St.
Clement
Athletic Association (“SCAA”)
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5.) Previous Coaching Experience
Have you ever coached a sports team?____No ____ Yes
If yes, please list
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6.) References (minimum 2 references)
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St. Clement Athletic Committee Responsibilities
All members will be expected to:
- Help develop and maintain a program that promotes for as many Parish children as possible, a variety of age appropriate sporting experiences that provide a fun, self-esteem building environment where sport (s) fundamentals, sportsmanship and other life skills are taught and reinforced which are consistent with the teachings of the St. Clement Catholic community.
- Perform the necessary oversight of all SCAC activities.
- Make a concerted effort to attend and participate in all committee meetings.
- Actively volunteer for various board activities.
- Become knowledgeable of and follow all appropriate Diocese, Parish and Committee rules, policies, guidelines and regulations to the best of their ability.
- Maintain appropriate communication channels with other board members, various league constituencies, coaches, parents and players.
I hereby certify that I have not been convicted in New Jersey or any other state or jurisdiction of any crime or disorderly persons offense involving sexual offenses, child molestation, DWI, endangering the welfare of children or incompetents, arson, armed robbery, aggravated assault, kidnapping, murder, manslaughter or violations of the New Jersey Controlled Dangerous Substance Act.
I have read, understand, and will abide by all of the above if selected as a S.C.A.C. board member. I certify that all of the information provided above is true.
Applicant Signature_________________________________________
Date ___________________________ 04/02
ADDENDUM #3
Board Member and Term Expiration
Board Member Date First Appointed Date Current Term Began Date Term Expires
Father John Scully , Pastor
Mrs. Margaret Corcoran, CCD Director
Mr. James Gallagher, Athletic Director
Mr. John MacLane, Assistant Athletic Director
Mr. Christopher Kirby, Intramural Coordinator, Fund Raising
Mrs. Phyllis J. Besso, Treasurer
Mrs. Judy Hart, Secretary
Mr.
James Besso ADDENDUM #4
Click here for the 2007-2008
Registration Package for Basketball and Cheerleading ADDENDUM #5
DIOCESE OF TRENTON ELEMENTARY SCHOOL SPORTS PHYSICAL FORM
GRADES K-8 Student’s
Name_______________________ Date of
Birth____________ Grade____________
Male______Female_______ EXAMINATION:
Height______ Weight_______ B/P______________
Hearing___________
Vision_________ Heart______ Lungs________ Abdomen__________
Hernia_______ LymphNodes__________ Thyroid____________
Scoliosis________ Genito-Urinary_________ Skin_________ Orthopedic________ Feet____________ Nose_________
Throat_________ Mouth/Teeth__________ Nervous System___________
Comments___________________________________________________________
MEDICATIONS PRESENTLY
PRESCRIBED_______________________________
ALLERGIES:___________________________________________________________
TREATMENT:__________________________________________________________
HISTORY OF:
Asthma______ Allergies____ Heart Problems_______
Fractures_____ Eye Problems______ Diabetes__________
Hypoglycemia________ Headaches________ Nose Bleeds________
Congenital
Defects_______
Operations_______________ Injuries______________ Drug
Sensitivities_____________________________ Drug
Sensitivities___________________
Other Health Problems_________________ Comments_______________________________________________________________
PHYSICIAN’S FINDINGS
PERTINENT TO PARTICIPATION IN ATHLETIC ACTIVITIES:
Full
Participation Allowed_______________ Limited
Participation Allowed______________ No Participation
Allowed__________________ Restriction on
Activity_____________________ Physician’s Name and
Address_______________________________________________________
Physician’s
Signature__________________________Date of Physical______________________
RETURN TO: SCHOOL NURSE’S OFFICE ADDENDUM # 6
DIOCESE
OF TRENTON Medical
Treatment Authorization Form As
parent and /or guardian of______________________________________, a minor, I
hereby authorize the treatment by a qualified and licensed medical doctor in the
event of a medical emergency which, in the opinion of the attending physician,
may endanger my child’s life, cause disfigurement, physical impairment or undue
discomfort if delayed. This authority is
granted only after a reasonable effort has been made to reach me. I further authorize that my child may be
transported to a hospital or emergency clinic for treatment.
