1. No category

Diocese of Greensburg
Office for Catholic Schools
CYO ATHLETICS
PROCEDURE MANUAL
TABLE OF CONTENTS
TABLE OF CONTENTS..….…………………………………….…………………………………..….....1
GENERAL INFORMATION.…………………………………………………..………………………......3
Operational Structure……………………………………………………………………..3
Mission/Vision……………………………………………………………………………..3
COACHING INFORMATION AND REQUIREMENTS.………….…………..…………………………4
State and Federal Clearances………………………………………………………......4
Diocesan and PIAA Requirements..…………………………………………………….4
PARTICIPANT INFORMATION AND REQUIREMENTS.………..……………………………….......5
Consent Form.………………………………………………..…………………………...5
Sudden Cardiac Arrest Symptoms and Warning Signs Sheet ………………………
Acknowledgement Form…………………………………………………………………5
Understanding of Risk of Concussion and Traumatic Brain Injury Form……………5
Diocesan Insurance Policy.………………………..……………………………………..5
Accident Procedures..…….………..…………………………………………………….5
CYO LEAGUE STRUCTURE……….…………………………………………………………………….6
Junior Varsity League...…...……………………………………………………………..6
Varsity League...…………...……………………………………………………………..6
SCHEDULING INFORMATION AND FEES……..……………………………………………………...6
Start of Season Report...…………………………………………………………………6
Roster ....…………………………………………………………………………………...6
Team Fees..……………………………………………………………………………….6
Insurance Fees..…………………………………………………………………………..6
SEASON PROCEDURES………………….………………………………………………………….......7
Universal Admissions Fees.……………………………………………………………..7
Scheduling of CYO Games.……………………………………………………………..7
Weather Cancellations.…………………………………………………........................7
Cancellations Due to Unexpected Circumstances…………………………………….7
Schedule Changes.……...……………………………………………………………….7
Record Keeping……..…………………………………………………………………….7
Games Played at Greensburg Central Catholic Junior-Senior High School.…....…8
REFEREES……………………………….………………..………………………………………………..8
Basketball Referees………………………………………………………………………8
Payments…………………………………………………………………………………..8
Volleyball Referees...……………………………………………………………………..8
BASKETBALL ………………………...……………………………………………………………...........9
Basketball Season Rules………….……………………………………………………..9
Basketball Rules for Tournaments……………………………………………………..10
VOLLEYBALL ...………………….…………………………………………….…………………………11
Volleyball Season Rules ..………………...…………….…..………………….………11
Volleyball Rules for Tournaments ..……………..…………………………….………12
1
APPENDIX A-MISSION/VISION SUPPLEMENTAL HANDOUTS FOR COACHES…..………….13
The Case for Catholic Schools..……………………………………………………….14
Effective Public Relations Personnel...……………………………………………......16
Seven Risky Behaviors..………………………………………………………………..17
APPENDIX B-CLEARANCES, DIOCESAN AND PIAA REQUIREMENTS FOR COACHES…...18
Pennsylvania Criminal Record Check...……………………………………………….19
Pennsylvania Child Abuse History Clearance..………………………………………20
FBI Fingerprinting Clearance ..…………………………………………………………23
Virtus Training Instructions..……………………………………………………………23
ACT 24 Form..…………………………………………………………………………...24
Acknowledgement Forms-Code of Pastoral Conduct.……………………………....26
Sudden Cardiac Arrest Education and Information Form.…………………………..28
Concussion Online Training Instructions.……………………………………………..30
Code of Ethics for Coaches.…………………………………………………………....31
CYO Coaches Checklist………………………………………………………………...32
APPENDIX C-PARTICIPANT INFORMATION………………………………………………………..33
CYO Consent Form..…………………………………………………………………….34
Sudden Cardiac Arrest Symptoms and Warning Signs Information Sheet and…..…
Acknowledgement of Receipt and Review Form…………………………………….35
Understanding the Risk of Concussion and Traumatic Brain Injury…..……………37
APPENDIX D-SCHEDULING DOCUMENTS………………………………………………………….38
Start of Season Report………………………………………………………………….39
Official CYO Roster...……………………………………………………………………42
Season Record Sheet (Basketball)...………………………………………………….43
Season Record Sheet (Volleyball) ...…………………………………………………..44
2
GENERAL INFORMATION
Operational Structure
All CYO programs of the Diocese of Greensburg shall be under the Office for Catholic Schools,
supervised by the superintendent of Catholic schools.
The Athletic Coordinator is appointed by the superintendent of Catholic schools and is responsible for
all aspects of the CYO athletic program. The Athletic Coordinator will request that all CYO programs
appoint a “Point of Contact” who will be responsible for communicating with coaches and
pastors/principals, and ensuring all required paperwork is submitted to the Office for Catholic Schools.
All parish pastors and school principals who are involved in the CYO program will be involved in CYO
communication.
Mission/Vision
The Catholic schools in the Diocese of Greensburg institute a Gospel-centered educational process
which encompasses school activities, including athletics. Teachers and coaches are called to be
followers of Christ, and as such, provide opportunities for students to witness Him in daily activities.
Students who are provided structure to direct their efforts and freedom to encourage personal growth
and creativity will respond to life’s challenges with discernment and courage.
It is the goal of the Office for Catholic Schools to make every effort to ensure that the Catholic schools
within the Diocese maximize their potentials in providing the most excellent faith-based educational
environments possible. Our educational environments prepare our students by challenging them to
develop their spirituality based on Gospel values, while ensuring academic mastery, spirit of justice and
community service with a global perspective that will give their lives passion and purpose. Our Catholic
schools have been an invaluable part of the history and fabric of Catholic family life in the Diocese of
Greensburg for generations. Our schools have helped to shape the faith, lives and minds of
innumerable children who have become contributing members and leaders within our civic and
ecclesial communities. CYO Coaches must lead athletic programs consistent with this goal as CYO
programs are primarily extensions of the Catholic schools, which are extensions of the Diocese and the
Bishop.
The Athletic program is an integral part of the educational process. Coaches play an important part in
the development not only of student athletes but also their growth as young women and men. Leading
by example and following the Code of Ethics For Coaches assures that student athletes are receiving
the best guidance possible both on and off the court.
There are three supplemental handouts that accompany the Mission/Vision and can be found in
Appendix A:

