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1 Manning Valley Hockey Association Junior Sub-committee Representative Field & Indoor Team Procedures With Support Documents Final (August 07082012)

Manning Valley Hockey Association Junior Sub-committee...1 Manning Valley Hockey Association Junior Sub-committee Representative Field & Indoor Team Procedures With Support Documents

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Page 1: Manning Valley Hockey Association Junior Sub-committee...1 Manning Valley Hockey Association Junior Sub-committee Representative Field & Indoor Team Procedures With Support Documents

1

Manning Valley Hockey Association

Junior Sub-committee

Representative Field & Indoor Team Procedures

With Support Documents

Final (August 07082012)

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Contents

Page

Number

Selection Procedures “General” 3

Selection Procedures “Selector” 6

Selection Procedures “Coach” 7

Selection Procedures “Player” 8

Representative Team Player Commitment Criteria 9

Representative Team Coach’s Responsibilities 10

Representative Team Manager’s Responsibilities 11

Subcommittee’s Responsibilities to the Representative Teams 14

Representative Team Parent’s Responsibilities 15

Support Documentation 17

Representative Team Sheet 18

Association’s Code of Conduct 19

Junior Representative Team Squad Selection Sheet 20

Junior Representative Team Player Profile Assessment Sheet 1 21

Junior Representative Team Player Profile Assessment Sheet 2 22

Junior Representative Team Match Assessment Sheet 1 23

Participant/Player Medical Profile – Personal Record 24

Junior Representative Team Under 18 Permission Note 26

Accommodation Quotation Form 27

Accommodation Transportation Quotation Form 28

Junior Representative Team Newsletter Form 29

Team Uniform/Equipment Register 30

Action Sheet 31

Hockey NSW Sample Association Uniform Design Form 33

Prohibited Employment Declaration 35

Representative Position (Coach/Manager/Selector Nomination Form 37

Representative Player Nomination/Consent Application Form 40

Page 3: Manning Valley Hockey Association Junior Sub-committee...1 Manning Valley Hockey Association Junior Sub-committee Representative Field & Indoor Team Procedures With Support Documents

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At the commencement of August of each year for one month the Junior Sub Committee will

call for nominations for the following positions;

Nominations for selectors of each age division

Nominations for Coaches of each age division Field & Indoor

Nominations for Managers of each age division Field & Indoor

Nominations for Players for each age division

Nomination forms for the above positions will be available in the club house during the

month of August of each year .The closing date for nominations for these positions will be

the last day in August of that year. Completed Nomination Forms must to be returned to the

Junior Divisions Management Box allocated within the club house.

The Association will publicise for an Expression of Interest for these above positions via the

club house noticeboard, annoucements over the clubhouse PA System & advertisements

placed in the Manning River Times paper, the Association Web Site and the Association

Facebook Page.

Selection for all positions will be made early in September and confirmation announced at

the Grand final day presentations for the relevant age division.

All players who have nominated for representative teams will be advised of trials days and

times immediately after end of the competition season, by the current Junior Sub-

Committee Secretary.

A team will consist of a minimum of Thirteen (13) and a maximum of sixteen (16) players.

Once a team has been selected, finalised, ratified & endorsed by Manning Valley Hockey

Association Junior Sub- Committee no further discussions will be entered into regarding the team

selections.

Players who have been selected in a Representative Team will be given notification of all costs

involved in competing at the Championship for which they have been selected a minimum of four

weeks prior to the Championship.

Manning Valley Hockey Association Junior Representative Team

Selection Procedures “General”

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Note: Field Championships Team Selections-

A player that can be considered for selection for any age groups in which they are eligible. This

is to ensure MVHA will be sending to the championships its strongest team possible.

If a player wishes to play outside their age division they must sign a Hockey NSW State Championships Age Eligibility Waiver Form which is due to Hockey NSW one week prior to the Championships.

http://www.hockeynsw.com.au/images/documents/events/FieldStateChamps/FSC4_HNSWAgeEligibilityWaiver.pdf

A player or Umpire wishing to compete at a NSW State Championship with another

Association MUST COMPLETE a Hockey NSW Umpire & Player Clearance Form.

http://www.hockeynsw.com.au/page.asp?PID=630&MID=268&SID=287

Note : Indoor Championships

All teams that represent Manning Valley Hockey Association at Indoor Championship in

will be under the direct control of Manning Valley Hockey Association.

All Coaches & Managers for Indoor teams representing Manning Valley Hockey

Association will be appointed by MVHA.

At the completion of each field tournament the relvant coaches, in consultation with

selctors, will submita total of ten players for consideration for each of the relevant indoor

championships.

Selection of the Manning Valley Hockey Association Junior Representative Inddor

Teams will be the sole respnsibilty of the Junior Divison.

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Manning Valley Hockey Association Junior Representative Team

Selection Procedures “General”

It is the responsibility of the MVHA Junior Division to appoint Selectors, Coaches and Managers

for each Junior Representative Age Division Team. The selection committee for these positions

will consist of the following:

a. Chairperson of the MVHA Junior Division.

b. Secretary and Treasurer.

c. MVHA Junior Division Representative Team Coordinator.

d. MVHA Junior Division Match Committee Chairperson.

e. MVHA Coaching Director.

If a situation arises where a decision cannot be reached by the committee as to the most suitable

candidate for a position, the Chairperson has the casting vote.