Name of
Parent/Guardian_________________________________________________
Address___________________________________________________
City__________________________State_______Zip_____________
Daytime phone # (_____)________________________
Evening phone # (_____)________________________
Family
Physician_________________________Phone______________ Date during which release is
granted:
From____________To_________ Indicate
specific medical allergies, chronic illnesses, or other medical conditions that
coaches and medical personnel should be aware of: __________________
________________________________________________________________________________________________________________________________
Other person to contact in case of
emergency:______________________
Relationship to
child_____________________________ Daytime phone #
(_____)__________________ Evening phone #
(_____)__________________ This
release form is completed and signed of my own free will for the sole purpose of
authorizing medical treatment under emergency circumstances in my absence.
Signature___________________________Notarized
by___________________ Date________________________
ADDENDUM #7
St. Clement’s
Athletic Association along with the Diocese of Trenton is in the process of
building a sound and well-respected sports program. As
part of this process we have been following the guidelines set forth by the
Diocese of Trenton, which includes a wide variety of tasks. To date we have created a Board, created a
web site (Stclementsports.com), and most importantly we have developed a policy
and procedures manual, which must be adhered to by all players and parents.
We are
therefore required to have a parent/guardian of each player read and sign off
that they have read and understand the policy and procedures and will adhere to
the code of conduct which are discussed in this manual. Please
log onto the above stated website and click on player application and then
conduct. Please read the code of conduct
and sign the waiver below. Please return this signed waiver to your coach as
soon as possible.
Please
Detach and Return to St. Clement Athletic Association:
As a
Parent/Guardian of a Player/Cheerleader, I have read and understand the Code of
Conduct that is required by the St. Clement’s Athletic Assoc.
Players/Cheerleaders
Name____________________________ Parent/Guardian
signature____________________________ Date ____________________
ADDENDUM #8
St.
Clement Parish Athletic Committee
-
Parent/Guardian/Athlete Code of Conduct - The
purpose of the St. Clement Parish Athletic program is to provide a fun,
instructive and positive sporting environment where children can learn
sportsmanship and the fundamentals of a sport(s) along with other life skills
that are consistent with the teachings of the St. Clement Catholic
community. One
of the main tenets of the program is to support and reinforce the spiritual
formulation of each participant according to Catholic faith principles. This entails what it means to be a member
and a spiritual ambassador of the St. Clement Catholic community which includes
following and promoting certain faith based responsibilities such as weekly Mass
attendance, frequent participation in the sacraments, performing meaningful
prayer on a consistent basis and respect for all forms of life. As
a member of the St. Clement Athletic Program either as a student-athlete and/or
parent/guardian, you are expected to exhibit the appropriate behavior given each
circumstance that you may encounter as a representative of the St. Clement
community.
1. The
Committee expects all St. Clement coaches, team members, parents, family,
friends and associates to always be in control of their
conduct/emotions. 2. To
conduct themselves in a professional and appropriate manner as they represent
the teachings and beliefs of the St. Clement Catholic community.
3. One
of the main goals of the St. Clement Athletic Program is to teach the
participants not only how to play a sport, but also how to exhibit a high degree
of sportsmanship. We expect all of our
coaches, volunteers, parents and student-athletes to set and reinforce these
ideals both on and off the field. 4. Other
than communication of encouragement and support, the Committee feels that at no
time should parents or student-athletes engage in communications with any
player, coach, parent or fans of either team or any game officials during the
contest. Should a parent/guardian or
student-athlete feel a need to express a concern or instruction, that
communication must be funneled through the appropriate St. Clement coach.
5. Under
no circumstances should a parent/guardian or student-athlete engage in any
verbal abuse or acts of intimidation with a player, coach or game official. Rather, if the person is a recipient of the
same, that fact should be brought to the attention of the St. Clement Coaching
staff for proper handling. 6. The
decisions of all game officials are final and should be implemented as
instructed and in the proper spirit. At no time is a parent/guardian or
student-athlete to engage an official before, during or after a contest to
protest a call or situation. Again, any
concerns must be funneled through the St. Clement Coaching staff.
7. At
each team activity, it is everyone’s responsibility to make every effort to
ensure that safety is considered a priority and secured. 8. A
parent/guardian or student-athlete should first report any observed behavior
that is inconsistent with this policy to the appropriate St. Clement Coach. If the situation is not addressed properly,
notice should then be made to the St. Clement
Athletic Board. 9. If
our code of conduct rules are violated. Parent/guardian or athlete or coach are
held accountable by SCAC. First time is a warning, unless SCAC feels no warning
should be given. In this case The person who violates the Code of Conduct is
dismissed from our program upon SCAC discretion. The second violation is
dismissal, upon SCAC discretion 10. If
a parent/coach has an issue with somebody in our Parish due to a heated
argument, this argument must stop and a minimum of 24 hour cooling off period
before parties may meet. SCAC Board member must be at meeting.
