HomeMy WebLinkAbout2015 Parks & Recreation 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 - 961-8740 or 938-2012 (cell)
RE: 2015 Parks & Recreation Track & Field Program
The Department of Parks and Recreation has scheduled its 2015 Track & Field
program for February 7 and 21, 2015 at both East and West Hawaii sites
simultaneously. The Konawaena High School Track Oval will be utilized for the
West Hawaii meets, while the site for the East Hawaii meets will be at the
Kamehameha High School Track Oval. The increase interest in track and field
has necessitated the use of two sites.
February 7, 2015 will be for the Age Group track & field meets. The Exponent track
& field meet will be held on February 21, 2015. 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
automatically be disqualified from the 4t" 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 .
re: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.
5. East Hawaii participants: You MUST have the Kamehameha Schools
Indemnification Statement form filled out and signed by parent or legal
guardian.
Entry deadline for the Age Group Track Meet is January 23, 2015.
Entry deadline for the Exponent Track Meet is February 6, 2015.
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, 961-8740, 938-2012 (cell) or
email DarrelAll 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: 961-8740 — Fax: 961-8736
Dear Coaches,
The Department of Parks and Recreation 2015 Track & Field program is schedule for February 7 and 21, 2015.
The West Hawaii meet will be held at the Konawaena High School Track Oval, while the East Hawaii meet will be
held at Kamehameha High School Track Oval. Both meets will start at 9:00 am. On February 7, we will be holding the
Age Group Meet and on the February 21, we will be holding the Exponent Meet.
Here are a few reminders and helpful hints:
I . 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 2014 and will be available on-line at www.hawaiicounty.goy/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.
Entry forms for all meets must be submitted at least two weeks prior to the meet date. For the Age Group Meet
on February 7, 2015, Deadline for entries is January 23, 2015. For the Exponent Meet on February 21, 2015,
Deadline for entries is February 6, 2015. Late entries may not get posted for the meet day. Please use separate
entry forms for boys and girls. To ensure entry and correct spelling of child's name, please print legibly or
type names of entrants. Any changes must be faxed to 961-8736 or emailed to
Darrell. YamamotoCa�hawaiicounty.gov.
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.
11. No tents, canopies and beach umbrellas will be allowed at the meets at Kamehameha Schools.
Department of Parks and Recreation
799 Piilani St. Hilo, HI. 96720
Phone - 961-8740 Fax - 961-8736
Team Name
Division
Events
2015 Age Group Track &Field Meet
r' Boys Entry Form
Must be submitted 2 weeks prior to meet
Coach Phone_
Fax
Limit - 3 events (one must be a field event)
6 - 8 yr.(8)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
This section MUST be filled in
50M, 70M, 4 x 25M, 4 x 50M
9 & 10 yr.(10)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
50M, 100M, 200M, 400M, 4 x 50M, 4 x 100M
11 & 12 yr.(12)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
Age
100M, 200M, 400M, 800M, 1200M, 4X50M, 4 x 100M, High Jump(HJ)
13 & 14 yr.(14)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
#2
100M, 200M, 400M, 800M, 1500M, 4 x 100M, 4 x 200M High Jump(HJ)
Groua entries by aae aroua
Aae as of meet date One must be a field event
Name
This section MUST be filled in
Events
Mon.
Day
Yr.
Age
Div.
#1
#2
#3
John Sprinter
10
26
93
11
12
RLJ
100M
4x100M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Department of Parks and Recreation
799 Piilani St. Hilo, HI. 96720
Phone - 961-8740 Fax - 961-8736
Team Name
Division
Events
2015 Age Group Track &Field Meet
r' Girls Entry Form
Must be submitted 2 weeks prior to meet
Coach Phone_
Fax
Limit -3 events (one must be a field event)
6 - 8 yr.(8)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
This section MUST be filled in
50M, 70M, 4 x 25M, 4 x 50M
9 & 10 yr.(10)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
50M, 100M, 200M, 400M, 4 x 50M, 4 x 100M
11 & 12 yr.(12)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
Age
100M, 200M, 400M, 800M, 1200M, 4 x 50M, 4 x 100M High Jump(HJ)
13 & 14 yr.(14)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
#2
100M, 200M, 400M, 800M, 1500M, 4 x 100M, 4 x 200M High Jump(HJ)
Groua entries by aae aroua
Aae as of meet date One must be a field event
Name
This section MUST be filled in
Events
Mon.
