1. sports

Metropolitan School District of Pike Township
Pike
Youth Sports
Coaches Manual
2014-2015
Pike Youth Sports Coaches Manual
Table of Contents
Purpose………………………………………………………………………………………………………………….
Human Dignity Policy………………………………………………………...................................................
Athletic Articulation Plan ……………………………………………………………………………………………
Pike Youth Sports and MSD of Pike Administration……………………………………………………………
Administrative Guidelines for Athletic Staff……………………………………………………………………..

Conduct………………………………………………………………………………………………………

Team Rules and Agreements……………………………………………………………………………

Contact with Student Athletes…………………………………………………………………………..

Transportation………………………………………………………………………………………………

Facilities………………………………………………………………………………………………………

Team Meals and Social Activities……………………………………………………………………….

Legal Compliance…………………………………………………………………………………………..
Coach Profile Update……………………………………………………………………..................................
Discipline Protocol for Athletic Personnel……………………………………………………………………….
Pike Youth Sports Program Administration……………………………………………………………………..
Coaching Responsibilities…………………………………………………………………………………………..
Pre- Season Coaching Duties ………………………………….…………………………………………………..
In-Season Duties (Coaching Responsibilities)…………………………………………………………………..
Post-Season Duties (Coaching Responsibilities)……………………………………………………………….
Parent/Guardian and Coach Conferences……………………………………………………………………….
Parent/Guardian and Player Code of Conduct …………………………………………………………………
Player Code of Conduct ………………………………………..…………...................................................
MSD of Pike Township Athletic Key Registration ………………………………………………………………
Poor Weather Cancellation Policy ………………………………………………………………………………..
Poor Weather Cancellation Contact Chart………………………………………………………………………
Health Precautions ……………………………………………………………..……………………………………

Prevent Heat Injury ………………………………………………………………………………………..