The Case for Catholic Schools

Effective Public Relations Personnel

Seven Risky Behaviors
3
COACHING INFORMATION AND REQUIREMENTS
All CYO teams must have a Diocesan approved, volunteer coach that is at least 21 years of age. A
coach must be at least 24 years of age to coach in the high school division. A coach must be present
with the team at all games and practices and is responsible for the team’s conduct. Only individuals
listed as a coach on a team’s roster may sit on the bench with their teams during play. Current Catholic
school employees and parish pastors may fill in for coaches in unexpected circumstances.
Student coaches are permitted to assist the CYO program, with the prior approval of the CYO
Coordinator. Student coaches must always be accompanied by an approved adult coach at games and
practices.
Prior to discharging any duties, a coach is required to submit to the school/parish and must be on file
with the Office for Catholic Schools, the following background clearances, and must fulfill the following
Diocesan and PIAA requirements:
State and Federal Clearances

Criminal History Record Check
o This record check can be completed online via the state website or a hard copy can be
completed and mailed to the state:
o To complete the clearance on line, visit: https://epatch.state.pa.us
o The form can be found in Appendix B

Child Abuse History Clearance
o This form, and its instructions, can be found in Appendix B

FBI Fingerprinting Instructions
o Instructions can be found in Appendix B
Coaches who have had a break in consecutive years of service must submit a new set of state and
federal clearances prior to discharging any duties as a coach in the future. Clearances must be
submitted to the school or parish prior to coaching, and must be on file with the Office for Catholic
Schools. Clearances must be within one year of the date a coach begins her/his volunteer service.
No person may serve as a coach without submitting all clearances.
Diocesan and PIAA Requirements
Coaches must also complete all requirements established by the Diocese of Greensburg and the PIAA
including:

Complete the Virtus training (Protecting God’s Children)
o New coaches have 6 months to complete the Virtus training
o This training can be completed on-line, or in person, at a participating Virtus training site
o Instructions to register, and training locations, can be found in Appendix B

Submit a signed ACT 24 form
o This form can be found in Appendix B

Read the Code of Pastoral Conduct and submit a signed Acknowledgement form. A copy will
be provided by the school or parish and can also be found at:
http://www.dioceseofgreensburg.org/pgc/Documents/CodeOfPastoralConduct.pdf
o

The acknowledgement forms can be found in Appendix B
Read and sign the Sudden Cardiac Arrest Information Acknowledgement Form
o
The form can be found in Appendix B
4

Complete the online Concussion Training program
o

Instructions can be found in Appendix B
Read and sign the CYO Code of Ethics for Coaches Acknowledgement form
o
The form can be found in Appendix B
PARTICIPANT INFORMATION AND REQUIREMENTS
All participants in the CYO program must be a registered and active member of a Catholic parish or
Catholic school in the Diocese of Greensburg. All parishioner participants must be enrolled in, and
regularly attending, the parish religious education program for the entire school year. The parish pastor
must verify this with a signature on the participant’s Consent Form. All athletes must meet the age,
grade and other requirements of the particular CYO athletic program in which they play. Additional
participant information can be found in the CYO Handbook of Policies.
All participants/parents/guardians must complete and submit to the school/parish the following
documents before being permitted to participate in CYO Athletics. Forms must be retained at the
school/parish:
Consent Form

Each participant must submit to the school/parish, a completed CYO Consent Form. The
medical portion of this form will require that each participant undergo a current physical
examination to determine medical eligibility to participate in the CYO athletic program. To be
valid, the physical exam must be performed during the athletic year (June 1 to May 31) by a
licensed physician.

The form can be found in Appendix C
Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms and Warning Signs Information
Sheet and Acknowledgement of Receipt and Review Form

The form can be found in Appendix C
Understanding of Risk of Concussion and Traumatic Brain Injury Form

The form can be found in Appendix C
Diocesan Insurance Policy
Every participant in all CYO athletic programs must be insured under the policy of insurance made
available through the Diocese of Greensburg.
Accident Procedures
Any time an athlete is injured during a school-related or parish-related athletic event, the injury must be
reported to the school or parish. School personnel must complete the Student Accident/Injury and
Illness Procedure. Parish personnel must follow their policy for reporting injuries.
Additional participant information can be found in the CYO Handbook.
5
CYO LEAGUE STRUCTURE
Junior Varsity League

Athletes in grades 3-6 of the current season who meet the eligibility requirements are eligible to
participate in the CYO Junior Varsity programs. Athletes in grades 3 and 4 are eligible to
participate in the JV Junior League. Athletes in grades 5 and 6 are eligible to participate in the
Junior Varsity League.

Athletes in grade 4 who are participating in the JV Junior League may also be “rostered up” to
play in the Junior Varsity League.
Varsity League

Athletes in 7th and 8th grade who have not reached their 15th birthday as of September 1 of the
current season and who otherwise meet the Diocesan eligibility requirements are eligible to
participate in the CYO Varsity League programs.

Athletes in grade 6 who are participating in the Junior Varsity League may also be “rostered up”
to play in the Varsity League.
SCHEDULING INFORMATION AND FEES
Start of Season Report
All CYO programs will be required to submit, on time, a Start of Season Report. This report will gather
the following pieces of information:

Point of Contact and coach(es) names and contact information

Number of teams and grade levels

Gym availability and bad dates
A copy of the Start of Season Report can be found in Appendix D. An electronic copy is available at
www.dioceseofgreensburg.org. Under the Schools section, click “CYO”. Then, click “Forms”.
Rosters
In order to participate in any CYO athletic program, teams must file, on time, a completed roster on
forms provided by the Office for Catholic Schools. Additions to the roster may be made until the team
plays their first game/match. Requests for roster additions after the start of the season will be reviewed
by the Office for Catholic Schools. The principal or parish pastor must sign each roster confirming that
all participants listed on the roster have submitted the required paperwork and is on file at the
school/parish.
 A copy of the Official Roster can be found in Appendix D
Team Fees
All participating CYO teams must pay a team fee to participate in the CYO Athletics program. Rates
will vary. Contact your school, parish or the Office for Catholic Schools for up to date team fees.
Insurance Fees
All participants in the CYO program must pay an insurance fee in order to be insured under the policy
of insurance made available through the Diocese of Greensburg. Rates vary. Contact your school,
parish or the Office for Catholic Schools for up to date insurance rates.
6
SEASON PROCEDURES
Universal Admissions Fees
The Office for Catholic Schools established universal admissions fees for season game. Schools and
parishes are not required to charge admission, but if a fee is charged, the below fees are to be
charged:
Adults: $2
Students: $1
Preschool: Free
Scheduling of CYO Games
The CYO schedule will be created by the CYO Coordinator based upon the Start of Season Reports
submitted by each CYO program. The CYO Coordinator will make every effort to honor bad dates
provided on this report and will schedule games/matches when gymnasiums are available.
The number of games/matches will vary. All factors including participant ages and team makeup will be
taken into consideration. An equal number of home and away games will be attempted to be
scheduled. In the event a program does not have a “home” gym, or has limited home gym availability,
the number of home and away games/matches may vary. Teams traveling significant distance may be
scheduled to play at a more centralized location such as Greensburg Central Catholic Junior-Senior
High School.
Weather Cancellations
Cancellations due to weather must be made no later than 1:30 PM for weekday games/matches, and at
least 2.5 hours prior to the start time for weekend games/matches. Games can be cancelled due to
weather by the home team or the visiting team. The team cancelling must contact the opposing team
and the CYO Coordinator within the time frame set above. If a school is closed due to weather, all
CYO games/matches will be cancelled. If the school is closed, it is the home team’s responsibility to
contact the opposing team and the CYO Coordinator to alert them of the cancellation. When basketball
games are cancelled due to weather, it is the home team’s responsibility to contact the referees to
inform them of the cancellation. Referee contact information will be provided to all CYO programs at
the beginning of the season.
Cancellations Due to Unexpected Circumstances
Last minute or emergency cancellations must follow the same procedure set above.
Schedule Changes
Games/matches are not to be changed without the prior approval of the CYO Coordinator. Approved
changes will be communicated to both teams by the CYO Coordinator, who will also contact the
referees with the changes. Games/matches changed without prior approval will result in forfeits for
both teams.
Record Keeping
The home team is the “official book” at all games/matches. Scorekeepers and clock operators are not
permitted to use phones or any other devices during the game/match. CYO programs should select
responsible and knowledgeable individuals to maintain the scorebook and run the clock.
7
The Office for Catholic Schools will request that all CYO programs use the provided Season Record
Sheet to track wins and losses throughout the season. This form will be collected at the end of the
season and used to create the tournament brackets.