ADDENDUM #9
DIOCESAN ATHLETIC
PROGRAM REQUIREMENTS
v Publish and distribute a
Sports Handbook to each child participating in the program. v A mandatory parents meeting
will be held at the beginning of each new season v All Coaches must be
certified by the Diocese · Completion of Rutgers
S.A.F.E.T.Y. Clinic
· Attendance at Fall
Conference · Criminal Background Check in
accordance with Diocesan Policy · Coaches registration form on
file v Each TEAM must have a first
aid kit appropriately stocked at every game and practice v With the EXCEPTION of Cross
Country and Track events no event or practice may begin prior to Noon on
Sundays v Pre-participation physicals
are required for all participants v A registration/liability
waiver form must be on file for each student participating in the program. This form must include medical insurance
information, emergency contact information and an emergency treatment waiver
notarized. A copy of this form should be kept in the Athletics’ office and one
copy should be with the coach AT ALL TIMES. ADDENDUM #10 OFF SEASON USE OF
FACILITIES BY SCAA MEMBERS The Facilities will only be available for use by St.
Clement Athletic Association and Members Off season: Generally considered to be the time in which NMPBL
basketball games are not being played. (April – September) St. Clement Coaches:
Are coaches who are registered in the
preceding season. Coaches must be Rutgers
certified, Virtus certified and fingerprinted and must agree to the policies and
procedures and code of conduct of the St. Clement Athletic Association.
Supervision: A St. Clement Athletic Association Board member or coach
in good standing must be present at all times and with keys to open the gym and
lock up afterward and are responsible for compliance with the rules and by-laws.
Keys can only be handled by St. Clement Board Member or Representative (such as
a St. Clemet Coach in good standing). Payment: Payment is required in advance to cover taking down of
tables (usually Friday) and setting up (usually Wednesday) Scrimmage: Only allowed for games involving at least one St. Clement
Coached Teams. St. Clement Coach is responsible for the gym, insurance for both
teams and cleaning up and locking up. Responsibility:
St. Clement Coach is responsible for cleaning of the floor, keeping the bathroom
clean, keeping the foyer clean, keep players and children off the stage,
cleaning of the gym after the practice or game, Proper use of AC or heat, and
turning off of lights and locking up gym after practice or scrimmage. Insurance: Coaches are responsible for their own insurance. St.
Clement Coach must check that a visiting coach and has proper credentials
(Rutgers License and Virtus) and has their own insurance Subject to Availability:
Subject to the schedule of St. Clement
Athletic Association activities or St. Clement CCD activities receive
priority. ST. CLEMENT'S ATHLETIC ASSOCIATION 172 Freneau Avenue – Matawan, NJ
07747 www.stclementsports.com Registration Form for teams
using St. Clement Gym in during off season in accordance with SCAA by-laws. See
www.StClementSports.com. YEAR:_____________________________________________________ Name:_________________________________________________________________ Address:________________________________________________________________ City:
State:
Zip:___________ Home Phone:
Cell
Phone:_____________________________ E-mail Address:_________________________________ Date of
Birth:___________________ Date of Birth:________________________
Grade:________________________ Sibling(s) in program:________________________
Grade(s):_________________ Name of Supervising Coach(s)
(must be St. Clement Coach who will be on premises): MEDICAL
HISTORY: ***Any SPECIAL medical condition or need that our staff
should be aware of for your child? ______Yes _____No If YES, please
describe:__________________________________________________________ _____________________________________________________________________________
Physician Name: Phone Number:
__________________ Medical Insurance Compa
Policy #: ___________________
AGREEMENT TO PARTICIPATE IN A
SPORT BY THE ATHLETE I have
complied with all eligibility requirements and have obtained the necessary
insurance. I will strive to always exhibit a high level of sportsmanship and
respect for coaches, teammates, officials and opposing teams consistent with the
beliefs and teachings of the St. Clement Catholic community while a member of
the team. I understand that I am responsible for all equipment issued to me,
that I will pay for any equipment that is abused, lost stolen or misplaced and
will return it when required. I fully
understand the risk of physical injury associated with competitive sports and
appreciate the consequences of these risks. I know the importance of following
directions and will do my best to adhere to all league, team and game rules both
in competition and during practice. I will make a reasonable attempt to attend
all practices and games while making every effort to arrive and be picked -up on
time. I fully
understand the above risks and responsibilities and agree to participate in the
St. Clement Athletic Program. PARENTAL RELEASE I give
the child listed on this application permission to participate in the indicated
sports and engage in interscholastic athletics. I understand that my
son/daughter is responsible for all equipment and will pay for all items
abused, lost, stolen or misplaced. I fully
understand the possibility of physical injury associated with competitive sports
and hereby release, discharge , and/or otherwise indemnify St. Clement
