ST. PETER PACIFICA CYO

2016 GIRLS' BASKETBALL PROGRAM

PARTICIPATION REQUIREMENTS FOR GIRLS IN GRADES 3 THROUGH 8 (only 1 of the following must be met):

Live within the St. Peter Parish boundaries (Rockaway Avenue South) or Attend a school that is located within St. Peter Parish boundaries or Attend Religious Education classes at St. Peter Parish or Are registered in St. Peter Parish.

FEES: $145 - Payable to St. Peter CYO (fee includes team and individual photos. Registrations received after Tuesday, January 19, 2016 - 4:30 PM - Fee: $155 and will be placed on a wait list--NO EXCEPTIONS. UNIFORM FEES: $45 - this needs to be paid at the time of the fitting REFUND POLICY: Prior to the player evaluations, a full refund of registration fees would be made. Once the teams are formed and before the season has started, a partial refund of $120 would

be made. Once the season has started, for players in Grades 3 through 7, a credit of $50 would be

applied to registration fees for the following year. For Grade 8, a refund of $50 would be made.

IMPORTANT DATES:

Registration Deadline: Tuesday, January 19, 2016 - 4:30 PM - All completed registration forms must be dropped off no later than 4:30 PM - Tuesday, January 19, 2016 in the St. Peter Pacifica Religious Education Office ONLY (do not drop off any registration forms in the Rectory) . The Religious Education Office is the first door to the right of the Main Gymnasium Entrance. A completed registration includes the registration form, the signed acknowledgement for the Parent Code of Conduct, the Player Code of Conduct and the Concussion Form, the Waiver and Release Form and the payment. After Tuesday, January 19, 2016 (4:30 PM), registration fees are $155 and players will be placed on a waiting list. In person registration and uniform fitting - Wednesday, January 13, 2016 and Thursday, January 14, 2016 from 5:00 to 7:00 pm in Religious Education Classroom.

Player Evaluations: Monday, February 1, 2016 5:00-6:00 PM - 3rd Grade 6:30-7:30 PM - 4th Grade 8:00-9:00 PM - 8th Grade Wednesday, February 3, 2016 5:00-6:00 PM - 5th Grade 6:00-7:00 PM - 6th Grade 7:00-8:00 PM - 7th Grade It is important that all players attend in order to guarantee proper placement.

Picture Day: Sunday, February 28, 2016 2016 Season--The following dates were taken from the CYO website.

Regular Season Starts: Friday, March 11

Easter Break-NO GAMES: Thursday, March 24-Sunday April 3*

Regular Season Ends: Tuesday, May 17

Post-Season Starts: Wednesday, May 18

Post-Season Ends: Sunday, May 26

8th Grade Achievement Series Game: Monday, May 16

* (play resumes after the Easter break on Monday, April 4, 2016)

NOTE: Games are scheduled Fridays 5pm-9pm; Saturdays 9am-6pm; and Sundays 12pm-6pm;

with occasional week night games 5pm-9pm.

MISSION STATEMENT

In 2014, the following guidelines were put in place in regards to how we form our teams. Using the mantra of “Right player in the right place” we believe that a child will have a better overall experience if they are matched up with others of similar ability and then compete against teams of similar ability. A panel of independent evaluators, with feedback from prospective coaches, will, at the beginning of each season, run players through a series of drills, grade level specific, to determine their placement. Providing there are sufficient numbers to form more than 1 team, the core evaluators will then place players on the appropriate team. After teams are formed, coaches will then be assigned.

For the 2016 season these guidelines only affect the incoming 3rd Grade and the returning 4th Grade. 3Rd & 4th Grades: With the emphasis for these years being “Instructional” if we have enough players for more than 1 team, efforts will be made to form teams of equal ability. The makeup of teams can change in the 4th Grade, however an attempt to keep the core players together will be made. 5th thru 8th Grades: With the emphasis in these years being “Developmental” if we have sufficient numbers to form more than 1 team, players will be placed on teams according to skill level. Please note that from year to year a player may change teams and coaches. Parents who are chosen to coach will, however, be guaranteed to coach their child. All forms marked “RETURN THIS FORM”, along with Registration fees, must be filled out and returned for Registration to be complete. Please keep other forms for your files. Questions--please contact Sue Cook - aussielvrs@sbcglobal.net or call 355-2551.