Heat Index Information and Chart ………………………………………………………………………

Concussion ………………………………………………………………………………………………….
1. Definitions………………………………………………………………………………………………
2. Concussion/Head Injury Information and Acknowledgement……………………………….
3. Reporting Requirements…………………………………………………………………………….
4. Heads Up Concussion Fact Sheet for Athletes and Parents ……………………...............
5. Concussion Acknowledgement and Signature Form………………………………………….
Patron Behavior and Expectations ……………………………..………………………………………………...
Sportsmanship ………………………………………………………………………………………………………..
MSD of Pike Township Accident Report …………………………………………………………………………
Athletic Facility Use Application Process………………………………………........................................
Athletic Facility Use Best Practices ……………….. ……………………………………………………………
Pike Youth Sports Coaching and Volunteer Application and Agreement …………………………………
Youth League Coaches Acknowledgment and Signature Form……………………………………………..
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PURPOSE
The purpose of this handbook for coaches is to provide a guide for a
more effective, cohesive, and uniform coaching operation throughout the
Pike Youth Sports programs in the Metropolitan School District of Pike
Township. These written guidelines, provide the clear understanding of
Pike Youth Sports requirements for coaching.
Pike Youth Sports believes that the mental, physical, and emotional
growth of students is greatly enhanced by participating in a welldeveloped athletic program. Well-defined and properly explained
policies in this coach’s manual will aid coaches in placing athletics in
proper perspective within the total educational program of Pike
Township, including the high school, middle and elementary schools.
Finally, all Youth League coaches must realize that they are trusted
volunteers and supervisors and that athletics is a part of the MSD of Pike
Township educational process. Effective coaching and leadership in the
athletic program will result from dedicated, honest, and planned efforts
in teaching the Pike student-athlete.
Provisions contained in Pike Township’s athletic handbooks are subject to any updates to the District
Parent/Student Handbook, school board policy, and applicable law.
3
HUMAN DIGNITY POLICY
The Metropolitan School District of Pike Township (“Pike Township”)
has a diverse, multicultural school community; a fact the Board of
Education considers an asset and a source of pride and enrichment. This
diversity, however, underscores the importance of sensitivity to the
backgrounds, feelings, and concerns of students and community
members and of meeting the moral imperative of an equal opportunity
society free of prejudice and discrimination.
Pike Township believes it is part of our mission to provide a positive,
orderly and harmonious environment in which respect for the dignity
and worth of every member of the school community is recognized and
promoted. The Board of Education believes that all employees,
parents/guardians and students are entitled to be treated and are
obligated to treat others with courtesy, fairness and decency. Only
through the commitment and ongoing attention of each of us to a safe,
caring and supportive atmosphere can we expect to achieve our
objective of enabling all of our students to achieve their maximum
potential as students, citizens and productive members of society.
Accordingly, in this school district, statements or behaviors by any
member of the school community which insult, degrade, harass, or
stereotype any other person on the basis of race/color, gender/sex,
disability, socioeconomic background, ethnic or national origin, or
religion, is unacceptable.
Nathaniel Jones, Ed. S.
Superintendent of Schools
Note:
Violation of this policy will be reported to district administrators.
4
PIKE TOWNSHIP ATHLETIC ARTICULATION PLAN
Mission Statement
The MSD of Pike Township believes in providing all students the opportunity for mental,
physical and emotional growth through participation in a well-developed athletic program. The
athletic program is based upon active articulation involving the high school and the three middle
schools. The administration, coaches and staff will work together to ensure that the athletic
program supports and enhances the educational philosophy of Pike Township.
I.
Sportsmanship
MSD of Pike Township is committed to
athletic competitions. Sportsmanship is
generosity and genuine respect for others.
cooperation of athletes, coaches, officials,
spectators is expected.
II.
the practice of sportsmanship in all
positive behavior that stems from
Sportsmanship is a team effort. The
administrators, students, parents, and
Plan of Articulation
A.
High school head coaches will provide the Pike Youth Sports Youth
League Director/Administrator with an articulation strategic plan for their
sport. It will include a line of communication with all middle and
elementary school, and community coaches in their sport. The plan will
include a written manual of overall scope and progressive sequences.
B.
The high school head coach is responsible for setting up sport-specific
meetings, communicating dates and time for the meetings, as well as for
providing guidelines for sports conduct in Pike Township. Meetings are to
be conducted three times a year: pre-season, in-season, and post-season.
C.
The high school coach will provide information for clinics and camps for
coaches and student-athletes. All coaches will promote and support
continued development of athletes and coaches.
D.
The middle school athletic directors will exchange with the high school
athletic director’s game and practice schedules. The athletic directors will
then in turn provide information to their coaches.
When possible, elementary and community league coaches will provide
practice and competition schedules directly to middle and high school
coaches.
E.
The high school head coaches and staff will attend some middle school
competitions and practices. High school and middle school coaches will
make efforts to visit elementary and community league practices and
competitions.
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G.
Special visitation and recognition days, tournaments, parent meetings, and
other special programs will be conducted collaboratively between the high
school, middle and elementary schools, and community leagues to
encourage and promote loyalty and pride in Pike Township athletic
programs.
H.
It is the responsibility of all the Pike Township coaches and support staff
to cooperate with the above guidelines.
I.
Head Coaches will prepare and review compliance with the District’s
Articulation/Strategic Plan annually with Pike Youth Sports.
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Pike District Administration and Youth Sports
District Administration and Youth Sports Contacts
James Perkins, Jr., CAA, Director of Wellness, Fitness & Sport
[email protected]
347-8611 (office)
716-5432 (cell)
Diyawnne Farris, Secretary, Dept. of Wellness, Fitness & Sport
[email protected]
347-8624 (office)
Dr. Larry Young, Director of Student and Community Services
[email protected]
387-2559 (office)
Derrick Wilkerson, MSM, Youth League Coordinator
[email protected]
387-2624
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GUIDELINES FOR
PIKE YOUTH SPORTS COACHES AND VOLUNTEERS
In order to insure that athletic programs and facilities are presented to students and parents with
efficiency, safety, and security, the administration of PYS requires the following of all coaching
staff:
Coaches may be suspended and/or dismissed from coaching responsibilities
immediately if found in violation of any of these Pike Youth Sports rules.
CONDUCT
1. Coaches must be present and supervise all practices and competitions during their
official sport season.
2. Coaches are not to use inappropriate (as defined by the District) language, contact
or behavior at any time in the presence of students, parents, and staff.
Inappropriate language, contact, and or behavior involving athletes or staff will be
cause for immediate suspension and/or dismissal from all coaching responsibilities
for MSD of Pike Township. Coaches must be professional at all times in the
presence of athletes, parents, and staff.
3. Coaches are to dress appropriately at all times when working with athletes.
4. Wireless Communication Devices (cell phones), I-Pads, headphones and other electronic
devices should only be used during practices and competitions for professional purposes.
Your complete attention to athletes during organized activity is required.
5. Coaches who bully athletes will not be tolerated. Athletes should not be verbally or
physically harassed, berated, or abused in any way by a coach, another athlete or any
parents.
TEAM RULES AND AGREEMENTS
1. All team rules or agreements for any specific team or individual athlete must be preapproved by Pike Youth Sports or the Youth League Director before presentation or
implementation.
2. Any written and signed agreements between coaches and athletes/parents, must be kept
on file in the office of Pike Youth Sports or the Youth League Director..
3. A written record is to be maintained and made available upon request by Pike Youth
Sports, of any infraction of team rules and any resulting action in response to the
infraction.
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CONTACT WITH STUDENT ATHLETES
1. Contact between coaches and student athletes must be specific to your responsibilities in
preparing an athlete for play or during competition, in and out of the practice/competition
facility, or in the support of academics and character development.
2. Electronic contact (cell phones, text messaging, e-mails, social pages, blogging, etc.)
between student athletes and coaches must be professional and specific to the
development of the student athlete. Coaches are not to become involved in personal
relationships with student athletes. Parent/Guardians must always be made aware of
electronic contact between coaches and athletes.
3. When using wireless communication devices to contact athletes, coaches must contact all
athletes simultaneously. Coaches are not to use wireless communication devices to
contact individual athletes.
4. Coaches are to keep a written record to be made available upon request from Pike Youth
Sports or League Directors, of contact made by wireless communication devices to
athletes, such as cell phone lists, e-mail addresses, social networking, sites, etc.
5. Coaches are to conduct all meetings and special activities in a public place. Appropriate
supervision must be in place during every activity. All activities must be pre-approved
by the league director
6. Any team or individual athletic activity not conducted on MSD Pike Township property,
such as camps, all-star teams, post season tournaments, community events, etc. must be
approved by the league director and appropriate supervision must be in place.
TRANSPORTATION
1. Pike Youth Sports and the MSD of Pike Township personnel will not be responsible for
transportation of athletes participating in Pike Youth Sports Leagues. No paid staff
member or official volunteer of MSD of Pike Township is allowed to transport children
for athletic purposes.
2. Coaches are not to transport students for any reason in their personal vehicle. If you do,
this is done at your own risk and without approval from Pike Youth Sports.
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FACILITIES
Coaches are permitted to use Pike athletic facilities for the purpose of training Pike athletes
during the approved in advance official season, conditioning camp, clinic workshops, or open
facility sessions. Facility use must always be scheduled through the Pike Sport League director.
However these additional requirements must be enforced when using a Pike facility. Pike Youth
League Coaches will not have key access to MSD of Pike sport facilities:
1. Coaches must be present and supervise during the entire use of the facility
2. Athletes and coaches must be properly dressed at all times during the use of the
facility
3. Inappropriate, as defined by the District, language, contact, or behavior is not
allowed during the use of a Pike facility
4. The MSD of Pike Township is not responsible for personal cell phones, IPods, and
other electronic devices brought onto the property or into a Pike facility. Coaches
must inform all athletes and parents that MSD of Pike Township is not responsible
for their personal valuables.
5. Alcohol, Tobacco, Drugs, or any other illegal and not prescribed drug, are not
allowed on MSD of Pike Township properties.
6. Food, Drink, Food/Drink containers are restricted from the practice and contest
areas. Inside the stadium water bottles, water coolers, and replacement fluids are
the only exceptions.
7. All legal parking requirements must be followed without exception.
8. Speeding is not allowed on MSD of Pike Township properties.
9. Tailgating, open grill, open fire cooking is not allowed on MSD of Pike township
properties.
10. You are to clean up any area of use on MSD of Pike Township properties.
These guidelines reflect the direct intent of the policies as established by the MSD
of Pike Township School Board for the overall safety and protection of all
students and staff. (The privilege of using MSD of Pike facilities can be
immediately revoked at any time.)
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TEAM MEALS AND SOCIAL ACTIVITIES
1. Team meals and social activities are voluntary and cannot be made a mandatory
activity for team members. (In the case of meals, players may provide food to eat
for themselves only). Team meals and social activities at MSD of Pike facilities
must be approved by the league director.
2. Athletes are not to receive discipline from coaches if athletes choose not to
participate in a team meal plan or social activity.
3. Coaches must provide written explanation in advance to athletes and parents of
planned meals or social activities. Parent must be provided a written opportunity
to agree or decline participation in meal plans and/or social activities.
4. All meal plans and social activities involving student athletes on MSD of Pike
Township property must be approved by the league director or Pike Youth Sports.
LEGAL COMPLIANCE
1. Compliance with District Policies, Guidelines, and Administrative Rules are
mandatory for all athletic personnel in Pike Youth Sports. Volunteer positions
such as coaches, athletic administrators, secretaries, and other support positions in
Pike Youth Sports are subject to immediate suspension when violations have been
determined.
2. In the event that the actions of coaches or volunteers cause any legal concerns, the
league director must report to the Director of Wellness, Fitness and Sport or Pike
Youth Sports as soon as it is possible.
3. Any instruction given to a Pike Youth Sports Athletic Staff member regarding
legal concerns, the staff member is to give complete compliance.
4. All Staff, administrators, coaches and volunteers must agree to comply with all
written and unwritten rules.
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Pike Youth Sports Athletic Program
COACH PROFILE
(update annually)
Name: _________________________________ Date Profile Update Completed: ___________
Coaching Position: _____________________________ School: ___________________________
Number of Years in Current Position: _________
Total Number of Years Coaching in
Pike Township: _______
Licensed Teacher: YES NO
Teaching Position: __________________________________
School: ________________________
Teaching License Held: ________________________________ License Number: ___________
Current Employment if Not Teaching: _______________________________________________
Title: ________________________________________ Years in Position: ____________________
CONTACT INFORMATION
Home Address: _______________________________________________________________
STREET ADDRESS
CITY
ZIP CODE
Home Phone: _______________ Work Phone: ___________ Cell Phone: ______________
Home e-mail: _______________________ Work e-mail: _____________________________
Please list any new coaching accomplishments or any new coaching awards or
recognition you have received:
__________________________________________________________________________________
__________________________________________________________________________________
List any coaching certification program, any general or sport-specific coaching classes,
or any CPR or first aid training completed since the last profile update (attach a copy of
any coaching, CPR, AED, or first aid certificate):
___________________________________________________________________________________
___________________________________________________________________________________
Please list any coaching clinics, seminars, workshops, etc. that you attended during the
past year:
____________________________________________________________________________________
____________________________________________________________________________________
(Attach copy of teacher’s license, coach certification document or any new certificate)
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Discipline Protocol for Athletic Personnel
In the event and on the occasion that a member of the athletic staff i.e.: head coaches, assistant
coaches, athletic administrators, athletic trainers, adult managers, any paid or volunteer persons
involved in the conduct and/or supervision of activities and students involved in sport programs
in MSD of Pike Township, is alleged or found to be involved in misconduct and or violations of
policies of MSD of Pike Township, Pike Youth Sports, and the Pike Township Athletic
Department Guidelines, the following procedures will be followed and implemented accordingly,
to the determined severity of the misconduct:
1. Any suspicion or concern that a violation has occurred must be reported to the
appropriate administrator.
2. Upon report or discovery of a violation an immediate investigation will be conducted.
3. In the event a violation is confirmed, and dependent on the severity of the violation, the
following procedures for discipline shall be used:
a. Any violation of legal statues shall be reported to the appropriate Pike
Administrator immediately.
Legal authorities will be notified by Pike
administration.
b. Violators of school and or athletic policies and guidelines may receive one of the
following disciplinary actions:
 One - Documented verbal reprimand
 Two - Written reprimand and possible suspension (written report for
official file)
 Three - Suspension from duties for a designated period and/or termination
(report provided for the official file)
4. In the event of any violation of legal statutes, MSD of Pike Township policies, a Pike
Youth League Sports Coach will be suspended immediately pending an investigation.
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PIKE YOUTH SPORTS ATHELTIC PROGRAM ADMINISTRATION
Coaches In-Service Training

