Manager s Manual Nickel City Hockey Association SEASON

Transcription

1 Manager s Manual Nickel City Hockey Association SEASON Rev 1 May 16, 2016

2 NCHA Manager s Manual Table of Contents 1.0 GETTING STARTED Team Information Parent Information Finances Soft and Hard Goods GAME INFORMATION TOURNAMENTS INJURIES INSURANCE AND SANCTIONED EVENTS AFFILIATION CRIMINAL CHECK... 4 LIST OF APPENDICES Appendix A Appendix B Appendix C Appendix D Appendix E Appendix F Appendix G Appendix H Appendix I Team Information Parent Information Finances Game Information Tournaments Injuries Insurance and Sanctioned Events Affiliation Criminal Check

3 NCHA Manager s Manual GETTING STARTED 1.2 Team Information Appendix A contains forms required to start to get the team organized: NOHA Rep team application (will be submitted by NCHA, including payment, which comes from association fees, not team fees) NOHA Roster Sheet (will be submitted by NCHA) NOHA list of staff roles (clarifies what each staff member is expected to do) NOHA certification requirements (clarifies what certification each staff member is expected to have) 1.3 Parent Information Appendix B contains documents to be circulated to parents: First parent meeting (guidelines) Sponsorship request letter (for parent s to request for sponsorship of their child) Parent handout (to be modified by the manager to suit your team, to be presented to the parents and to be signed where appropriate) Fair Play Code (FYI) Player Medical Information (to be completed by parents and submitted to the manager) NCHA Parent representative Policy #21 (policy on role of parent rep) NCHA Sponsorship Policy #29 (policy on sponsorship) Here is an excerpt about communication from NCHA Policy #8: 1. Parent to parent representative. 2. Parent representative to team manager. 3. Manager to head coach. 4. Head coach to division convener. 5. Convener to board. 6. NCHA President to NOHA District contact. 1.4 Finances Appendix C contains: Example of a budget (to be modified to suit team, others can be used, digital template will be distributed) Policy #6 Coach Reimbursement (policy detailing coach charges to the team) and #31 (training) Policy #13 Payment / Team Fee Schedule (policy on team payment) Policy #14 Team Budgets (policy on allowable budgets) Team Sponsor Receipt Child Fitness Tax Credit Association Fee Child Fitness Tax Credit Team Fee Fundraising form Page 1

4 NCHA Manager s Manual Soft and Hard Goods Soft and hard goods have to be ordered from the approved suppliers; either Skater s Edge or King Sportswear. These orders should be done as soon as possible. The NCHA equipment manager will provide direction. Teams are required to provide a team bond of $1,000, in a form of a cheque made out to the NCHA, which will be used for jersey repairs caused by the team. 2.0 GAME INFORMATION Appendix D contains: Game Checklist NDMHL team registration form NDMHL game report for suspensions NDMHL rescheduling form NOHA exhibition game request (only need one form if both teams from same district) OHF penalty codes Minimum suspension list Officials information 3.0 TOURNAMENTS Appendix E contains the NOHA tournament permit request. Here is an excerpt from NCHA Policy #4: Excluded from these guidelines: Silver Stick, TOC and OHF championships. AAA teams: Allowed 5 out of town tournaments. AA teams: Allowed 3 out of town and 2 in town tournaments. A teams: Allowed 3 out of town and 2 in town tournaments. For travel permits, the NCHA registrar requires the name, date and location of the tournament to be submitted by INJURIES Appendix F contains injury related files: NCHA Policy #24 Concussions and Injuries should be followed, when applicable When a player is injured: o HC Injury report form, to be submitted to the NOHA, after physician completes page 2 o Trainer must then enter the info on this site o Once the player has been through all the steps and practices required for return to play (as per NCHA guidelines or doctor s instructions) they will then need to provide the team trainer with the Return to Play form signed by a physician. Page 2

5 NCHA Manager s Manual INSURANCE AND SANCTIONED EVENTS Appendix G contains the following documents: Special events and fundraising Dryland OHF Insurance guide The following events/fundraisers are covered under the Hockey Canada Insurance Program. Low risk events, such as the following, must be approved by your convener or the association: Practices, exhibition games and regular season games in the City of Greater Sudbury. Proof of Insurance Requests from cities or towns other than the City of Greater Sudbury, for ice rental agreements. Sanctioned tournaments. Raffle ticket sales. Lottery license must be obtained from the association. Booths or tagging at a mall. Special development programs. Dry land training. Rental of facilities for meetings related to the function of the team or association. Silent auctions/dances sanctioned only. Door-to-door selling, bottle drives, personal fundraising, cookies, candy bars, etc. Must have full time supervision. The Definite No List Road Blocks Non-Hockey Related Activities Car Rallies Community Festivals * Other Sport Activities (including in- line hockey & ball hockey) Community Parades ** Road Side Clean Up Concerts Wood-Splitting National Hockey League (NHL) Players participating in event Blueline Club, canteen, beer tent on-sanctioned summer hockey camps, practices, leagues Any lease agreement with a clause that transfers the financial burden to the team for facility negligence Dances (as fundraisers for players or parents) Exhibition games involving non- registered participants (including parents, sibling and celebrities) The following is the process for teams to obtain a certificate of insurance, as proof of coverage: Usually, the owner of the facility (e.g., school board) requests Proof of Insurance from the team. Page 3

6 NCHA Manager s Manual The team outlines the details of the event and fills out a Hockey Canada Certificate of Insurance Request Form, along with any other pertinent information about the event. The form is then forwarded to the NOHA for initial screening, based upon the Insurance Certificate Criteria. If approved, the Branch forwards the information to BF Lorenzetti (Hockey Canada s Insurance Broker) for completion of the actual certificate of insurance. Once the Branch receives this certificate, they will send it back to the team. 6.0 AFFILIATION Appendix H contains affiliation files: Affiliation chart NOHA Regulation Number Seven NOHA Player Affiliation Record 7.0 CRIMINAL CHECK Appendix I contains criminal record check information: NOHA criminal record check policy NOHA risk management tool NOHA criminal offense declaration NCHA police record check request City of Greater Sudbury request form City of Greater Sudbury typical FAQ NCHA Policy # CONTACTS Pertinent contacts are as follows: NCHA president Gus Lescault, Gaston.Lescault@hilti.com, Registrar/tournament permits Mary Ellen Parks, mary_ellen.parks@nickelcityhockey.ca, (705) Player Development: Bart Hurley, bart@thehurleygroup.com, (705) Officials: Brian Beaupre, beaups@fibreop.ca, Timekeepers: Randy Pascal, statsman@sudburysports.com, (705) Novice Convener: TBA Atom Convener: Richard Poliquin rpoliquin@boartlongyear.com, Peewee Convener: Glen Polsky glenp@lbpc.sudbury.com Bantam Convener: Mark Seidel nacs@personal.ca, Midget Convener: Bart Hurley, bart@thehurleygroup.com, (705) Treasurer: Robyn Morris, robyn.morris@hotmail.com, NOHA Rep.: TBA Page 4

7 NCHA Manager s Manual Appendix A Team Information

8 TEAM APPLICATION FORM On behalf of the Club, we hereby apply for admission (Association, Team Name, Division, Category) to the NOHA, promising that, if admitted, we will conform to all Rules and Regulations issued by the Association, its Executive or Sub-Committee. Bulletins will be sent to the Contact Person. The NOHA office is to be notified in writing of any changes to the contact person at any time throughout the hockey season. MUST BE COMPLETED IN FULL. Contact Person: Address: City: Postal Code: Home Phone: Work Phone: Fax #: Manager: Address: City: Postal Code: Home Phone: Work Phone: Fax #: Coach: Address: City: Postal Code: Home Phone: Work Phone: Fax #: The Officers of our Club/Association are (all must be named): For Minor Hockey must use Association President & a Second Officer of Board (only individuals authorized to sign releases) (a minimum of two signing officers are required). Signing Officers must correspond with those named on Association Membership Dues. President: Name: Signature: Position: Name: Signature: Position: Name: Signature: Position: Name: Signature: Application signed by: Association THE ENTRY FEE MUST ACCOMPANY EACH APPLICATION All cheques or money orders must be made payable to the Northern Ontario Hockey Association Forms are to be sent to: 110 Lakeshore Drive, North Bay, Ontario, P1A 2A8 Further information may be obtained by calling the NOHA office at The Northern Ontario Hockey Association is committed to respecting and protecting the privacy of our Members, their Associations, individual members, their families and our employees. The information collected on this form will be used for the sole purpose of administering the Rules, Regulations and By Laws of the NOHA/OHF/Hockey Canada and/or for the purpose of registering the individual in the program for which they have enrolled and may be used to provide them with the information necessary for participation.

9 APPLICATION FOR ADMISSION Team Name: (Association, Team Name, Division, Category) Entry Fees: Junior A - $1, Juvenile AAA - $ Great North Midget AAA - $ Bantam/Peewee AAA - $ Novice to Midget (Categories AA D) - $ Please Circle: Major Minor (applies to AAA, AA, and A categories ONLY) Please Circle Division: Junior Midget Bantam Peewee Atom Novice Please Circle Category: AAA AA A B C D BB CC NOTE: For Juniors 40 player registrations + 5 staff registrations = 45 registrations For Midget 25 player registrations + 5 staff registrations = 30 registrations For Bantam to Novice 19 player registrations + 5 staff registrations = 24 registrations THE INFORMATION BELOW MUST BE COMPLETED IN FULL Novice to Midget: Entry Fee Paid: $ Participant Registration Fee A participant is a Player, Manager, Assistant Manager, Coach, Assistant Coach or Trainer. Insurance Fee: $17.44 x = $ # of participants Junior: Entry Fee Paid: $ Participant Registration Fee A participant is a Player, Manager, Assistant Manager, Coach, Assistant Coach or Trainer. Insurance Fee: $44.44 x = $ # of participants OHF Fee: $ 3.70 x = $ # of participants OHF Fee: $ 3.70 x = $ # of participants HC Fee: $ 4.50 x = $ # of participants HC Fee: $ 4.50 x = $ # of participants NOHA Fee: $30.00 x = $ # of participants NOHA Fee: $30.00 x = $ # of participants Total: $55.64 x = $ # of participants Total number of registrations: Players: Staff: Entry Fee and Participant Fees Grand Total: $ Total: $82.64 x = $ # of participants Total number of registrations: Players: Staff: Entry Fee and Participant Fees Grand Total: $ For NOHA Office Use Only: Date Received: Entry Fee Paid: Part. Fee Paid:

10 TEAM ROSTER SHEET Please submit to your Council Director Team Name: (Association Name, Team Name, Division, Category) Sweater # Player s Name Birth Date (YY/MM/DD) Staff Member s Name Position Certification # s (CN, HN, BN, TN, IN) The Northern Ontario Hockey Association is committed to respecting and protecting the privacy of our Members, their Associations, individual members, their families and our employees. The information collected on this form will be used for the sole purpose of administering the Rules, Regulations and By Laws of the NOHA/OHF/Hockey Canada and/or for the purpose of registering the individual in the program for which they have enrolled and may be used to provide them with the information necessary for participation.