A copy of this form can be found in Appendix D
Games Played at Greensburg Central Catholic Junior-Senior High School
Games/matches may be scheduled at Greensburg Central Catholic Junior-Senior High School for
teams that would otherwise have to travel extensive distances to play one another. One team will be
designated as the “home” team. The home team will be responsible for paying for referees and a clock
operator, and is permitted to collect admission, offer 50/50 and sell concessions.
REFEREES
Basketball Referees
For all CYO basketball games and tournaments, referees will be scheduled through the CYO
Coordinator, with the exception of home games played at The Divine Redeemer School, in which
referees are scheduled locally. Referees are scheduled through 3 sections, which encompass the 4
county diocesan region. All CYO Points of Contact will receive contact information for the scheduling
referees in the event a game must be cancelled at the last minute, or referees do not show up for a
scheduled game.
Payments
Teams residing in Armstrong, Indiana, and Fayette County will be responsible for paying the referees
the day of the game. Teams residing in, or playing in, Westmoreland County will be billed for the
referees at the end of the season. Billing will include a scheduling fee. This scheduling fee will be
based upon the number of games played.
Volleyball Referees
Official referees are not required for volleyball matches; however, the home team must provide a
volunteer or paid referee and line judges.
8
BASKETBALL
The CYO Athletics Handbook of Policies provides detailed information about the CYO basketball
program including eligibility requirements, additional rules for competition and information relative to the
Cheerleading program. Please refer to the Handbook of Policies for additional information. The below
Basketball Season Rules accompanies the Handbook of Policies.
Basketball Season Rules
1. JV is defined as being in grades 3-6; students in grades 7 or above may not play in a JV game.
Students in grades 3 and 4 will be considered part of the JV Junior division of the JV league.
2. JV rule – each player must play a minimum of 3 minutes/game; exception applies to the number
attending the game – for example, if one team has 7 and another has 9; only 7 must meet the
minimum playing time.
3. JV rule – no backcourt pressure until 4th quarter; both teams may press the entire 4th quarter;
exception applies to teams with a 10- point lead – these may not press until the lead drops to 9
or less.
4. JV rule – if a team gets a 16 point lead the coach must remove as many of the players who
started as possible (all 5 if 5 or more are on the bench) and they may not go back in the game
until the lead drops below 16; should the starters be allowed to go back in, they must all come
back out if the margin of 16 points is reached.
5. Both JV and Varsity – CYO 25 point mercy rule. If one team realizes a 25 point lead on their
opponent, the clock will remain running with exception of a time out and during foul shots. This
can occur in any quarter. If the margin falls below 25, we follow the normal rules for stopping
the clock.
6. For the previous two points, coaches are reminded of the Code of Conduct section referring to
“sportsmanship in the spirit of Christian values and ideals”. Full court pressure (varsity) and half
court traps in these cases are discouraged and the coach should hold their team within the area
of the “Key” to play defense in order to reflect the interpretation intended by the authors of the
Diocesan CYO rules.
7. One coach (usually the head coach) may stand to coach the team, with all other coaches
(usually assistant coaches) remaining seated.
8. CYO games take priority over all recreational leagues. We do not object to CYO players
participating on AAU or Junior Pro teams, as long as they play in the scheduled CYO games,
including the playoffs.
9. The home team must have a representative keep a score book at the scorer’s table. This is the
official score book of the game. The official score book keeper should not be on cell phones or
texting during the game. It is suggested that adults run the clock and keep the official score
book. Youth may handle these responsibilities, as long as they are mature and paying attention
to the game.
10. Home team persons are responsible for dealing with and removing disruptive spectators.
9
Basketball Rules for Tournaments
The Office for Catholic Schools shall direct the Diocesan playoff system. Only teams in compliance
with Diocesan rules and regulations shall be eligible to participate in the grade school playoffs.
Official rosters will be checked against the players being rostered to ensure consistency. If a player is
not on the official roster, they will not play. Coaches need to report directly to the scorer’s table prior to
each game to provide the team roster. Coaches are advised to bring at least four copies of their roster
to the tournament. Coaches must provide a copy of the roster to the scorer’s table each time they are
scheduled to play. At the close of each game, teams must clear the bench immediately. If a coach
would like to talk with their team, we recommend they move to a corner of the gym or to the hallway.
1. JV Junior is defined as being in grades 3 and 4; students in grades 5 or above may not play in
JV Junior games.
2. JV is defined as being in grades 5 and 6; students in grade 4 may “play up” in the JV league;
students in grades 7 or above may not play in JV games.
3. JV Junior and JV rule – no backcourt pressure until 4th quarter (in the case of overtime, a team
may use back court pressure for entire overtime); both teams may press the entire 4th quarter;
exception applies to teams with a 10- point lead – these may not press until the lead drops to 9
or less.
4. Both JV Junior, JV and Varsity – CYO 25 point mercy rule. If one team realizes a 25 point lead
on their opponent, the clock will remain running with exception of a time out and during foul
shots. This can occur in any quarter. If the margin falls below 25, we follow the normal rules for
stopping the clock.
5. For the previous two points (numbers 3 and 4 above), coaches are reminded of the Code of
Conduct section referring to “sportsmanship in the spirit of Christian values and ideals”. Full
court pressure (varsity) and half court traps in these cases are discouraged and coaches who
holds their team within the area of the “Key” to play defense reflect the interpretation intended
by the authors of the diocesan CYO rules.
6. There will be 3 minutes warm up time between games (once team takes the bench).
7. There will be 3 minutes between each half.
8. There will be 1 minute between each quarter.
9. Quarters will be 6 minutes in length.
10. There will be 3 timeouts (1 full timeout-1 minute and two 30 second timeouts)
11. Overtime-If the teams are tied at the end of the game, overtime will take place in the following
manner:
a. There will be 1 minute between the end of the game and the overtime period (and all
succeeding overtime periods).
b. 2 minutes will be provided for overtime (and all succeeding overtime periods).
c. All rules continue to apply. Second half fouls continue forward through overtimes. This
means that 1:1 and bonus will apply to overtimes
d. 1 full time out will be provided for each overtime period. No other time outs carry
forward from regulation time.
e. If a winner is not decided after the first overtime, 2 minute overtime periods will continue
to be played until a winner is decided.
12. 1 coach (usually the head coach) may stand to coach the team, with all other coaches (usually
assistant coaches) remaining seated.
10
VOLLEYBALL
The CYO Athletics Handbook of Policies provides detailed information about the CYO volleyball
program including eligibility requirements and additional rules for competition. Please refer to the
Handbook of Policies for additional information. The below Volleyball Season Rules accompanies the
Handbook of Policies.
Volleyball Season Rules
All games, including the Diocesan championship tournament shall be governed by the National
Federation of Interscholastic Athletics volleyball rules book. Only teams in compliance with Diocesan
rules and regulations shall be eligible to participate in the tournament.
1. All players must play at least the equivalent of one full game, with the exception of the diocesan
tournament.
2. Each match will consist of three 25 point rally score games.
3. There will be no scoring cap. Teams must win by two points.
4. All three games will count toward the team’s overall record.
5. The serving line for the JV and JV Junior teams will be moved inward six feet from the end line.
6. A team must have six players to begin play. A ten minute grace period will be awarded to a
team that does not have six players at the scheduled start time. After the first grace period, the
first game will be considered a loss. Another five minute grace period will be granted if six
players are still not present. After this second grace period has expired, the second game will
be considered a loss. Another five minute grace period will be granted if six players are still not
present. After this grace period has expired, the match will be declared a forfeit.
7. Teams will be given a five minute warm up period before each match.
8. The National Federation of High Schools rule book covers all other rules
9. The home team is required to provide a game ball, pay the referees and verify that scores have
been recorded.
11
Volleyball Rules for Tournaments
1. All players are NOT required to play the equivalent of 1 full game.
2. 25-point Rally scoring shall be used for the first 2 games of each match. If there is a third game in a
match, the third game will be to 15 points and will be rally scoring. All games must be won by 2
points and therefore, there is no scoring cap.
3. Tournament matches are the best of 3. If your team wins the first 2 games, the match is over.
4. Tournament competition shall be single elimination.
5. A team must have 6 players to begin play
a. A team without 6 players at the start of the match will forfeit the first game after 5 minutes
have passed. The team will have an additional 5 minutes to have 6 players. If at the end of
the additional 5 minutes, the team does not have 6 players, the team forfeits the match.
6. Teams must arrive at the gym at least thirty minutes prior to your scheduled start time. This is a
tournament, and if the tournament runs ahead of schedule, the next match may start ahead of
schedule. Therefore, those planning to watch their children or grandchildren, will need to be
informed that start times are approximate and matches may start early (within thirty minutes of
announced start time).
7. There will be a 7 minute warm up period between matches. The 7 minute warm up will be
comprised as follows:
a. Each team will have 4 minutes to warm up.
b. Teams will have 3 minutes of joint serving time.
8. Prior to each match, and after the 7 minute warm up period, prayer will be co-led by both teams.
9. Coaches must bring their starting lineup to the scorer’s table immediately following the end of the
match preceding theirs.
10. Coaches will only be able to substitute a player for the same player throughout a game. Substitute
combinations can change for the next game.
11. The home team is the higher seed.
All games, including the Diocesan championship tournament shall be governed by the National
Federation of Interscholastic Athletics volleyball rules book. Only teams in compliance with Diocesan
rules and regulations shall be eligible to participate in the tournament.
Official rosters will be checked against the players being rostered to ensure consistency. If a player is
not on the official roster, they will not play. Coaches need to report directly to the scorer’s table prior to
each match to provide the team roster. Coaches must provide a copy of the roster to the scorer’s table
each time they are scheduled to play. At the close of each match, clear the bench immediately. If a
coach would like to talk with their team, we recommend they move to a corner of the gym or to the
hallway.
12
APPENDIX A
MISSION/VISION
SUPPLEMENTAL
HANDOUTS FOR
COACHES
13
The Case for Catholic Schools
The Most Reverend Lawrence E. Brandt, JCD, PhD, Bishop of Greensburg, has the responsibility to be
the chief teacher of doctrine and to safeguard the faith and morals of the people of the Diocese of
Greensburg. The Bishop fulfills his apostolic teaching mission through the appointment of individuals and
the establishment of offices and structures to oversee educational policies and practices within the
Diocese. The Superintendent of Catholic Schools has been appointed by the Bishop to serve as the
Bishop’s delegate on the matters of Catholic Education within the Catholic Schools of the Diocese of
Greensburg.
It is the goal of the Office for Catholic Schools to make every effort to ensure that the Catholic Schools of
the Diocese maximize their potentials in providing the most excellent faith-based educational
environments possible. Our educational environments prepare our students by challenging them to
develop their spirituality based on Gospel values, while ensuring academic mastery, spirit of justice and
community service with a global perspective that will give their lives passion and purpose. Our Catholic
Schools have been an invaluable part of the history and fabric of Catholic family life in the Diocese of
Greensburg for generations. Our schools have helped to shape the faith, lives and minds of innumerable
children who have become contributing members and leaders within our civic and ecclesial communities.
I invite you to help steward our ability to make this invaluable gift of a Catholic school education an
affordable reality for our Catholic school families into the future
Yours in Catholic Faith,
Trent D. Bocan
Why a Diocese of Greensburg Catholic School?
Mission; Vision; Advanced Catholic Academies
Mission-Excellence in the Formation of Faith and Academic Pursuit
It is the mission of the Office for Catholic Schools to ensure that the Catholic schools within the Diocese
of Greensburg maximize their potentials in providing the most excellent educational environments possible
for the formation of faith and academic achievement; providing safe and caring environments focused on
the beliefs of the Catholic faith. We work in concert with parents and guardians to prepare our students
for a lifelong journey of faith, challenging them to develop their spirituality based on Gospel values, while
ensuring academic mastery, spirit of justice and community service with a global perspective that will give
their lives passion and purpose.
Vision – Forming for Life
It is the vision of the Office for Catholic Schools to maintain, create and employ programming that will
ensure our ability to meet our mission, while we strive to provide a most excellent Catholic school
educational network providing our families the opportunity to experience a lifetime of faith formation;
Forming for Life! Within this vision, we are providing programmatic and institutional connections to create
and provide a seamless garment of formation and service. The Office for Catholic Schools works closely
with the many offices of the Diocese of Greensburg, particularly the Office for Evangelization and Faith
Formation, as well as local community agencies and institutions of higher education to provide this
network of formation and services. This vision, Forming for Life, is represented in the following pictorial
and narrative information.
14
CATHOLIC SCHOOLS
Of the Diocese of Greensburg
VISION
Forming for Life:
A Seamless Garment of Formation and Service
The foundation of this vision is our emphasis on the formation of faith. The formation of faith is the
reason our Catholic Schools exist, and its influence permeates every facet of our educational settings.
The foundation continues with the provision of academic excellence. Our students experience
advanced Catholic academies, educational settings from pre-kindergarten through adulthood, resulting
in educational performance that surpasses local, state and national standards. The creation of
programming that articulates connections from pre-kindergarten through post-secondary Catholic
institutions provides the basis for our ability to form for life. Our focus on service learning within the
community assists in our ability to impact our region as a community asset. The formation of faith within
an advanced, community-oriented academic setting provides the basis for the evangelization of the
Catholic faith within our schools and communities, helping to form our children and youth into
purposeful, faith-filled adults. Finally, through our ability to form connections within our Catholic
educational institutions, pre-kindergarten through the collegiate level, we will bring a return to service
within the local Catholic Church and communities. Our vision is brought to actualization through our
ability to assist our ordained and lay religious leaders in the provision of an advanced and focused
Catholic educational network, enabling our Catholic families to educate their children and youth within
local Catholic institutions. It is our hope that these young adults will then establish their roots within our
local communities, impacting our Catholic institutions through their return to serve within their life
vocations. Research bares this truth, as two-thirds of the local Catholic leaders have been educated
within Catholic Schools.
15
(August, 2012)
EFFECTIVE PUBLIC RELATIONS PERSONNEL
Every Coach is his or her own public relations agent and serves, in the broader sense, as a public
relations missionary for the school or parish. Your success in the area of public relations is dependent
upon your public relations skills and attitudes. Coaches who promote good public relations are:










coaches of the school or parish. They realize parents and community members make
judgments about the school or parish based on the attitudes and perceptions that they, as
volunteers, have of the school and the people who work for it and for the Catholic schools as
an educational system. Sharing negative comments regarding the system with non-school
individuals is not only unprofessional, but also counterproductive.
positive people who have a positive image of the profession. They value their role in the
school or parish and the contribution they make to insure that their goals, ideals and
objectives of the school or parish are realized.
appreciative of the students as the most important people in the school. They constantly
remind themselves that schools exist to serve the needs of children, parents and the
community.
people who genuinely like to work with students, parents, peers and other people. Treating
others with respect and understanding is a part of their nature, and not something they do
as part of their job.
good listeners who seem to accept the fact that humans have two ears and only one tongue,
so that they can listen twice as much as they speak.
active community members who contribute to the well being of others.
considerate of the needs of the students and parents and empathetic in relation to the
problems they may be experiencing.
people who take an interest in making a good first impression. Even when the first contact
with a parent or community member involves criticism from the other party, the coach is able
to maintain a sense of composure, dignity, and diplomacy.
knowledgeable about the school, policies and programs, and the overall operation of the
school and system of Catholic schools.
visible at school events.
16
(August, 2012)
SEVEN RISKY BEHAVIORS
The best way coaches can protect themselves from false accusation is to avoid behaviors that can be
misconstrued. The following 7 risky behaviors are not absolute prohibitions, indisputable indicators of
wrong doing, or a substitute for common sense – they are intended as risk management guidelines.
1. Do not be alone with a student athlete behind a closed door.
2. Do not make a habit of meeting students outside of school related events for a meal or a
soft drink. Regardless of the motivation, there is seldom justification for such conduct.
3. Do not counsel the students in non-athletic matters. Coaches, although well-meaning, are
not trained as counselors. Coaches must consider the potential risk in discussing personal
matters with students. If they believe that a student is in some type of trouble, they should
refer the student to the school’s counseling team.
4. Do not allow students to engage you in conversations regarding their romantic activities, and
do not discuss you personal problems with students.
5. Do not entertain students in your home unless it is a school-sponsored activity.
6. Do not make sexual comments, comment about student’s bodies, or tell sexual jokes.
7. Do not put your hands on students in a manner that a reasonable person could interpret as
inappropriate. Do not brush against their bodies; touch their hair; or rub their necks,
shoulders or backs. Does not tickle, wrestle, poke, pat, punch, or spank students.
17
APPENDIX B
CLEARANCES,
DIOCESAN &
PIAA
REQUIREMENTS
FOR COACHES
18
19
20
21
FBI Fingerprinting Instructions
Fingerprint-Based Background Check Process
22
FBI Fingerprinting Clearance Instructions
1. All applicants must register prior to going to the fingerprint site. Walk-in service without prior
registration will not be provided at the fingerprint site. Registration is completed online or over
the phone. Registration is available online 24 hours/day, seven days a week online at
http://www.pa.cogentid.com/index.htm. Telephone registration is available at 1-888-439-2486,
Monday through Friday; 8 a.m. to 6 p.m. EST. IMPORTANT: When registering online, be
sure to click on Pennsylvania Department of Education for your FBI Clearance. Do not
register with the Department of Public Welfare.
2. Applicant will pay a fee of $28.50 for the fingerprint service. Applicants may make their payment
online using a credit or debit card. Money orders or cashiers checks payable to Cogent
Systems will be accepted on site for those applicants who do not have the means to pay
electronically. No cash transactions or personal checks are allowed.
3. The applicant proceeds to the fingerprint site of their choice. Locations of fingerprint sites and
hours of operation are posted on Cogent Systems’ Web site at
http://www.pa.cogentid.com/index.htm. The location of fingerprint sites may change over time;
applicants are encouraged to confirm the site location. UPS will manage the fingerprint
collection process.
4. Once the fingerprinting has been completed, volunteers may give the school the 15 digit PAE
Registration number to acquire faster results.
Online Virtus Training Instructions

To reach the online training, go to the Diocesan web site (www.dioceseofgreensburg.org), by
clicking on “Protecting God’s Children” which is at the bottom of the navigation column on the left
of the page and then clicking on “VIRTUS”.

