THE List 2016 - SMillerDesign

THE LIST for 2016 SEASON
Dear parents,
As
promised – here is the packet of paperwork that we said every player needs.. Please look it over carefully and fill ouall pages as marked.
You must bring the completed packet with you on to the mandatory parent player meeting on MONDAY ,
November 23rd .
1.USAV medical form- this is a one page document. Please fill it out completely- USAV requires us to have this on file for every
player.
2.Contract- this is a one page form which is the legal contract between Whoosh, you and your daughter. You received a copy of our
club policies when you registered and they are also posted on the club website. Both parent and player must sign this form.
PLEASE REMEMBER – this contract must be accompanied By a $ 300.- payment – you may give cash or check or credit card .
3.Birth certificate copy- we must have a copy of your players birth certificate on file. We are asking every player for a copy this yeareven if you have played before. We do NOT keep theses from year to year – they are shredded at the end of every season.
4.Player profile form every player on an U 17 and U 18 team needs to fill this form - please write neatly and give all the requested
information-please be truthful about your grades and SAT scores.
5.Fundraising requirements and options: please read this section carefully- you must sign up for your fundraising option on
November 23rd.. You will receive all the appropriate paperwork for the option you select. You will also have the opportunity to sign up
for your tournament work shift in January.
6.Contact sheet- please fill this out- write neatly and clearly. We use this sheet for the information included in our club Contact book.
Every player will receive two club contact books in December .
7.Tournament work shift sign up- please read this so that you are prepared to sign up for your tournament work shifts. Please be aware
that if you do not sign up- you will be signed up where we need people which is not necessarily at your most convenient time. Please
also be aware that players cannot work your shift in your place.
8 .Parent volunteer information- we are an all volunteer organization- if every parent signs up for one job-everything we need to do
can be accomplished. Please consider what you can do to help keep our club functioning!
9. Active Ankle form – it is possible that your prescription plans to get active ankles covered by your insurance company. These two
forms must be filled out and turned in for us to start this process.
We will be starting promptly at 6:30 PM and we expect to be done at approximately 8:30PM. Your child will need to bring non
perishable food items as discussed by her team. Players will meet with their coaches in the Christian Education Center – parents will
meet with me in the church hall.
We hope to have a tentative tournament schedule for you, a reminder of practice times, locations and starting dates, a reminder of
payment schedules, and other paperwork. We will have a player ledger for each player set up for you when you arrive- please be sure to
pick yours up on the way into the meeting room. We will allow time for you to meet with our club finance chairs if you would like to
set up a payment schedule or take advantage of our early payment discount. We are happy to work with you regarding the payment
schedule- as long as we are paid by March 12th- but we need to make the arrangements on the 23rd.
This is a large amount of paperwork- but we can get through it as quickly as possible with everyone’s cooperation! If you have a
question or would like to sign up early for your work shift or volunteer job-please e mail me at director@whooshvbc.org . I look
forward to seeing you on the 23rd
THIS FORM IS TO BE CARRIED TO ALL SANCTIONED COMPETITIONS & PRACTICES.
2015-2016 USAV YOUTH & JUNIOR VOLLEYBALL PLAYER
MEDICAL RELEASE FORM
This must be completed - legibly - and signed in all areas by both the player and his/her parent or guardian. I understand and agree that this
document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information
confidential. By signing this form the participant affirms having read and agreed to the terms and conditions listed below.
Club:
Team Name:
 Male
First Name
Last Name
Primary Contact: Parent or Guardian
Name:
 Female
Age
Address:
City, State & Zip
Alternate Phone:
Primary Phone:
Secondary Contact:  Parent/Guardian
Name:
Primary Phone:
Birth Date
Other
Alternate Phone:
Primary Insurance Co
Primary Group/Policy #
Family Physician Name
Physician Phone
/
Please elaborate on any medical conditions of which we should be aware:
Please list any medications currently being taken:
In the past 24 months, have you been tested, diagnosed and/or treated for a concussion:  Yes  No
If yes, provide the date (months and year), who performed the testing/diagnosing/treatment and what was the outcome:
Please list any allergies:
If None, please write None.
Participant Signature
Date:
(regardless of age):
Participant,
, has my permission to participate in training,
competition, events, activities and travel sponsored by USA Volleyball or any of its Regional Volleyball Associations (RVAs). I approve
of the leaders who will be in charge of this program. I recognize that the leaders are serving to the best of their ability. I certify that the
participant has full medical insurance with the company listed above. I understand and agree that this document will be kept in the
possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. I agree to
allow the authorized adult team personnel to release this information in the event of a medical emergency to a third party medical
provider. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities
described above.
Parent/Guardian Signature:
Relationship to Participant:
Date:
If, during the course of my daughter's/son's activities in volleyball, she/he should become ill or sustain an injury, I hereby authorize you
to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred through my insurance company.
Signature:
Date:
Parent/Guardian
or
I do not authorize emergency medical/dental care for my daughter/son.
Signature:
Date:
Parent/Guardian
2015-2016 Season
Reviewed 7/30/2015
WHOOSH VBC – CONTRACT 2016 SEASON
THIS AGREEMENT made this____ day of______________,2015 between
WHOOSH VOLLEYBALL CLUB[ Hereinafter WHOOSH ] and______________________________, the parent of an
athlete seeking admission to WHOOSH [ hereinafter “parent” ] and said athlete [ hereinafter “athlete” ].
WHEREAS, ___________________________ is an athlete who seeks admission to WHOOSH, and
WHEREAS, WHOOSH is only viable as a club and as a program if its budget is funded, its rules observed and
its practices and tournaments are attended without fail and without exception.
NEW THEREFORE, the parties agree as follows:
1. Parent acknowledges that the consideration of this agreement is the enrollment of Parent’s child in WHOOSH
and the programs, practices and tournaments made available thereby.
2. parent and athlete affirm that each will observe without breach the club policy of WHOOSH and that the
athlete, absent from WHOOSH’s express permission [ obtained from their team coach ] shall attend all
scheduled practices and tournaments and participate fully in WHOOSH mandatory fundraising activities.
3. parent acknowledges receipt of the schedule of WHOOSH, including scheduled practices and tournaments.
4. Parent acknowledges receipt of the schedule of due dates for fees and fundraising.
5. parent acknowledges a binding contractual obligation to make payments as scheduled to WHOOSH to
underwrite the continued viability of WHOOSH and its programs
6. parent acknowledges receipt of club policy of WHOOSH.
7. in the event of parent’s breach of any of the obligations herein undertaken, parent stipulates venue in the city
court of Middletown and further agrees that in the event that the parent is found to be in the breach, the parent
will be responsible for payments not timely made together with interest, costs, disbursements and reasonable
counsel fees.
8. the invalidity of any element of this agreement shall not invalidate the whole.
9. this agreement shall be construed in accordance with the laws of the state of new York.
IN WITNESS THEREOF, the parties have caused this agreement to be signed the day and year first above written.
WHOOSH VOLLEYBALL CLUB
By ________________________________
Hazel R. Goldstein Club Director
____________________________________
_________________________________
Parent
Athlete
BIRTH CERTIFICATE REQUIRED
ALL PLAYERSWe need a Clear copy of your birth certificate. This is required by USA Volleyball.
YES THIS APPLIES EVEN IF YOU PLAYED BEFORE!!!!
*********************************************************