This committee will appoint:

a. Three Selectors for each age divisions. This will be based on –

1. Qualifications.eg Previous experience in carrying out selection.

2. Request of preferred age group.

3. Formal qualifications.eg Accreditations.

b. Coaches of each aged divisions will be based on –

1. Qualifications.eg previous experience in carrying out selection.

2. Formal qualifications.eg Accreditations.

c. Managers of all aged divisions will be based on –

1. Experience.

2. Formal qualification.eg Accreditations.

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It is the responsibility of the selectors appointed by Manning Valley Junior Sub-Committee to perform

the following duties:

1. Attend all team selection trials – (if you are unable to attend a scheduled trial date, due to unforeseen

circumstance, you must notify the Junior Sub Committee Chairperson or Ass Secretary in writing, as

soon as possible, stating your reasons.)

2. Demonstrate equitable and professional behavior during team selection duties.

3. The selection process will ensure selection of the best teams to represent MVHA at Championships.

4. Must ensure selections are based on skill, fitness, knowledge, attitude and teamwork abilities.

5. Demonstrate confidentiality in the team selection process.

6. Allow all players sufficient field time to demonstrate their capabilities to meet the selection guidelines

at team selection sessions.

7. Any selector who has a child a child or relative involved in that particular age group will be asked to

exercise professionalism.

8. Must demonstrate fairness in the selection procedure, with no bias or favoritism shown toward any

player (or players) during team selections.

9. Must use player profile / assessment sheets to justify player selections.

10. Before the commencement of the selection process must inform players / parents / any interested

persons the Manning Valley Association Inc’s Codes of Conduct

11. Once a team has been selected & finalised the Team Selection Sheet must be completed and signed by

all selectors and then forwarded to the Junior Sub Committee Secretary. The team list is to be kept

confidential until the selected team has been ratified & endorsed by the Junior Sub- Committee and

released to the players who trialed.

12. Provide verbal feedback to all players who trialed, highlighting areas of strength, and suggestions for

improvement.

13. Each Selector is to provide the Junior Sub- Committee with a completed NSW Working with Children

Check for Volunteer/Student Declaration Form.[see Support Documentation]

Manning Valley Hockey Association Junior Representative Team

Selection Procedures

“Selector”

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In order to apply for a position of Coach of a Manning Valley Hockey Association Junior

Representative Team, the applicant must:

1. Hold Hockey Australia Community Coach Qualification. Accreditation can be obtained

via Hockey Australia Web Site – http://www.hockey.org.au/index.php?id=204

2. Demonstrate that their coaching credentials meet the requirements for the team they will coach.

3. Demonstrate an understanding of the current rules, as set out by the International Hockey

Federation.

4. Provide the Junior Sub- Committee with a completed NSW Working with Children Check for

Volunteer/Student Declaration Form.

Coaches must be able to demonstrate fairness during the selection procedure, with no bias or favoritism

shown towards any player (or players) during team selections.

All coaches must be available to attend the Hunter Power Conference Carnival & the Hockey NSW

State Aged Championship in the age groups for which they have been appointed.

All Coaches must demonstrate equitable and professional behaviour in assisting in team selection duties.

All Coaches must ensure all selections are based on skill, fitness, knowledge, attitude and teamwork

abilities.

All Coaches must be able to demonstrate confidentiality during the team formulation process.

Manning Valley Hockey Association Junior Representative Team

Selection Procedures “Coach”

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Any player nominating for selection in a Manning Valley Hockey Association Junior Representative Team

must:

1. Be a financial member of the Manning Valley Hockey Association. If there is insufficient numbers of

players for a team in an age division, players may be selected from other associations. These players can

be sourced from the Hockey NSW’s Player” Pick Up Roster”.

Link http://www.hockeynsw.com.au/page.asp?PID=477&MID=268&SID=287

2. Be able to attend all team selection trials (if unable to attend, a letter must be submitted to the Junior

Sub-committee Assistant Secretary prior to a selection date stating reason/s why they are unable to

attend. A copy of this i.e./ letter/ email will be given to the selector’s chairpersons for their information)

3. Demonstrate the required level of fitness.

4. Demonstrate a positive attitude towards the game of hockey in all aspects.

5. Sign a Manning Valley Hockey Association’s ‘Code of Conduct’ form.

6. Provide on request their preferred positions on the field and highlight their areas of strengths and

weaknesses.

The Player Representative Selection /Consent Application Form can be found on the Association’s

Web Site in “Forms”.

Manning Valley Hockey Association Junior Representative Team Selection Procedures

“Player”

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Being selected to represent Manning Valley Hockey Association is an honour. With this comes

certain responsibilities and expectations.

Once a player’s selection in a representative team is confirmed the player is responsible for carrying out

the following:

1. Demonstrate a positive attitude in all aspects related to the Representative Team.

2. Demonstrate commitment to the Representative Team, it’s Coach & its Manager.

3. Attend all team training sessions as set by Coach (if you are unable to attend a scheduled training date,

due to unforeseen circumstance, you must notify coach / manager, as early as possible, stating your

reasons.)

4. Abide by the Manning Valley Hockey Association Inc’s ‘Code of Conduct’.

5. Take direction from Coach / Manager / Umpire, as required.

6. Wear appropriate uniform, when required.

7. Wear protective equipment (such as shin guards, mouth guards etc) at all selections, games training

sessions and at the State Championships.

8. Notify Team Managers of any injury or illness.

9. Pay all monies associated with the Championship by the required time.

10. Complete the “Hockey NSW Code of Behaviour – State Championships Players Form” issued by

the Team Manager. This must be returned to the team manager prior to championship.