This will take you to the VIRTUS on-line training instructions. When you register, you will be
directed to the Code of Pastoral Conduct first. Once you have read the Code you can click on
the acknowledgement bar and continue on to the training. If you have already read the code and
signed the acknowledgement letter previously, you can click on the bar to continue.

Once you register and begin the on-line training you have a two-week window in which to
complete the training. You may stop and go back to where you left off any time during the
training but if it isn’t completed in the two-week window you will have to start over again.

On-site training is also available. Follow the above instructions and select the desired site to
complete the training in person.
23
24
25
Diocese of Greensburg
Acknowledgement of Receipt of the Code of Pastoral Conduct
(Diocesan Copy)
In accord with my role as Church personnel, and in witness to the Gospel of Jesus Christ, I will
conduct myself with integrity, acting in a manner that is consistent with the discipline and teachings
of the Catholic Church. I will guide my behavior by civil and canon law, by the policies of the
Diocese of Greensburg and by the Code of Pastoral Conduct by…
1. Respecting the rights of each person and advancing his or her welfare during the course of
counseling, advising or spiritual direction.
2. Holding in the strictest confidence information disclosed during the course of counseling,
advising or spiritual direction.
3. Maintaining an open and trustworthy relationship when working with youth, free from
inappropriate behavior that would put them at risk.
4. Honoring the trust placed in Church personnel by not exploiting others for sexual gain or
intimacy.
5. Providing a professional work environment that is free from physical, psychological, written or
verbal intimidation or harassment.
6. Maintaining confidentiality in creating, storing, accessing, transferring and disposing of Church
records.
7. Avoiding situations that might present a conflict of interest.
8. Reporting to proper authorities my own ethical or professional misconduct and the misconduct of
others.
9. Treating Church personnel justly in the day-to-day operations of work and ministry.
10. Being responsible for my own spiritual, physical, mental, and emotional health.
I HAVE CAREFULLY READ, UNDERSTAND, AND HEREBY COMMIT TO CONDUCTING
MYSELF IN ACCORD WITH THE DIOCESAN CODE OF PASTORAL CONDUCT.
______________________________
______________________________
(Name)
(Pastor/Supervisor Name)
___________________________________
(Position)
____________________________________
(Director of the Office of Human Resources)
______________________________
(Parish/School/Diocesan Office) (Date)
PLEASE RETURN THE ORIGINAL (DIOCESAN COPY) SIGNED IN BLUE INK TO THE DIOCESE
AND KEEP THE OTHER COPY FOR YOUR RECORDS.
26
Diocese of Greensburg
Acknowledgement of Receipt of the Code of Pastoral Conduct
(Personal Copy)
In accord with my role as Church personnel, and in witness to the Gospel of Jesus Christ, I will
conduct myself with integrity, acting in a manner that is consistent with the discipline and teachings
of the Catholic Church. I will guide my behavior by civil and canon law, by the policies of the
Diocese of Greensburg and by the Code of Pastoral Conduct by…
1. Respecting the rights of each person and advancing his or her welfare during the course of
counseling, advising or spiritual direction.
2. Holding in the strictest confidence information disclosed during the course of counseling,
advising or spiritual direction.
3. Maintaining an open and trustworthy relationship when working with youth, free from
inappropriate behavior that would put them at risk.
4. Honoring the trust placed in Church personnel by not exploiting others for sexual gain or
intimacy.
5. Providing a professional work environment that is free from physical, psychological, written or
verbal intimidation or harassment.
6. Maintaining confidentiality in creating, storing, accessing, transferring and disposing of Church
records.
7. Avoiding situations that might present a conflict of interest.
8. Reporting to proper authorities my own ethical or professional misconduct and the misconduct of
others.
9. Treating Church personnel justly in the day-to-day operations of work and ministry.
10. Being responsible for my own spiritual, physical, mental, and emotional health.
I HAVE CAREFULLY READ, UNDERSTAND, AND HEREBY COMMIT TO CONDUCTING
MYSELF IN ACCORD WITH THE DIOCESAN CODE OF PASTORAL CONDUCT.
______________________________
______________________________
(Name)
(Pastor/Supervisor Name)
___________________________________
(Position)
____________________________________
(Director of the Office of Human Resources)
______________________________
(Parish/School/Diocesan Office) (Date)
PLEASE RETURN THE ORIGINAL (DIOCESAN COPY) SIGNED IN BLUE INK TO THE DIOCESE
AND KEEP THE OTHER COPY FOR YOUR RECORDS.
27
Sudden Cardiac Arrest Education and Information
What is sudden cardiac arrest?
Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens,
blood stops flowing to the brain and other vital organs. SCA is NOT a heart attack. A heart attack may cause
SCA, but they are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart.
SCA is a malfunction in the heart’s electrical system, causing the heart to suddenly stop beating.
If not treated within minutes, SCA results in death. The normal rhythm of the heart can only be restored with
defibrillation, an electrical shock that is safely delivered to the chest by an automated external defibrillator (AED).
How common is sudden cardiac arrest?
The Centers for Disease Control and Prevention estimate that every year there are about 300,000 cardiac arrests
outside hospitals. About 2,000 patients under 25 die of SCA each year.
Are there warning signs?
Although SCA happens unexpectedly, some people may have signs or symptoms, such as:











dizziness;
lightheadedness;
shortness of breath;
difficulty breathing;
racing or fluttering heartbeat (palpitations);
syncope (fainting);
fatigue (extreme tiredness);
weakness;
nausea;
vomiting; and
chest pains
These symptoms can be unclear and confusing in athletes. Often, people confuse these warning signs with
physical exhaustion. SCA can be prevented if the underlying causes can be diagnosed and treated.
What are the risks of practicing or playing after experiencing these symptoms?
There are risks associated with continuing to practice or play after experiencing these symptoms. When the heart
stops, so does the blood that flows to the brain and other vital organs. Death or permanent brain damage can
occur in just a few minutes. Most people who have SCA die from it. Symptoms are the body’s way of indicating
that something might be wrong. Athletes who experience one or more symptoms should get checked out.
What is the best way to treat Sudden Cardiac Arrest?