11 NORTHERN ONTARIO HOCKEY ASSOCIATION Date: September 4, 2014 To: NOHA Associations From: John Jamieson Re: Position Changes for Team Staff 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) Each season, the NOHA Office receives a number of requests from Teams to change a Team Staff s position on their card. The NOHA Office cannot accommodate this request directly as the filling out of the registration by the person or Association makes it a legal document and the NOHA Office cannot just amend it. The team must make a request to their Association President and then the Association President can make the request in writing to the NOHA Office. The reason for this is that the Association President knows of the change and once they submit it in writing to the NOHA Office, they have now endorsed the change and take responsibility for their actions. Although some of the requests are made because someone could not attend the required clinics or is no longer required for a specific position on the team, unfortunately many of the requests are made in an attempt to circumvent the rules and regulations of the NOHA/OHF and Hockey Canada. The NOHA Office has also received several phone calls and s from volunteers who were told by their Association that they only need Speak Out, or only require Speak Out and their Trainers certification in order to help coach. It was explained to these people that if they are going to be helping to coach a team, that they would need to meet the appropriate certification requirements. To help better understand some of the potential problems that may arise from these requests, below is a brief job description for each of the staff positions. Manager: The team Manager is an administrative function, which may include scheduling practices, budgeting and completing the players registrartions, among other duties. As the position is an administrative one, the Manager should not be on the ice. A team may have a maximum of two Managers, both of whom require Speak Out. Trainer: The Trainer is responsible for the safety and well-being of the players. Some of the Trainer s duties include implementing a Risk Management program for the team, maintaining the players medical information and dealing with injuries. The Trainer should only be on the ice to treat an injury. A Trainer must have a valid Hockey Trainers Certification card and Speak Out, while a team may have as many Trainers as they would like.

12 Date: June 4, 2015 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) To: NOHA Minor Hockey Associations NOHA Single Entry Teams From: John Jamieson Re: Certification Requirements Key Terms: Trained (Qualified): Coaches who have complete training (attended a clinic), but have not been evaluated. Certified: Coaches who have finished the post-tasks and have been field evaluated. Initiation House League Teams All Head Coaches and Assistant Coaches require Speak Out or Respect in Sport Activity Leader and must be Intro to Coach Trained. (Initiation). o The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Intro to Coach Clinic. All Trainers require valid trainer s certification (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Novice (AA to D) and House League Teams All Head Coaches and Assistant Coaches require Speak Out or Respect in Sport Activity Leader, and must be Coach Level Trained. o The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Coach Level Clinic. o All Head Coaches and Assistant Coaches that are Development 1 Trained ( Qualified ) as of May 2015 will be grandfathered to Coach Level Trained o All Head Coaches and Assistant Coaches that took the Initiation Program Clinic in the season and the season will be grandfathered to Coach Level Trained

13 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) All Trainers require valid trainer s certification (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Atom (AA to D) and House League Teams All Head Coaches and Assistant Coaches require Speak Out or Respect in Sport Activity Leader, and must be Coach Level Trained o The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Coach Level Clinic. o All Head Coaches and Assistant Coaches that are Development 1 Trained ( Qualified ) as of May 2015 will be grandfathered to Coach Level Trained A minimum of one Head Coach or Assistant Coach must have Checking (Coach Instructional Stream Checking Skills 1) certification. All Trainers require valid trainer s certification (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Peewee, Bantam and Midget House League Teams All Head Coaches and Assistant Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be Coach Level Trained. o The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Coach Level Clinic. o All Head Coaches and Assistant Coaches that are Development 1 Trained as of May 2015 will be grandfathered to Coach Level Trained. All Trainers require valid trainer s certification (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer)

14 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) Peewee (AA to D), Bantam (AA to D) and Midget (AA to D) Teams All Head Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be Development 1 Certified All Assistant Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be either Development 1 Trained, High Performance 1 Trained or High Performance 1 Certified. All Trainers require valid trainer s certification (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Peewee (AAA) Teams All Head Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be Development 1 Certified All Assistant Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be either Development 1 Trained, High Performance 1 Trained or High Performance 1 Certified. All Trainers require valid Level 2 Trainers or higher (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Bantam (AAA) and Midget (AAA) Teams (includes Minor Teams) All Head Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be High Performance 1 Certified. All Assistant Coaches require Speak Out or Respect in Sport Activity Leader, Checking (Coach Instructional Stream Checking Skills 1), and must be either Development 1 Trained, High Performance 1 Trained, or High Performance 1 Certified. All Trainers require valid Level 2 Trainers or higher (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification.

15 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Junior Teams ( Season) All Coaches and Assistant Coaches require Speak Out or Respect in Sport Activity Leader, and Coach Level (taken prior to the year 2004) or Development 1 certification. All Trainers require valid Level 2 Trainers or higher (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Junior Teams (Beginning in the Season) All Head Coaches require Speak Out or Respect in Sport Activity Leader, and must be High Performance 1 Certified. All Assistant Coaches require Speak Out or Respect in Sport Activity Leader, and must be either Development 1 Trained, High Performance 1 Trained, or High Performance 1 Certified. All Trainers require valid Level 2 Trainers or higher (3 year term) and Speak Out or Respect in Sport Activity Leader certification. All Managers require Speak Out or Respect in Sport Activity Leader certification. Maximum of two Managers and two Trainers registered per team. All Coaches, Trainers, and Managers require a Criminal Record Check, including a Vulnerable Sector Check to be submitted to their Minor Hockey Association or Single Entry Team. (Each team must have at least one qualified coach and at least one certified trainer) Yours truly, John Jamieson NOHA President

16 Position Head Coach Speak Out or Respect in Sport - Activity Leader (HN-XXXXXX) Intro to Coach (Initiation) (IN-XXXXXX) Initiation (HL) Required Required Team Staff Certification Requirements Minimum Certification Required Coach Level (CN-XXXXXX) Development 1 (CN-XXXXXX) High Performance 1 Checking (BN-XXXXXX) Novice (HL) Required Required Atom (HL) Required Required Required - Minimum of 1 Coach or Assistant Coach per Team Peewee (HL) Required Required Required Bantam (HL) Required Required Required Midget (HL) Required Required Required Novice (AA to D) Required Required Atom (AA to D) Required Required Required - Minimum of 1 Coach or Assistant Coach per Team Peewee (AA to D) Required Required Required Peewee (AAA) Required Required Required Bantam (AA to D) Required Required Required Bantam (AAA) Required Required Required Midget (AA to D) Required Required Required Midget (AAA) Required Required Required * Criminal Record Check, which includes Vulnerable Sectore Screening is required. Contact your Association for further information. * All Head Coaches coaching Peewee (AAA to D), Bantam (AA to D) and Midget (AA to D) must be Development 1 "Certified" * All Head Coaches coaching Bantam (AAA) and Midget (AAA) must be High Performance 1 "Certified" * All Head Coaches and Assistant Coaches that are Development 1 Trained as of May 2015 will be grandfathered to Coach Level Trained * All Head Coaches and Assistant Coaches that took the Initiation Program Clinic in the season and the season will be grandfathered to Coach Level Trained * The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Intro to Coach or Coach Level Clinic in the Season and beyond

17 Position Assistant Coach Speak Out or Respect in Sport - Activity Leader (HN-XXXXXX) Intro to Coach (Initiation) (IN-XXXXXX) Initiation (HL) Required Required Team Staff Certification Requirements Minimum Certification Required Coach Level (CN-XXXXXX) Development 1 (CN-XXXXXX) High Performance 1 Checking (BN-XXXXXX) Novice (HL) Required Required Atom (HL) Required Required Required - Minimum of 1 Coach or Assistant Coach per Team Peewee (HL) Required Required Required Bantam (HL) Required Required Required Midget (HL) Required Required Required Novice (AA to D) Required Required Atom (AA to D) Required Required Required - Minimum of 1 Coach or Assistant Coach per Team Peewee (AA to D) Required Required Required Peewee (AAA) Required Required Required Bantam (AA to D) Required Required Required Bantam (AAA) Required Required Required Midget (AA to D) Required Required Required Midget (AAA) Required Required Required * Criminal Record Check, which includes Vulnerable Sectore Screening is required. Contact your Association for further information. * All Head Coaches and Assistant Coaches that are Development 1 Trained as of May 2015 will be grandfathered to Coach Level Trained. * All Head Coaches and Assistant Coaches that took the Initiation Program Clinic in the season and the season will be grandfathered to Coach Level Trained. * The Hockey University Coach 1/2 (*HU ONLINE Coach 1/2) online course must be completed prior to attending an in-person Intro to Coach or Coach Level Clinic in the Season and beyond

18 Position Trainer Speak Out or Respect in Sport - Activity Leader (HN-XXXXXX) Level 1 Trainers (TN-XXXXXX) Initiation (HL) Required Required Novice (HL) Required Required Atom (HL) Required Required Peewee (HL) Required Required Bantam (HL) Required Required Midget (HL) Required Required Novice (AA to D) Required Required Atom (AA to D) Required Required Peewee (AA to D) Required Required Level 2 Trainers (TN-XXXXXX) Peewee (AAA) Required Required Bantam (AA to D) Required Required Bantam (AAA) Required Required Midget (AA to D) Required Required Team Staff Certification Requirements Midget (AAA) Required Required Minimum Certification Required * Maximum 2 trainers per team. * Trainers certification expires every 3 years. * Criminal Record Check, which includes Vulnerable Sector Screening is required. Contact your Association for further information. * Participants wishing to obtain Level 2 Status must submit their request along with the registration fee of $ HST ($5.65) to the NOHA Office by October 31 of the current season.

19 Team Staff Certification Requirements Position Manager Initiation (HL) Novice (HL) Atom (HL) Peewee (HL) Bantam (HL) Midget (HL) Novice (AA to D) Atom (AA to D) Peewee (AA to D) Peewee (AAA) Bantam (AA to D) Bantam (AAA) Midget (AA to D) Midget (AAA) Speak Out or Respect in Sport - Activity Leader (HN-XXXXXX) Required Required Required Required Required Required Required Required Required Required Required Required Required Required * Maximum 2 managers per team. Minimum Certification Required * Criminal Record Check, which includes Vulnerable Sector Screening is required. Contact your Association for further information.

20 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) Coach and Assistant Coach: The role of the Coach and Assistant Coach is to lead the team, both in games and in practice. The Coach and Assistant Coach provide instruction to the players on and off the ice. All Coaches have either Initiation or Development 1 certification depending on the age group they are coaching, as well as Speak Out. Coaches at Atom and above must also have their Checking certification. See below for the NOHA certification requirements. One of the more common questions received at the NOHA Office is, Can I go on the ice for practice if I have only Speak Out? Based on the job descriptions above, only the Head Coach and Assistant Coaches should be on the ice. A volunteer with Speak Out has only the appropriate certification to be a Manager, which is an administrative position as mentioned previously. With that being said, if assistance is required during practice to set up pylons or to push pucks, a team staff member may be on the ice to perform these tasks but they CANNOT provide instruction to the players (i.e. demonstrate a drill) as they are not insured to coach. Should a situation arise where a player is injured by someone who is not registered as a Head Coach or Assistant Coach (i.e. the player is checked into the boards by a team staff member), they will not be covered by Hockey Canada s Insurance Program and not only will the team staff member be held responsible, but the Association will as well. When approving staff position changes, you must consider the ramifications of those changes. Is the change being made for the right reason or is the change being requested because someone does not want to attend a specific clinic? If you have any questions, please contact your District Council Director. Yours truly, John Jamieson NOHA President cc: NOHA Executive