Parish, its affiliated organizations and sponsors, their employees and
associated personnel against any claim on behalf of the athlete as a result of
the athlete's participation in the St. Clement Athletic Committee programs or
activity and/or transportation to or from the same. I understand that I am
responsible for making sure that my son/daughter arrives and is picked-up on
time for all practices and games. CODE OF CONDUCT SCAC
strongly feels it is important that all athletes, coaches, volunteers, parents,
guardians, and family members conduct themselves appropriately at all SCAC-
sanction ed events. Associated with this application is a CODE of CONDUCT
that outlines those behavioral requirements. Application to play a
SCAC-sponsored sport acknowledges reading, understanding and agreeing to abide
by the Code of Conduct at all times. Parent
Signature:
Date:____________________
*******APPLICANTS MUST BE A
ST. CLEMENT'S PARISHONER AND ATTENDING THE ST. CLEMENT'S CCD
PROGRAM.************************ ST. CLEMENT'S ATHLETIC ASSOCIATION 172 Freneau Avenue – Matawan, NJ
07747 www.stclementsports.com Registration Form for teams
using St. Clement Gym in during off season in accordance with SCAA by-laws. See
www.StClementSports.com. YEAR:_____________________________________________________ Name:_________________________________________________________________ Address:________________________________________________________________ City:
State:
Zip:___________ Home Phone:
Cell
Phone:_____________________________ E-mail Address:_________________________________ Date of
Birth:___________________ Date of Birth:________________________
Grade:________________________ Sibling(s) in program:________________________
Grade(s):_________________ Name of Supervising Coach(s)
(must be St. Clement Coach who will be on premises): MEDICAL
HISTORY: ***Any SPECIAL medical condition or need that our staff
should be aware of for your child? ______Yes _____No If YES, please
describe:__________________________________________________________ _____________________________________________________________________________
Physician Name: Phone Number:
__________________ Medical Insurance Compa
Policy #: ___________________
AGREEMENT TO PARTICIPATE IN A
SPORT BY THE ATHLETE I have
complied with all eligibility requirements and have obtained the necessary
insurance. I will strive to always exhibit a high level of sportsmanship and
respect for coaches, teammates, officials and opposing teams consistent with the
beliefs and teachings of the St. Clement Catholic community while a member of
the team. I understand that I am responsible for all equipment issued to me,
that I will pay for any equipment that is abused, lost stolen or misplaced and
will return it when required. I fully
understand the risk of physical injury associated with competitive sports and
appreciate the consequences of these risks. I know the importance of following
directions and will do my best to adhere to all league, team and game rules both
in competition and during practice. I will make a reasonable attempt to attend
all practices and games while making every effort to arrive and be picked -up on
time. I fully
understand the above risks and responsibilities and agree to participate in the
St. Clement Athletic Program. PARENTAL RELEASE I give
the child listed on this application permission to participate in the indicated
sports and engage in interscholastic athletics. I understand that my
son/daughter is responsible for all equipment and will pay for all items
abused, lost, stolen or misplaced. I fully
understand the possibility of physical injury associated with competitive sports
and hereby release, discharge , and/or otherwise indemnify St. Clement
Parish, its affiliated organizations and sponsors, their employees and
associated personnel against any claim on behalf of the athlete as a result of
the athlete's participation in the St. Clement Athletic Committee programs or
activity and/or transportation to or from the same. I understand that I am
responsible for making sure that my son/daughter arrives and is picked-up on
time for all practices and games. CODE OF CONDUCT SCAC
strongly feels it is important that all athletes, coaches, volunteers, parents,
guardians, and family members conduct themselves appropriately at all SCAC-
sanction ed events. Associated with this application is a CODE of CONDUCT
that outlines those behavioral requirements. Application to play a
SCAC-sponsored sport acknowledges reading, understanding and agreeing to abide
by the Code of Conduct at all times. Parent
Signature:
Date:____________________
*******APPLICANTS MUST BE A
ST. CLEMENT'S PARISHONER AND ATTENDING THE ST. CLEMENT'S CCD
PROGRAM.************************ ADDENDUM #11 RECOGNITION OF TEAM ACCOMPLISHMENTS WITH BANNERS, T-SHIRTS,
JACKETS AND PLAQUES Recognition:
SCAA will recognize team accomplishments
of teams attaining a NMPBL recognized championship Banners: Banners will be purchased and displayed in the gym for
teams attaining a NMPBL recognized championship. Where the league has separate
divisions, the banner will contain the name of the division for which the
championship was earned. The banner will contain the names of all the players on
the roster during the playoffs plus the head coach and assistant coaches. There
will be no exceptions to this rule. Jackets: For
NMPBL League Champions considered best division in the leagues age group,
Championship Jackets will be awarded. Below are the league divisions that
qualify for a championship jackets 1.
