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HomeMy WebLinkAbout2014 Track & Field Program (Letter, Reminders and Registration Forms) County of Hawaii DEPARTMENT OF PARKS AND RECREATION Recreation Division TO: Physical Education Instructors or Track Coaches FROM: Darrell Yamamoto, Recreation Specialist II Recreation Division - 961-8735 or 938-2012 (cell) RE: 2014 Parks & Recreation Track & Field Program The Department of Parks and Recreation has scheduled its 2014 Track & Field program for February 8 and 22, 2014 at both East and West Hawaii sites Konawaena High School Track Oval will be utilized for the simultaneously. The West Hawaii meets, East Hawaii meets will be at the Keaau while the site for the High School Track Oval. The increase interest in track and field has necessitated the use of two sites. February 8, 2014 will be for the Age Group track & field meets. The Exponent track & field meet will be held on February 22, 2014. With the use of both sites, it allows the department to conduct both track and field events on the same day. 1. Participants will be limited to 3 events, one of which shall be a field event. Relays are included in the 3 events. Be sure chosen events are listed in participants division. Any participant competing in excess of three events will th automatically be disqualified from the 4 event on. 2. Once again only registered coaches and athletes of individual events will be allowed on the track once the meet begins. Coaches will be given passes to enter the oval. Passes must be turned in once the meet is over. Enclosed in one packet are: 1. Entry forms for girls and boys for the age group and exponent meets. 2. Exponent chart for exponent meet. 3. Waiver forms, which can be duplicated, for each participant. 4. Reminders. Entry deadline for the Age Group Track Meet is January 24, 2014. Entry deadline for the Exponent Track Meet is February 7, 2014. All registrations after the deadline dates must register entrants on the day of the track meet. Please be sure to arrive at least 1 hour prior to the start of the meet. For more information please call Darrell Yamamoto, 961-8735, 938-2012 (cell) or email dsyamamoto@co.hawaii.hi.us. All track forms are also available on-line at www.hawaiicounty.gov/pr-recreation. DEPARTMENT OF PARKS AND RECREATION RECREATION DIVISION 799 Piilani St. Hilo, HI. 96720 Phone: 961-8735 ~ Fax: 961-8736 Dear Coaches, The Department of Parks and Recreation 2014 Track & Field program is schedule for February 8 and 22, 2014. West Hawaii meet will be held at the Konawaena High School Track Oval,East Hawaii meet will be The while the held at Keaau High School Track Oval. Both meets will start at 9:00 am. On February 8, we will be holding the Age Group Meet and on the February 22, we will be holding the Exponent Meet. Here are a few reminders and helpful hints: 1. All participants must submit a signed registration/waiver form before participating in any meets. Both sides of the form must be signed by a parent or legal guardian. Forms may be submitted at the first meet. Forms will be available in November 2013 and will be available on-line at www.hawaiicounty.gov/pr-recreation. 2. Participants can enter only three events, one of which must be a field event. Relays are included in the three events. Be sure chosen events are listed in participants division. Any participant competing in excess of three events will automatically be disqualified from those events. 3. Participants must compete in age group according to meet date. For the exponent meet, be sure to follow the guidelines on how to determine what division your athlete is in. We don’t want to embarrass them for your error. 4. Relay teams members must be of the same gender and division. Please designate members of a relay team, when more than one team is entered in the same division and race. 5. At some time during the meet, field and track events will run simultaneously. Any runner competing in a field event must inform field event leader of his/her entry in announced running event. Runner will be released to compete in running event, but must return immediately to complete field event. 6. All entrants should wear a nametag (include school/club name). Name tags for each running event will be provided by the department. Relay nametag (list all runners) will be placed on the fourth runner only. Nametags will be removed from runners if they place in the top three places of each heat. Nametags will be available for distribution upon receipt of entry forms. 7. Medals will be distributed to coaches at the end of the day. two weeks 8. Entry forms for all meets must be submitted at least prior to the meet date. For the Age Group Meet Deadline for entries is January 24, 2014. on February 8, 2014, For the Exponent Meet on February 22, 2014, Deadline for entries is February 7, 2014. Late entries may not get posted for the meet day. Please use separate To ensure entry and correct spelling of child’s name, please print legibly or entry forms for boys and girls. type names of entrants. Any changes must be faxed to 961-8736 or emailed to dsyamamoto@co.hawaii.hi.us. 9. Coaches must list phone/cell number(s) on entry form so that we will be able to contact you in case a meet is cancelled due to inclement weather. 