This Completed Checklist Must Be Attached When Submitting Your Package For Review!
THIS COMPLETED CHECKLIST MUST BE ATTACHED WHEN SUBMITTING YOUR PACKAGE FOR REVIEW!
(EBSC Coordinator will NOT review package without this checklist attached).
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Initial that the following is done:
(suggested that another person check for you)
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Initial that it is completed
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Roster
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Birth date on birth certificates corresponds with birth date listed on the roster (ensure you use birth date…not filing date).
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Player Passes
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All Passes are signed
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Name on front of each pass coincides with signature
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Photo is attached.
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Membership Form
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Membership forms are signed by parent and player
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Player pass number is listed on Membership form
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Include membership form for each coach.
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Medical Form
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NJYSA Medical form is used and notarized
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Birth Certificate
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Birth Certificates are all included and legible.
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Coaches License
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Include copy of “F” license (or higher) for each coach
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Sage Forms
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SAGE forms are signed and included for player, parent and coaches
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| Heads Up: Concussion in Youth Sports |
Certificate of completion from online course available at
http://www.cdc.gov/concussion/HeadsUp/online_training.html
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Travel Policy
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Last page of travel policy is signed by each player and parent and included
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FINAL
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Forms are clipped together by individual (e.g. a single clip will include all the forms for a single player -Clip pass, membership, medical, SAGE and travel policy forms together).
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Team Name
_________________________________
Contact person (include name, telephone and email address)
_______________________________________________________________________
Do you have any players playing up?
If yes, has the VP of Travel approved this situation?