Head coaches and assistant coaches are required to attend an annual coaches training
session produced by the MSD of Pike Township. This session is will be similar to the
annual in-service training seminar conducted by Director of Wellness, Fitness and Sport
Mr. James Perkins. In some cases the seminar may be presented to coaches with a DVD
or on line.
Coaches Certification




Coaches are expected to become certified in the sport or sports that they intend to
coach. Certification provides proof that they have learned the basic fundamentals of
what it takes to be an effective youth sports coach. We have listed a group of
organizations which specialize in providing teaching tools and certification for youth
coaches in a variety of sports including Baseball, Basketball, T-Ball, Football, Flag
Football, Softball, Cheerleading, Soccer, Volleyball, Inline Hockey, Ice Hockey, Boys
Lacrosse and Girls Lacrosse.
National Youth Sports Coaching Association
http://www.nays.org/Coaches/Initial_Level_Membership.cfm
USA Football
http://usafootball.com/coach
USA Swimming
http://www.usaswimming.org
Volunteer Coaches
Volunteer Coaches are very valuable to the Pike Township athletic program. Volunteers that
serve as coaches or have regular contact with students must be background checked. Volunteers
placed in positions of final authority or decision-making must follow all rules, regulations,
policies, requirements, and guidelines in the Pike Youth Sports Coaches Manual and be
committed to compliance.

To create a desire to succeed and excel.

To develop high ideals of fairness.

To practice self-discipline and emotional maturity in learning to make decisions
under pressure.
To be socially competent and to operate within a set of rules, thus gaining a respect
for the right of others.
To provide skills and knowledge in individual sport areas which will enable players
to compete at the next higher level of sport.