St. Peter Catholic Church

CYO BASKETBALL REGISTRATION 700 Oddstad Boulevard, Pacifica, CA 94044 (650) 359-6313 www.stpeterpacifica.org

Print legibly

Date Registered in the Parish Parent’s e-mail

Returning St. Peter Player New to St. Peter If new/Have you participated in CYO before?

If yes, where? When Playing on Club/Tournament Team?

Child’s Legal Name

First Middle Last

Birth Date: Grade School Age

Home Address

City Zip

Home Phone:

Name: Father/Guardian: Name: Mother/Guardian: Cell Phone/Dad: Cell Phone/Mom:

Work Phone/Dad: Work Phone/Mom:

Other Information:

Emergency Contact Person (other than parents): Phone:

Emergency Contact Person (other than parents): Phone:

My son/daughter has had a recent physical examination and we have determined that our child is physically

capable of participating in this activity without harm, etc.

Are there any Medical conditions we should be aware of: Are there any allergies?

Are there any restrictions?

IF THE ANSWER IS YES TO ANY OF THE ABOVE PLEASE BE MORE SPECIFIC ON THE BACK

Medical Plan Plan Number:

Physician Name: Physician Phone:

In the event we cannot be reached in an emergency, I/we hereby give permission for the adult leader to

authorize by his/her signature whatever medical treatment may be considered necessary by the attending

physician for my/our child.

Parent/Guardian Name: Signature: Date:

PARENTS: Please remember our coaches are volunteers. Practices are scheduled according to their schedule.

However, in order to make it easier for our coaches to schedule practice times, please provide the following info

regarding other commitments (i.e. soccer, baseball, swimming, scouts, etc). that might preclude players from attending practices or games.

COMMITMENTS:

RETURN THIS FORM

Waiver and Release Form Relating to Minors Page of 2 (Legal – Revised 09/03) 1

The Archdiocese of San Francisco

WAIVER AND RELEASE FORM

RELATING TO MINORS

In consideration of the acceptance of my child's application for participation in the event described herein, I hereby grant permission for my child to participate in the event and, to the extent permitted by law, waive, release, and discharge any and all claims for damages for death, personal injury, loss, or property damage which I may have or which may hereafter accrue to me or my child, as a result of my child's participation in the event or activity described herein, including but not limited to transportation to and from the event or activity, whether or not caused by the negligence (active or passive) of the Archdiocese. This Waiver and Release is intended to release and discharge in advance the promoters, sponsors, officials, leaders and THE ROMAN CATHOLIC ARCHBISHOP OF SAN FRANCISCO, A CORPORATION SOLE, and

ST. PETER PACIFICA CHURCH

and their officers, agents, and employees (The Archdiocese) from any and all liability, except for that attributable to willful misconduct, arising out of or connected in any way with my child's participation in

CYO GAMES, PRACTICES AND ACTIVITIES

to be held during the pre-season, season and post-season of the CYO Basketball Season - starting January 2016 through May 2016 at various venues. It is further understood and agreed that this Agreement, Waiver and Release is to be binding on my heirs and assigns. Also, I hereby attest and verify that my child is physically fit and capable of participation in this event, and further, my child's physical condition for safe participation in this above-described event or activity has been verified by a licensed medical doctor during the last year, and that my child is under the age of 18. I agree to inform my child to abide by the rules established by the promoters, sponsors, officials or leaders of the event or activity, and to obey the directions given by any of them. Further, I hereby waive any and all rights to, or compensation for, any photographs, videotapes, motion pictures, recordings, or any record of this event or activity which may be made by the Archbishop/Parish/Agency and affiliate organizations. Further, I hereby attest that my child's participation in this event or these activities will be conducted on his/her own time and not on his/her employer's time, that this is his/her own personal benefit, and any injury sustained will not be considered by myself or my heirs or assigns as a work-incurred injury.