11. Abide by the “Hockey NSW Code of Behaviour – State Championships.

NB: Players striving for higher representative honours should refer to Hockey NSW High

Performance New Skills Benchmark.

Link http://www.hockeynsw.com.au/page.asp?PID=438&MID=438

Manning Valley Hockey Association Junior Representative Team

Player Commitment Criteria

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Once appointment to the position of Coach of a Manning Valley Hockey Association Junior

representative team is confirmed by the selection committee, it is the responsibility of that person to

carry out the duties as listed below:

1. Attend team selections and liaise with selectors with team selection duties.

2. Liase with Team Manager to organise training dates and times.

3. Provide the Team Manager with selection times and dates so that players and their families can be

contacted with the information.

4. Submit a copy of their training program to the Selection Committee, prior to first team selection

day.

5. Provide players with feedback during training sessions, and assign activities for individual skill

development.

6. Ensure a safe environment during training and the tournament.

7. Address players and officials in an appropriate manner.

8. Dress appropriately for training sessions and the tournament.

9. Lead the team by example.

10. Liaise with the Team Manager, Association Committee representatives, and Parents, as required.

11. Provide each of the team members with the Manning Valley Inc “Code of Conduct”.

12. Plan game strategy, inform players of expectations during the tournament, and provide feedback at

conclusion of each tournament game.

13. Provide the team members with the substitution procedure for tournament.

14. Ensure Hockey NSW Tournament Rules and Procedures are followed by all players.

15. In consultation, with the relevant MVHA Junior Division Age Selectors, decide upon the six

nominated players to be placed on the Hockey NSW Coach Selection Sheet.

16. Advise the Manager and Selection Committee of any team changes (drop out, injury etc).

17. Abide by the Association’s Player Code of Conduct at all times.

Manning Valley Hockey Association Junior Representative Team Coach’s Responsibilities

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The Selection Committee’s recommendation for the position of Manager of a Manning Valley Hockey

Association Junior Representative Team will be confirmed at a Junior Sub-committee meeting. It is the

responsibility of that manager to carry out the duties as listed below:

1. Down load Hockey NSW Championship Pack and complete all requirements as set out in Hockey

NSW Field State Championship Pack.

Link [ http://www.hockeynsw.com.au/page.asp?PID=630&MID=268&SID=287 ] .

2. Provide their contact details to the Manning Valley Hockey Association Junior Division Secretary.

3. After consultation with the team coach, book training venues and times with the Association’s Turf

Director. Inform all concerned, via newsletter this information.

4. Obtain quotes for accommodation, transport and meals for team members, coach, umpire and

manager.

5. Prepare, in consultation with the MVHA Junior Representative Team Coordinator, a budget for

tournament costs (accommodation, travel, food, team nomination fee, playing fee, training fee, costs

for coach, manager and umpire). This budget must be presented to the Junior Sub Committee for its

ratification. Costs must be evenly distributed across all players. After ratification by Representative

Team Coordinator, confirm all bookings.

6. The Assistant Treasurer of the Junior Sub-committee must be informed before sponsorship

/fundraising is sought for the teams Representing MVHA. Permission must be obtained from the

MVHA Promotions Director before organizing of sponsorship /fundraising activities take place.

7. Attend all team training sessions to build relationships with the coach, players and their parents..

8. Ensure that the Manning Valley Inc “Child Protection Form” is complete by all adults who are

associated with the team eg. Coach, Manager, Transport drivers, physiotherapist etc . These must be

then given to the Junior Subcommittee Secretary.

9. Compile and distribute to players (or parents);

b) travel and accommodation information.

c) Tournament costs and fees

d) Medical forms [See Support Documentation]

Manning Valley Junior Representative Team

Manager’s Responsibilities

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e) Permission notes, where required (Under 18 years of age)

f) NSW state team non selection forms.

g) Tournament Draw.

i) Hockey NSW Code of Behaviour – State Championships Players Form.

10. Complete the Championship Team Details Form which can be downloaded from the Hockey NSW

Web Site. (This form may require player’s name, playing number, their date of birth and association

registration number). It must then be forwarded to nominated NSW Hockey Tournament Director

(prior to the due date).

11. Complete the Championship Umpires Nomination Form which can be downloaded from the Hockey

NSW Web Site. (This form will require name, address, phone number, email address, date of birth of

umpire and current level of umpire badge) and forward to nominated NSW Hockey Umpire Convener

(prior to due date) appointment

12. Complete NSW Hockey Coach Selection Sheet which can be downloaded from the Hockey NSW

Web Site. This must be handed in at managers meeting held on the first day of the Championships.

13. Complete Player and Umpire Clearance Form if required (which can be downloaded from the

Hockey NSW Web Site) two weeks prior to Championships.

14. Complete the Hockey NSW Participation Declaration Form (which can be downloaded from the

Hockey NSW Web Site) and send to Hockey NSW one week prior to the Championships. When it is

signed the Association declares that all necessary forms and waivers have been completed, signed and

submitted to Hockey NSW.

15. Collect from players payments for tournament costs prior to the tournament, and pay outstanding

amounts for accommodation, travel and food (all receipts must be kept and forwarded to the Junior

Sub Division Assistant Treasurer).