Boys - 5th/6th Grade Division NMPBL Recognized
League Champions highest division 2.
Girls - 5th/6th Grade Division NMPBL Recognized
League Champions highest division 3.
Boys - 7th/8th
Grade Division NMPBL Recognized League Champions highest division 4.
Girls - 7th/8th
Grade Division NMPBL Recognized League Champions highest division Color and Style: Colors and style will be identical to
all the other banners currently hanging in the gym T-Shirts: Championship teams will be awarded t-shirts with the
championship earned displayed on the front of the shirt. T-Shirts will also be distributed to a team who
finishes in first place during the regular season. (A team that finishes first
in the regular season will be entitled to a t-shirt based on the first place
finish whether or not they win an NMPBL championship. If after the playoffs
they are also NMPBL champion, they will be entitled to a banner within the rules
captioned “Banner”. T-Shirts can be awarded for other team accomplishments as the
board sees fit. Participation Awards: Participation awards will be distributed at the season
ending “Year End Party” which normally occurs in March. St. Clement logo gifts
have been distributed in the past such as: 1.
Blanket 2.
Beach Towel 3.
Equipment Bag Plaques: The board of directors may award plaques to be displayed
in the gym in recognition for significant contributions to the athletic
association as the board sees fit. Examples include: 1.
Coach in good standing with a ten year tenure 2.
Board member in good standing with a ten year tenure 3.
Persons serving on both the board and coaching staff with a ten year
combined tenure between both positions. If a board member was also a team mom,
this can also be considered when included as part of their service. 4.
SCAA members who the board deems made significant contributions to the
program 5.
NMPBL members who the board deems made significant contributions to the
program Plaque should say “St. Clement
Athletic Association wishes to thank - In Recognition of __ years of exceptional
coaching – this award is to recognize the accomplishments of Coach________ “;
or “St. Clement Athletic Association wishes to thank - In Recognition of __
years of exceptional contributions to the program – this award is to recognize
the accomplishments of (Title) of the St. Clement Board of Directors
(Name)“ A board member can be honored
with a plaque by majority vote of the executive committee or the board of
directors. Adopted: October XX, 2004
Mr. Gil Carmichael
Mrs. Margaret MacLane
Mr. Robert
McCloskey
Mr. Peter Pabon
Mrs. Donna Rean
Mr. Stephen Tomkins
ST. CLEMENT’S ATHLETIC
ASSOCIATION
172 FRENEAU AVE
MATAWAN, N.J. 07747
Notification Notification must be made to the responsible board member
and be added to the official SCAA Calendar. http://my.calendars.net/scaa/
Charge: Coaches are only responsible to contribute to the fund to
set up and take down bingo tables and protective floor
covering.
Bond: NONE
Roster: St.
Clement Coach in charge should submit a roster including players and coaches names, addresses, phone
numbers and coach application (coach application should already be on file for
St. Clement Coaches in good standing). File should be maintained of all players
and coaches (including home and visiting teams) on facility with emergency
information and health insurance information for all players using the gym.
Forms must be updated at least every 6 months and are available on below and at
www.StClementSports.com.
Board Approval:
All reservations must meet the above
requirements and then are subject to Board of Director’s
approval.
Termination:
It must be understood that St. Clement
Athletic Association is not obligated to provide gym time to any team or
individual.