Waiver and Release Form Relating to Minors Page of 2 (Legal – Revised 09/03) 2

This Waiver and Release Form is signed in order to participate in this event or activity for my child's own personal enjoyment and benefit, and is done so freely with full knowledge of the risks and dangers incident thereto. Date (Signature of Father/Guardian) Date (Signature of Mother/Guardian) Phone Number(s) of Parent(s)/Guardian(s) in case of Emergency:

( ) ( ) ------------------------------------------------------------------------------------------------------------------------------- I have read and/or discussed with my parents this Waiver and Release Form concerning participation in the event. I understand it and agree that the Waiver and Release shall apply to me also. Date: Print Participant's Name Signature of Participant's Name ----------------------------------------------------------------------------------------------------------------------------- Person(s) (other than parents/guardians) to notify in case of emergency: Name: Phone: ( ) Name: Phone: ( )

RETURN THIS FORM

ST. PETER PACIFICA 2016 CYO GIRLS BASKETBALL PROGRAM

In order to complete your registration packet, parents are required to review all

documents, as well as review the code of conduct and concussion forms with their child.

PARENTAL CODE OF CONDUCT

PLAYER CODE OF CONDUCT REVIEW OF CONCUSSION FORMS

Player’s Name (Please Print) Grade

By signing this document, I hereby acknowledge that my son/daughter and I

have read and agree to all of the rules and guidelines as established by CYO and have reviewed the "What is a Concussion" Information Sheet.

Parent/Guardian (Please Print)

Parent Signature:

Dated:

Player Signature:

PLEASE KEEP THE DOCUMENTS FOR YOUR FILE, RETURNING THIS ACKNOWLEDGEMENT WITH YOUR REGISTRATION FORM. REGISTRATION FORMS WILL NOT BE CONSIDERED COMPLETE UNTIL THESE FORMS ARE SIGNED AND RETURNED.

RETURN THIS FORM

Tel 415.988.7652 Fax 415.988.7060 Office: 255 Jules Avenue

Mailing: 1728 Ocean Avenue #229 San Francisco, CA 94112

cyo.cccyo.org

CYO ATHLETICS PARENT CODE OF CONDUCT

This Code of Conduct applies to all parents/guardians of athletes involved in our organization’s youth

sports activities

THE ESSENTIAL ELEMENTS OF CHARACTER-BUILDING AND ETHICS IN SPORTS ARE EMBODIED IN THE

CONCEPT OF SPORTSMANSHIP AND SIX CORE ETHICAL VALUES:

TRUSTWORTHINES S – Be worthy of trust in all you do. Be loyal to your child’s team and to the whole

youth sports organization. Live up to high ideals of ethics and sportsmanship. Teach your children the

importance of integrity, honesty, reliability and loyalty.

RESPECT – Treat all people with respect at all times and require the same of your children. Treat game

officials with respect. Don’t complain or argue about calls or decisions during or after an athletic event.

Teach your children to treat other players, coaches, officials and spectators with respect regardless of

race, creed, color, gender or ability.

RESPONSIBILITY – Consistently exhibit good character and conduct yourself as a positive role model.

Exercise self-control; avoid displays of anger and frustration. Don’t retaliate.

FAIRNESS – Live up to high standards of fair play. Treat all competitors fairly. Be open-minded.

CARING – Offer positive reinforcement. Consistently demonstrate concern for athletes as individuals

and encourage them to look out for one another and think and act as a team.

CITIZENSHIP – Honor the spirit of the rules. Teach your children to avoid temptations to gain

competitive advantage through improper techniques that violate the highest traditions of

sportsmanship.

I AGREE: “THE GAME IS FOR THE KIDS”

• I will respect the rules of the game and the policies of the CYO league. • I will respect the officials and their authority before, during and after games and will never

confront officials and/or coaches before, during or after the game. If I have a concern, I will take time to speak with my child’s coach at an agreed upon time and place. If I have further concerns beyond my conversations with the coach, I will contact my child’s Athletic Director.

• I understand only my child’s Athletic Director may contact CYO. I may not at anytime contact CYO or any other school or program regarding my concerns. I must go through my Athletic Director.