Early Recognition of SCA

Early 9-1-1 access

Early CPR

Early Defibrillation

Early Advance Care
28
Act 59 – the Sudden Cardiac Arrest Prevention Act (the Act)
The Act is intended to keep student athletes safe while practicing or playing. The Act requires:

Any student athlete who has signs or symptoms of SCA must be removed from play. The symptoms can
happen before, during or after activity. Play includes all athletic activity.

Before returning to play, the athlete must be evaluated. Clearance to return to play must be in writing. The
evaluation must be performed by a licensed physician, certified registered nurse practitioner or
cardiologist (heart doctor). The licensed physician or certified registered nurse practitioner may consult
any other licensed or certified medical professionals.
I acknowledge that I have reviewed and understand the symptoms and warning signs of SCA.
_________________________________
SIGNATURE
______________________
DATE
29
Concussion Online Training Instructions
1. View the free online course at: www.nfhslearn.com.
2. Once you arrive at the FFHS site, scroll down to the free elective courses and click on the
“Concussion In Sports” link.
3. Click on “Please log in to order”. If you do not have an account, you must register for an
account.
4. Once this is completed, you will need to click to return to the front page and locate the training
again. You will need to confirm that you are a coach in the state of Pennsylvania.
5. You will then need to “Checkout” and complete your purchase of the free training. There will
then be a link to access the course.
6. Next to “Course Name” you should see, “Concussion in Sports-What You Need to Know”, Click
“Begin”. You will be asked to complete a “pre-test”, and following the course, you will complete a
“post-test”.
7. Once the training is completed, you will be able to view and print a certificate of completion
through your “My Homepage” tab at NFHSLearn.com. Click “View/Print”.
30
CODE OF ETHICS FOR CYO COACHES
(November, 2011)
PURPOSE:
The goal of the CYO athletic program is to teach youth about sports, competition and good sportsmanship
consistent with the teachings of the Catholic Church. Coaches shall attempt to motivate athletes to be
exemplary citizens. Coaches are advised to play the game in this spirit with the intent to win, but not at the cost
of humiliation and degradation of any player. The following code of ethics for coaches is established to help
achieve these goals.
ALL COACHES MUST:












Uphold the honor and dignity of her/his position.
Set an example of the highest professional and moral conduct in contact with athletes, coaches,
pastors, referees, athletic directors, school and diocesan administrators, parents, the community, and
WPIAL/PIAA or club association officials.
Not use alcohol or tobacco products when in a coaching or supervising role.
Know and teach the rules of the sport. Both the letter and the spirit of the rules of the game must be
maintained.
Use her/his influence to encourage good sportsmanship and school spirit.
Respect and work in concert with contest officials. Coaches should avoid conduct that may be taken as
criticism of the officials. Coaches must abide by all official’s decisions.
Meet and greet opposing coaches before and after the game, setting a cordial and positive tone for the
athletic event.
Never exert pressure on school staff to give student athletes special consideration.
Be prepared for practice, work to keep communication open between players, parents, and school and
Diocesan administration, and remain unbiased in order to treat all players fairly.
Begin each athletic event with group prayer.
Abide by and enforce all school/parish and Diocesan policies.
Report injuries promptly and exercise great care in dealing with all injuries.
Head Coach/Assistant Coach (Print Name):________________________________________________________
Head Coach/Assistant Coach Signature:___________________________________Date:___________________
School/Parish Program Name:__________________________________________________________________
31
CYO Coaches Checklist
The following items must be submitted, and on file with the school/parish and the Office for Catholic
Schools before any coach is permitted to coach CYO teams at games. Please refer to this checklist as
you submit the necessary information to the school/parish and the Office for Catholic Schools:









PA Criminal History Check
PA Child Abuse History Check
FBI Fingerprint Check
Virtus (Protecting God’s Children-new coaches must complete within six months)
Signed ACT 24 form
Signed Code of Pastoral Conduct
Sudden Cardiac Arrest Sign Off
Concussion Training Certificate of Completion
Signed CYO Code of Ethics For Coaches (only needs completed once)
32
APPENDIX C
PARTICIPANT
INFORMATION
33
Diocese of Greensburg
CYO Consent Form
(October, 2012)
PARENT SECTION
ATHLETE’S NAME _____________________________________BIRTH DATE (MM/DD/YY) __________________
SPORT __________________________________SCHOOL/PARISH _____________________________________
ADDRESS ________________________________________ZIP _________EMAIL__________________________
GRADE ____ AGE _____HOME PHONE ______________________CELL_________________________________
PARISH REGISTRATION _____________________________________ CITY ______________________________
SCHOOL ATTENDING __________________________________________________________________________
PARENT CONSENT:
My daughter/son has my permission to participate in the competitive sports in the Diocese of Greensburg CYO Programs with
__________________________________. I do hereby release and forever discharge the above mentioned team, and/or
parish/school/athletic association or their successors from any/all actions or suits in law or equity which I might hereafter have
by reasons of injuries sustained by my child participating in sports or in transit to or from participation in sports. I also
understand that it is my responsibility to determine my child’s physical and mental readiness to participate in the Diocese of
Greensburg Youth Ministry Athletic Program for this season. By signing this form we agree to abide by the Handbook of
Policies, Rules and Regulations of the Diocese of Greensburg, which has been distributed to each program.
PRINT NAME OF PARENT/GUARDIAN_______________________________________________ DATE ________
SIGNATURE OF PARENT/GUARDIAN _____________________________________________________________
PHYSICIAN SECTION
A physical examination of the athlete by a licensed physician must occur within one year of the athletic year (June 1 through
May 31). The athlete will be ineligible to participate in diocesan sponsored athletics unless the following certification is
executed:
I certify that on ____________, I conducted a physical examination of _____________________________ and I find, to a
reasonable degree of medical certainty that the athlete is physically able to participate in the athletic program named above.
Signature of Licensed Physician __________________________________________________Date _____________
Address of Physician ____________________________________________________Phone __________________
(Parent and Physician): Are there any physical or other restrictive limitation which the team, league, and diocese should be
aware of which might restrict the athlete’s participation in the program? Yes _________ No _______
If yes, specify:
_____________________________________________________________________________________________
ADMINISTRATIVE SECTION
PRINCIPAL’S SIGNATURE (if attending Catholic school)_______________________________________________________
PASTOR/PAROCHIAL VICAR SIGNATURE_________________________________________________________________
( if parishioner, must validate participation in CCD program )
INCOMPLETE FORMS WILL BE RETURNED TO THE COACH. THE ATHLETE WILL BE INELIGIBLE UNTIL THE FORM
IS RECEIVED COMPLETED
34
Athlete/Parent/Guardian Sudden Cardiac Arrest Symptoms
and Warning Signs Information Sheet and
Acknowledgement of Receipt and Review Form
What is sudden cardiac arrest?
Sudden cardiac arrest (SCA) is when the heart stops beating, suddenly and unexpectedly. When this happens blood
stops flowing to the brain and other vital organs. SCA is NOT a heart attack. A heart attach may cause SCA< but they
are not the same. A heart attack is caused by a blockage that stops the flow of blood to the heart. SCA is a
malfunction in the heart’s electrical system, causing the heart to suddenly stop beating.
How common is sudden cardiac arrest in the United States?
There are about 300,000 cardiac arrests outside hospitals each year. About 2,000 patients under 25 die of SCA each
year.
Are there warning signs?
Although SCA happens unexpectedly, some people may have signs or symptoms such as:
- Dizziness
- Lightheadedness
- Shortness of breath
- Difficulty breathing
- Racing or fluttering heartbeat (palpitations)
- Chest pains
- Syncope (fainting)
- Fatigue (tiredness)
- Weakness
- Nausea
- Vomiting
These symptoms can be unclear and confusing in athletes. Often, people confuse these warning signs with physical
exhaustion. SCA can be prevented if the underlying causes can be diagnosed and treated.
What are the risks of practicing or playing after experiencing these symptoms?
There are risks associated with continuing to practice or play after experiencing these symptoms. When the heart
stops, so does the blood that flows to the brain and other vital organs. Death or permanent brain damage can occur in
just a few minutes. Most people who have SCA die from it.
ACT 59 – The Sudden Cardiac Arrest Prevention ACT (the ACT)
The act is intended to keep student-athletes safe while practicing or playing. The requirements of the act are:
Information about SCA symptoms and warning signs.