Day
Yr.
Age
Div.
#1
#2
#3
Jane Sprinter
10
26
93
11
12
RLJ
100M
4x100M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
DEPARTMENT OF PARKS AND RECREATION
RECREATION DIVISION
EXPONENT SYSTEM
DIVISION: EXPONENT POINTS:
Peewee 12 & below
Midget 13-19
Junior 20-29
Intermediate 30 - above
EXAMPLE:
Boy Age 12 yrs. & 4 months
Height 53 inches
Weight 90 pounds
Age
= 7 points
Height
= 4 points
Weight
= 9 points
Total: 20 points
Division: Junior
Exponent
Age
Height
Weight
Months
Points
Years
Inches
Pounds
6
0
39
36
0
6
11
41
41
7
0
42
42
1
7
11
44
49
8
0
45
50
2
8
11
47
58
9
0
48
59
3
9
11
50
64
10
0
51
65
4
10
11
53
70
11
0
54
71
5
11
5
75
11
6
55
76
6
11
11
56
80
12
0
57
81
7
12
5
58
85
12
6
59
86
8
12
11
89
13
0
60
90
9
13
5
61
94
13
6
62
95
10
13
11
100
14
0
63
101
11
14
5
106
14
6
64
107
12
14
11
over
over
Department of Parks and Recreation
799 Piilani St. Hilo, HI. 96720
Phone - 961-8740 Fax - 961-8736
Team Name
Coach
2015 Exponent Track &Field Meet
Boys Entry Form 7
Must be submitted 2 weeks prior to meet
Division Events Limit - 3 events (one must be a field event)
Phone
Fax
PeeWee(PW)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
Height
50M, 70M, 4 x 25M, 4 x 50M
Midget(M)
Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
50M, 100M, 200M, 400M, 4 x 50M, 4 x 100M
Junior(J)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
Events
100M, 200M, 400M, 800M, 1200M, 4 x 50M, 4 x 100M High Jump(HJ)
Intermediate(I)
Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
Lbs.
100M, 200M, 400M, 800M, 1500M, 4 x 100M, 4 x 200M High Jump(HJ)
Age as of meet date
Group entries by division This section MUST be filled in One must be a field event
Name
Height
Weight
Age
Tot.
Events
In.
Pts.
Lbs.
Pts.
Yrs.
Mos.
Pts.
Pts
Div.
#1
#2
#3
John Jumper
54
5
63
3
11
5
5
13
M
SLJ
50M
4x100M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Department of Parks and Recreation
799 Piilani St. Hilo, HI. 96720
Phone - 961-8740 Fax - 961-8736
Team Name
Coach
2015 Exponent Track &Field Meet
Girls Entry Form 7
Must be submitted 2 weeks prior to meet
Division Events Limit - 3 events (one must be a field event)
Phone
Fax
PeeWee(PW) Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
50M, 70M, 4 x 25M, 4 x 50M
Midget(M) Standing Long Jump(SLJ), Standing Triple Jump(STJ), Softball Throw(ST)
50M, 100M, 200M, 400M, 4 x 50M, 4 x 100M
Junior(J) Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
100M, 200M, 400M, 800M, 1200M, 4 x 50M, 4 x 100M High Jump(HJ)
Intermediate(I) Running Long Jump(RLJ), Running Triple Jump(RTJ), Shot Put(SP), Discus(D)
100M, 200M, 400M, 800M, 1500M, 4 x 100M, 4 x 200M High Jump(HJ)
Age as of meet date
Group entries by division This section MUST be filled in One must be a field event
Name
Height
Weight
Age
Tot.
Events
In.
Pts.
Lbs.
Pts.
Yrs.
Mos.
Pts.
Pts
Div.