16. Obtain uniforms from the Association Uniform Coordinator and distribute them to team members

prior to the tournament. A record of who in the team is allocated what uniform will be kept ensuring

that all uniforms will be returned to the association. Uniforms will be collected at the conclusion of the

tournament and laundered prior to returning to Association Uniform Coordinator. [A suggested form

for registering uniforms can be found in Support Documentation].

17. Obtain a medical kit from the Association Equipment Officer prior to tournament, and return it at the

completion of the Championships. The medical kit should be checked to make sure all items are

included.

18. Purchase any food which may be required for the team and pack it for transport.

19. Attend Managers meetings at the commencement of the Championship. Relay relevant information to

coach and players.

20. Ensure all players have drink bottles (with their identifying marks) filled with water, prior to

commencement of each game during tournament.

21. Assist the coach and players during the tournament, as required

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22. Team Photo: organise a time for a team photo to be taken, collect money from the players, order the

required number of photos from photographer, then distribute the photos to players, when supplied.

23. Record and report any off field misbehaviour which has occurred whilst the team is on tour. This

report is to be forwarded to the Junior Sub-committee Secretary within one week of return. Any

misdemeanors will be dealt with by the Junior Sub Committee in the appropriate manner.

24. In the event of a player being injured whilst on tour, the Manager must accompany the injured

player to the nearest medical centre (or hospital) for treatment. Managers are required to have the

injured player’s current medical form for reference, for the medical attendant to view. The Manager

is required to notify next of kin as soon as possible, of the players condition. On return from the

tournament, the Manager is required to return to the players their Confidential Medical Forms

[Support Documentation].

25. Supply a team photo and write a full report on the team’s achievements at the tournament. This

report is to be submitted to the Records Director within 14 days of the tournament.

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Manning Valley Hockey Association Junior Subcommittee’s Responsibilities to the

Representative Teams

The Manning Valley Hockey Association Junior Representative Team Coordinator will be responsible

for the following:

1. Nominate all Association Field and Indoor Representative Teams for the tournaments in which the

MVHA Junior Division Committee has endorsed.

2. Arrange for payment by the Associations Treasurer of all monies due for payment to the

Championship Organisers before due date.

3. Provide to the Associations Registrar the Representative Team Lists with all information that is

required by Hockey NSW for their action.

4. Ensure that all equipment/ player attire is provided to each Team Manager one week prior to the

team competing.

5. Down load and complete all requirements as set out in Hockey NSW Field/ Indoor State

Championship Pack.

Link [ http://www.hockeynsw.com.au/page.asp?PID=630&MID=268&SID=287 ]

6. Complete Hockey NSW Association Uniform Design Form [due early March and send to Hockey

NSW].

7. Supply to the Team Managers an Association Equipment Order Form for its completion so numbers

of approved team attire can be ordered.

8. Set remunerations for Coaches, Managers & Umpires to cover their expenses when attending Aged

State Championships.

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Manning Valley Hockey Association Junior Parents Responsibilities to the

Representative Teams

A parent who experiences a delay when picking up their child from a coaching session or

match will contact the manager or coach to inform them as to the reason why they will be

late and what time they will pick up their child. They will inform the coach/manager if

other arrangements have been put in place for their child to be picked up.

The second last collected child together with their parent will wait with the coach and the

child who has not been picked up (this also enables the coach to concentrate on making

contact with the parent if they have not rung to say they will be late).

Parents Code of Conduct

I will always conduct myself in such a manner that will not discredit Manning

Valley Hockey Association.

I won’t pressure my child in anyway. I know that this is their game, not mine.

I will not use bad language, nor will I harass players, coaches, officials or other

spectators.

I will not cause disharmony within the team by my actions or words.

I will encourage my child to play within the rules and respect officials and

coach’s decisions.

I will teach my child not to hate their competitors but to admire and respect their

skill.

I will remember that children learn best by example so I will applaud good plays /

performances by both my child’s team and their opponents.

I will give positive comments that motivate and encourage continued effort.

I will teach my child that doing ones best is as important as winning, so that my

child will never feel defeated by the outcome of a game / event.

I will focus on my child’s efforts and performance, not the score.

I will thank the coaches, officials and other volunteers who give their time to

conduct the event for my child.

I will help when asked by a coach or official.

I will not criticise or ridicule my own or any other child’s performance during or

after the game.

I realise that good fun is more important than a good win.

I will not drink alcohol or smoke any drug at junior matches or arrive at the field

intoxicated.

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I will not use ‘ social media’ including “Facebook” to make derogative or

inflammatory comments about the team/team members or their families/ or

Manning Valley Hockey Association officials.

I understand that if I breach any of the above it may well jeopardise my child’s

position in their team.

Signed: ………………………………………………………………………..

(Parent / Caregiver. Both Parents if applicable)

Name/s:…………………………………/…………………………………….

Date……………………… Division child is playing in: …..............

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Support

Documentation

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The following Junior Representative Team has been selected to attend the_____________ Division NSW

Junior State Hockey Championships at___________________________ date_______/_______/_______

The following Selectors participated in the Representative Team selection process.

1.______________________________________ Signature_____________________________________

2.______________________________________ Signature_____________________________________

3.______________________________________ Signature_____________________________________

Team Coach

Name.___________________________________ Signature_____________________________________

Team Manager

Name.___________________________________ Signature_____________________________________

Selected Players Names

Please forward this form to the Junior Sub-committee Assistant Secretary within 7 days of team selection

Manning Valley Hockey Association Junior Representative Team

Team Sheet

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THE FOLLOWING CODE OF CONDUCT HAS BEEN SET BY THE AUSTRALIAN SPORTS COMMISSION. EVERY PLAYER REPRESENTING THE MANNING VALLEY HOCKEY ASSOCIATION MUST ABIDE BY THIS CODE.