To encourage, assist, and guide students in the acquisition of college scholarships
or financial aid through athletic ability so they might obtain the education that
would assist them in their future positive contribution to society.
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IMPORTANT COACHING RESPONSIBILITIES
Pre-Season Duties
A.
Coaches will meet with league director and discuss Pike Youth Sports goals and rules.
B.
Check all equipment for safety and prepare it for use and distribution
C.
Delegate responsibility to the assistant coaches and instruct them as needed.
D.
Be sure your certifications and background check are updated annually or as required.
E.
Football Coaches: Must meet all standards for coaching football as required by state
law.
F.
Promote good health and good sportsmanship of players in your charge and primarily be
responsible for the conduct of players under your supervision at practice, at contests and
whenever the team is in public as a team. Know proper safety precautions, emergency
procedures.
G.
Adhere to Pike Youth Sports program policies, to school board regulations and policies,
to established rules of the sport, and to applicable law.
H.
Adhere to school and district policies regarding security.
I.
Conduct self at all times in an ethical manner and a manner consistent with good
sportsmanship, self-control, pose, professionalism, and according to the legal statues of
Indiana regarding adults that have responsibility over children.
J.
Plan and administer staff responsibilities, staff plans, seasonal plans, and strategic plans
for the sport.
K.
Works with middle school coaching staff, and athletic directors, elementary school
designees, and youth league sports director, in an effort of conformity in articulation
between the district sport programs.
L.
Practice appropriate acceptable verbal, written, and electronic communication to all
involved in the Pike Township athletic program: team members, parents/guardians,
fellow coaching staff members, high school and middle school coaching staff members,
athletic directors, district athletic director, youth league leaders and coaches, opposing
coaches and team members, and elementary school staff.
M.
Hold a pre-season parents’ meeting to explain all team expectations rules, school and
district policies.
N.
Ensure team members know and understand team rules and school policies established
by the coach and Pike Youth Sports.
O.
Practice appropriate acceptable verbal, written, and electronic communication to all
involved in the Pike Township athletic program: team members, parents/guardians,
fellow coaching staff members, high school and middle school coaching staff members,
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athletic directors, district athletic director, youth league leaders and coaches, opposing
coaches and team members, and elementary school staff.
P.
Performs duties as related to his/her coaching assignment as designated by the building
principal, the school-based athletic director, the district athletic director, and the
Superintendent.
Q.
Hold a pre-season parents’ meeting to explain all team expectations rules, school and
district policies. This meeting is mandatory and should be in conjunction with the predetermined athletic director/coach/parent/athlete handbook meeting.
R.
Ensure team members know and understand team rules and school policies established
by the coach and school district.
S.
Coaches are to implement a plan of Zero Tolerance for trash talk, inappropriate
language, or unsportsmanlike conduct from student athletes at all times.
T.
Coaches must create an environment within the sport free from any form of harassment:
physical, sexual, psychological, or electronic. Harassment, bullying, or initiating
aggressive behavior must be reported to administrators or district social workers
immediately.
In-Season Duties
A. Team Supervision
1. Presents information about the inherent risks of the sport at this
parent/guardian meeting.
2. Requires team participants and their parents to sign a statement
acknowledging that they have been informed of the risks associated with
participation in that sport and that they understand and are willing to accept
the risk.
3. Discusses at the parent/guardian meeting the importance of team participants
reporting injuries to a member of the coaching staff and to a team trainer.
4. Distributes printed practice/contest schedules at the parent/guardian meeting.
5. Presents, verbally and in writing, team rules and expectations and
consequences for infractions at parent/guardian meeting. Explains school
and district policies.
6. The coach in charge of each athletic practice, contest, or other activity is
responsible for team members from the time they first arrive on site
until they leave the school at the conclusion of the activity.
7. The coach must not leave until all team members have departed from
the school. The coach is responsible for securing the area utilized for the
activity. Coaches must see the last athlete leave the property. Note anything
unusual. There must be an adequate number of coaches present during
16
practices and competitions. Never leave athletes unattended, including
locker room, weight room, or waiting for transportation.
8. Coaches must actively supervise, in person, all team members before, during,
and after, official transportation to and from any team event or activity. All
coaches must ride the bus with the students.
9. Be a good role model for students who watch, emulate, and admire. Also
serve as a moral example.
10. Demonstrates to the players and fans at all levels that coaches and officials
will work together to improve the game.
11. Prepare and use a written daily practice plan that outlines techniques and
skills to be taught.
B.
Practice Schedules
1.
Starts practice on the designated starting date.
2.
Coaches must provide the athletic director with dates and times requested
for practices so facility times can be set. Any special request of facility
times must be made to the athletic director. Facility usage must be
specific to your sport. Priority use will be determined by athletic
directors. First priority use is for in-season sports; 2nd priority use is next
following season.
3.
In addition to parents, a practice calendar needs to be made and a copy
given to each player, all assistant coaches and the league director.
4.
Be prompt and prepared at all practice sessions.
5.
Choose managers and assign them duties to aid the operation of the team
and the total athletic department. Managers must dress appropriately for
practices and competitions. Managers must be approved by the league
director or Pike Youth Sports. .
6.
Evaluates the season and make recommendations for next year.
7.
8.
Attends all coaches meetings and in-service trainings each year.
Attends clinics as time and resources allow.
9.
No formal or informal meeting or practice is permitted at Pike facilities on
Sunday.
10.
When weather conditions force the closing of schools or other dangerous
conditions exist, all contests and practices will be canceled, unless the
athletic director approves their proceeding, after consulting with district
administrators. Coaches should have team lists available with contact
numbers if needed. When threatening weather is present during outdoor
events, cancel or postpone practices and any other outdoor activities.
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Take students to safety shelter indoors. Do not release students until
threatening weather has passed.
Post-Season Duties
A.
Within one week of the conclusion of every season and every level, 9th, JV, and
Varsity, the coach is to turn in to the league director or Pike youth Sports office::
1. Awards List—your team awards are printed from the list. If you spell
a name incorrectly or leave a name off, the error will be on the awards
given to you for the awards program. Check certificates before the
banquet to be sure names are spelled correctly. Be sure to list your
managers. Be sure to list any awards you will be presenting during the
awards program. Be sure to list honors received by your athletes such
as all-conference.
2. End of Season Report. This is due one week after your season is over.
List any championship won and any outstanding achievements by a
player, such as the most points scored in a game, high scorer for the
season, etc. These reports need to be accurate as they become the
history of the league.
3. Inventory. This is helps the league director keep track of equipment
issued at the start of the season. This is due one week after your
season is over. Please put on the inventory where everything is stored.
4. Awards Night information.
B.
Head Coaches must participate in a post season survey where they provide
feedback on the operation of the league. Head coaches should also set up a time
to meet with the league director to review their evaluations. Any concerns or
needs for the team should be shared at this time.
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PARENT/GUARDIAN AND COACH CONFERENCES
There are some situations where a conference between a coach and parent/guardian is warranted.
These are encouraged as a means of good communication and as a way to clear understanding of
the other’s position. When a parent/guardian feels that a conference is necessary, he or she
should call to set up an appointment with the coach. Parent/guardian should not attempt to
confront a coach before, during, or after a practice or contest. These can be highly emotional
times for both the parent/guardian and the coach. Additionally, coaches are responsible for the
proper supervision of all team members at these times and should not be distracted from these
duties. Meetings are usually best held at another time. Please make an appointment!
Note:
The league director or PYS administrator or his or her designee, at his or her discretion,
may intervene on behalf of any Pike Township athlete or assist in the resolution of an
athletic issue; however, it is recommended that the following guidelines are the most
efficient means to resolve athletic issues.
What if a meeting with a coach does not provide a satisfactory resolution?

Call the league director to have a phone conference or to set up an appointment.
The director of each league should be the person most knowledgeable about all
aspects of any athletic issue and is thus the person best situated to help bring
about resolution in a timely manner.

If a satisfactory resolution is not acceptable to all parties, the following steps may
be taken.

Appeal to league board of directors.

Appeal to Pike Youth Sports Administrator for assistance with issue resolution.

Appeal to MSD of Pike Director of Wellness, Fitness and Sport.
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Parent/Guardian Code of Conduct

Realize that a ticket is a privilege to observe a contest and support school
activities.
It is not a license to verbally assault anyone or act in an outrageous manner.

Realize that athletics are part of the educational experience and that the benefits
go beyond the final score of the contest.

Respect the decisions made by the officials and learn the rules of the game to
better understand their decisions.

Participate in positive cheers and refrain from those that take away from the spirit
of the contest.

Respect and support the task the coaches have in teaching the athletes.

Respect the opponents as students and acknowledge them for striving to do their
best.

