or practice on the same day. After reading the Information Sheet, I am aware of the following information: A concussion is a brain injury. Initial I realize I cannot see a concussion, but I might notice some of the signs in a student-athlete right Initial away. Other signs/symptoms can show up hours or days after the injury. If I suspect a student-athlete has a concussion, I am responsible for removing him/her from activity Initial and referring him/her to a medical professional trained in concussion management. Student-athletes need written clearance from a health care provider* to return to play or practice Initial after a concussion. * (Tennessee licensed medical doctor, osteopathic physician or a clinical neuropsychologist with concussion training) I will not allow any student-athlete to return to play or practice if I suspect that he/she has received Initial a blow to the head or body that resulted in signs or symptoms consistent with concussion. Following concussion the brain needs time to heal. I understand that student-athletes are much Initial more likely to sustain another concussion or more serious brain injury if they return to play or practice before symptoms resolve. In rare cases, repeat concussion can cause serious and long-lasting problems. Initial I have read the signs/symptoms listed on the Concussion Information and Signature Form for Initial Coaches. Signature of Coach Date Printed name of Coach

15 Sudden Cardiac Arrest Education and Information What is sudden cardiac arrest? Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens, blood stops flowing to the brain and other vital organs. SCA is NOT a heart attack. A heart attack may cause SCA, but they are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart. SCA is a malfunction in the heart s electrical system, causing the heart to suddenly stop beating. If not treated within minutes, SCA results in death. The normal rhythm of the heart can only be restored with defibrillation, an electrical shock that is safely delivered to the chest by an automated external defibrillator (AED). How common is sudden cardiac arrest? The Centers for Disease Control and Prevention estimate that every year there are about 300,000 cardiac arrests outside hospitals. About 2,000 patients under 25 die of SCA each year. Are there warning signs? Although SCA happens unexpectedly, some people may have signs or symptoms, such as: dizziness; lightheadedness; shortness of breath; difficulty breathing; racing or fluttering heartbeat (palpitations); syncope (fainting); fatigue (extreme tiredness); weakness; nausea; vomiting; and chest pains. These symptoms can be unclear and confusing in athletes. Often, people confuse these warning signs with physical exhaustion. SCA can be prevented if the underlying causes can be diagnosed and treated. What are the risks of practicing or playing after experiencing these symptoms? There are risks associated with continuing to practice or play after experiencing these symptoms. When the heart stops, so does the blood that flows to the brain and other vital organs. Death or permanent brain damage can occur in just a few minutes. Most people who have SCA die from it. Symptoms are the body s way of indicating that something might be wrong. Athletes who experience one or more symptoms should get checked out. Adapted from PA Department of Health: Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet 7/2012 What is the best way to treat Sudden Cardiac Arrest? Early Recognition of SCA Early access Early CPR Early Defibrillation

16 Early Advance Care Public Chapter 325 the Sudden Cardiac Arrest Prevention Act The Act is intended to keep youth athletes safe while practicing or playing in an athletic activity. The Act requires: Require that, on a yearly basis, a sudden cardiac arrest information sheet be signed and returned by each coach and athletic director The immediate removal of any youth athlete who passes out or faints while participating in an athletic activity, or who exhibits any of the following symptoms: (i) Unexplained shortness of breath; (ii) Chest pains; (iii) Dizziness (iv) Racing heart rate; or (v) Extreme fatigue; and Establish as policy that a youth athlete who has been removed from play shall not return to the practice or competition during which the youth athlete experienced symptoms consistent with sudden cardiac arrest. Before returning to practice or play in an athletic activity, the athlete must be evaluated by a Tennessee licensed medical doctor or an osteopathic physician. Clearance to return to full or graduated practice or play must be in writing. I acknowledge that I have reviewed and understand the symptoms and warning signs of SCA. Signature Date

17 Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form What is sudden cardiac arrest? Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens, blood stops flowing to the brain and other vital organs. SCA doesn t just happen to adults; it takes the lives of students, too. However, the causes of sudden cardiac arrest in students and adults can be different. A youth athlete s SCA will likely result from an inherited condition, while an adult s SCA may be caused by either inherited or lifestyle issues. SCA is NOT a heart attack. A heart attack may cause SCA, but they are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart. SCA is a malfunction in the heart s electrical system, causing the heart to suddenly stop beating. How common is sudden cardiac arrest in the United States? SCA is the #1 cause of death for adults in this country. There are about 300,000 cardiac arrests outside hospitals each year. About 2,000 patients under 25 die of SCA each year. It is the #1 cause of death for student athletes. Are there warning signs? Although SCA happens unexpectedly, some people may have signs or symptoms, such as: fainting or seizures during exercise; unexplained shortness of breath; dizziness; extreme fatigue; chest pains; or racing heart. These symptoms can be unclear in athletes, since people often confuse these warning signs with physical exhaustion. SCA can be prevented if the underlying causes can be diagnosed and treated. What are the risks of practicing or playing after experiencing these symptoms? There are risks associated with continuing to practice or play after experiencing these symptoms. When the heart stops, so does the blood that flows to the brain and other vital organs. Death or permanent brain damage can occur in just a few minutes. Most people who experience SCA die from it. Public Chapter 325 the Sudden Cardiac Arrest Prevention Act The act is intended to keep youth athletes safe while practicing or playing. The requirements of the act are: All youth athletes and their parents or guardians must read and sign this form. It must be returned to the school before participation in any athletic activity. A new form must be signed and returned each school year. Adapted from PA Department of Health: Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and Acknowledgement of Receipt and Review Form. 7/2013

18 The immediate removal of any youth athlete who passes out or faints while participating in an athletic activity, or who exhibits any of the following symptoms: (i) Unexplained shortness of breath; (ii) Chest pains; (iii) Dizziness (iv) Racing heart rate; or (v) Extreme fatigue; and Establish as policy that a youth athlete who has been removed from play shall not return to the practice or competition during which the youth athlete experienced symptoms consistent with sudden cardiac arrest Before returning to practice or play in an athletic activity, the athlete must be evaluated by a Tennessee licensed medical doctor or an osteopathic physician. Clearance to full or graduated return to practice or play must be in writing. I have reviewed and understand the symptoms and warning signs of SCA. Signature of Student-Athlete Signature of Parent/Guardian Print Student-Athlete s Name Date Print Parent/Guardian s Name Date