21 NCHA Manager s Manual Appendix B Parent Information Page 2

22 Conducting the First Parent Meeting Adapted from Avenue Road Ducks Novice Selects (host meeting shortly after team is formed) Scheduled Date: A. Introduction (5-10 minutes) - Introduce yourself (manager), coach, assistant coaches, trainer, etc. - Give a brief explanation of the importance and purpose of the meeting. B. Coaching Overview (10 minutes) - Have the Coach provide information on the goals and objectives for the season and his credentials and philosophy. C. Details of Program / Expectations for Players (10-20 minutes) - With the Coach present specific information on the operation of your hockey program. - Overview of how coach and player evaluations will be implemented. - Discuss expectations of the player (and parents) Appendix 1: Fair Play Codes Time commitment Respect for themselves, all players (own team and opposition), referees, officials, parents, etc. Expected conduct games, practices, locker room, events Discipline - Let parents participate in deciding rules of parent conduct at games, team functions, etc. D. Budget (15 minutes) - Outline of expected costs Appendix 22: Budget - Initiate fundraising discussions will there be a fundraiser, or will each family make a contribution? Suggestions: bingos, casinos, dinners, auctions / raffles, sponsors, etc. - Extra activities social events, photos, extra tournaments, how much extra ice time must be booked? E. Team Apparel (5 minutes) - Discuss dress code - Water bottle policy F. Expectations of the Parents / Volunteers (20 minutes) - Organize a parent s committee to coordinate roles and responsibilities volunteer roles are essential and each family should participate in a role. Appendix 3: Parents Contact & Responsibility List G. Questions (5 minutes) - Allow additional questions, parent concerns, etc. - Distribute materials and any forms that need parent s attention. - Set up time for next meeting. Date:

23 select the proper logo Nickel City Team Name Re: Sponsorship Dear Sir/Madam: The Nickel City Team Name is comprised of 13 and 14 year old individuals who have a true passion for Canada s game. We also have a group of volunteer coaches, trainers and supporters that dedicate vast amounts of time and effort to help these children realize their goals. Our initiative is to offer the players and their families a program that is based on building a well balanced life. This program includes enhancing their hockey skills, learning about the importance of education, nutrition and fellowship. The team s core values are honesty, integrity, respect and discipline and we feel that these values will build stronger individuals for the future. This year the players will experience elite hockey in Northern Ontario, as well as traveling to play in high level tournaments across Ontario. At this time I am asking for your financial support of $ to help provide an experience to remember. For your support, your company will receive a tax receipt, recognition on the team website and by the player personally. Please make your cheque out to bank account name and mail it to address. You will get a substantial return knowing that you have helped the youth of our area and have contributed to the development of our future athletes, workers and citizens. Thank you for your consideration. If you have any questions, you may contact our team manager name at phone number. Sincerely, Nickel City Hockey Association

24 2016/17 Nickel City Hockey Team Handbook /2017 Nickel City Hockey (insert team name here) Parent/Player Team Handbook 5/07/14

25 2016/17 Nickel City Hockey Team Handbook 2 TABLE OF CONTENTS Page Welcome Letter 3 Board of Director and Team Staff 4 Mission, Vision, and Core Values Statement 5 Coaching Philosophy 6 Team Communication 6 NCHA Meetings 7 12/13 Proposed Tournaments 7 Sponsorship 7 Fundraising 8 Team Finances 8 Parent Fee Schedule 8 Team Apparel 9 Equipment 9 Team Rules - Attendance 9 Games 10 Practices 10 Dressing Room 10 Dress Code 10 Conduct, Attitude, and Discipline 11 Complaint Resolution Process 11 Hockey Nutrition, Eat to Win! 12 Parental Code of Conduct 16 Acknowledgement 17 Team Budget 18 5/07/14

26 2016/17 Nickel City Hockey Team Handbook 3 Dear Nickel City Parents & Players: Welcome to the Nickel City (insert team name here) Hockey Team! We are extremely pleased to have your families involved in what is shaping up to be an exciting and promising season! This handbook was developed to provide you with a greater understanding of the Nickel City Hockey rep program and to help manage your expectations in terms of the financial and time commitments required. Please read through this document and ensure that everyone involved fully understands his or her responsibilities on the team. We believe this is an important tool in ensuring a positive and rewarding hockey experience for all. Together with talented and dedicated athletes, committed parents, and hard working coaches, we hope to create a hockey team that will compete at the highest levels for this age group and that your sons or daughters will have an enjoyable and rewarding experience in the sport. Should you have any questions, comments, or concerns throughout the season, please do not hesitate to speak with the team s Manager, (insert team manager s name and contact info here). Best Regards, Nickel City Hockey Association 5/07/14

27 2016/17 Nickel City Hockey Team Handbook 4 TEAM STAFF The NCHA proudly entrusts the following individuals to lead the Nickel City (insert team name here) Hockey Team: Head Coach: Res: Cell: Assistant Coach: Res: Cell: Assistant Coach: Res: Cell: Trainer: Res: Cell: Manager: Res: Cell: 5/07/14

28 2016/17 Nickel City Hockey Team Handbook 5 MISSION, VISION, AND CORE VALUES STATEMENT MISSION The mission of the Nickel City Hockey Association is: 1. To lead, develop, and promote a positive hockey experience for all players and their families. 2. To create a learning environment built on a foundation of respect, integrity, and honor. 3. To foster a love for the great game of hockey while creating lasting memories and life-long friendships. 4. To maximize the individual skills development of every player that will enable these players to compete at a high level of hockey for years to come. 5. To emphasize that hockey is a team game, and that team achievements far outweigh the individual accomplishments. 6. To recognize the success of winning while downplaying the significance of losing. 7. To teach the importance of goal setting that allows for maximum personal, academic and athletic development. VISION The vision of the Association is to create an Association that: Puts the kids first Ensures a positive and rewarding experience for the participants Ensures there is a structured development program for Players and Coaches Provides an ability for parents and participants to give input to allow for continued improvement The team s vision is to: 1. (insert team vision here) 5/07/14

29 2016/17 Nickel City Hockey Team Handbook 6 CORE VALUES The core values of the Association are: The NCHA values are respect, integrity, fairness, sportsmanship, transparency, perseverance and the pursuit of excellence The team will represent the Nickel City Hockey Club with pride and promote the following: Never Never say never. We never quit Improvement Each hockey player will be a better person at the end of the season Compete Strive to be the best hockey player/coach/fan and person you can be Knowledge We are all students of the game, it is important to learn something new every ice time Effort - Always try your best in every practice, every game, and on every shift. Loyalty - Be committed to the goals and to the fellow members of the team COACHING PHILOSOPHY Our expectations for the players are simple give 100% and be ready to listen and learn at all times. Communication between coaches is extremely important to ensure we are conveying the same message to the players. Please DO NOT coach your child at home or from the stands. The coaching staff will discuss every player individually and determine what skill sets require attention. Our practice plans will be geared to skills development and team concepts. Players will be motivated to achieve their full potential. Our overall philosophy is that players need to play to develop. Player positioning may change as the year develops and in strategic situations. These decisions are at the sole discretion of the coaching staff. Power play and penalty killers will also change throughout the season. Everyone will get a chance but as the year progresses, it is likely that some players will see more ice in these strategic situations. This decision is at the sole discretion of the coaches. Sitting a player may happen during the season for lack of effort or attitude, and in some situations, for ability. We must remember that hockey is a sport and the number one priority for the student athlete is their school work. If players are falling behind or doing poorly academically, it may be necessary to miss practices or 5/07/14

30 2016/17 Nickel City Hockey Team Handbook 7 games until school work is completed or improved. Realistically, none of our kids are going to play in the NHL, education is the key to their future success! TEAM COMMUNICATION A team website will be designed for players, family members, and friends with all sorts of valuable information such as player profiles, schedules, tournament information, pictures, links to various hockey related websites as well as numerous fun sites for the kids. The team s website can be viewed at (INSERT HERE). Please bookmark the website and be sure to visit the site weekly as it will be a main source of communication along with . Please advise the team s Manager of any addresses you would like us to have for communication purposes, as we will NOT be making any telephone calls unless there are extenuating circumstances. NCHA MEETINGS The Nickel City Hockey holds regular meetings on the second Monday of every month throughout the playing season. These meetings are open to all NCHA members by appointment and any members wishing to address the Board must do so in writing. The Board may elect to have the member speak to the issue at the Board meeting and will notify the member if they are being invited to do so. For further information on Nickel City Hockey or to download a copy of the Constitution, please visit the website at /2016 PROPOSED TOURNAMENTS Subject to Change Tournament Date Maximum of 5 tournaments Teams are required to attend Association run tournaments Any tournaments above the maximum must be board approved 5/07/14

31 2016/17 Nickel City Hockey Team Handbook 8 SPONSORSHIP The team is looking for major sponsors, as well as individual sponsors. Parents are asked to seek any form of sponsorship they can. If you are fortunate enough to obtain an individual sponsor, the amount required from you will be lessened. A copy of the team s Sponsorship Request Letter can be provided by the team manager. FUNDRAISING In an effort to reduce costs to parents for the operation of the team, the following fundraising events are planned: (of course with prior approval from the Nickel City Hockey board) /50 Draws (Home Games) Parents will be scheduled to sell raffle tickets at all home games. We will be forming a fundraising committee to come up with any other ideas and to coordinate the events. The fundraising committee will have the full support of the coaching staff. All we ask is that we be kept informed, as the Nickel City Hockey board must approve all fundraising initiatives. Participation in fundraising activities is MANDATORY for all members of this team, however parents may decide to contribute an equal cash amount. TEAM FINANCES As outlined in the team s proposed budget (page 18, the team s operating cost for the full season will be approximately $(insert team budget here). Included in this amount are tournament entry fees, team apparel, extra ice, team pictures, etc. Money will only be spent where necessary, but at the coaching staff s discretion. If there is a surplus remaining at the end of the season, we will divide the remainder equally and gladly disburse your portion back to you. 5/07/14

32 2016/17 Nickel City Hockey Team Handbook 9 PARENT FEE SCHEDULE The annual fee is $(insert player annual fee here)/player. We ask that this fee be paid in one payment upon signing, if possible. If the one payment is not possible, please pay this amount in three installments: Cheque #1 $(insert value here) Due upon signing Cheque #2 $(insert value here) Due (insert date here) Cheque #3 $(insert value here) Due (insert date here) Cheque #4 $(insert value here) Due (insert date here) All fees are to be paid by cheque payable to the Nickel City Hockey (insert team name here). If you cannot meet these financial obligations, we ask that you (1) kindly notify the coaching staff ASAP and (2) please do NOT sign your child s NOHA player card. The team has adopted a strict no-pay, no-play policy. This policy requires that all fees must be paid by (insert date here). If there are any fees outstanding after (insert date here), no game playing time will be allotted until full payment is received. Cheques returned due to NSF will be subject to a $50 fee. All remaining cheques from the person(s) will only be accepted if certified. REFUNDS A refund for part or all of the registration fees paid may only be given in accordance with the NCHA constitution. TEAM APPAREL The NCHA (insert team name here) team will provide the following to all players as part of the team s budget: Home & away jerseys (to be returned to the association) Shells Home & away socks Team jacket Track suits (warm up) Mock neck shirt Ball cap Toque Hockey Bag *Dress code for games Players are expected to wear (insert expected apparel here). Coats are to be zippered and players are to look neat and presentable when arriving and leaving at the arena. 5/07/14

33 2016/17 Nickel City Hockey Team Handbook 10 TEAM RULES Attendance It is expected that the players will attend all team functions including games, practices, tournaments, and social functions. If a player cannot attend, the Head Coach or Manager will require at least 24 hours notice. Emergency or critical personal situations are exceptions. Please advise the Head Coach or Manager of any holiday plans or conflicts as soon as possible. Games Players must be at the rink 60 minutes prior to game time. Players need to be fully dressed and ready to play 10 minutes before game time. All players are responsible for their own equipment. Failing to bring equipment could result in player missing a period or game for repeated circumstances. Players are expected to always play hard, fairly, and by the rules. There will be a curfew for both home and away games. Curfew time will vary according to games times and game performance Injuries a player that is injured at any team functions, game, practice, etc and had to go to the doctors MUST bring a form from the doctor stating it is okay to return to normal activities Practices Practice time should be valued and considered the most important part of the program. Players must be at the rink 30 minutes prior to practice time. Players must be fully dressed and ready 5 minutes before practice time. Consistent tardiness will be addressed with the parent and player as required. Players must stop what they are doing immediately when the coach blows the whistle. At times, players not listening or impacting other player s ability to learn may be sent off the ice. Dressing Room There will be no adults (aside from the coaching staff) permitted in the dressing rooms at any time. Parents should respect that the locker room is a private area. The dressing room is also a place where valuable information is communicated and team bonding is formed. In most cases, the dressing rooms are limited in size. The dressing rooms are to be kept tidy before and after each game or practice. There are no cameras or other picture taking devices allowed in the dressing rooms. No personal electronics such as cell phones, ipods or Nintendo DS are permitted as they take away from team atmosphere of the dressing room. 5/07/14