Be a parent your child would be proud of. Be a fan, not a fanatic!
Parent Signature: ________________________________ Date: _________________________
Player Code of Conduct
By signing this pledge, I commit to be positive about my youth sports experience and accept
responsibility for my participation by following the Payer’s Code of Conduct:















I deserve to have fun during my sports experience and will alert parents and
coaches if it stops being fun!
I deserve to play in an environment that is drug, tobacco, and alcohol free.
I will encourage good sportsmanship from my fellow payers, parents, coaches and
officials at all games and practices by demonstrating good sportsmanship.
I will represent my team with respect both on and off the field.
I will strive to be at every practice and game.
I will expect to receive a fair and equal amount of playing time.
I will do my very best to listen and learn from my coaches.
I will treat my coaches, other players, officials and fans with respect regardless of
race, sex, creed or abilities and I will expect to be treated the same.
I will not use profanity or “trash talk” my opponents.
I will not use violence to handle conflicts.
I will encourage my parents to be involved with my team activities.
I will do my very best in school.
I will respect the equipment that I play with in my sport.
I will leave the practice fields and game field the way that I found them.
I will help clean up after each practice and game, even if the trash is not mine.
Player Signature:________________________________ Date: _________________________
20
Poor Weather Cancellation
Here is a summary of how Pike Youth Sports will deal with poor weather conditions as it relates
to conducting practices and or games. We will follow the direction of the MSD of Pike
Township.

During any time of poor weather conditions the MSD of Pike Township will make
the decision to conduct athletic competitions or practices at its facilities.

During the week decisions will be made between the hours of noon and 2:00 pm.
However, in the event there is a drastic change in weather conditions after a decision, a
new decision based on current information will be provided

For Saturday games and practices, decisions will be made much earlier in the morning
through phone communications. The goal is to have a decision about Saturday events by
7 a.m. that morning.

Youth League Coordinator will contact the Director or Wellness, Fitness and Sport
directly to learn if the schools will be available for practices or games during poor
weather conditions.

Please be reminded, the primary objective for the Pike School District is keep
students, parents, and staff safe during hazardous weather conditions.
Poor Weather Cancellation Chain of Contact Plan
1. Youth League Coordinator or League Director will make direct contact via phone with
every head coach in the Pike Youth Sports League or team that is directly affected.
2. The head coach is responsible for contacting every parent on the team with a phone call
or a text message. Email could also be used, but only as a secondary measure.
3. The Youth League Coordinator or the League Director will also contact the custodial
crew member assigned to manage the facility on that day.
4. The Youth League Coordinator or League Director will contact the Director of Game
Officials.
5. The Director of Game Officials will contact all officials assigned to work league games.
21
Sports Health Precautions
PREVENT HEAT INJURY
Below are a few simple suggestions that can keep you and student-athletes on your feet in hot
weather:1
DO:
1.
2.
3.
4.
5.
6.
7.
8.
DON’T:
1.
2.
3.
Drink more water
Use extra salt on your food
Wear loose clothing
Increase your activity slowly until you are used to the heat
Stay in the shade when possible
Take frequent breaks
Get proper rest
Stay healthy
Eat hot, heavy meals on hot, heavy days.
Take salt tablets.
Drink alcohol to replace fluids.
If you do feel ill, dizzy, nauseated or confused, have vomiting or cramps, have severe headaches
or begin fainting:
1.
2.
3.
Lie down in the shade.
Loosen your clothing.
Get medical attention.
In the event of high temperatures and humidity (above 80 degrees and 60% humidity), the
following measures are recommended:
1.
Unlimited amounts of ice and water should be available to teams at the game site
and during practice.
2.
Any sign of the following symptoms – fatigue, nausea, dry skin, vomiting, muscle
weakness, cramps or confusion – should result in immediate removal of the player
from the field and initiation of immediate cooling techniques.
3.
Cold towels or cold packs may be applied to cool down overheated players.
4.
During hot weather, football helmets should be removed while not participating.
5.
All players and officials should prepare for games and practices by drinking at least
8 glasses of water daily.
1 Some student-athletes may need to exercise different eating habits due to medical conditions, religious beliefs,
and/or other reasons.
22
Indiana High School Athletic Association
Heat Index Information & Chart
The heat index (HI) is an apparent temperature felt by the human body due to the combined effects of
temperature and humidity. Most people understand that as the air temperature goes up, so does the heat
index. But why does humidity play a role? It’s because the body’s perspiration cannot evaporate as well
when the humidity increases. Therefore, the cooling effects of your sweat are reduced as the humidity
rises, and your body in unable to cool itself naturally. Combine high heat and high humidity and you’ve
got trouble!
Although it is convenient to use a single number (the heat index) to describe the apparent temperature
your body feels, keep in mind that heat and humidity affect every body (and everybody) differently.
Several assumptions are used to calculate the heat index. The heat index assumes that the body is:








5’7” tall.
147 pounds.
At 98.6o.
Clothed in long trousers and a short-sleeved shirt.
In shade.
Walking at a speed of 3.1 mph
In a breeze of 6 mph.
Not dripping sweat.
If any of these factors change, e.g., more exertion, more clothing, and/or more weight, the heat index will
change for that individual. For example, if you weigh 250 pounds, are wearing long-sleeved work
clothes, and are working outside in the sun, the heat index value you hear reported on the radio is lower
than what you are personally feeling.
The rules for minimizing the heat effects are simple:




Monitor forecasts and advisories for periods of high heat indices.
Take frequent breaks in the shade.
Avoid prolonged exertion.
Drink water often – and drink more than you think you need.
23
HEAT INDEX CHART
Relative Humidity
Temp.
80
82
84
86
88
90
92
94
96
98
100
102
104
106
108
110
40%
80
81
83
85
88
91
94
97
101
105
109
114
119
124
130
136
45%
80
82
84
87
89
93
96
100
104
109
114
119
124
130
137
143
50%
81
83
85
88
91
95
99
103
108
113
118
124
131
137
144
150
55%
81
84
86
89
93
97
101
106
112
117
124
130
137
145
153
161
60%
82
84
88
91
95
100
105
110
116
123
129
137
144
153
162
171
65%
82
85
89
93
98
103
108
114
121
128
136
143
151
162
172
182
70%
83
86
90
95
100
106
112
119
126
134
141
149
158
172
182
194
75%
84
88
92
97
103
109
116
124
132
138
147
156
166
182
193
206
80%
84
89
94
100
106
113
121
129
135
144
154
164
175
193
205
219
85%
85
90
96
102
110
117
126
135
141
150
161
172
184
204
218
233
90%
86
91
98
105
113
122
131
137
146
157
168
180
193
216
231
247
95%
86
93
100
108
117
127
137
148
160
172
185
199
214
229
245
262
100%
87
95
103
112
121
132
143
155
168
181
195
210
226
243
260
278
Category
Heat Index
Possible Heat Disorder for People in High Risk Groups
Caution
activity.
80-90
Fatigue possible with prolonged exposure and/or physical
Extreme
Caution
91-105
Sunstroke, muscle cramps, and/or heat exhaustion possible with
prolonged exposure and/or physical activity.
Danger
Heatstroke
106-129
Sunstroke, muscle cramps, and/or heat exhaustion likely.
possible with prolonged exposure and/or physical activity.
Extreme
Danger
130 or higher
Heat stroke or sunstroke likely.
24
Indiana Sports Concussion Law
Senate Bill 222
Passed March 24, 2014
Summary
Provides that a high school student athlete who has been removed from play because of a
suspected concussion or head injury may not return to play until at least 24 hours have
passed since the incident. Beginning July 1, 2014, requires football coaches and assistant
football coaches who are coaching individuals less than 20 years of age to complete a course
concerning player safety and concussions at least once during a two year period. Provides
civil immunity for football coaches in certain circumstances.
SECTION 1. IC 20-34-7-1.5 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY 1, 2014]: Sec.
1.5. As used in this chapter, “organizing entity" means any person that:
(1) Operates:
(A) a recreational;
(B) an intramural; or
(C) an extracurricular; athletic or sports program for individuals who are less than twenty (20)
years of age; and
(2) uses a facility, field, park, or other property that is owned, leased, operated, or
maintained by any of the following:
(A) The state.
(B) A political subdivision (as defined in IC 36-1-2-13).
(C) An agency or instrumentality of an entity described in clause (A) or (B).
SECTION 2. IC 20-34-7-5, AS ADDED BY P.L.144-2011,
SECTION 1, IS AMENDED TO READ AS FOLLOWS [EFFECTIVE
JULY 1, 2014]: Sec. 5. (a) A high school student athlete who has been
removed from play under section 4 of this chapter may not return to play until:
SEA 222 — CC 1
(1) the student athlete:
(1) (A) is evaluated by a licensed health care provider trained in the evaluation and management
of concussions and head injuries; and
(2) (B) receives a written clearance to return to play from the
health care provider who evaluated the student athlete; and
(2) not less than twenty-four (24) hours have passed since the student athlete was removed
from play.
(b) A licensed health care provider who evaluates a student athlete under subsection (a) may
conduct the evaluation as a volunteer. A volunteer health care provider who in good faith
and gratuitously authorizes a student athlete to return to play is not liable for civil
damages resulting from an act or omission in the rendering of an evaluation, except for
acts or omissions that constitute gross negligence or willful or wanton misconduct.
25
SECTION 3. IC 20-34-7-6 IS ADDED TO THE INDIANA CODE
AS A NEW SECTION TO READ AS FOLLOWS [EFFECTIVE JULY
1, 2014]: Sec. 6. (a) As used in this section, "football" does not include flag football.
(b) Beginning July 1, 2014, prior to coaching football to individuals who are less than twenty
(20) years of age, each head football coach and assistant football coach shall complete a
certified coaching education course that:
(1) is sport specific;
(2) contains player safety content, including content on:
(A) concussion awareness;
(B) equipment fitting;
(C) heat emergency preparedness; and
(D) proper technique;
(3) requires a coach to complete a test demonstrating comprehension of the content of the course;
and
(4) awards a certificate of completion to a coach who successfully completes the course.
(c) For a coach’s completion of a course to satisfy the requirement imposed by subsection
(b) the course must have been approved by the department.
(d) A coach shall complete a course not less than once during a two (2) year period. However, if
the coach receives notice from the organizing entity that new information has been added to the
course before the end of the two (2) year period, the coach must:
(1) complete instruction; and
(2) successfully complete a test;
concerning the new information to satisfy the requirement imposed
by subsection (b).
(e) An organizing entity shall maintain a file of certificates of completion awarded under
subsection (b) (4) to any of the organizing entity's head coaches and assistant coaches.
(f) A coach who complies with this section and provides coaching services in good faith is
not personally liable for damages in a civil action as a result of a concussion or head
injury incurred by an athlete participating g in an athletic activity in which the coach
provided coaching services, except for an act or omission by the coach that constitutes gross
negligence or willful or wanton misconduct.
SECTION 4. IC 34-30-2-85.9 IS ADDED TO THE INDIANA
CODE AS A NEW SECTION TO READ AS FOLLOWS
[EFFECTIVE JULY 1, 2014]: Sec. 85.9. IC 20-34-7-6 (Concerning coaches).
President of the Senate
President Pro Tempore
Speaker of the House of Representatives
Governor of the State of Indiana
Date:
Time:
SEA 222 — CC 1
26
Concussions/Head Injury Information and Acknowledgment
Definitions: MSD of Pike Township will use the following definitions in its compliance with
State Concussion Laws:



Athlete – any person under the age of 20 involved in athletic activity and receiving
instructions on how to participate in athletic activities
Athletic Activity – any organized athletic program or event involving physical
exertion
Coach – any individual providing instruction to athletes involved in athletic activity
Effective as of July 1, 2012
All students in High School and Middle Schools that plan to participate in sport or other physical
activities must follow State Law Requirements – Indiana Code 20-34-7, which mandates the
following:
Parents and students must receive and read the Heads up Concussion in High School Sports Fact
Sheet. Students and parents/guardians must also sign the District Acknowledgment Form before
any participation. This form MUST be on file at the school and signed annually. Please see the
following pages regarding Concussion/Head Injuries.
REPORTING REQUIREMENTS
All head injuries that have occurred at any time, “not limited to sport participation”, must be
reported to the athletic trainer immediately. Student athlete, coaches, parents, and athletic
trainers must report concussion symptoms, or confirmed concussions to the school nurse.
27
28
29
30
Metropolitan School District of Pike Township
Patron
Expectations
The Metropolitan School District of Pike Township believes it is part of our
mission to provide a positive, orderly and harmonious environment in which
respect for the dignity and worth of every member of the school community is
recognized and promoted. The Board of Education believes that all employees,
parents/guardians and students are entitled to be treated and are obligated to
treat others with courtesy, fairness and decency.
Statements or behavior by any member of the school community which insult,
degrade, harass, or stereotype any other person are unacceptable.
31
Behavioral Expectations
When in attendance at MSD of Pike Township Events and Activities
Metropolitan School District of Pike Township reserves the exclusive rights to act
accordingly and take appropriate actions to insure the safe and secure presentation of
events and activities for its students, staff, parents, and the community in general. The
District will hold ALL participants and spectators to the following reasonable expectations:

REALIZE THAT A TICKET IS A PRIVILEGE TO OBSERVE SCHOOL CONTESTS,
EVENTS, AND ACTIVITIES. THE TICKET DOES NOT REPRESENT A LICENSE
OR RIGHT TO ATTEND, AND MAY BE REVOKED AT ANY TIME AT THE
SCHOOL DISTRICT’S SOLE DISCRETION WHEN IT IS IN THE BEST INTEREST
OF STUDENTS, STAFF, AND PARENTS.

REFRAIN FROM USE OF PROFANITY, RACIAL OR SEXUAL COMMENTS,
INTIMIDATING LANGUAGE OR AGGRESSIVE ACTIONS, DISPLAYS OF
ANGER, OR NEGATIVE ACTIONS DIRECTED TOWARD OTHERS.

RESPECT THE PROPERTY OF THE SCHOOL DISTRICT, AND RESPECT THE
AUTHORITY OF SCHOOL/ DISTRICT OFFICIALS.