MANDATORY FUNDRAISING
Whoosh requires each player to do $170.00 in mandatory fundraising :
Parent participation by donation[$20.00 cash or check] and work hours at the Whoosh
Bowl tournament on January 23rd and 24th [NOTE; parents with more then one player have
only one work shift and pay only one food donation]

You may choose one of the following ways to complete the balance of the
requirement:

Write a check for $170.00 due on January 13th

Sell 15 super bowl lottery tickets at a cost of $10.00 each. All tickets and money
will be due January 13th. Tickets and selling information will be available at the December 9
th meeting.

You may choose to sell more than the 15 tickets for the SuperBowl – you may sign
up for and receive additional ticket packets. Players make $ 2.50 per ticket for each
additional ticket sold.

Super Bowl tickets MUST be turned in on January 13th – there is a great deal
involved in getting the squares assigned and numbers back to each player. SuperBowl tickets
turned in AFTER the deadline will NOT be accepted and will be returned to the player.

Players who chose the Super Bowl Lottery must pay the $ 20.00 concession fee
on January 13th.
PLAYER PROFILE FORM-
ONLY players on the U17 and U 18 teams need to fill this out.
BE TRUTHFUL!!! FILL OUT EVERYTHING!!
PLAYER NAME___________________________________________________
PARENT NAMES__________________________________________________
ADDRESS;_______________________________________________________
CITY, STATE, ZIP_____________________________________________
PLAYER E MAIL__________________________________________________
PARENT E MAIL__________________________________________________
ACADEMIC INFORMATION:
GRADUATION YEAR_____________
SCHOOL_______________________________________
AVERAGE_______________________________
PSAT____________SAT___________ACT___________
COLLEGE INTEREST______________________________________________
VOLLEYBALL INFORMATION
HEIGHT______________ POSITION___________________
SCHOOL EXPERIENCE:
MODIFIED_______years, JV__________years, VARSITY______years
CLUB EXPERIENCE: Whoosh __________years,
Other club name ______________, played for______years
VOLLEYBALL
HONORS:_____________________________________________________________________________________
______________________________________________________________________________________________
__________________________________________________________________________________
OTHER INFORMATION
OTHER SPORTS:__________________________________________________________________________
OTHER SPORTS
HONORS______________________________________________________________________________________
____________________________________________________________________________________
SCHOOL
ACTIVITIES:__________________________________________________________________________________
______________________________________________________________________________________
NON SCHOOL ACTIVITIES _________________________________________________________________
_________________________________________________________________________________________
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HELP!!!!!!!!!!
Each whoosh team carries a medical kit with them to practices and tournaments.
Every year we solicit help from the community and parents for this task. Following is a list of items
we need to refill our med kits for the 2016 season. If you or someone you know can connect with any
of these items- please call Laurie Muollo at 342-4019 and let her know how you can help!
Bandaids- regular size
Bandaids-knee/elbow size
Bandaids- butterfly
Athletic tape
Pre wrap
2x2 guaze pads
4x4 guaze pads
Alcohol prep pads
Bacitracin in individual packets
***********************************************************************
GIFTING OPPORTUNITY
The club has a large number of volleyball tee shirts and spandex that we are not
interested in keeping in stock – we will have these items at the November 23rd meeting
and you can purchase them at a cost of $ 5.00 each. These items normally sell for
anywhere from $ 15.- to $ 25.- each – we need to clear out our inventory and these items
will make great Christmas gifts for your volleyball player !!
CONTACT INFORMATION
Please take the time to fill this completely and neatly. We will be using this information for our club contact
book- every player receives two of these books in December.
Player name______________________________________
Date of birth_____________________________________
School___________________________________________
Parent names_____________&________________
First Name
First Name
________________________
Last Name
Mailing address______________________________________________________________
City, State, ZIP_______________________________________________________________
Home phone______________________________________
Cell phone-Player__________________________________
Cell phone Parents Mom:___________________Dad______________________
Work phone- Mom_________________________Dad______________________
Can we call at work?__________________________
Fax__________________________
Parent e mail - Mom________________________________
Dad________________________________
Player e mail_________________________________
*********************************************************************
Is there a parent living at another address who needs to get information?