34 2016/17 Nickel City Hockey Team Handbook 11 Dress Code Coats should be zippered and the players should be proud to wear the Nickel City Hockey logo and all that it represents. Game jerseys are to be hung up at all times and are not permitted to be left in the hockey bags. Game jerseys and socks are not to be worn at practices. Conduct, Attitude, and Discipline In order to have a successful and competitive team, players need to work together and be willing to do what is asked of them and to do it with good attitude. Examples include: Players being moved to different positions that are not necessarily their first choice. Not complaining about playing time during the game. Foul language, physically or verbally aggressive behavior, bullying or any other inappropriate behavior will not be tolerated from any player under any circumstances. Drugs, alcohol or smoking will not be tolerated. If you are found with any of these items in your possession, you will be suspended from the Team and your parents will be notified. Bus Etiquette and Rules for the teams applicable Keep the bus clean at all times. TWO players per trip will be selected to ensure this is done Players will bring schoolwork or a book to read (no excuses for late school assignments; bus trips are long enough to complete homework). Card playing on the bus (parents and players) at the discretion of the coach. COMPLAINT RESOLUTION PROCESS There is a MANDATORY process in place called the 24 Hour Rule that is commonplace in all sports at various levels. The 24 Hour Rule is highly effective in maintaining a respectful and successful level of communication among parents and coaches, which in turn ensures that adult exchanges are positive in the eyes of the players. This cannot be understated or underestimated. If at any time you see something that makes you angry or upset, the 24 Hour Rule stipulates that you take one full day as a cool down period to determine if you are truly bothered by the situation, or if you are simply reacting on emotion. We ask that you go home, think about the situation from a variety of perspectives, write down your thoughts, and after a minimum of 24 hours, you may contact the Parent Representative, either in person or by telephone to explain the nature of your concern. Please DO NOT send any s and please DO NOT discuss your concerns with others OR get others involved. The Parent Representative will approach the coaches to arrange for a meeting if necessary. The coaches will NOT discuss any issues or complaints on an individual basis. We will deal with all issues collectively as a coaching staff. Issues or concerns not resolved by the coaching staff are to be communicated to the Convenor by the Coaching staff or Parent. The Convenor will listen to the concerns of the Parent and Coaching 5/07/14

35 2016/17 Nickel City Hockey Team Handbook 12 staff and then notify the Board of the issue. The Board will then determine the best actions to be taken to resolve the matter. Let s work together to have a great season! 5/07/14

36 2016/17 Nickel City Hockey Team Handbook 13 HOCKEY NUTRITION, EAT TO WIN! By Tina Shepard, MS, RD Department of Nutrition Arizona State University Ice hockey is a high-intensity activity, and hockey players expend a tremendous number of calories in practice and in competition. Fueling the body at frequent, regular intervals with appropriate amounts of food will enhance strength, speed, and stamina. To have enough energy, you must eat enough energy. With too few calories, you will feel weak and tired, and will be more susceptible to injuries. A hockey player s diet should be based primarily on complex-carbohydrate-containing food (starches) with less emphasis placed primarily on protein and fat. During activity, muscles use carbohydrate as their primary source of energy, not protein. A high carbohydrate diet increases glycogen stores (for muscle energy) and improves athletic performance. A majority of your daily calories should come from carbohydrate, such as bread, pasta, rice, cereal, fruit and vegetables. Hockey players should AVOID low-carb diets, as they will not provide enough fuel for endurance. Do you need to eat something before you play? Yes. Just like a racecar you can t expect to win an Indianapolis 500 without the right fuel in your tank. Unfortunately, everyday hockey players around the world run out of gas in the middle of a game and struggle just to finish simply because they forgot to re-fuel before they played. Here are some basic tips: Eat breakfast everyday! Breakfast starts your metabolism for the day and fuels your body and brain. Eat every 3-4 hours. This usually breaks down to 3 meals a day plus 3 snacks a day. Fit meals into your schedule as best as possible but do not go more than 4 hours without eating. Fluids, fluids, fluids, and more fluids! Your hydration status will have a huge impact on the day s performance. The more hydrated you are the better the performance. HYDRATION GUIDELINES You should drink fluids on a schedule, rather than as a response to thirst. Water: Drink 16 ounces of water before bed, first thing in the morning, and two hours before a practice or game. Fluids: The best choices are water, sports drinks, and juices or fruit drinks diluted in a one-to-one ratio. Caffeinated or carbonated drinks are poor choices. Before: Drink 8 to 12 ounces, minutes before practices or games. During: Drink 6 to 8 ounces at all breaks during practices or games. After: Drink at least ounces after practices and games. 5/07/14

37 2016/17 Nickel City Hockey Team Handbook 14 To have the most strength, power, and stamina, timing of your meals around your training schedule is important, so you need to coordinate eating before, during, and after practices and games. Before Practices and Games 1 to 3 hours before an event: Eat a balanced meal. This time frame allows most of the food to be emptied from the stomach, while not leaving you overly hungry. Skipping meals or not eating before an activity can impair athletic performance. Meals serve two main purposes. They keep you from feeling hungry and help you maintain optimal levels of blood glucose (energy) for working muscles during training and competition. The best pre-game meals are carbohydrate-based, moderate in protein and low in fat. You should try to limit high-fat and fried foods such as French fries, burgers, nachos, and fried chicken, as these take a long time to digest, and can cause gas, bloating, and stomach upset. With the extremely busy schedule that ice hockey players and their families have, here are some of the healthiest fast food lunch and dinner options when there is no time for a home-cooked meal: grilled chicken sandwich, bean burrito, chicken burrito, plain small hamburger (no fries), salads, chili, baked potato, cheese or veggie pizza. Order milk or water instead of soda pop with your meal. Young hockey players tend to drink way too much soda pop and not enough milk. Extra calcium is definitely needed by active, growing young athletes, and dairy products are the best source. If you do not like milk or other dairy products, you should take calcium supplements. 30 minutes prior to the event: Eat a high carbohydrate food like a banana, bagel or fruit juice. Sports nutrition products like Power Bars can also be an excellent source of energy and can be part of your pregame snack. These foods are broken down quickly and provide fuel to the muscles. The timing and quantity of these foods will largely depend on your preference for eating before exercise and level of comfort during your workout. Chocolate bars and candy may give you a short term energy boost but tend to cause a real energy drain within a short time and actually hurt your performance more than help it. Breakfast suggestions for early games and practices: Players should have a light meal or snack prior to arriving at games. In the morning, toast and fruit, such as a banana, are excellent, as is a pure fruit juice (juice is even better if diluted 50% with water for additional hydration). Other good breakfast foods are oatmeal, cereal with milk, yogurt with fruit, bagel with peanut butter or light cream cheese, smoothies or other liquid meal like Carnation Instant Breakfast. 5/07/14

38 2016/17 Nickel City Hockey Team Handbook 15 Eat items that are easily digestible, and try to eat shortly after waking. Avoid heavy or greasy food like bacon, sausage, doughnuts, etc. These take longer to digest and may have a negative effect on performance. Packable Snacks So you won t go hungry if you re traveling to a game, be sure to pack food in your hockey bag or keep some in the car try keeping a small cooler in your car to store extra healthy snacks and drinks. You might even pack extra snacks for underfed teammates and hungry little brothers and sisters. Some possibilities include: Granola bars or energy bars Trail mix Apples and oranges (they keep several days) Dried fruit Animal crackers Juice boxes Small bottles of milk String cheese Peanut butter and crackers Low fat yogurt or pudding Unsalted nuts such as plain almonds Pretzels Dry cereal During Practices and Games Drink plenty of water, at least 6 to 8 ounces at every break. Perspiration and exertion deplete the body of fluids necessary for an optimal performance and lead to dehydration. Drink before you feel thirsty. You should try to avoid fluids like soda pop (can cause intestinal cramping), or any with caffeine. This will cause you to go to the bathroom more and can lead to dehydration. 5/07/14

39 2016/17 Nickel City Hockey Team Handbook 16 After Practices and Games Immediately after training: 1. Consume carbohydrate-rich foods and beverages as soon as possible after games and practices (ideally within the first 30 to 45 minutes after exercise). They will replenish glycogen fuel stores quickly and get your muscles back into performance shape. Some of the best choices are: Fruit juice diluted with water, or sports beverages like Gatorade Granola or cereal bars Dry sweetened cereal Chocolate milk 2. Replace fluids that have been lost. Drink at least ounces of water or sports beverage. 1 to 2 hours after training Eat a nutritious, balanced meal that has lots of carbohydrate-rich foods such as grains, pastas, potatoes, vegetables and fruits. The Bottom Line Eat every three hours. Drink lots of fluids. Eat soon after leaving the ice. Emphasize carbohydrates. Also, I recommend a multivitamin/mineral supplement (like Centrum) each day plus an additional calcium supplement. 5/07/14

40 2016/17 Nickel City Hockey Team Handbook 17 PARENTAL CODE OF CONDUCT As a member of the Nickel City Hockey Association (NCHA) and Nickel City Hockey (insert team name here) Team, I have read and fully understand the following code of conduct for parents: 1. I will remember that an important part of my child playing hockey is his or her enjoyment, not mine. 2. I will encourage my child to play by the rules and to resolve conflict without resorting to hostility or violence. 3. I will not coach my child at home or from the stands. 4. I will support and encourage the concept of my child belonging to a team and I recognize the benefits of the commitment, discipline, and the social skills learned and acquired. 5. I will remember that ice time, line combinations, goaltender rotations, and specific positions are all coaching decisions and are not open for discussion. 6. I will not ridicule or yell at any child for making a mistake or losing a game. 7. I will not be critical of or embarrass any player, including opposition players. 8. I will remember that children learn by example. I will applaud good plays by both my child s team and his/her opponents. 9. If we are winning by four or more goals, I will not cheer loudly. Polite applause is always appropriate for our own accomplishments as well as those of the opposing team. 10. I will support the concept of zero tolerance and will not yell or question an official s judgment. I recognize that officials are being developed in the same manner as players. 11. I will refrain from use of abusive or vulgar language at the rink or any hockey team function. 12. I will not engage in any unpleasantries with wayward parents from other teams. 13. I will not throw objects of any kind on the ice or lean over and pound on the glass. 14. I will make sure my child has the proper rest, nutrition, and hydration to compete at his or her best for the team and for him/herself. 15. I will insist that my child plays in a safe and healthy environment that is free of alcohol, drugs or tobacco and I will refrain from their use at all youth team events. 16. I will not yell, taunt, threaten or inflict physical violence upon any player, coach, official or spectator at any hockey activity. 17. I will communicate any concerns to the manager or parent liaison in a respectful manner and in accordance with the 24 Hour Rule. I will not discuss any issues with others or get others involved. 18. I respect and understand that the coaches and parents that assist in running the NCHA are volunteers who are helping to make my child s experience enjoyable. 19. I acknowledge my responsibility to report infractions that I observe to an executive member of the NCHA board. I acknowledge that I have read and will abide by the above Code of Conduct. I understand that the NCHA follows the Nickel District Minor Hockey League (NDMHL) disciplinary rules and action if there is a violation. Parent Name Parent Signature Date Parent Name Parent Signature Date 5/07/14