As a member of a Manning Valley Hockey Association Representative Team I will observe

the following code of conduct:

Play by the rules.

Never argue with an official. If I disagree, have your captain, coach or manager approach

the official during a break or after the competition.

Control my temper. Verbal abuse of officials and sledging of other players, deliberately

distracting or provoking an opponent are not acceptable or permitted behaviours in any

sports.

Work equally hard for myself and my team. My team’s performance will benefit, and so

will I.

Be a good sport. Applaud all good plays whether they are made by my team or the

opposition.

Treat all participants in my sport as I like to be treated. Do not bully or take unfair

advantage of another competitor.

Cooperate with my Coach, Manager, team-mates and opponents. Without them there

would be no competition.

Participate for my own enjoyment and benefit, not just to please parents and coaches

Respect the rights, dignity and worth of all participants regardless of their gender, ability,

cultural background or religion

Not keep hours which will detract from my own and team performance.

Not take part in social activities not organised or approved by my Team Manager.

Be responsibly aware that you are representing your family, your club, your association,

your home town or city.

I am aware that serious breaches of this Code of Conduct will result in my being prohibited

from participation in the Championships. I understand I will be liable for any costs

associated with damage caused, (for example, to other people’s property).

Players signature______________________________________________

Parent/Guardian signature______________________________________________(if

applicable)

Date______________/____________/____________

Manning Valley Hockey Association Inc Code of Conduct

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[ FOR DUPLICATION]

Left Striker Centre Striker Right Striker

Left Inner Right Inner

Left Half Centre Half Right Half

Back Back

Goal Keeper

[ FOR DUPLICATION]

Manning Valley Hockey Association Junior Representative Team Squad

Selection Sheet

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Name _____________________ Position________________________

Individual Skills -

Hitting – 1 2 3 4 5 6 Pushing - 1 2 3 4 5 6

Positional Play in Defence

Positional Play in Attack

Set Plays

Goal Shooting

Discipline

Attitude

Concentration

Communication Skills

General Comments

Coach Sign Date / /

Manning Valley Hockey Association Junior Representative Team

Player Profile Assessment Sheet 1

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For use by coach for individual player feedback

Name _____________________ Position________________________

Agility 1st 2nd 3rd

50mt sprint 1st 2nd 3rd

300mtr sprint

5 lap run

Receiving from Right –

Comment -

Receiving from Left –

Comment -

Goal Shooting Right

Comment -

Goal Shooting Left

Comment -

Tackling Skills

Comment -

Positioning Skills

Comment -

Attitude

Concentration

Communication Skills

General Comments

Coach Sign Date / /

Manning Valley Hockey Association Junior Representative Team

Player Profile Assessment Sheet 2

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For use by coach for individual player feedback

Game V’s_________________Date__/___/___Time_______Venue___________

Team

LS CS RS

LI RI

LH CH RH

B B

KEEPER

SUBS -

SCORERS -

RESULT - TO WIN LOSS DRAW

1ST HALF

ATTACK

DEFENCE

2ND HALF

ATTACK

DEFENCE

1st half Penalty corners For) Ag) Penalty strokes For) Ag)

2nd

half Penalty corners Penalty strokes For) Ag)

Coach Sign Date / /

Manning Valley Hockey Association Junior Representative Team

Match Assessment Sheet

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All information on this sheet is confidential. Access to this sheet is limited to medical staff and coach. This

information will be treated in accordance with the Club / Organisation’s privacy policy. See privacy statement

below.

Personal Details Surname _______________________ Given Names ________________________________ Address Number _________Street/Road________________________________________ Suburb ______________________________________________ Postcode______________ Home Mobile Business Phone Phone Phone Sex M F Date of Birth Age

Emergency Contact

Surname Given Names Home Mobile Business Phone Phone Phone Relationship to above

Health Care Details

Medicare Private Health Fund Number Insurance Yes No Do you have Ambulance cover Yes No Private ______________________________________ Telephone_________________ Doctor Address Number Street/Road

Suburb Postcode

Private

PARTICIPANT / PLAYER MEDICAL PROFILE - PERSONAL RECORD

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Dentist Telephone

Address Number Street/Road Suburb Postcode

Certain medical conditions or previous injuries may influence your ability to participate in sport. Examples of these include but are in no way limited to :

Asthma

Diabetes

Epilepsy

Spinal Injuries

Arthritis

Previous Injuries

If you have any pre-existing conditions or any concerns about participating, we would encourage you to seek

medical clearance from your doctor prior to participating in sport.

Do you have any conditions that you, in consultation with your doctor, consider appropriate to notify the club /

organisation of, or are you currently taking any medication ? eg. previous injuries, medical conditions or

allergies.

If so, please list here

…………………………..…………………………………………………………………………………

………………………………………………………………..………………………………………………………

…………………………………………………………………………………………………..

