Safety Guidelines for Secondary Interschool Athletics in Alberta

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APPENDIX E - SAMPLE Form for Off-site Participation in Interschool Athletics Authorization for Division Field Trips for Interschool Athletic Activity: One Day Trip School________________________________________________________________________ Teacher(s)/Coach(es)____________________________________________________________ Interschool Athletic Activity _____________________________________________________ Date of Activity: ________________/_____________________/_______________________ Month Day Year Destination(s) Contact Person(s) Phone No(s). 1. _____________________ ____________________ __________________ 2. _____________________ ____________________ __________________ Grade(s) _______________ Number of student athletes _________ Number of teachers/coaches _________ Number of adult supervisors _________ Provisions for students not attending have been made: Yes Not applicable Method of transportation _____________________________________________________ Schedule of trip (include as part of attached itinerary) Anticipated cost of trip to each student __________________________________________ Are all, or a portion of costs being subsidized? Yes No For In-City/Province Field Trips Signature of Principal to authorize the field trip: ______________________________________ Date: ____________________________ 76 Safety Guidelines for Secondary Interschool Athletics in Alberta - February 2012
APPENDIX F - Volunteer Driver Authorization Volunteer Driver Authorization The personal information requested on this form is being collected pursuant to the Freedom of Information and Protection of Privacy Act (FOIPP), Section 32(c). The information will be used to make a determination regarding the authorization of volunteer drivers. School name: __________________________________________ School year: ______________ Declaration of Volunteer Driver I acknowledge that, if according to my most current driver’s abstract, I have six demerit points or more, I cannot become a volunteer driver. A copy of my insurance and passenger endorsement rider must be attached in order to receive approval. I understand that in case of an insurance claim (i.e., third party damage and/or personal injury), my personal automobile liability insurance applies before the School Board’s insurance as described below. Additional automobile liability insurance protection is provided under the School District’s comprehensive general liability insurance policy for authorized volunteer drivers transporting student athletes in privately-owned vehicles on an approved school activity or function. This insurance is only for an amount in excess of the limit of liability provided by the vehicle owner’s liability insurance policy. Damage to any vehicle, including the owner’s, is the responsibility of the volunteer driver. I Declare: • That I have a minimum of five years driving experience. • That to the best of my knowledge, the vehicle used to transport student athletes is in proper operating condition. By submitting this application to become a volunteer driver for the School Board, I agree: a) To abide by the requirements of all applicable laws at all times while I am engaged in volunteer driving. b) To possess the proper class of license for the type and seating capacity of the vehicle that I will be operating. c) To provide to the school principal a written report of all accidents (whether or not occurring while I am volunteer driving) which will increase the number of demerit points against my license. I also agree to report to the school principal any suspensions of my license or change in my insurance status which may occur after the date of this declaration. d) To limit the number of passengers to the number of seat belts which are usable and to comply with the directions of teachers or agents of the School Board. e) To undertake to maintain at all times, insurance in an amount of not less than $1,000,000 in respect of liability or injury or death of any student athletes who are passengers in my vehicle while I am volunteer driving, and I have advised my own insurance company before undertaking to transport student athletes. Has your driver’s license been suspended in the last three years? Yes No If yes, please provide date of reinstatement:_________________________________________________ Have you been involved in any accidents as a driver during the last three years? Yes No If yes, please provide details:___________________________________________________________ ___________________________________________________________________________________ Safety Guidelines for Secondary Interschool Athletics in Alberta - February 2012 77
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Safety Guidelines for Secondary Int
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ii Safety Guidelines for Secondary
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TABLE OF CONTENTS Curling .........
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Types of Policies Recommended for S
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Continued from previous page Avoidi
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HOW TO USE THIS DOCUMENT How to Use
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Continued from previous page • Ap
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Continued from previous page Cultur
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LOWER MAGNITUDE OF RISK SPORTS Lowe
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Continued from previous page Specia
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Continued from previous page Playin
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26 Safety Guidelines for Secondary
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Continued from previous page o No d
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Page 46 and 47: Continued from previous page Commun
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Page 50 and 51: Safety Guidelines for Secondary Int
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Page 54 and 55: BASEBALL - FASTBALL All Interschool
Page 56 and 57: CHEER (ACROBATIC) Cheer (Acrobatic)
Page 58 and 59: CHEER (Pom) All Physical Activities
Page 60 and 61: CROSS COUNTRY RUNNING All Physical
Page 62 and 63: DIVING All Physical Activities pg.
Page 64 and 65: FOOTBALL (FLAG, TOUCH) All Physical
Page 66 and 67: GOLF All Physical Activities pg. 1l
Page 68 and 69: RUGBY (FLAG) All Physical Activitie
Page 70 and 71: SOFTBALL (SLOW-PITCH) All Physical
Page 72 and 73: TEAM HANDBALL All Physical Activiti
Page 74 and 75: TRACK AND FIELD - HIGH JUMP All Phy
Page 76 and 77: TRACK AND FIELD - POLE VAULT Track
Page 78 and 79: TRACK AND FIELD • TRIPLE JUMP •
Page 80 and 81: TRIATHLON • SWIM • BIKE • RUN
Page 82 and 83: VOLLEYBALL (INDOOR AND OUTDOOR) All
Page 84 and 85: WRESTLING All Physical Activities p
Page 86 and 87: Safety Guidelines for Secondary Int
Page 88 and 89: APPENDIX A - Sample Secondary Inter
Page 90 and 91: APPENDIX B - Sample Secondary Inter
Page 92 and 93: Continued from previous page ACKNOW
Page 94 and 95: 3. Facility Area: Gymnasium Hallway
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Page 100 and 101: Continued from previous page 5. Wha
Page 102 and 103: 82 APPENDIX I - Sample Safety Check
Page 104 and 105: APPENDIX J SAMPLE SAFETY CHECKLIST
Page 106 and 107: APPENDIX K - SAMPLE SAFETY CHECKLIS
Page 108 and 109: APPENDIX L - Sample Emergency Actio
Page 110 and 111: Appendix M - Sample Medical History
Page 112 and 113: APPENDIX O - ATHLETIC FIRST AID KIT
Page 114 and 115: APPENDIX Q - Policy for the Alberta
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Page 122 and 123: APPENDIX S - Suggested Criteria For
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Page 126 and 127: Association Web Link Phone Squash A
Page 128 and 129: APPENDIX W - WATER SAFETY The follo
Page 130 and 131: isk level school authority supervis
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