41 2016/17 Nickel City Hockey Team Handbook 18 ACKNOWLEDGEMENT I have read and understand all policies set forth in the Nickel City Hockey (insert team name here) Team Handbook and I agree to uphold all standards. Player s Name: Player s Signature: Date: Mother s Name: Mother s Signature: Date: Father s Name: Father s Signature: Date: Thank you for your commitment and for embracing the vision and passion of the Nickel City Hockey Team! 5/07/14

42 2016/17 Nickel City Hockey Team Handbook 19 TEAM BUDGET Revenues Total Revenue $ EXPENSES Total Expenses $ 5/07/14

43 Fair Play Code... for COACHES I will be reasonable when scheduling games and practices, remembering that players have other interests and obligations. I will teach my players to play fairly and to respect the rules, officials and opponents. I will ensure that all players get equal instruction, support and playing time. I will not ridicule or yell at my players for making mistakes or for performing poorly. I will remember that players play to have fun and must be encouraged to have confidence in themselves. I will make sure that equipment and facilities are safe and match the players ages and abilities. I will remember that participants need a coach they can respect. I will be generous with praise and set a good example. I will obtain proper training and continue to upgrade my coaching skills. I will work in cooperation with officials for the benefit of the game. Parent s Signature: Date:

44 Fair Play Code... for PARENTS I will not force my child to participate in hockey. I will remember that my child plays hockey for his or her enjoyment, not mine. I will encourage my child to play by the rules and to resolve conflicts without resorting to hostility or violence. I will teach my child that doing one s best is as important as winning, so that my child will never feel defeated by the outcome of a game / event. I will make my child feel like a winner every time by offering praise for competing fairly and trying hard. I will never ridicule or yell at my child for making a mistake or losing a competition. I will remember that children learn best by example. I will applaud good plays / performances by both my child s team and their opponents. I will never question the official s judgement or honesty in public. I will support all efforts to remove verbal and physical abuse from children s hockey activities. I will respect and show appreciation for the volunteer coaches who give their time to provide hockey experiences for my child. Parent s Signature: Date:

45 Fair Play Code... for PLAYERS I will play hockey because I want to, not just because others or coaches want me to. I will play by the rules of hockey, and in the spirit of the game. I will respect my opponents. I will control my temper fighting and mouthing off can spoil the activity for everyone. I will do my best to be a true team player. I will remember that winning isn t everything that having fun, improving skills, making friends and doing my best are also important. I will acknowledge all good plays / performances those of my team and of my opponents. I will remember that coaches and officials are there to help me. I will accept their decisions and show them respect. Parent s Signature: Date:

46 PLAYER MEDICAL INFORMATION SHEET Name: Address: City / Province: Telephone: ( ) Postal Code: Date of Birth: Day: Month: Year: Provincial Health #: Mother s Name Home Phone: ( ) Work Phone: ( ) Father s Name Home Phone: ( ) Work Phone: ( ) Person to contact in case of accident or emergency, if parents are not available: Name: Phone: ( ) Address: Doctor s Name: Phone: ( ) Dentist s Name: Phone: ( ) Please check the appropriate response below pertaining to your child: YES NO YES NO Previous history of concussions Fainting episodes during exercise Epileptic Wears glasses Are lenses shatterproof? Wears contact lenses Wears dental appliance Hearing problem Asthma Trouble breathing during exercise Heart condition Diabetic Medication Allergies Wears a medic alert bracelet or necklace Surgery in the last year Has been in hospital in last year Presently injured Has had injuries requiring medical attention in the past year Has had an illness lasting more than a week in the past year Has a health problem that would interfere with participation on a hockey team Please give details below if you answered Yes to any of the above items. Use separate sheet if necessary.

47 Medications: Allergies: Medical Conditions: Recent Injuries: Last Tetanus Shot: Date of last complete physical exam: Any information not covered above: Any medical condition or injury problem should be checked by your physician before participating in a hockey program. I understand that it is my responsibility to keep the team management advised of any change in the above information as soon as possible and that in the event no one can be contacted, team management will take my child to hospital/m.d. if deemed necessary. I hereby authorize the physician and nursing staff to undertake examination investigation and necessary treatment of my child. I also authorize release of information to appropriate people (coach, physician) as deemed necessary. Date: Signature of Parent of Guardian:

48 2013 Parents Representative Policy Objective: To have a parent volunteer act as a liaison and buffer between the parent group, convener and coaching staff to ensure an effective means of communication for transfer of information and / or internal dispute / complaint resolution. Parent representatives are mandatory on all NCHA teams. Applicability: The Parent Representative cannot be appointed by the Coach, he or she has to be elected by the parents of the team. A confidential vote by ballot must take place at the first team meeting. The results will be counted by the Team Manager / and convener (impartial witness). All decisions based on the vote are final. Any disputes or concerns from the Coach regarding the Parent Representative chosen has to be addressed in writing to the division convener to be discussed with the NCHA board at the next board meeting at which time a decision will be made to accept or decline the vote. Also, if throughout the season, the Coach has concerns about the Parent Rep and his/her conduct, they can be addressed in writing to the division convener to be discussed with the NCHA board at the next board meeting. Process: Team Parent Representatives play an important role in the NCHA. Here are a few important duties that need to be carried out as Parent Rep: Shall be the liaison between the parents of the team and the team officials. Shall assist in resolving team disputes and concerns and involve the division convenor if / as required. Bring the concerns of the parents directly to the NCHA convener/board, if necessary. Distribute and Collect Coaches Evaluation forms. 1 Policy #21 Rev 1 NCHA Board of Directors Approved

49 2013 Parents Representative Policy Parent Representative General Responsibilities 1. Role model: Don't get caught up in yelling at players, coaches, and/or referees during games. Be the voice of reason. Assume the best of others and be supportive. 2. Liaison: Provide communication between parents, coaches, and the league convener. Ensure team parents have your contact information. Provide internal dispute resolution. Be a calm voice in the midst of chaos. Follow established criteria for complaint resolution. 3. Meeting Participant: Poll the parents prior to a meeting and bring their issues to the meetings and take answers back to individuals and/or the team. In the event you are unable to attend a meeting, have another parent attend on your behalf so that the team is represented and kept informed. 4. Signing Authority: The Parent Rep must be one of the signers on the team accounts(s). It is expected that the Parent Rep will report to the NCHA, any team that does not adhere to this. No coach is to have signing authority on any team, it falls on the manager and parent rep. One other parent may be chosen as a backup. Parent Representative Cautions A Parent Rep: IS NOT any more important than any other parent on the team. 2 Policy #21 Rev 1 NCHA Board of Directors Approved

50 2013 Parents Representative Policy IS NOT to use their position to take their own issues to a coach under the disguise of it being a team issue. IS NOT to take things overheard during a game or practice directly to the coach in an effort to "warn" him or her of a potential problem. Only issues and concerns directed to you as a parent rep are to be addressed with the coach. IS NOT someone who should name names when taking an issue to the coach, without the complainant s permission. This can create harsh feelings when the issue can be resolved without names. IS NOT a creator of gossip. It is essential that any issues brought to a parent rep remain strictly between that parent and the coaching staff. IS NOT a holder of a position of power. Parent reps are in a position of service to the other parents on the team and the coaching staff. IS NOT a creator of team rules. Any complaints regarding team rules are NOT parent rep issues. The head coach is the person who is ultimately in charge of your team. He or she sets down the team rules and enforces them. Ice time, benching of players, and issues with enforcement of team rules are not to be taken to the coaches. These issues should already have been discussed at the initial parent team meetings. In accepting to be the Team Parent Rep, you will have to remain calm, neutral and without bias when trying to resolve disputes or conflicts that arise throughout the season. Any conversations you have with parents and Coach regarding concerns brought up should remain confidential and only between the parties involved unless it involves the rest of the team. Keep the lines of communication open at all times. Please fill in the following: Name: Home Phone#: Work Phone#: Cell #: 3 Policy #21 Rev 1 NCHA Board of Directors Approved

51 2013 Parents Representative Policy TEAM PARENT REPRESENTATIVE - APPROVAL Date Submitted: Team Name: We hereby approve to be our Team Parent Rep. NAME SIGNATURES 4 Policy #21 Rev 1 NCHA Board of Directors Approved

52 2014 Sponsors Objective: To define acceptable sponsorship initiatives. Applicability: This policy will apply to all NCHA teams. To ensure that sponsorship funds are utilized properly and that sponsors are recognized accordingly. Process: 1. All teams are permitted to canvas team Sponsorship, i.e., major corporate type sponsors. 2. There is no limit but if the team were to collect more than 100% of the team costs, excess would go to the association, not refunded to the parents. 3. Sponsors can be advertised on team websites/ jerseys/ jackets and on banners at games. 4. Sponsor bars on jerseys must be added and removed by King Sportswear. 5. The team is responsible for any damage to the jerseys do to the addition of sponsor bars. 1 Policy #29 Rev 1 NCHA Board of Directors Approved

53 NCHA Manager s Manual Appendix C Finances Page 3

54 Nickel City Hockey Association inser team name BUDGET Team Revenue $/pl team$ Team Fees Sept.1 $500 $ 8, Expenses paid by NCHA Team Fees Oct.1 $400 $ 6, NOHA Team Fee $ - Team Fees Nov.1 $300 $ 5, NOHA Cards $ - Team Fees or Player NDMHL Team Fee $ - $300 $ 5, Sponsorships by Dec.1 NDMHL Playoffs Tourney $ - 17 RIC, Web, etc. $ Sales - $ REP Jersey $ - Lockers, Gamesheets $ - Team Fundraiser - 1 Fall - $ 1, subtotal $ - Team Fundraiser - 2 Winter - $ 1, Equipement Fee REP Socks $20 $ Extra team sponsors - $ 1, Practice Jerseys - $ Ice Allocation Team specific Team Expenses Staff apparel - $ Magnetic Sign - $ Sponsor Banner - $ - subtotal $ 1, (1 Home game + 2 practices)/wk x 3 wks/month (Sept-Dec) est. $ 9, (Jan-March) est. $ 7, (April) est. $ subtotal $ 16, Exhibition games $ Home Game Referee $ Whitby Thanksgiving Tourney Fee Away $ 1, NCHA Super Stack Tour.Fee (Oct.) Local $ Pickering "AA" Tourney Fee (Nov.) Away $ Stoney Creek "AA" Tour.Fee (Nov.) Away $ Silver Stick Tournament (Dec.) Local $ X-mas/NewYear Tourney Fee Away $ 1, NCHA Mine Busters Tourney (Jan.) Local $ Rochester, NY - Tourney Fee (Feb) Away $ 1, Tournament of Champions Fee (Mar) Local $ NDMHL Playoffs Tourney (Mar) - $ - Travel Permits $ Out of town - Team Room $ Goalie Clinics $ 1, Dryland $ - Sponsorhip Plaques $ Christmas & End of year party $ Bank Fees & Misc. Expenses $ subtotal $ 12, Total Revenue $ 29, Total Expenses $ 29, Balance # players $ 16.00