To the best of my knowledge, all information contained on this sheet is correct ( if under 18 please have parent or legal guardian sign) Signature Date

PRIVACY STATEMENT

Manning Valley Hockey Assoc. Inc. abides by the relevant National Privacy Principles of the Privacy Act 1988. We are committed to protecting your privacy. Much of the information on this form is sensitive information. Sensitive information will not be used for direct marketing purposes. The information on this form is used for the purpose of providing us with the background as to your past and present medical details. The types of organisations to whom we usually disclose this information will be health care providers including our sports trainers and sports first aiders but may also be viewed by coaches, directors and officials. We may also have to disclose it to our professional advisers and insurer. If you do not provide us with any or all of the personal information that we request, then you may not be able to play sport in any of our teams. You can get more information about the way we manage your personal information by writing to Manning Valley Hockey Assoc. Inc. Secretary Junior Sub Committee . Please contact us on P.O. Box 315 TAREE 2430. if you would like to access or correct the information that we hold about you.

DISCLAIMER

"The information contained in this resource is in the nature of general comment only, and neither purports, nor is intended, to be advice on a particular matter. No reader should act on the basis of anything contained in this resource without seeking independent professional advice from appropriate persons. No responsibility or liability whatsoever can be accepted by Sports Medicine Australia (SA Branch) , the Government of South Australia or the authors for any loss, damage or injury that may arise from any person acting on any statement or information contained in this resource and all such liabilities are expressly disclaimed."

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Your child _________________________________________________

has been selected in the _________________________Representative Side.

This team will travel to ____________________________________________________

on (date) _______________and return (date)____________________________________________

Travel to the Tournament will be via (Bus Co/Other)_____________________________

Departing from____________________________at (time)________________________

Accommodation has been arranged at (Motel Name)_____________________________

(Phone No)______________________________

I give permission for my child to attend this Tournament. I understand that my child will

be fully supervised at all times, and that the appropriate Medical Treatment will be given

should the need arise.

Parent or Guardian Name _________________________________________________ (Block Letters)

Parent or Guardian Signature____________________________________________

Parent Contact Telephone Numbers

Home___________________________ Work______________________________

Mobile__________________________ Other______________________________

Manning Valley Hockey Association Junior Representative Team

Under 18 years Permission Note

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Numbers___________________ Check in Date_________________

Departure Date______________ Days Required________________

Supplier 1 Name Phone No

Address

Comments-

Price

Supplier 2 Name

Phone No

Address

Comments-

Price

Supplier 3 Name

Phone No

Address

Comments-

Price

Date______________________________Signed ___________________________________

Manning Valley Hockey Association Junior Representative Team

Accommodation Quotation Form

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Destination:_______________________Date required: ________________________

Time of Departure: _____________________________________________________

Supplier 1 Name

Phone No

Address

Comments-

Price

Supplier 2 Name

Phone No

Address

Comments

Price

Supplier 3 Name

Phone No

Address

Comments-

Price

Date______________________________Signed ______________________________

Manning Valley Hockey Association Junior Representative Team

Transportation Quotation Form

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Coach Name______________________________ Phone_____________________________________

Manager Name______________________________ Phone_____________________________________

Championship Dates and Venue: ________________________________________________________________

Squad Training: Dates___________________________________________________________ ___________________________________________________________

Venue___________________________________________________________ Costs___________________________________________________________

Championship Accommodation: Address_________________________________________________________ Phone__________________________________________________________ Costs___________________________________________________________

Championship Travel Arrangements: Travel By_________________________________________________________ Departing From________________________________ at__________________ Returning To__________________________________ at__________________ Costs____________________________________________________________ Championship Costs / Fees _________________________________________________________________

NSW Hockey State Team Selection: Nomination Due____________________________________________________ Costs____________________________________________________________ Uniform Requirements _________________________________________________________________

Manning Valley Hockey Association

Junior Representative Team

Newsletter

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Manning Valley Hockey Association Junior Representative Team

Team Uniform /Equipment Register

Player’s Name Shirt

Number

Size Skirt/

Pants

Other Date

Out

Date

Returned

1.

2.

3.

4.

5.

6.

7.

8.

9.

10.

11.

12.

13.

14.

15.

16.

Comments:________________________________________________________________________

_________________________________________________________________________________

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Action Sheet What When Completed

Call for nominations for positions. 1st August

Nominations Close. Last day in August

Ratify successful nominations. Before Grand Finals

Obtain and formalise transport and

accommodation for Championships.

Before Selection

Trials

Announcement of successful candidates. Grand Final Day

Complete Team Newsletter. After team has been

selected

Announce Dates and times for Selection

Trials.

Before Selections

begin

Organise team selection trials. Before Selection

Trials begin

Inform players / parents / any interested

persons of the Manning Valley

Association Inc’s ‘Codes of Conduct’

and get them signed by those concerned.

Before Selection

Trials begin.

Selected team list forwarded to the Junior

Sub Committee Secretary.

After trials are

completed

Provide a list to Association Registrar to

check to see if they are financial members.

Early into training

NSW Working with Children Check for

Volunteer/Student Declarations completed.

Before

Championships

Book training venues and times with

Association’s Turf Director.

Before training

begins

Hand out information sheet detailing

information that must be completed by

Players and their parent’s (Support

Documentation).

At first training

Complete Hockey NSW Association

Uniform Design Form (Support

Documentation).

Early March

Complete the Hockey NSW Championship

Umpires Nomination Form

Prior to due date

Complete NSW Hockey Coach Selection

Sheet

On arrival at

Championships

Ensure familiarisation with individual team

members medications/medical conditions

Before

Championships

Complete Hockey NSW Player and

Umpire Clearance Form

Two weeks before

Championships

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Complete the Hockey NSW Participation

Declaration Form

1 week prior to

Championships

Collect from players payments for

tournament costs prior to the tournament,

and pay outstanding amounts for

accommodation, travel and food

Prior to

Championships

Obtain uniforms from the Association

Uniform Coordinator and distribute to

team members prior to tournament.

