team book order league compliance officer jason peacock updated 2015
TRANSCRIPT
Team Book Team Book OrderOrder
League Compliance OfficerLeague Compliance Officer
Jason PeacockJason Peacock
Updated 2015Updated 2015
• Sleeve 1a. Regional Book Certification• Sleeve 1b. Book Certification Error Form• Sleeve 2. Certified National Roster• Sleeve 3a. Emergency Action Plan • Sleeve 3b. Player Safety Coach• Sleeve 4. First Aid/CPR card(copy)• Sleeve 5a. ID Card• Sleeve 5b. Proof of age (Birth Certificate)• Sleeve 6a. Physical (Dr. Signature)• Sleeve 6b. Physical (Parents Signature)• Sleeve 7. Participant Contract/Parental
Consent• Sleeve 8. Scholastic Information• Sleeve 9. Absentee Forms• Sleeve 10. All Certificates• Final Sleeve. Final Skill Progression
Sheet/Head Coach Declaration (Cheer Only)• (Football & Cheer participants should be
listed in alphabetical order all year)
Team Book Order for Book Check
Page number A=front of the plastic sleevePage number B=back of the plastic sleeve
Sleeve #1aThis is to be filled out by the park as a completed
checklist before a Pop Warner book check.
Regional Book Certification Form
Book Certification Error FormThis form is left blank by the parks and
completed by Pop Warner
Sleeve #1bThis form is documented by Pop Warner items that are incorrect during a Pop Warner book check.
Sleeve #2 League One RosterThis is printed out from League One.
Certified National Roster
Sleeve #3a This is required to be filled out for every team book
Emergency Action Plan
Sleeve #3bEach park has one trained and certified USA Football Player
Safety Coach. The Player Safety Coaches certificated is placed here.
Player Safety Coach Certificate
Sleeve #4There must be a minimum of two adults on each teams
roster that are CPR certified. Copies of the CPR certification cards from the certifying company are placed here.
CPR Certified Identification Cards
Sleeve #5aThe front of this sleeve must be cut out on the bottom
section to allow the card to be stamped without removing the sheet each week.
ALL Older Lighters must have a “RED TAB” affixed to the plastic sleeve.
The Association fills out the top two sections with the exception of the ‘Certified Weight & Date’ (for football) and ‘Cheer Certified Insert
Date’. The League Official will be responsible for completing these fields when signing the card to certify the participant.
The League adds the ‘certified weight & date’ for football, for Cheer/Dance the League adds the ‘certified date’. The card is then
signed by League Official.
Official ID CardMail Merge process used to fill this card out
Each Park will take participants pictures
Between 5a & 5b Waivers/Special information.
All Legal paperwork including:Examples:Waivers-(1st)
Name ChangesGuardianship
Adoption papers
Birth CertificateOriginal certificate or
a certified copy
Sleeve #5bThe League Official should stamp in a clear area on the copy
which verifies they have compared the original certified document to the copy.
If the birth certificate is in a foreign language, a notarized document translating the vital information into English should be
attached.
Tip: When comparing the birth certificate to the ID card and the roster, make sure to check the spelling of the child's name and verify the date of birth was used instead of the date filed as this
is a common mistake.
League Stamp in clear
area
If Needed place in Sleeve #5bForeign Language Birth
CertificateSample Translation Form
Pop Warner Physical Form
Sleeve #6a No Whiteout Allowed on the Form.The League Official should verify the following: the participants name, the physical section is filled out, the Dr. has signed or stamped the form, the Date of Signature is in the current year, the medical profession is on the list of approved degrees (see attached list) and if the Dr. has indicated that follow up is required that there is documentation this has been done. **NOTE: the following professions are not permitted to perform physicals - RN, Medical Assistants (MA), LPN, CAN, Athletic Trainers, Certified or Registered Chiropractor Assistants, Acupuncturists.
All this area
needs to be filled
out also
League Stamp Here
Dated Jan 1st
2015 or after
Doctor Signatur
e
Sleeve #6bThe League Official should verify that the parent or
legal guardian has signed and dated the form as well as fully completing the medical history information.
Pop Warner Physical Back of Form
Parents Signatur
e
Medical Insurance filled or
initialed if N/A
Sleeve #7 a & bThe League Official is verifying the following on this
form: •The person signing the form is the parent or legal
guardian and the form is dated • The participants name is on the form
•The participant has signed the form (regardless of how young)
League Stamp Here
Participant/Parental Consent Form
Front of form is
7a
Back of form is
7b
Parent listed on the birth certificate required to sign this
form.
If no parent is available guardianship must be proved for
the adult signing this form.
Sleeve #8a GPA Spreadsheet Sleeve #8b All 4 quarters filled out report card
The names on the GPA Spreadsheet and the report card must match. The report card must include all 4 – 9 week periods or semesters from the previous
year.
This sheet can ONLY BE STAMPED by the League Scholastic Coordinator. See above for correct
format of stamp.
Scholastic Information GPA Spreadsheet
GPA form is 8a
Report card is 8b
Repeat for each participant
•Sleeve 5a. ID Card•Sleeve 5b. Proof of age (Birth Certificate)•Sleeve 6a. Physical (Dr. Signature)•Sleeve 6b. Physical (Parents Signature)•Sleeve 7. Participant Contract/Parental Consent•Sleeve 8. Scholastic Information
Once completed for each participant continue to the next step
Sleeve #9 if a person is absent they are required to have one of these forms for
each absence.
Absentee Form
Sleeve #10 Any and all coaches certificates for all
coaches are required to be in the book.
All Certificates
Final Sleeve
Skill Progression Sheet/Head Coach Declaration (Cheer Only)
If you have any questions please contactGreater Jax League Compliance OfficerJason Peacock [email protected]