DO NOT INTERFERE WITH COACHES, CONTEST OFFICIALS, OR
SCHOOL/DISTRICT OFFICIALS INVOLVED WITH THE CONDUCT OF AN
EVENT OR ACTIVITY. DO NOT APPROACH THE ATHLETIC FIELD/FLOOR, OR
INTERACT WITH PARTICIPANTS OF AN EVENT OR ACTIVITY.

MAINTAIN SELF-CONTROL, SELF-RESPECT, AND SHOW RESPECT FOR ALL
OTHERS.
32
SPORTSMANSHIP
“Good sportsmanship is viewed by the National Federation as a commitment to fair play,
ethical behavior and integrity. In perception and practice, sportsmanship is defined as
those qualities, which are characterized by generosity and genuine concern for others.
The ideals of sportsmanship apply equally to all activity disciplines. Individuals,
regardless of their role in activities, are expected to be aware of their influence on the
behavior of others and model good sportsmanship.”
A.
B.
Fundamentals of Good Sportsmanship
1.
Show respect for self and others at all times.
2.
Show respect for the officials. Good sportsmanship implies the willingness to
accept and abide by the decisions of the officials.
3.
Know, understand, and appreciate the rules of the contest. Good sportsmanship
suggests the importance of conforming to the spirit as well as the letter of the
rules.
4.
Maintain self-control at all times. Prevent the desire to win from overcoming
rational behavior.
5.
Recognize and appreciate skill in performance, regardless of team affiliation.
Acceptable Behavior
1.
Applause during introduction of players, coaches, and contest officials.
2.
Players shaking hands with opponents who foul out while both sets of fans
recognize the player’s performance with applause.
3.
Accept all decisions of contest officials.
4.
Cheerleaders lead fans in a positive manner.
5.
Handshakes between participants and coaches at the end of the contest, regardless
of outcome.
6.
Treat competition as a game, not a war.
7.
Coaches/players search out opposing participants to recognize them for their
outstanding performance or coaching.
8.
Applause at the end of the contest for performances of all participants.
9.
Everyone showing concern for an injured player, regardless of team.
10.
Encourage surrounding people to display only sportsmanlike conduct.
33
C.
D.
Unacceptable Behavior
1.
Yelling or waving arms or objects during opponent’s free throw attempt.
2.
Disrespectful or derogatory cheers, chants, songs, or gestures.
3.
Criticizing officials in any way; displays of temper with an official’s call.
4.
Cheers that antagonize opponents.
5.
Refusing to shake hands or give recognition for good performances.
6.
Blaming loss of contest on officials, coaches, or participants
7.
Laughing or name-calling to distract an opponent.
8.
Use of profanity or displays of anger that draw attention away from the game.
9.
Doing own cheers instead of following the lead of the cheerleaders.
10.
Wearing extreme or unusual clothing or excessive face or body painting, which
detracts from the action on the playing surface.
Good Sportsmanship Responsibilities of the Coach
The actions of the coach have a great deal to do with how sportsmanship is valued by
members of the team. In order for good sportsmanship to become a reality, the coach
should:
1.
Respect the judgment of contest officials. The officials of any contest are
impartial arbiters who are trained and who perform to the best of their ability.
Mistakes by all those involved in the contest are a part of the contest. We should
not rationalize our own
poor or unsuccessful performance or behavior by placing responsibility on an
official. You should accept and abide by the decisions made.
2.
Always set a good example for members of the team and fan to follow.
3.
Instruct members of the team in proper sportsmanship.
4.
Display no behavior that could incite fans.
5.
Treat opposing coaches, participants, and fans with respect.
6.
Shake hands with officials and opposing coaches in public.
7.
Develop consequences for those who do not abide by sportsmanship standards.
34
E.
Sportsmanship – Student-Athlete
The responsibility of the players for sportsmanship is second in importance only to the
coach. Because players are admired and respected, they exert a great deal of influence
over the actions and behavior of the spectators. The student-athlete should:
F.
1.
Treat opponents with the respect that is due as guests and fellow human beings.
2.
Shake hands with opponents and wish them good luck before the contest and
after.
3.
Exercise self-control at all times, accepting decisions and abiding by them.
4.
Respect the integrity and judgment of the officials. Never argue or make gestures
indicating a dislike for a decision.
5.
Accept both victory and defeat with pride and compassion, being neither boastful
nor bitter.
6.
Congratulate the opponents in a sincere manner following either victory or defeat.
Sportsmanship – Student Fans
1.
Realize that a ticket is a privilege to observe a contest and support the school.
2.
Know and demonstrate the fundamentals of sportsmanship.
3.
Respect, cooperate, and respond enthusiastically to cheerleaders.
4.
Respect the property of the school and the authority of school officials.
5.
Stimulate desired crowd response using only positive cheers, signs, and praise
without antagonizing or demeaning opponents.
6.
Show respect for an injured player when he/she is removed from the contest.
7.
Do not applaud errors by opponents or penalties inflicted upon them.
8.
Do not heckle, jeer, or distract members of the opposing team.
9.
Respect opposing spirit groups, fans, coaches, and participants.
10.
Never criticize the players or coaches for the loss of the game.
11.
Respect yourself, your team, officials, coaches, opponents, and fans.
12.
Refrain from using profanity, racial or sexual comments, intimidating language,
or actions directed to others.
35
G.
Good Sportsmanship - Parents

Realize that a ticket is a privilege to observe a contest and support school
activities.

It is not a license to verbally assault anyone or act in an outrageous manner.

Realize that athletics are part of the educational experience and that the benefits
go beyond the final score of the contest.

Respect the decisions made by the officials and learn the rules of the game to
better understand their decisions.

Participate in positive cheers and refrain from those that take away from the spirit
of the contest.

Respect and support the task the coaches have in teaching the athletes.

Respect the opponents as students and acknowledge them for striving to do their
best.

Be a parent your child would be proud of. Be a fan, not a fanatic!
36
METROPOLITAN SCHOOL DISTRICT OF PIKE TOWNSHIP
ACCIDENT REPORT
This form must be submitted to the principal’s office in duplicate each time there is an accident
involving an injury to a student that is serious enough to require medical attention. The
supervising teacher is responsible for making sure that the student receives proper medical care.
If you are in doubt about the seriousness of the injury, file a report and seek medical aid.
Building _______________________________________ Date ______________________
Name of Student ___________________________ Grade _____________________
Name of Parent/Legal Guardian_________________________________________________
Telephone __________________________________________________________________
Address ___________________________________________________________________
Location and Description of Injury______________________________________________
_______________________________________________________
_______________________________________________________
Exact Time __________________
Description of Accident ________________________
_______________________________________________________
_______________________________________________________
Action Taken ______________________________________________________________
_______________________________________________________
Witnessed by _______________________________________________________________
Doctor ____________________________________________________________________
Reported to Administration Office ___________ A.M./P.M. __________________ 20 ____
Covered by:
School Insurance _____ Family Insurance _____ No Insurance _____
Signed _______________________________ Coach/Volunteer
Signed _____________________________________ League Director/Administrator
Prepared in Triplicate:
Administration Building – White
Building Principal – Yellow
Teacher - Pink
37
Athletic Facility Use Application Procedures

Facility Usage Forms MUST be completed by the youth league organization president (or
official designee for the youth league). A coach in the youth league CANNOT make a
separate request for facilities.