• I will inform the coach of any physical disability or ailment that may affect the safety of my child or the safety of others.

• I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach, player or parent such as booing and taunting; or using profane language or gestures.

• I will not encourage any behaviors or practices that would endanger the health and well-being of the athletes. I will teach my child to play by the rules and to resolve conflicts without resorting to hostility or violence.

• I will never ridicule or yell at my child or other participants for making a mistake or losing a

competition.

• I understand CYO events are free from drugs, tobacco and alcohol and I will refrain from their use

at all sports events.

• I will refrain from coaching my child or other players during games.

I also agree that if I fail to abide by the aforementioned rules and guidelines, I will be subject to disciplinary action that could include, but it not limited to the following:

• Verbal warning by Official, Head Coach, Gym Director, or CYO Administration.

1. Any coach, assistant coach, bench personnel or spectator who receives two (2) unsportsmanlike

technicals during a CYO contest must exit the venue immediately or further punishment will be

given at the discretion of CYO administrators. If the ejected individual is a head coach and a

qualified assistant coach is not present to take over the coaching responsibilities for the remainder

of the contest, the game will end by forfeit regardless of the score at the time of the forfeiture.

2. Any coach, assistant coach, bench personnel or spectator who receives two (2) unsportsmanlike

technical fouls during a CYO contest will, at a minimum, be suspended for the team’s next two

games (whether it be league or playoffs). This also means they may not attend the game. Any

violation of this rule will result in an immediate forfeit of the game they attend.

3. If any coach, assistant coach, bench personnel or spectator receives two (2) unsportsmanlike

technicals twice during the CYO season (this includes all CYO sports) may not coach or attend any

CYO games for the remainder of that sport’s season.

I understand if I am removed from a game for unsportsmanlike conduct, I will be automatically suspended for at least the remainder of the season, playoffs and championships. Refusal to leave will result in forfeiture of my child’s game and I will result in forfeiture of my child's game and I will be suspended and I will be suspended for 15 months from the date infraction. I understand there is no appeal.

PLAYER CODE OF CONDUCT

The CYO Athletic Program is designed to be representative of the Christian character in

life. As Christians, we are constantly challenged to better ourselves. In team sports we

strive for improvement both as individuals and as a group. The development of such

values is the primary objective of CYO Athletics. CYO Athletics is the arena in which the

youngster practices the principles of Christian values and also provides opportunities for

healthy growth and development. Within this arena the coaches, directors, and

participants must manifest and exemplify the ideals of a Christian life.

I will:

• Respect decisions made by contest officials; • Be a role model by positively

supporting teams and by not shouting instructions or criticism to the players,

coaches or officials. • Make no derogatory comments or gestures to officials or

league administrators, players, coaches, or parents of the opposing team

• Honor the Game and respect the game, by playing hard and refusing to bend the

rules to win

• Honor the Game and respect the game, their opponents, by playing “fierce and

friendly”

• Honor the Game and respect the game, the officials, by showing respect even

when we disagree

• Honor the Game and respect the game, our teammates, by being committed to

them on and off the field

• Honor the Game and respect the game, our self, by holding ourselves to a high

standard even when others do

All players are expected to respect the rules of the games, the officials who administer

the rules, and their decisions; respect opponents and acknowledge them for striving to

do their best; and be an intense competitor on the field, while behaving in a respectable

manner at all times.

KEEP FOR YOUR FILES

Tel 415.988.7652 Fax 415.988.7060 Office: 255 Jules Avenue

Mailing: 1728 Ocean Avenue #229 San Francisco, CA 94112 cyo.cccyo.org

Archdiocese of San Francisco CYO Athletics - Concussion Information Sheet

WHAT IS A CONCUSSION? A concussion is a brain injury. Concussions are caused by a bump or blow to the head. Even a "ding," "getting your bell rung," or what seems to be a mild bump or blow to the head can be serious. You can't see a concussion. Signs and symptoms of concussion can show up right after the injury or may not appear or be noticed until days or weeks after the injury. If your child reports any symptoms of concussion, or if you notice the symptoms yourself, seek medical attention right away.

