Southeast RegionPop Warner

Team Book OrderUpdated 2017

Team Book Order for Book Check

• Sleeve 1a. Regional Book Certification (When required)

• Sleeve 1b. Empty • Sleeve 2. Certified National Roster• Sleeve 3a. Emergency Action Plan • Sleeve 3b. Player Safety Coach/Music Proof of

Purchase• Sleeve 4. First Aid/CPR card(copy)

– Sleeve 5a. Participant ID Card– Sleeve 5b. Participant Proof of age (Birth Certificate)– Sleeve 6a. Participant Physical (Dr. Signature)– Sleeve 6b. Participant Physical (Parents Signature)– Sleeve 7. Participant Contract/Parental Consent– Sleeve 8. Participant Scholastic Information– Sleeve 9. Participant Absentee Forms

• Sleeve 10a.Coach Certificates (Order on roster) SER • Sleeve 10b. Certificate YCADA/USA • Final Sleeve. Final Skill Progression Sheet/Head Coach

Declaration (Cheer Only)• (Football & Cheer participants should be listed in

alphabetical order)

Sleeve #2 League One RosterThis is printed out from League One.

Certified National Roster

Sleeve #3a This is required to be filled out for every team book

Emergency Action Plan

Sleeve #3bEach park has one trained and certified USA Football Player Safety Coach. The Player Safety Coach's USA Heads Up Certificate is placed here.

Association Designated Player Safety Coach

Sleeve #4There must be a minimum of one adult on each team roster that is CPR certified. Copies of the CPR certification cards from the certifying company are placed here.

CPR Certified Identification Cards

Sleeve #5a Front -Official ID cardThe front of this sleeve must be cut out on the bottom section to allow the card to be stamped without removing the sheet each week.

The Association fills out the top two sections with the exception of the ‘Certified Weight & Date’ (for football) and ‘Cheer Certified Insert Date’. The League Official will be responsible for completing these fields when signing the card to certify the participant.The League adds the ‘certified weight & date’ for football, for Cheer/Dance the League adds the ‘certified date’. The card is then signed by League Official.

Sleeve # 5 between 5a & 5b Waivers/Special information.

All Legal paperwork including:Examples:

Waivers-(1st)Name ChangesGuardianship

Adoption papers

Sleeve #5b Back - Birth Certificate(an original certificate or a certified copy)The League Official should stamp in a clear area on the copy which verifies they have compared the original certified document to the copy.

If the birth certificate is in a foreign language, a notarized document translating the vital information into English should be attached. (Sample translation form on next slide).

Tip: When comparing the birth certificate to the ID card and the roster, make sure to check the spelling of the child's name and verify the date of birth was used instead of the date filed as this is a common mistake.

League Stamp in clear area

Sleeve #6a Front- Pop Warner Physical Form- 2nd page Doctors Signature Page

No WhiteoutThe League Official should verify the following: the participants name, the physical section is filled out, the Dr. has signed or stamped the form, the Date of Signature is in the current year, the medical profession is on the list of approved degrees (see attached list) and if the Dr. has indicated that follow up is required that there is documentation this has been done. **NOTE: the following professions are not permitted to perform physicals - RN, Medical Assistants (MA), LPN, CAN, Athletic Trainers, Certified or Registered Chiropractor Assistants, Acupuncturists.

All this area

needs to be filled out also

League Stamp Here

League Only Highlight Year

of Form

Sleeve #6b Back- Pop Warner Physical Form- 1st Page

The League Official should verify that the parent or legal guardian has signed and dated the form as well as fully completing the medical history information.

League Only Highlight Year

of Form

Sleeve #7 a & bThe League Official is verifying the following on this form: • The person signing the form is the parent or legal

guardian and the form is dated • The participants name is on the form • The participant has signed the form (regardless of how

young)

Participant/Parental Consent Form

Sleeve #8 Front- GPA Spreadsheet with full report card behind the spreadsheet

The names on the GPA Spreadsheet and the report card must match. The report card must include all 4 – 9 week periods or semesters from the previous year.

This sheet can ONLY BE STAMPED by the League Scholastic Coordinator. See above for correct format of stamp.

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Sleeve #9 if a person is absent they are required to have one of these forms for each absence.

Absentee Form

Starting with Sleeve #10 (Order of the coaches follows the national roster order)(One sleeve per coach, 10 A. Regional Clinic FB or Cheer10 B. USA/YCADA

All Certificates

Final Sleeve

Skill Progression Sheet/Head Coach Declaration (Cheer Only)