#1
#2
#3
Jane Jumper
54
5
63
3
11
5
5
13
M
SLJ
50M
4x100M
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
Kamehameha Schools
Indemnification Statement
For use by Non -KS Individuals Participating in a KS Event/Function
Name of KS sponsored event: P&R Age Group & Exponent Track & Field Meets
Date(s) of Event: February 7 & 21, 2015
From
Time(s):
To
From To
The undersigned individual(s), and his, its or their heirs, personal representatives, successors and
permitted assigns, for and in consideration of the Kamehameha Schools ("KS") permitting and
allowing the participation in the above designated event herein jointly and severally agree(s) to
indemnify, defend and hold forever harmless The Kamehameha Schools and its Trustees, employees
and agents (collectively also "KS") against any and all loss, liability, demands, claims, suits, actions or
proceedings of every name, character and description (including but not limited to attorneys' fees and
cost(s) which may be suffered or incurred by or brought against KS for or on account of any injuries,
wrongful death or damages to any person(s) or property arising directly or indirectly, by or in
consequence of the participation in the above stated event or on the designated site or any other KS
facility by the undersigned individual(s)). The undersigned hereby certifies that prior to signing on
the line provided, it has carefully read the provided event information and accepts the event/program
"as is".
The undersigned further assumes all risks of injury arising out of any condition in the above stated
event or on the designated site and/or facility used, or in or on any other KS facility, whether such
condition is latent or apparent, and waives any and all claims against KS for any injury to person or
property which may be sustained by the undersigned as a result of the undersigned's participation in
the above stated event and or on KS property. The undersigned understands and acknowledges that
KS makes no representation or assurance that the designated event and/or facility or any other KS
event or facility is safe or fit for the undersigned's intended use, and the undersigned agrees that the
undersigned will be solely responsible for making all appropriate arrangements to ensure that the
designated event and site and/or facility or any other KS facility is safe and fir for the undersigned's
intended use.
Any and all physical damage to KS facilities and/or property arising directly or indirectly out of the
undersigned's use of the site and/or facility shall be repaired and/or replaced by the undersigned
within ten days of the event date. In the event that the undersigned fails to satisfactorily repair
and/or replace the damage within such period, KS, without waiving any rights, may undertake to
repair and/or replace such damage, and the undersigned agrees to reimburse and shall reimburse KS
for all actual costs incurred plus an administrative cost of 10% of the actual costs, within five days
after receipt of the bill.
Participant Signature
Date
Parent Guardian Signature (if Participant is under the age of 18) Date
DISTRICT
SPORT/ACTIVITY
PARTICIPANT'S NAME
COUNTY OF HAWAII
DEPARTMENT OF PARKS AND RECREATION
REGISTRATION FORM / CONSENT / RELEASE OF CLAIMS
Date Form Filled Out 20
FACILITY
GENERAL INFORMATION (Please Print)
(Last) (First) (Ml)
AGE GROUP
AGE BIRTHDATE
PARENT/LEGAL GUARDIAN PHONE (home)
(Last) (First) (Ml)
MAILING ADDRESS
SCHOOL
PHONE
PHONE
GRADE
(work)
(cell)
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
disability to effectively participate in our program? Please Check One: YES NO
L� 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 Hawaii, 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 Hawaii, State of Hawaii, 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.
I also agree: 1. I have read BOTH SIDES 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. 1 understand and agree with all of its terms.
3. 1 have filled out the information on this form fully and completely.
4. 1 will notify the County immediately in writing of any changes to the information above.
5. 1 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)
Printed Name of Witness
Phone Number
Address City Zip Code
Rev 5/23-06, 8/12
Signature of Parent or Legal Guardian
Possession or consumption of alcohol by persons under 21 is prohibited.
County of Hawaii is an Equal Opportunity Provider and Employer
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 Hawaii 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. There is also the risk of lacerations and other injury from
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
which may be toxic when ingested, inhaled or when coming in contact with skin. There may also be allergic reactions or
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 Hawaii, Department of Parks and Recreation, to participate
in the activities listed on the previous page:
I/we hereby release the County of Hawaii, 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 Hawaii,
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 Hawaii, 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
I will encourage, but not force, my child to participate in any program or event.
I will remember that children participate to have fun, and that the program/event is for youth, not adults.
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.
I will not ridicule or yell at my child or any other participant for making a mistake or losing.
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.
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.
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.
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