10. No spikes will be allowed on the track, including any shoe designed for turf surface sports (natural or artificial), e.g. football/soccer shoes. No athlete will be allowed to compete in bare feet. Running shoes only, no track shoes. COUNTY OF HAWAI`I DEPARTMENT OF PARKS AND RECREATION REGISTRATION FORM / CONSENT / RELEASE OF CLAIMS Date Form Filled Out _______________, 20____ DISTRICT____________________________________FACILITY_____________________________________________ SPORT/ACTIVITY______________________________________________________ AGE GROUP_________________ GENERAL INFORMATION (Please Print) PARTICIPANT’S NAME _____________________________________________ AGE_____ BIRTHDATE_____________ (Last) (First) (MI) PARENT/LEGAL GUARDIAN_________________________________________ PHONE____________________ (home) (Last) (First) (MI) MAILING ADDRESS ________________________________________________PHONE_____________________(work) ________________________________________________PHONE_____________________ (cell) SCHOOL _________________________________________________________GRADE_________________________ HEALTH & EMERGENCY INFORMATION PLEASE LET US KNOW ANY MEDICAL INFORMATION RELEVANT TO THE CARE OF YOUR CHILD: ____________________________________________________________________________________________________________ CHILD’S DOCTOR _________________________________ PHONE _________________ HEALTH PLAN _____________________ EMERGENCY CONTACTS other than parent/guardian listed above: NAME ___________________________________________ PHONE _________________ RELATIONSHIP_____________________ NAME ___________________________________________ PHONE _________________ RELATIONSHIP_____________________ We are committed to making our recreation programs accessible. Does your child need modifications due to a Please Check One: disability to effectively participate in our program? _____ YES _____ NO If yes, please complete a Modification Request with our Recreation Specialist, ph. 961-8681. Adult attendants or skills trainers who accompany a child in our P&R programs must register before the first day of the program. MEDIA RELEASE I/We hereby give permission to the Department of Parks & Recreation, County of Hawai`i, to allow the news media to film and photograph program activities provided: 1) They are for news and non-commercial purposes; 2) The program director determines the filming, etc., will not unduly interfere with or disturb the programs; and 3) Individual children are not singled out for demonstrating photography or interview purposes against their wishes. Please Check One: _____ YES, permission granted _____ NO, permission denied (If no box is checked, assumption is “No, permission denied”) CONSENT In consideration of the permission granted to me by the County of Hawai`i, State of Hawai`i, for my minor child (“Child”) to participate in the above-mentioned sport/activity (“Activity”), the above-named PARENT/LEGAL GUARDIAN (“Parent”) consents and agrees that: a. Child is allowed to actively participate in Activity; b. Child is participating voluntarily, and with Parent’s approval and consent. c. Child is in reasonably good physical and mental health, such that Minor can safely participate in Activity. d. Parent recognizes and understands that participation in the Activity involves risk of death, personal injury and/or property damages, commonly inherent in such Activity. e. Parent shall notify a representative from the Department of Parks and Recreation if there is any change in Child’s physical and/or mental condition such that MINOR cannot safely participate in Activity. f. The Department of Parks & Recreation may refer Child, if injured or ill, to my family doctor when I cannot be reached. When there is no family doctor, the Department has the discretion to select a doctor. BOTH SIDES I also agree: 1. I have read of this registration form, including the Informed Consent, Assumption of Risks, Code of Conduct, and Release of Claims on the back side of this page. 2. I understand and agree with all of its terms. 3. I have filled out the information on this form fully and completely. 4. I will notify the County immediately in writing of any changes to the information above. 5. I am signing this form voluntarily and with full knowledge of its significance. IN WITNESS WHEREOF, I have executed this Registration, Consent and Assumption of Risks, Release of Claims and Indemnification and Code of Conduct at __________________________ on the day and year first written above. (Place of Execution) ____________________________________________ ___________________________________________ Signature of Witness (Age 18 or Older) Signature of Parent or Legal Guardian __________________________________________ Printed Name of Witness Phone Number __________________________________________ Address City Zip Code Possession or consumption of alcohol by persons under 21 is prohibited. County of Hawai‘i is an Equal Opportunity Provider and Employer Rev 5/23-06, 8/12 INFORMED CONSENT AND ASSUMPTION OF RISKS The Department of Parks and Recreation provides a wide variety of activities and programs for persons of all ages in a safe and pleasant environment. However, there are certain inherent risks in almost every activity. Please read the following informed consent categories