Team Book Team Book OrderOrder

League Compliance OfficerLeague Compliance Officer

Jason PeacockJason Peacock

Updated 2015Updated 2015

• Sleeve 1a. Regional Book Certification• Sleeve 1b. Book Certification Error Form• Sleeve 2. Certified National Roster• Sleeve 3a. Emergency Action Plan • Sleeve 3b. Player Safety Coach• Sleeve 4. First Aid/CPR card(copy)• Sleeve 5a. ID Card• Sleeve 5b. Proof of age (Birth Certificate)• Sleeve 6a. Physical (Dr. Signature)• Sleeve 6b. Physical (Parents Signature)• Sleeve 7. Participant Contract/Parental

Consent• Sleeve 8. Scholastic Information• Sleeve 9. Absentee Forms• Sleeve 10. All Certificates• Final Sleeve. Final Skill Progression

Sheet/Head Coach Declaration (Cheer Only)• (Football & Cheer participants should be

listed in alphabetical order all year)

Team Book Order for Book Check

Page number A=front of the plastic sleevePage number B=back of the plastic sleeve

Sleeve #1aThis is to be filled out by the park as a completed

checklist before a Pop Warner book check.

Regional Book Certification Form

Book Certification Error FormThis form is left blank by the parks and

completed by Pop Warner

Sleeve #1bThis form is documented by Pop Warner items that are incorrect during a Pop Warner book check.

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 Coaches certificated is placed here.

Player Safety Coach Certificate

Sleeve #4There must be a minimum of two adults on each teams

roster that are CPR certified. Copies of the CPR certification cards from the certifying company are placed here.

CPR Certified Identification Cards

Sleeve #5aThe 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.

ALL Older Lighters must have a “RED TAB” affixed to the plastic sleeve.

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.

Official ID CardMail Merge process used to fill this card out

Each Park will take participants pictures

Between 5a & 5b Waivers/Special information.

All Legal paperwork including:Examples:Waivers-(1st)

Name ChangesGuardianship

Adoption papers

Birth CertificateOriginal certificate or

a certified copy

Sleeve #5bThe 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.

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

If Needed place in Sleeve #5bForeign Language Birth

CertificateSample Translation Form

Pop Warner Physical Form

Sleeve #6a No Whiteout Allowed on the Form.The 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

Dated Jan 1st

2015 or after

Doctor Signatur

e

Sleeve #6bThe 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.

Pop Warner Physical Back of Form

Parents Signatur

e

Medical Insurance filled or

initialed if N/A

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)

League Stamp Here

Participant/Parental Consent Form

Front of form is

7a

Back of form is

7b

Parent listed on the birth certificate required to sign this

form.

If no parent is available guardianship must be proved for

the adult signing this form.

Sleeve #8a GPA Spreadsheet Sleeve #8b All 4 quarters filled out report card

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.

Scholastic Information GPA Spreadsheet

GPA form is 8a

Report card is 8b

Repeat for each participant

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

Once completed for each participant continue to the next step

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

each absence.

Absentee Form

Sleeve #10 Any and all coaches certificates for all

coaches are required to be in the book.

All Certificates

Final Sleeve

Skill Progression Sheet/Head Coach Declaration (Cheer Only)

If you have any questions please contactGreater Jax League Compliance OfficerJason Peacock JasonJPeacock@yahoo.com