Complete uniform register

Before

Championships

Obtain completed medical kit Before

Championships

Purchase Food and pack Before

Championships

Code of Behaviour Forms and Team

Amendments Form

Hand in at

commencement of

Championships

Ensure all players have drink bottles Prior to each match

at Championships

Organise for the completion of Permission

Notes (Support Documentation).

Before leave for

Championships

Organise a time for team photo to be taken During

Championships

Supply a team photo and write a full report

on the team’s achievements at the

tournament. This report is to be submitted

to the Records Director

During and after

Championships

Collect uniforms immediately after last

match/clean and return to the association’s

Equipment Officer for storage

After Championships

Return Personal Medical Records to

players

After Championships

Submit all receipts and accounts for

payment to the Association Treasurer

After Championships

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Extra responsibilities when working with children

Coaches who work with or have contact with children have some extra responsibilities and requirements to ensure that the children they work with are kept safe and protected from harm. Child abuse is illegal in all states and territories of Australia, with each having their own laws that cover reporting and investigation of cases of child abuse. Coaches should use good teaching practices to avoid child abuse, behave appropriately and create an environment where children feel safe and protected. Coaches should have an understanding of child abuse, child protection and what to do if child abuse is suspected. About child abuse

Child abuse includes physical (non-accidental injury and/or harm to a child), emotional (behaviours that can psychologically harm a child, eg. severe verbal abuse) and sexual abuse/misconduct (any sexual act or threat imposed on a child), as well as neglect.

Evidence shows that the future wellbeing of a child who has been abused depends to a large degree on the quality and timing of help given to the child and their family.

Abuse affects everyone — children, parents and the community. It has no age, gender, cultural, economic or occupational boundaries.

Parents will be more confident if the coach is interacting with children in an appropriate manner.

What is child protection?

Child protection includes policies and practices put in place to keep children safe from harm — from physical, sexual, or emotional abuse or neglect

Child-protection legislation sets out how child abuse should be reported and investigated, and imposes obligations on people dealing with children. This includes a requirement in most states and territories for people working with children, such as coaches, to undergo a national criminal history check (in other words, be screened) to determine their suitability for working with children.

Reporting requirements - Most state and territory legislation also requires specific persons to report reasonable suspicions of children being abused or neglected. Individuals working with children including teachers — and in some states and territories, coaches — are required by law to report any suspicions of child abuse or maltreatment, including neglect.

Coaches need to:

understand what is acceptable and appropriate behaviour be aware of the signs of abuse or neglect know who to report to if they suspect abuse or neglect understand and comply with the child-protection legislative requirements in their

state/territory understand and comply with relevant codes of conduct For more information

A summary of child-protection information relevant to the sport industry is available on the following sites: Australian Sports Commission web site www.ausport.gov.au/ethics Play by the Rules web site www.playbytherules.net.au

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2012 STATE CHAMPIONSHIPS

SAMPLE ASSOCIATION UNIFORM

DESIGN FORM

All associations are requested to submit the colours and design of their uniforms for competition in 2010

Hockey NSW State Championships. All association uniforms will be kept on record for the reference of

officials at state championships. Any changes to uniforms registered with Hockey NSW need to be

approved and it is recommended that approval is sought prior to ordering new uniforms.

ASSOCIATION MANNING VALLEY HOCKEY ASSOCIATION

UNIFORM WORN BY (please delete those that do not apply)

MEN JNR BOYS

UNIFORM

COLOURS

Shirt RED/WHITE/GREY Socks RED (WHITE PRINT)

Shorts GREY GK smock VARIOUS

Trim

Alternate (describe) WHITE SHIRT …. WHITE SOX

Sponsorship(s)

UNIFORM IMAGES Upload images of playing uniform from front (all items), back (shirt only) and GK smock. (egs. below)

Left click on image in box below. Click on Insert in the toolbar > Picture > locate file and click insert.

Readjust size to fit.

DUE DATE:

FRIDAY 26TH

MARCH 2010

[email protected]

FRONT

BACK

SOX

RED WITH “MANNING” DOWN

SIDE IN WHITE

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MANNING VALLEY HOCKEY ASSOCIATION INC

CHILD PROTECTION (PROHIBITED EMPLOYMENT) ACT 1998

The Child Protection (Prohibited Employment) Act 1998 makes it an offence for a person convicted of s serious sex offence (a prohibited

person) or a Registrable Person under the Child Protection (Offenders Registration) Act 2000, to apply for, undertake or remain in,

child related employment. It does not apply if an order, from the Industrial Relations Commission or the

Administrative Decision’s Tribunal, declares that the Act does not apply to a particular person.

Section 5 of the Child Protection (Prohibited Employment) Act 1998 defines a serious sex offence, as an offence involving sexual

activity or acts of indecency that was committed in NSW and that was punishable by penal servitude or imprisonment for 12

months or more even if the sentence was not served, or, an offence involving sexual activity or acts of indecency that was

committed elsewhere and that would have been punishable by penal servitude or imprisonment for 12 months or more it had been

committed in NSW.