WHAT ARE THE SIGNS AND SYMPTOMS OF A CONCUSSION? Signs Observed by Parents or Guardians

If your child has experienced a bump or blow to the

head during a game or practice, look for any of the

following signs and symptoms of a concussion:

• Appears dazed or stunned

• Is confused about assignment or position

• Forgets an instruction

• Is unsure of game, score, or opponent

• Moves clumsily

• Answers questions slowly

• Loses consciousness (even briefly)

• Shows behavior or personality changes

• Can't recall events prior to or after hit or fall

Symptoms Reported by Athlete

• Headache or "pressure" in head

• Nausea or vomiting

• Balance problems or dizziness

• Double or blurry vision

• Sensitivity to light

• Sensitivity to noise

• Feeling sluggish, hazy, foggy, or groggy

• Concentration or memory problems

• Confusion

• Does not "feel right"

HOW CAN YOU HELP YOUR CHILD PREVENT A CONCUSSION?

• Every sport is different, but there are steps your children can take to protect themselves from concussion.

• Ensure that they follow their coach's rules for safety and the rules of the sport.

• Encourage them to practice good sportsmanship at all times.

• Make sure they wear the right protective equipment for their activity (such as helmets, padding, shin guards, and eye and mouth guards). Protective equipment should fit properly, be well maintained, and be worn consistently and correctly. Learn the signs and symptoms of a concussion.

WHAT SHOULD YOU DO IF YOU THINK YOUR CHILD HAS A CONCUSSION?

• Seek medical attention right away. A health care professional will be able to decide how serious the concussion is and when it is safe for your child to return to sports.

• Keep your child out of play. Concussions take time to heal. Don’t let your child return to play until a heath care professional says it’s OK. Children who return to play too soon–while the brain is still healing–risk a greater chance of having a second concussion. Second or later concussions can be very serious. They can cause permanent damage, affecting your child for a lifetime.

• Tell your child’s coach about any recent concussion. Coaches should know if your child had a recent concussion in ANY sport. Your child’s coach may not know about a concussion your child received in another sport or activity unless you tell the coach.

WHAT IS THE PROCEDURE FOR A SUSPECTED CONCUSSION?

• Any athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from the activity at that time and for the remainder of the day.

• Any athlete who has been removed may not return to play until the athlete is evaluated by a licensed health care provider trained in the evaluation and management of concussion and has received a written clearance to return to play from the health care provider.

LET YOUR CHILD’S COACH KNOW RIGHT AWAY IF YOU SUSPECT YOUR CHILD HAS A CONCUSSION! Adapted from the CDC. For more information you can go to: http://www.cdc.gov/ConcussionInYouthSports

I have read and understand the information on the Archdiocese of San Francisco CYO Athletics Concussion Information Sheet:

____________________ __________________________________ _____________ Player Name Printed Player Signature Date _________________________________ _____________________________ ____________ Parent or Legal Guardian Name Printed Parent or Legal Guardian Signature Date

VOLUNTEER FORM

St. Peter CYO relies heavily on its many volunteers help to make this program run.

Please take a minute and fill out this form if you are interested in any of the

positions available. The kids really appreciate your help.

Head Coach

Requirements: Fingerprinting (anyone 18 years or older) Once

Take the online “Shield the Vulnerable” course (all ages) Renew every 3 years

Attend or take online CYO Coaches Clinic (all ages) Renew every year

Yes, I am interested: Print name:____________________________________________

List any previous coaching experience:________________________________________

________________________________________________________________________

Assistant Coach

Requirements: Fingerprinting (anyone 18 years or older) Once

Take the online “Shield the Vulnerable” course (all ages). Renew every 3 years

Attend or take online CYO Coaches Clinic (all ages) Renew every year

Yes, I am interested: Print name:____________________________________________

Team Parent

No Requirements: The team parent helps the Head Coach with certain administrative

duties, such as, arranging the schedule for manning the Snack Bar at Home games,

distributing picture envelopes, disseminating information to the families, etc..

Yes, I am interested: Print name:____________________________________________

RETURN THIS FORM