55 2015 Coach Reimbursement Policy Objective: It is the policy of the NCHA that both non-parent and parent team staff can be reimbursed for team-related travel expenses from team funds, in accordance with the framework set out below. The NCHA will follow best practices and Provincial rates for Non-profit organizations, the Governing bodies for this are the Sale of Goods Act (Ontario); Management Board of Cabinet (Expense Directives); and the Broader Public Sector Accountability act Bill 122 (Legislated by the Federal Government). Applicability: To ensure that costs for team management are applicable and uniform across all teams. Total team allowable staff expenses shall not exceed $2,500 and $6,000, for parent and non-parent coaching staff, respectively, per year for tournaments or provincial championships. If a coaching staff member has a child on team, they will be allowed only fifty percent (50%) of expenses incurred. Allowed expenses: meals and travel expenses (gas receipts). Examples: Rooms - if 2 team staff share - 100% of room is paid; if a coach shares a room with a family member, the team will pay 50%. o The expectation is that team staff will travel and room together to minimize costs (i.e., carpooling, 2 per room, etc.). o The total cost of items like gas, rooms and meals (without alcohol) will be part of the team budget. o If one of the coaching staff decides to bring their spouse, than only half the cost of the room will be covered; only the team staff management meals will be covered. o For team practices and games within the Greater City of Sudbury, no transportation expenses will be reimbursed. When the team chooses to use a bus to get to a game or tournament, the team staff are expected to travel with the team on the bus. In such instances, no car allowance will be provided. Travel expense: $0.41/km (Mileage rates include, gas, insurance/deductable, wear/tear, etc. Expense claims must be submitted 1 Policy #6 Rev 2 NCHA Board of Directors Approved

56 2015 Coach Reimbursement Policy with distances calculated in kilometers Maximum of 2 coach vehicles per trip can be expensed to the team. Meal Expenses: receipts must be submitted - no exceptions reimbursements will be made based on actual receipt totals up to the maximum daily rate (i.e., If the Coach supplies receipts for $35 dollars the coach is reimbursed the $35 and not $69 Note: Alcohol cannot be claimed and will not be reimbursed as part of a travel or meal expense. There are no exceptions to this rule. The full daily rate of $ $69 (tax and gratuity included) will apply when staff must depart from Sudbury on or prior to 8:00 a.m. to travel to an away venue where overnight accommodation will be required. The full daily rate of $ $69 (tax and gratuity included) will apply when, following an overnight stay, one returns to Sudbury immediately following the last game and arrives in Sudbury on or after 8:00 p.m. The full daily rate of $69 (tax and gratuity included) will apply if the away venue is at least a 12 hour round-trip away from home by car. Meal Rates Reimbursements for meal expenses incurred are subject to the maximum rates set out in the chart below. These rates include taxes and gratuities. Meal Within Canada Outside Canada Breakfast $ $ Lunch $ $ Dinner $ $ Daily Maximum $ $ The rates are not an allowance. They are for individual meals you must have incurred the meal expense to be able to submit a claim for reimbursement. When more than one meal is claimed for any day, you may allocate the combined maximum rates between the meals. For example, if you will be eating breakfast and lunch, the combined rate is $ This now becomes the maximum rate for the two meals, regardless of what you spend on each meal. 2 Policy #6 Rev 2 NCHA Board of Directors Approved

57 2015 Coach Reimbursement Policy Note: It is not permitted to combine the maximum 3-meal rate if only two meals are eaten or if your allowable meal allowance for the day is only two meals. Accommodation Expenses: o When on the road, the team staff are expected to stay in the same hotel as the players but when that is not possible, they may stay in another hotel whose room rates are equal to or less that of the player s hotel. o Non parent coach will receive 100% reimbursement for hotel stays (maximum 3 rooms per night per team) Clothing Expenses: o The team budgets should include for team staff apparel (tracksuits, team jackets, etc.), for up to five team officials. Sticks, skates, helmets, etc., for team officials are not allowable expense. The following applies to all management staff who have children on the team: o Team apparel will be covered by the team, i.e., track suits, team jacket etc.) Regarding AAA: A $4,000 honorarium will be paid to a non-parent coach, from the team budget. $1,500 to each additional non parent assistant coach, from the team budget. The above is not to exceed a total of $7,000. Process: If the team management would like to go beyond these budget amounts, the following approvals are required: Parents approval: The majority (at least 2/3) of parents on the team must agree to the additional expenditures. Board Approval: Once a team has approval from the parents, they must submit a request to the board to approve extra expenditures. Parent coaches will be permitted to charge for the above noted items, provided 2/3 of the parents agree. 3 Policy #6 Rev 2 NCHA Board of Directors Approved

58 2013 Payment / Team Fee Schedule Policy Objective: To ensure full payment of team fee to be submitted by Nov.1 st. Applicability: This policy applies to all NCHA teams. Process: NCHA Constitution states: 1.9. All players will have their respective team fees paid not later than November 1st of the playing year Each team (coaching staff and parents) is responsible for any and all operating costs for the playing season. If there are any fees outstanding after November 1 st, no game playing time will be allotted until full payment is received. Cheques returned due to NSF will be subject to a $50 fee. All remaining cheques from the person(s) will only be accepted if certified. REFUNDS / REIMBURSEMENT (Tryout fees are non-refundable) A refund for part or all of the registration fees paid may only be given in accordance with the NCHA constitution proof of payment is required. NCHA Constitution states: A refund of part of the individual registration fee shall be given by the NCHA Treasurer when: a signed player through injury cannot complete the playing season, a signed player's place of residence changes to a location outside NOHA district 2, or a signed player is duly 1 Policy #13 Rev 2 NCHA Board of Directors Approved

59 2013 Payment / Team Fee Schedule Policy released by the Board upon a request by the Coach of the signed player Any player who voluntarily quits a team after November 15th of the hockey season for any reason (other than the three stated in above) shall NOT be reimbursed or refunded any part of the team fees or NCHA registration fees. If the required fees have not been paid in full at the time a player quits, the Board may withhold a release for the player until such time as these fees are paid in full The NCHA refund policy shall be as follows: A full refund will be provided, on request, for the Association fee, if submitted prior to the end of September, less a $50 administration fee. Refunds requested up to the end of November, will be issued totaling $150. No refunds will be issued for the association fee after the end of November. The team deposit of $500 is non-refundable. Fees for equipment, tournament fees, apparel, etc., are nonrefundable, if expended to prior the termination of play. Otherwise, 100% refundable. The balance of team fees, less fundraising revenue and sponsorships will be refunded on a pro-rated basis based on the number practices/games remaining divided into the total number of practices and games. The team manager will prepare the refund and disputes will be forwarded to the convener. No refund will be issued after December 31 st. Team refunds due to surplus funds at the end of the season, are not controlled by the Dec, 31 st deadline, 2 Policy #13 Rev 2 NCHA Board of Directors Approved

60 2015 Team Budget Policy Objective: To define the team budgets, including ALL fundraising and association fees for a specific team, for that hockey season, before executive board approval is required. Applicability: To ensure that costs for each team are appropriate for the level of the team. These guidelines will apply to all Nickel City Hockey teams. o AAA Midget teams : up to $6.500 per player o AAA Bantam teams: up to $6,000 per player o AAA Peewee teams: up to $5,000 per player o AA teams : up to $3,000 per player o A teams: up to $2,500 per player Process: If the team would like to go beyond these budget amounts for more practicing or tournaments, the following is the order of approvals to be followed: o Parent s approval: Two thirds of the parents of a specific team must agree to the additional expenditures, no exceptions. o Board Approval: Once a team has approval from the parents they must submit a request to the board to approve the additional expenditures. 1 Policy #14 Rev 3 NCHA Board of Directors Approved

61 CHILD / TEAM SPONSOR RECEIPT Nickel City Hockey Association 2016/17 SEASON Full Name of Player/Team: Sponsor s name: This is an official receipt for $_ and/or team named above. acknowledging your sponsorship of the player The Nickel City Hockey Association takes this opportunity to thank you for helping make more affordable the sport of competitive ice hockey for this hockey season. NCHA website: Hyperlink reference not valid. Full Name of Player/Team: CHILD / TEAM SPONSOR RECEIPT Nickel City Hockey Association 2016/17 SEASON Sponsor s name: This is an official receipt for $ and/or team named above. acknowledging your sponsorship of the player The Nickel City Hockey Association takes this opportunity to thank you for helping make more affordable the sport of competitive ice hockey for this hockey season. NCHA website: Hyperlink reference not valid.

62 CHILDREN S FITNESS TAX CREDIT Nickel City Hockey Association 2016/17 Registration Full Name of Player: This is an official receipt for $??? acknowledging your child s Hockey Registration Payment in the Nickel City Hockey Association (NCHA) for the 2015/16 hockey season. ELIGIBLE FEES Only applicable for a child who is under 16 at any time during NCHA Registration Fees are 100% eligible to a maximum of $1,000/child. For more information contact NCHA website: CHILDREN S FITNESS TAX CREDIT Nickel City Hockey Association 2016/17 Registration Full Name of Player: This is an official receipt for $??? acknowledging your child s Hockey Registration Payment in the Nickel City Hockey Association (NCHA) for the hockey season. ELIGIBLE FEES Only applicable for a child who is under 16 at any time during NCHA Registration Fees are 100% eligible to a maximum of $1,000/child. For more information contact NCHA website:

63 CHILDREN S FITNESS TAX CREDIT Nickel City Hockey Association 2016/17 TEAM FEES Full Name of Player: This is an official receipt for $ acknowledging your child s Hockey Team Fees Payment in the Nickel City Hockey Association (NCHA) for the 2016/17 hockey season. ELIGIBLE FEES Only applicable for a child who is under 16 at any time during 2016 NCHA Team Fees are 100% eligible to a maximum of $1,000/child. For more information contact Error! Hyperlink reference not valid. NCHA website: Hyperlink reference not valid. CHILDREN S FITNESS TAX CREDIT Nickel City Hockey Association 2016/17 TEAM FEES Full Name of Player: This is an official receipt for $_ acknowledging your child s Hockey Team Fees Payment in the Nickel City Hockey Association (NCHA) for the 2016/17 hockey season. eligible fees Only applicable for a child who is under 16 at any time during 2016 NCHA Team Fees are 100% eligible to a maximum of $1,000/child. For more information contact Error! Hyperlink reference not valid. NCHA website: Hyperlink reference not valid.

64 Nickel City Hockey Association FUNDRAISING EVENT APPROVAL FORM Prior to hosting a fundraising event for your team, organizers are required to have the Board sign off on the event. This form will then be forwarded to Chair of the Fundraising committee for approval. Name of Event: Date of Event (if reoccurring, please include time frame): Coordinated By: Division Convenor s Approval: Date: Chair of Fundraising s Approval: Amount Raised: Signature of person responsible for the fundraising initiative: Witness: Date: Names of Volunteers:

65 NCHA Manager s Manual Appendix D Game Information Page 4

66 Pre-Game Ice Rented Ice Paid for Notes: Officials booked Officials fees Volunteers lined up and trained Dressing rooms checked and secure Game Check List Cheque Number: Cheque Number: Game Clock: Stats Sheet: 50/50 Tickets: Concession: Safety Person: Other: Other: During Game Monitor off-ice conduct of players and parents Check dressing rooms Check in with volunteers Notes: Post Game Pay officials Game Report signed by officials and both teams Game score reported (24 hours) Called in by: Notes: Game report submitted Rink left in good/clean condition Submitted by: Date mailed:

67 NICKEL DISTRICT N.O.H.A. MINOR HOCKEY LEAGUE P.O. Box 511, Azilda ON P0M 1B (tel), (fax) TEAM REGISTRATION YEAR: CITY TOWN TEAM NAME ASSOCIATION DIVISION TEAM COLOURS TEAM COACH Mailing address Street P.O. Box City Postal Code Phone number Home Business Fax Address ASSISTANT COACH Mailing address Street P.O. Box City Postal Code Phone number Home Business Fax Address MANAGER Mailing address Street P.O. Box City Postal Code Phone number Home Business Fax Address TRAINER NOTE: Forms must be submitted no later than November 1

68 NICKEL DISTRICT MINOR HOCKEY LEAGUE GAME REPORT NOTE: GE56 (Game Ejection) penalties MUST be indicated on this Report. If a player has accumulated two (2) or more GE56 penalties, a Suspension Report must also be filed. DIVISION : FORWARD TO : (name of convenor) 1. To be completed by the Manager of the Home Team 2. To be faxed or phoned no later than one day after the game FAX # : PHONE # : GAME # : DATE OF GAME : SCORE # PENALTY MINUTES HOME TEAM : VISITING TEAM: AFFILIATED PLAYERS : Name : Team : GE56 (Game Ejection) PENALTIES : (received following 4 minor penalties or 3 stick infraction penalties) Name : Team : Note The Statistician's copy of game sheet is to be delivered or mailed to convenor. If the game sheet is not received by the convenor within one week after the game has been played, the team will be fined $20 for each late game sheet. NEW: GE56 (game ejection) penalties must also be indicated on this Report.