Athletic Facility Usage Forms can be obtained from the school the organization is
requesting to use or the MSD of Pike Township Administrative Services Center.

Important Note: the building principal’s signature does not guarantee approval. The
principals’ signature only verifies that the date requested is available. The building
principal will forward the facility usage form to the Department of Wellness, Fitness &
Sport. Final approval for use of athletic facilities will come from the Director of
Wellness, Fitness & Sport.

When completing a facility usage form, do not put more than 5 dates on one facility
form (example: March – July). If there are more than five dates, use additional forms,
or you may type or write out the additional dates on a separate sheet of paper, and
attach it to the facility usage form.

Only one facility usage form per building that is being requested (i.e. if you are
requesting CES, LMS and PHS, you must do three separate forms).

Facility usage forms MUST be submitted 2 weeks prior to the date you are requesting to
use the facility. Your request will not be guaranteed approval if under two weeks. Late
two day requests and day of requests are not acceptable.

All assessed fees must be paid the day before your event. In some case the charge is
($35/per hour) – NO EXCEPTIONS.

An updated Certificate of Insurance form must be on file in the District Athletic
Department prior to the event.

Please initial the maintenance over-time form in the top right hand corner of the form
or next to listed hours worked (your signature verifies the hours that custodial
personnel has provided services).
*Following these procedures will help the facility usage process be completed in a timely
manner. The Department of Wellness, Fitness & Sport appreciates your cooperation.
38
Athletic Facility Use Best Practices

Only use the area of the facility for which you have written approval.

Only use the tools and resources at the facility for which you have received written
approval.

Locker rooms can be used for a fee. They generally are not available for use during
community league or community team events.

You are expected to use public restrooms closest to your event or approved facility use
area unless prior authorization is given.

When conducting an event only allow guests to enter and exit through the designed
door, gate or area. Do not prop open doors.

When conducting practice be sure to use the designated door, gate or entry area at all
times. Do not prop open doors.

Leave the facility and the area that you use as clean as possible. If there is an issue with
the facility when you arrive, report it immediately so that you are not blamed for the
problem.

If something breaks or malfunctions while you are in the facility, report it immediately
so it can be fixed or corrected.

Verbal permission to use an athletic facility, tool or resource sounds great to the
prospective user, but if you do not submit a facility use form and receive written
permission beware. If the person who gives you verbal approval comes down with a
case of amnesia you and your organization may have a problem receiving future
approval for facility use.
*Following these procedures will be very helpful the next time that need to file a request to
use MSD of Pike facilities. The Department of Wellness, Fitness & Sport appreciates your
cooperation.
39
Pike Youth Sports
Coaching/Volunteer Application and Agreement
_______________________________________________________________
The undersigned hereby applies for a position as a Volunteer/Coach with Pike Youth Sports (“PYS”) and
enters into this agreement.
Introduction
Volunteers/Coaches are a critical element of our youth sports program. They have direct contact with
players at every practice and game and they usually are the primary influence on player growth. PYS
expects that all of its volunteers/coaches will be familiar with and agree to follow PYS mission, rules,
goals and objectives.
Agreement
The volunteer/coach agrees as follows:

I understand that my conduct can have an impact on my team and I will endeavor to set a good
example.

I will not criticize officials, players, coaches or spectators in any inappropriate manner. I will not
use abusive or profane language under any circumstances. I will require the same from my
players and parents.

I understand inappropriate language, contact and behavior involving players or staff will be
cause for immediate suspension and or dismissal from all volunteer/coaching responsibilities for
PYS.

I understand that volunteers/coaches must be present and supervise all practices and
competitions.

I will review and follow all PYS rules and policies.

I will provide players a broad, constructive and positive view of athletic competition.

I understand that volunteers/coaches may be suspended and/or dismissed from responsibilities
immediately if found in violation of any of these administrative guidelines.
The Volunteer/Coach Must Agree to the Release of a Criminal Background Check
In an effort to safeguard those children who participate in PYS league activities, the MSD of Pike
Township is requiring PYS volunteers/coaches to authorize the release of a nationwide criminal history
and background check. I hereby grant PYS the authority to request and obtain a criminal history report
setting forth arrest date, offense, disposition, and/or conviction, official current status and any other
related information pursuant to state statute and any other law, which allows for organizations to
receive information on prospective adult coaches and volunteers working with children. All
information obtained will be kept confidential. For your online background check, go to the following
link https://opportunities.averity.com/PikeYouthSports. The cost is $17.95 per applicant.
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Pike Youth Sports
Coaching/Volunteer Application and Agreement
_______________________________________________________________
Submit application and copy of driver’s license to: MSD of Pike Township office of Pike Youth Sports,
6901 Zionsville Rd., Indianapolis, IN 46268
Name: _________________________________________________
Address: _______________________________________________
City: ________________________ State: _______________ Zip: _______________
Email Address: ___________________________________
Home Phone: ______________________________ Work Phone: ________________________
Mobile Phone: _____________________________
Coaching Experience:
References: Name, Title, phone number and email address
1. ______________________________________________________________________________
______________________________________________________________________________
2. ______________________________________________________________________________
_______________________________________________________________________________
Are you currently an employee of the MSD of Pike Township? _______
Have you have been arrested or convicted of an offense other than a minor traffic offense that has
not been expunged by a court of law? No __ If Yes, please explain:
______________________________________________________________________________
______________________________________________________________________________
By signing this form, I am authorizing Pike Youth Sports and its leagues to perform a criminal background
check. I further state that the information provided herein is true and accurate and agree to inform PYS
if any of the above information changes.
Signed: _____________________________________ Date: ___________________
Printed: _____________________________________
Note: A copy of the applicant’s driver’s license must accompany this form or it will not be processed.
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Pike
Youth Sports
Youth Coaches Manual
Acknowledgement and Signature Form
I, _______________________________________, have reviewed and understand the contents
of the 2014-2015 Youth Coaches Manual for the MSD of Pike Township.
In signing this form, I agree to be held accountable for all policies, guidelines, and rules, as they
are presented in this handbook.
Note: Please review the handbook, sign and submit the signed copy to your respective League
or Program Director. You will be unable to serve as a youth coach for the MSD of Pike
Township youth sports programs until this signature form is on file with the League or Program
Director’s office for the program where you will be coaching.
______________________________
___________________________
__________
(Print Name)
(Signature of Coach)
(Date)
______________________________
_________________________
________
(Signature of League/Program Director)
(League/Program Name)
(Date)
*League/Program Director’s signature confirms receipt of the signed form.
*This form must be on file with the League/Program Director. A copy must be provided for
the Pike Youth League Coordinator’s office.
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