to acquaint yourself with the risks involved. If you are making a determination that you child is able to participate in any activity, it is your responsibility to assess your child's maturity, health/fitness and ability to obey safety rules and decide if the risks associated with these activities are acceptable to you. While the County of Hawai`i hopes that every participant enjoys an injury-free activity, by your signing this Release of Claims form, you assume all risks associated with the activity for which you have registered your child. Please ask any questions of the instructor which you may need to make a fully informed decision for your child to participate. Certain sport activities, such as football, basketball, baseball and volleyball may have physical contact. All contact sports necessarily and unavoidably carry with them the risk of high speed collisions with other persons, balls, and equipment. In addition, irregular playing surfaces may be present and a child may be at risk for falling or minor lacerations. There are, therefore, risks of orthopedic, dental, cervical, spinal, head or other types of injury. lacerations and other injury from There is also the risk of falling and/or colliding with people or objects. In addition, all sports require a level of fitness and health that only your physician can determine you or your child possesses. We strongly urge that you obtain medical advice as to whether contact sport activities are suitable for your child`. Many undetected or chronic diseases such as cardiac disease or high blood pressure may be worsened by participation in these activities. Activities such as ceramics, painting, or cooking are examples of types of activities which may involve supplies or ingredients allergic reactions or which may be toxic when ingested, inhaled or when coming in contact with skin. There may also be individual sensitivity to these supplies or ingredients when ingested, inhaled, or when in contact with skin. Swimming at the beach or pool is another activity with inherent risks involved. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- RELEASE OF CLAIMS AND INDEMNIFICATION In consideration of permission granted to participant by the County of Hawai`i, Department of Parks and Recreation, to participate in the activities listed on the previous page: I/we hereby release the County of Hawai`i, its agents, employees, and independent contractors from all actions, causes of action, damages, claims, or demands which I, my heirs, personal representatives, or assignees may have against the County of Hawai`i, and other above-named parties for all injuries, known or unknown, which may incur by my child’s participation in the above- described activity or by my child’s use of the above-described Facility. I/we do further agree that I shall indemnify and save harmless the County of Hawai`i, or any of its officers or employees, either jointly or severally, from any and all claims, demands, damages, loss of service, or expense for property damage and for personal injuries or actions brought by a third party resulting or arising from my child’s participation in the above-described activity or my child’s use of the Facility. ---------------------------------------------------------------------------------------------------------------------------------------------------------------------------- PARTICIPANT’S & PARENT’S CODE OF CONDUCT 1. I will encourage, but not force, my child to participate in any program or event. 2. I will remember that children participate to have fun, and that the program/event is for youth, not adults. 3. I will pay close attention to the physical conditioning and well-being of my child, and will refuse to jeopardize the health of any individual for the sake of improving a person’s or team’s chance to win. 4. I will not ridicule or yell at my child or any other participant for making a mistake or losing. 5. I (& guests) will be positive role models for my child, and encourage sportsmanship by showing respect and courtesy, and by demonstrating positive support for all staff, players, coaches, officials, and spectators at every game, practice, tournament, or event. 6. I will respect officials and their decisions. I will not argue with an official in public, and will not yell, swear or be verbally abusive. Any discussion or constructive comment shall be done in an unemotional and calm manner. 7. I will not engage in any physical or verbal confrontation or altercation before, during or after any program, game or event, with officials, coaches, players, staff, or spectators. Doing so shall result in immediate action by the police and the Director of the Department of Parks & Recreation. 8. All P&R Activities are drug and alcohol free for participants and adults. Anyone found to be under the influence, intoxicated, or in possession of any of these will be TERMINATED from participating in the program. The Police and the Director of the Department of Parks & Recreation will be notified. ----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- I have read and understand the Informed Consent and Assumption of Risks, Release of Claims and Indemnification, and Code of Conduct on this page 2. _____________________________________________ Signature of Parent/Legal Guardian