Name___________________________________________________________________
Address_________________________________________________________________________________
________________________________________________________
Home phone__________________________________
Cell phone____________________________________
Work phone___________________________________
Can we call at work?____________________________
Fax__________________________________________
E mail________________________________________
TOURNAMENT WORK SIGN UP
Whoosh will be hosting four tournament days this season
January 24 Whoosh Bowl Minisink Valley MS and DRIVE Sports
January 25 Whoosh Bowl Minisink Valley MS and DRIVE Sports
Every FAMILY is required to work ONE three hour work in January If you have more then one player
you only work one shift.
Sign up for this will be on November 23rd at the parent meeting.
PLEASE BE AWARE OF THE FOLLOWING:
1.everyone needs to work one shift in January
2.when the parent works we would like to have the player there as well to help us as assignedscorekeeping, running, whatever is needed. Obviously if the player is playing that cannot happen and we
understand that – but if she is available we would like her there to help.
3.there are two possible days for each event - make one of them work.
4.if you do not sign up- I will sign you up and you may not like where I assign you.
5.parents who do not fulfill this commitment will be assessed a $75.00 charge.
6.players may NOT work the shift for their parent-players who appear and tell me that they are working for
the parent will be sent home and the parent will be assessed the 75.00 charge.
JOBS TO BE SIGNED UP FOR ON NOVEMBER 23RD
1.Concession- helps with preparing, selling and serving food for the shift. January
7 – 10 am , 10am – 1 pm, 1 – 4 pm
THERE WILL BE A LARGE SIGN UP SHEET FOR EACH OF THE TOURNAMENT DAYS AT THE
NOVEMBER 23RD MEETING AT THAT TIME WE WILL KNOW WHICH AGE GROUP PLAYS ON
WHICH DAY AND AT WHICH LOCATION.
CHECK YOUR CALENDAR NOW SO YOU ARE PREPARED TO SIGN UP!!
Parent Volunteers
We couldn’t function without parents …we need you to help us with so many things! Please consider signing up for
something-if each parent signed up for just one job-we could all get so much more done! We will be asking you to sign up at
the mandatory parent meeting on November 23rd or you may email Hazel before that!
TEAM PARENT…..works with director, travel coordinator, parents and coaches to facilitate team drivers for tournaments.
Helps coach and other chairpersons with phone/ emails for team business as needed. Works with parents to assemble team
basket for raffle at club banquet at end of season!
TIME COMMITMENT: entire season
PEOPLE NEEDED: 1 per team
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UNIFORM PARENT…works with club staff to assemble uniform parts, deliver to uniform night and distribute.
TIME COMMITMENT: January- 1 evening-2-3 hours
PEOPLE NEEDED: 1 per team
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TEAM FUNDRAISING COORDINATOR acts as the distributor and collector for all team fundraising efforts. Works with
the club director to get paperwork to distribute and works with the team to collect orders and keep fundraising finances in
order.
TIME COMMITMENT:8-10 hours over the course of the season. PEOPLE NEEDED:1 per team
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CONCESSION CHAIRS…coordinate work shifts, food and money donation, sales and purchase of food for whoosh
tournaments-January 23 & 24
TIME COMMITMENT: ½ day at tournament at each site
PEOPLE NEEDED: 2 for each tournament day total of 4 people for Minisink and 4 for DRIVE
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SUPER BOWL LOTTERY COORDINATOR….works with the club director to collect money and information, set up
charts, notify the players of their numbers. It helps if you watch the game[or assign someone to watch it] and keep track of
the scores at the quarters half and final.
TIME COMMITMENT: mid January approximately 2 hours PEOPLE NEEDED 1 per team
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TEAM HISTORIAN…works with the team during the year to get pictures of many team events- practices, tournaments,
players eating, sleeping, being silly, and just being kids and so on!
The club has a small budget for each team for film processing and a scrapbook which we can keep and share!
TIME COMMITMENT: January through April-time would vary PEOPLE NEEDED 1 per team
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TEAM BANQUET CHAIR works with club director to collect money and responses for club banquet held on May 9, 2016
TIME COMMITMENT: April, May 3-4 hours PEOPLE NEEDED: 1 Per Team
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Dear parents,
Yes-we are asking quite a lot of you….but as an organization we cannot go forward without your help. Each of us is
involved with club as a coach or administrator has another full time job-we love what we do with your children…..but still
have to make our living in the real world. So please- look over these volunteer opportunities ….and plan to sign up for one of
these jobs! We can’t do this without you!
If you have questions about any of these areas- or want to sign up before November 23rd please do not hesitate to
email Hazel.