69 NICKEL DISTRICT N.O.H.A MINOR HOCKEY LEAGUE Rescheduling Form This form MUST be completed and submitted within 14 days of the originally scheduled game. The (team) Division Wishes to reschedule Game # Day Month Date: Time Place (arena) : Against : CHANGE TO: Game # Day Month Date Time Place (arena) : Against: Reason for Reschedule: Coach : Manager : Rescheduling team TEAM SIGNATURES Coach: Manager: Opposing Team 1. Changes must be made 14 days in advance and preferable within the same month as the cancellation. Cancellations: 14 days before scheduled date, Rescheduling: within 14 days of original game. 2. Weather conditions will be the only reason accepted for a second cancellation, if there is a disagreement. 3. Failure to comply will result in a $400 fine as per NDMHL Constitution Article 4.7. A $ fine will be assessed to a team (or teams) for cancelling or forfeiting a scheduled game(s) without proper notification and completing the rescheduling form in writing to the opposing team manager, the convenor of the category and the President. 4. One copy must be forwarded to each of the following persons: Opposing Team Manager, Division Convenor and the Nickel District League President. Rescheduling Form NDMHL Revised Oct 4, 2012

70 REQUEST TO PARTICIPATE IN EXHIBITION GAME EXHIBITION GAME REQUESTS ARE TO BE ENTERED ON THE NOHA TOURNAMENT PORTAL BY THE MINOR HOCKEY ASSOCIATIONS. PLEASE PROVIDE THE FOLLOWING INFORMATION TO YOUR ASSOCIATION TO ENTER THE INFORMATION ON THE PORTAL. TEAM NAME: DIVISION/CATEGORY: NAME OF TEAM YOU ARE PLAYING: DIVISION/CATEGORY: ARENA/LOCATION OF GAME: DATE & TIME OF GAME: LENGTH OF GAME: TEAM CONTACT NAME: As an alternative, for the remainder of the 2015/2016 season, exhibition games can continue to be sent to your District Council Director via fax or . District #1 Ted Zajac Fax: District #2 Jason Rietze Fax: District #3 Dan Raycroft Fax: District #4 Sue Shepherdson Fax: District #5 Fred Burrows Fax: District #6 Tracy Hautanen District #7 Claudette Myre District #8 Oscar Clouthier Fax: District #9 Lisa Stewart Fax:

71 OHF Official Game Report Penalty Codes & Abbreviations Minor Hockey Misconducts & Game Misconducts Code Infraction HC Rule M10 Throwing Stick Over Boards 9.8 (d) M11 Refusing to Surrender Stick for Measurement 3.3 (f) M12 Player Interference/Distraction During Penalty Shot 4.9 (f) M13 Goalkeeper Violation/Infraction During Penalty Shot 4.9 (f) M14 Equipment/Facemask Worn Incorrectly 3.6 (d,f) M20 Disputing Call of Official 9.2 (a) M21 Harassment of Official/Unsportsmanlike Conduct 9.2 (b) M22 Inciting 9.2 (e) M23 Entering Referee's Crease 9.2 (g) M34 Failure to go to the Players' Bench or Neutral Area 6.7 (f) M35 Failure to go directly to Penalty Bench 9.2 (d) GM20 Disputing Call of Official 9.2 (a) GM21 Disputing Call with Official: Verbal Abuse of a Game Official 9.2 (b) GM26 Second Misconduct Same Game 4.5 (c) GM28 Interference from the Bench 7.3 (c,d) GM30 Fighting 6.7 GM31 2nd Fight, Same stoppage of play (3rd, 4th, etc ) 6.7 (h) GM32 Player(s) 3rd, 4th, 5th Player into Fight 6.7 (h) GM33* Leaving the Players bench or Penalty Box 9.5 (a, b, c) GM33* Coach identified as having the 1 st Player leave the players bench or penalty bench and GM (a, b, c) GM34 Leaving the Penalty Box to start a fight 9.5 (a) GM35 Coach whose player is not identified as the first to leave the players or penalty bench during and 9.5(i) on-ice altercation GM36 Instigator of a fight (minor + Game Misconduct) 6.7 (b) GM37 Aggressor of a fight (minor + Game Misconduct) 6.7 (b) GM39 Hair Pulling, Grab Face Mask/Helmet/Chin Strap (Major + Game Misconduct) 6.1 (d) GM48 Elbowing / Kneeing (Major + Game Misconduct) 6.6 GM50 Checking from Behind (Minor + Game Misconduct) 6.4 (a) GM51 Checking from Behind (Major + Game Misconduct) 6.4 (a) GM53 High Sticking (Major + Game Misconduct) 8.3 (b) GM54 Cross Checking (Major + Game Misconduct) 8.2 (a,b,c,d) GM55 Slashing (Major + Game Misconduct) 8.4 (a,b) GE56 Game Ejection 4.6 GM57 Boarding (Major + Game Misconduct) 6.2 GM58 Body Checking (Major + Game Misconduct) 6.2 GM59 Charging (Major + Game Misconduct) 6.3 GM64 Verbal Abuse/Gestures/Taunting of or by any Team Official or Player 9.2(a,b) GM68 Kick Shot (with injury - Major + Game Misconduct) 9.4 GM71 Head Contact (Major + Game Misconduct) 6.5 (b,d) GM73 Slew Foot/Tripping (Major + Game Misconduct) 7.4 (a,b) GM74 Interference (Major + Game Misconduct) 7.3 (a,b,e) GM75 Holding (Major + Game Misconduct) 7.1 (a,b) GM76 Hooking (Major + Game Misconduct) 7.2 (a,b) GM77 Roughing (Major + Game Misconduct) 6.7 (k,i) GM78 Goaltender Drop Kick Puck (with injury Major + Game Misconduct) 4.11 (f) GM79 Refusing to Start Play (Coach Major + Game Misconduct) (a) GM80 Team Official Interference/Distraction During Penalty Shot 4.9 (f) GM81 Leaving the Bench without Clearance from the Referee 9.5 (i) (Assessed to coach if altercation results in penalties at end of game) GM99 Any other GM not listed in the last 10 minutes of regular time, any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room 4.6(c) *GM33 - Coaches' penalty will be noted on the front and back of the game sheet of the Official's copy only. Penalty to Coach is automatic as a result of a player receiving a GM33. Coach not to be ejected from the current game as a result of this penalty being assessed.

72 OHF Official Game Report Penalty Codes & Abbreviations Minor Hockey Match Penalties Code Infraction HC Rule MP24 Threatening an Official 9.6 (a) MP25 Physical Abuse of an Official 9.6 (b,c) MP29 Spitting 9.7 MP38 Fighting - Ring or Tape on Hand(s) 6.7 (e) MP40 Attempt to Injure 6.1 MP41 Deliberate Injury 6.1 MP42 Butt Ending 8.1 MP43 Grabbing Face Mask/Helmet/Chin Strap 6.1 (d) MP44 Hair Pulling 6.1 (d) MP45 Kicking 6.1 (c) MP46 Spearing 8.5 MP47 Head Butting 6.1 (b) MP48 Kneeing 6.6 MP52 Checking from Behind 6.4 MP57 Boarding 6.2 MP58 Body Checking 6.2 MP59 Charging 6.3 MP71 Head Contact 6.5 (d,e) MP99 Any other MP not listed in the last 10 minutes of regular time, any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room 4.6(c) Gross Misconducts Code Infraction HC Rule GRM60 Travesty of the Game 4.7 GRM61 Obscene Gesture 4.7 GRM62 Removing Helmet and/or chinstrap 3.6 (c) GRM63 Discriminatory Slur 9.2 (f) GRM66 Head Butt - Team Official (Double Minor + Gross Misconduct) 6.1 (b) GRM67 Butt End - Team Official (Double Minor + Gross Misconduct) 8.1 GRM68 Spearing - Team Official (Double Minor + Gross Misconduct) 8.5 GRM69 Goaltender Refusing to Remove Mask for Identification 3.5 (d) GRM99 Any other GRM not listed in the last 10 minutes of regular time, any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room 4.7(c) CLARIFICATIONS These are minimum suspensions. Additional suspensions will be imposed wherever conditions and circumstance warrant. It is the responsibility of each team manager and / or coach to ensure their players sit out their appropriate suspensions. When in doubt as to the relevant suspension, contact the association office. If unable to contact the league office, sit player(s) in question out until clarification can be obtained. These suspensions are in addition to game incurred. Match Penalty reports will be forwarded to the appropriate Member Partner for further review. Minor and Major Penalty Abbreviations AGG Aggressor of a fight HO Holding BC Body Checking HP Handling the Puck BDG Boarding HS High Sticking BM Bench Minor IE Illegal Equipment BRS Broken Stick IP Ineligible Player BUTT Butt Ending INS Instigator of a fight CC Cross Checking INT Interference CFB Checking from Behind INTGT Interference/Protection of Goalie CHG Charging KNE Kneeing DE Dangerous Equipment LPB Leaving Penalty Bench DG Delay of Game PS Penalty Shot ELB Elbowing RAW Roughing After the Whistle FI Fighting RH Removes Helmet FLPB First to Leave Players /Penalty Bench RO Roughing FMSK Face Masking SL Slashing FOP Falling on the Puck SP Spearing GLC Goalie Leaving Crease TMP Too Many Players HB Head Butting TR Tripping HC Head Contact TS Throwing the Stick HKG Hooking USC Unsportsmanlike Conduct Penalty Coding GM Game Misconduct Penalty 2 Minor Penalty (2 Minutes) GRM Gross Misconduct Penalty 5 Major Penalty (5 Minutes) MP Match Penalty 10 Misconduct Penalty (10 Minutes) GE Game Ejection