Every student-athlete and their parent or guardian must read and sign this form. It must be returned to the
school before participation in any athletic activity. A new form must be signed and returned each school year.
Schools may also hold informational meetings. The meetings can occur before each athletic season. Meetings
may include student-athletes, parents, coaches, and school officials. Schools may also want to include
doctors, nurses, and athletic trainers.
35
Removal from play/return to play


Any student-athlete who has signs or symptoms of SCA must be removed from play. The symptoms can
happen before, during or after activity. Play includes all athletic activity.
Before returning to play the athlete must be evaluated. Clearance to return to play must be in writing. The
evaluation must be performed by a licensed physician, certified registered nurse practitioner or cardiologist
(heart doctor). The licensed physician or certified nurse practitioner may consult any other licensed or certified
medical professionals.
I have reviewed and understand the symptoms and warning signs of SCA.
_____________________________
Signature of Student-Athlete
_____________________________
Signature of Parent/Guardian
__________________________
___________
Print Student-Athlete’s Name
Date
_________________________
Print Parent/Guardian’s Name
36
__________
Date
UNDERSTANDING OF RISK OF CONCUSSION AND TRAUMATIC BRAIN INJURY
What is a concussion? A concussion is a brain injury that:
Is caused by a bump, blow, or jolt to the head or body.
Can change the way a student’s brain normally works.
Can occur during Practices and/or Contests in any sport.
Can happen even if a student has not lost consciousness.
Can be serious even if a student has just been “dinged” or “had their bell rung.”
All concussions are serious. A concussion can affect a student’s ability to do schoolwork and other activities (such as
playing video games, working on a computer, studying, driving, or exercising). Most students with a concussion get
better, but it is important to give the concussed student’s brain time to heal.
What are the symptoms of a concussion?
Concussions cannot be seen; however, in a potentially concussed student, one or more of the symptoms listed below
may become apparent and/or that the student “doesn’t feel right” soon after, a few days after, or even weeks after the
injury.
Headache or “pressure” in head
Nausea or vomiting
Balance problems or dizziness
Double or blurry vision
Bothered by light or noise
Feeling sluggish, hazy, foggy, or groggy
Difficulty paying attention
Memory problems
Confusion
What should students do if they believe that they or someone else may have a concussion?
Students feeling any of the symptoms set forth above should immediately tell their Coach and their parents.
Also, if they notice any teammate evidencing such symptoms, they should immediately tell their Coach.
The student should be evaluated. A licensed physician of medicine or osteopathic medicine (MD or DO),
sufficiently familiar with current concussion management, should examine the student, determine whether the student
has a concussion, and determine when the student is cleared to return to participate in interscholastic athletics.
Concussed students should give themselves time to get better. If a student has sustained a concussion, the
student’s brain needs time to heal. While a concussed student’s brain is still healing, that student is much more likely to
have another concussion. Repeat concussions can increase the time it takes for an already concussed student to
recover and may cause more damage to that student’s brain. Such damage can have long term consequences. It is
important that a concussed student rest and not return to play until the student receives permission from an MD or DO,
sufficiently familiar with current concussion management, that the student is symptom-free.
How can students prevent a concussion? Every sport is different, but there are steps students can take to protect
themselves.
Use the proper sports equipment, including personal protective equipment. For equipment to properly protect a
student, it must be:
The right equipment for the sport, position, or activity; Worn correctly and the correct size and fit; and used every time
the student Practices and/or competes.
Follow the Coach’s rules for safety and the rules of the sport.
Practice good sportsmanship at all times.
If a student believes they may have a concussion: Don’t hide it. Report it. Take time to recover.
I hereby acknowledge that I am familiar with the nature and risk of concussion and traumatic brain injury while
participating in interscholastic athletics, including the risks associated with continuing to compete after a concussion or
traumatic brain injury.
Student’s Signature
_________________________________________________________________________Date____/____/_____
I hereby acknowledge that I am familiar with the nature and risk of concussion and traumatic brain injury while
participating in interscholastic athletics, including the risks associated with continuing to compete after a concussion or
traumatic brain injury.
Parent’s/Guardian’s Signature
__________________________________________________________________________Date____/____/____
37
APPENDIX D
SCHEDULING
DOCUMENTS
38
39
40
41
42
Basketball
Season Record Sheet
(July, 2013)
Team Name:____________________________________
School/Parish:___________________________________
Today’s Date:____________
Season Record:______________
Person Completing Report:_________________________
Date
Opponent
Final Score
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
43
W or L
Volleyball
Season Record Sheet
(July, 2013)
Today’s Date:__________________________
Team Name:__________________________________
School/Parish:____________________________
Season Record:_________________
Person Completing Report:__________________
Date
Opponent
Games Won
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
44
Games Lost
Updated July 9, 2014