Child -related employment means any employment where at least one of the essential duties of the position, involves direct contact with

children where the contact is not directly supervised. Section 3 of the Child Protection (Prohibited Employment) Act 1998 specifies that

child-related employment:

Involving the provision of child protection services

In pre-schools, kindergartens and child care centres (including residential child

care centres) In schools or other education institutions (not including universities)

In detention centres (within the meaning of the Children’s (Detention Centres) Act 1987

In refuges used by children

In wards of public hospitals in which children are patients

In clubs, associations or movements (including cultural, recreational or of a sporting nature) having a significant

child membership

In any religious organisation

In any entertainment venues where the clientele is primarily children

As a baby sitter or child minder that is arranged by a commercial agency

Involving fostering or other child care

Involving regular provision of taxi services for the transport of children with a disability

Involving the private tuition of children

Involving the direct provision of health services

Involving the provision of counselling or other support services for children

On school buses

At overnight camps for children

Under the Act:

It is an offence for a prohibited person to apply for, or remain in child related employment.

Employers must ask existing employees, both paid and unpaid, and preferred applicants for

employments to declare if they are a prohibited person or not.

All child related employees must inform their employers if they are a “Prohibited Person” or

remove themselves from child-related employment. A prohibited person is someone who

has been convicted in court, even if a conviction was not recorded.

Penalties are imposed for non compliance.

I am aware that I am ineligible to apply for, or remain in child related employment if I have been convicted of a “serious sex offence”

as defined in the Child Protection (Prohibited Employment) Act 1998 or if I am a “Registrable Person” under the Child

Protection (Offenders Registration) Act 2000.

I have read and understand the above information in relation to the Child Protection (Prohibited Employment) Act 1998 and

understand my responsibilities and obligations under this Act.

I declare that I am not a person prohibited by the Act from seeking, undertaking or remaining in child related employment.

Signature:________________________________ Date:_______________

NAME (Block Letters):___________________________________________

PROHIBITED EMPLOYMENT DECLARATION

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Manning Valley Hockey Association

Junior Division

REPRESENTATIVE POSITION NOMINATION FORM [For Field and Indoor]

I would like to nominate for the position of:

Coach Manager Selector

Every member wishing to be considered for selection must submit a Nomination Form. This form can be obtained from Manning Valley Hockey Association’s Web Page in ‘Forms’ Section. When completed it can be given to the Manning Valley Hockey Association Junior Division Assistant Secretary or put in Junior Division Correspondence Box at the Taree Hockey Centre Clubhouse. Nomination Forms that are emailed must also have the signed hard copy mailed to the above address.

DETAILS Personal Details: Name ……………………………………………………………………………………………………:

[Please Print] Address ……………………………………………………………………………………………………………… Phone: Home ……………………Official Work ……….……….. Mobile …………………….. Parent Name …………………………. Phone No ……….………..…… Mobile …….……… (If official is under 18 yrs) Email Address…………………………………………………………………………… Parent Email …………………………………………………………………………………….. (If official is under 18 yrs) Representative Team Nominating For: ………………………………………………………. Coaching Accreditation Level: ………………………………………………………………… Is Your Accreditation Current? Y/N…………………………………………………………….

Previous Representative or Relevant Experience: CLUB / STATE / CHS / PSSA [Please Circle]

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1. Summary of Relevant Coaching Experience (dot points).

2. Summarise the relevant skills/knowledge/attributes you bring to the position

Skills

Knowledge

Personal Attributes

Do you have a current

Working With Children

(WWC) Check?

Yes No

Are you willing to undergo a

Police Check?

Yes No

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Applicant’s Declaration

I hereby submit my application for Coach / Manager/ Selector [ Please circle position that you

are applying for] and declare that everything contained in this application is a true and

accurate record to the best of my knowledge.

Name of Applicant:

Signature of Applicant:

Signature of Parent if

applicant is under 18

...............................................................................................

...............................................................................................

.................................................................................................

Date:

..........................................................

For Office Use Only

Date Received:..............................................................

Officials

Name:...................................................................Position:.................................................................

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MANNING VALLEY HOCKEY ASSOCIATION INC.

JUNIOR DIVISION

PLAYER REPRESENTATIVE SELECTION/CONSENT APPLICATION FORM (Please complete all sections in full)

FULL NAME:__________________________________DOB:__________ Address: ___________________________________Post Code: _____ Phone Home: ____________Work ______________Mobile: _______________ Championships Attending: _______________________________________ Names:___________________________ _________________________ (Player) (Parent) Email:______________________________ Team/s applying for:____________________________________________ Positions trailing for: 1_______________ 2_______________ I am agreeable to being considered for other positions Yes No Previous Representative or Relevant Experience: CLUB / STATE / CHS / PSSA [Please Circle]

Other playing experiences:

Applicant’s Declaration

I hereby submit my application for selection in a Manning Valley Hockey Association Junior Representative

Team and declare that everything contained in this application is a true and accurate record to the best of my

knowledge .We have read and agree to abide by the Player Commitment Criteria & “Parent Code of Conduct” as

described in the Manning Valley Hockey Association Junior Division Representative Team Procedures. When completed it can be given to the Manning Valley Hockey Association Junior Division Assistant Secretary or put in Junior Division Correspondence Box at the Taree Hockey Centre Clubhouse. Nomination Forms that are emailed must also have the signed hard copy mailed to the above address.

Name of Applicant:

Signature of Applicant:

Signature of Parent

...............................................................................................

...............................................................................................

.................................................................................................

Date:

..........................................................

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Notes