73 OHF Minimum Suspension List Minor Hockey The following are minimum suspensions that shall be imposed for infractions, which occur in all OHF exhibition, league, and play-off games, during the current playing season for Minor Hockey. Note that these suspensions are over and above any imposed by Hockey Canada rules. Notice re: Clarifications These are minimum suspensions. Additional suspensions will be imposed wherever conditions and circumstance warrant. It is the responsibility of each team manager and/or coach to ensure their players sit out their appropriate suspensions. When in doubt as to the relevant suspension, contact the association/league office. If unable to contact the association/league office, sit player(s) in question out until clarification can be obtained. These suspensions are in addition to game incurred. Match Penalty reports will be forwarded to the appropriate Member Partner for further review. M = Misconduct GM = Game Misconduct GE = Game Ejection MP = Match Penalty GRM = Gross Misconduct Misconducts & Game Misconducts H.C. Rule Suspension Last 10 Minutes M10 Throwing Stick Over Boards 9.8 (d) 0 Games M11 Refusing to Surrender Stick for Measurement 3.3 (f) 0 Games M12 Player Interference/Distraction During Penalty Shot 4.9 (f) 0 Games M13 Goalkeeper Violation/Infraction During Penalty Shot 4.9 (f) 0 Games M14 Equipment/Facemask Worn Incorrectly 3.6 (d,f) 0 Games M20 Disputing Call of Official 9.2 (a) 0 Games M21 Harassment of Official/Unsportsmanlike Conduct 9.2 (b) 0 Games M22 Inciting 9.2 (e) 0 Games M23 Entering Referee s Crease 9.2 (g) 0 Games M34 Failure to go to the Player s Bench or Neutral Area 6.7 (f) 0 Games M35 Failure to go directly to Penalty Bench 9.2 (d) 0 Games GM20 Disputing Call of Official 9.2 (a) 2 Games 3 Games GM21 Disputing Call with Official: Verbal Abuse of a Game Official 9.2 (b) 2 Games 3 Games GM26 Second Misconduct Same Game 4.5 (c) 0 Games 1 Game GM28 Interference from the Bench 7.3 (c,d) 0 Games 1 Game GM30 Fighting 1 st Offense Game 2 Games 2 nd Offense Games 3 Games 3 rd Offense Games 5 Games 4 th Offense 6.7 Indefinite* Indefinite* GM31 2 nd Fight, Same stoppage of play (3 rd, 4 th, etc ) 6.7 (h) 2 Games 3 Games GM32 Player(s) 3 rd, 4 th, 5 th Player into Fight 6.7 (h) 2 Games 3 Games GM33* Leaving the Players bench or Penalty Box 9.5 (a,b,c) 3 Games 4 Games GM33* Coach whose player is penalized under GM33 and/or GM (a,b,c) 3 Games 4 Games GM34 Leaving the Penalty Box to start a fight 9.5 (a) 4 Games 5 Games GM35 Coach whose player is not identified as the first to leave the 9.5 (i) 1 Game 2 Games players or penalty bench during an on-ice altercation GM36 Instigator of a fight (Minor + Game Misconduct) 6.7 (b) 1 st Offense 6.7 (b) GM GM plus 1 2 nd Offense 6.7 (b) GM plus 2 GM plus 3 3 rd Offense 6.7 (b) GM plus 3 GM plus 4 GM37 Aggressor of a fight (Minor + Game Misconduct) 6.7 (b) 1 st Offense 6.7 (b) GM GM plus 1 2 nd Offense 6.7 (b) GM plus 2 GM plus 3 3 rd Offense 6.7 (b) GM plus 3 GM plus 4 GM39 Hair Pulling, Grab Face Mask/Helmet/Chinstrap (Major + Game 6.1 (d) 0 Games 1 Game Misconduct) GM48 Elbowing / Kneeing (Major + Game Misconduct) Game 2 Games GM50 Checking from Behind (Minor + Game Misconduct) 6.4 (a) 0 Games 1 Game GM51 Checking from Behind (Major + Game Misconduct) 6.4 (a) 1 Game 2 Games GM53 High Sticking (Major + Game Misconduct) 8.3 (a,b) 0 Games 1 Game GM54 Cross Checking (Major + Game Misconduct) 8.2 (a,b,c,d) 1 Game 2 Games GM55 Slashing (Major + Game Misconduct) 8.4 (a,b) 1 Game 2 Games GE56 Game Ejections Games 0 Games GM57 Boarding (Major + Game Misconduct) Game 2 Games GM58 Body Checking (Major + Misconduct) Game 2 Games GM59 Charging (Major + Game Misconduct) Game 2 Games GM64 Verbal Abuse/Gestures/Taunting of or by any team official or player 9.2 (a,b) 2 Games 3 Games GM68 Kick Shot (with injury Major + Game Misconduct) Games 1 Game GM71 Head Contact (Major + Game Misconduct) 6.5 (b,d) 1 Game 2 Games GM73 Slew Foot / Tripping (Major + Game Misconduct) 7.4 (a,b) 1 Game 2 Games GM74 Interference (Major + Game Misconduct) 7.3 (a,b,e) 0 Games 1 Game

74 GM75 Holding (Major + Game Misconduct) 7.1 (a,b) 0 Games 1 Game GM76 Hooking (Major + Game Misconduct) 7.2 (a,b) 0 Games 1 Game GM77 Roughing (Major + Game Misconduct) 6.7 (k,i) 0 Games 1 Game GM78 Goaltender Drop Kick Puck (with injury Major + Game Misconduct) 4.11 (f) 0 Games 1 Game GM79 Refusing to Start Play (Coach Major + Game Misconduct) (a) Indefinite* Indefinite* GM80 Team Official Interference/Distraction during Penalty Shot 4.9 (f) 0 Games 1 Game GM81 Leaving the Bench without Clearance from the Referee 9.5 (i) 1 Game (Assessed to coach if altercation results in penalties at end of game) GM99 Any other GM not listed in the last 10 minutes of regular time, any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room 4.6(c) 0 Games 1 Game *GM33 Coaches penalty will be noted on the front and back of the game sheet of the Officials copy only. Penalty to coach is automatic as a result of player receiving GM33, coach not to be ejected as a result of this penalty being assessed. Gross Misconducts GRM60 Travesty of the Game Games ** Add 1 Game GRM61 Obscene Gesture Games ** Add 1 Game GRM62 Removing Helmet and/or Chinstrap 3.6 (c) 3 Games ** Add 1 Game GRM63 Discriminatory Slur 9.2 (f) Indefinite ** Add 1 Game GRM66 Head Butt Team Official (Double Minor + Gross Misconduct) 6.1 (b) 3 Games ** Add 1 Game GRM67 Butt End Team Official (Double Minor + Gross Misconduct) Games ** Add 1 Game GRM68 Spearing Team Official (Double Minor + Gross Misconduct) Games ** Add 1 Game GRM69 Goaltender Refusing to remove mask for Identification 3.5 (d) 3 Games ** Add 1 Game GRM99 Any other GRM not listed in the last 10 minutes of regular time, 4.7 (c) 3 Games ** Add 1 Game any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room ** Note: All Gross Misconducts listed as Indefinite must be dealt with by the Member Partner President in accordance to Hockey Canada Rule 4.7. The Member Partner may establish a set number of games that may not be lower than 2 games which is in compliance with the Hockey Canada Minimum Suspension List for Gross Misconducts assessed under 9.2 (f). Match Penalties MP24 Threatening an Official 9.6 (a) Indefinite ± Indefinite ± MP25 Physical Abuse of an Official 9.6 (b,c) Indefinite ± Indefinite ± MP29 Spitting Games 4 Games MP38 Fighting Ring or Tape on Hand(s) 6.7 (e) Indefinite ± Indefinite ± MP40 Attempt to Injure Games 4 Games MP41 Deliberate Injury 6.1 (a) Indefinite ± Indefinite ± MP42 Butt Ending Games 4 Games MP43 Grabbing Face Mask / Helmet / Chinstrap 6.1 (d) 3 Games 4 Games MP44 Hair Pulling 6.1 (d) 3 Games 4 Games MP45 Kicking 6.1 (c) 3 Games 4 Games MP46 Spearing Games 4 Games MP47 Head Butting 6.1 (b) Indefinite ± Indefinite ± MP48 Kneeing Games 4 Games MP52 Checking from Behind Games 5 Games MP57 Boarding Games 4 Games MP58 Body Checking Games 4 Games MP59 Charging Games 4 Games MP71 Head Contact Games 5 Games MP99 Any other MP not listed in the last 10 minutes of regular time, any time in overtime, or at the conclusion of the game and prior to the player or team official entering their dressing room 4.6(c) Indefinite ± ± Note: All Match Penalties listed as Indefinite must be dealt with by the Member Partner President in accordance to Hockey Canada Rule 4.8. The Member Partner may establish a set number of games that may not be lower than 4 games which is in compliance with Hockey Canada Rule 4.8. Pre or Post Game Altercations PG102 Any player involved where Major and Game Misconducts are assessed Coach of team whose players are so penalized Any team involved in a pre or post game brawl Accumulation Sanctions AS83 Any player receiving 2 Majors in the same season for any infractions under rule 6.2, 6.3, 6.4, 6.5, 6.6, 7.4, 8.2 and/or Games Indefinite* Indefinite* 2 Games

75 AS84 Any player receiving 3 Majors in the same season for any infractions under rule 6.2, 4 Games 6.3, 6.4, 6.5, 6.6, 7.4, 8.2 and/or 8.4. AS85 Any player receiving 4 Majors in the same season for any infractions under rule 6.2, Indefinite* 6.3, 6.4, 6.5, 6.6, 7.4, 8.2 and/or 8.4. AS86 A player accumulating 2 Match Penalties under 6.1, 6.2, 6.3 in the same season, Minimum Suspension plus 2 Games AS87 A player accumulating 2 Match Penalties under 6.4, 6.5 in the same season, Minimum Suspension plus 4 Games AS88 A player accumulating 3 Match Penalties under 6.1, 6.2, 6.3, 6.4, 6.5 and/or 9.6 in the Indefinite* same season, AS96 Any player who receives 2 Game or Gross Misconducts under rule 9.2 in a season 4 Games AS97 Any player who receives 3 Game or Gross Misconducts under rule 9.2 in a season Indefinite* Coaches Accumulation Sanctions Suspension AS103 Any team receiving a combination equaling 3 major penalties in the same game from a 1 Game major penalty, match penalty or fighting infractions AS104 For a 2 nd violation of a team receiving a combination equaling 3 major penalties in the 3 Games same game from a major penalty, match penalty or fighting infractions AS105 For a 3 rd violation of a team receiving a combination equaling 3 major penalties in the Indefinite* same game from a major penalty, match penalty or fighting infractions AS106 Any coach who receives 2 Game or Gross Misconducts under rule 9.2 in a season 4 Games AS107 Any coach who receives 3 Game or Gross Misconducts under rule 9.2 in a season Indefinite* *All Indefinite Suspensions are subject pending a hearing. APPROVED BY THE OHF BOARD OF DIRECTORS

76 NCHA Manager s Manual Appendix E Tournaments Page 5

77 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) TEAM TOURNAMENT PERMIT REQUEST SEASON TEAM NAME: DIVISION/CATEGORY: HOME ASSOCIATION: NAME /CITY OF TOURNAMENT: DATE OF TOURNAMENT: TEAM CONTACT: PHONE NUMBER: FAX NUMBER: ADDRESS: COACH - NAME: CN#: TRAINER - NAME: TN#: LATE FEE: ADDITIONAL CHARGE - $50.00 PAYMENT: CASH CHEQUE *NOTE FULLY COMPLETED FORM AND PAYMENT MUST BE SUBMITTED BEFORE PERMIT WILL BE ISSUED. PLEASE SUBMIT TWO WEEKS PRIOR TO TOURNAMENT. FAXED COPIES WILL NOT BE ACCEPTED. AS PER REGULATION R.13.3 REQUESTS RECEIVED AFTER TWO WEEK DEADLINE MAY BE SUBJECT TO AN ADDITIONAL CHARGE OF $ **HOUSE LEAGUE PERMITS WILL BE SENT TO YOUR HOME ASSOCIATION. ***REP PERMITS WILL BE SENT TO THE TEAM CONTACT REGISTERED BY YOUR ASSOCIATION WITH THE NOHA OFFICE.

78 2016 Tournaments Policy Objective: To define the number of tournaments teams are allowed to enter before executive board approval is required. Applicability: To ensure that costs for each team are appropriate for the level of the team. This policy will apply to all NCHA teams. Excluded from these guidelines: Silver Stick, TOC and OHF championships. AAA teams: Allowed 5 out of town tournaments. AA teams: Allowed 3 out of town and 2 in town tournaments. A teams: Allowed 3 out of town and 2 in town tournaments. Process: If the team would like to go to more tournaments, the following is the order of approvals is to be obtained: o Parents approval: Parents must vote through their convener. o Board Approval: Once vote results are submitted, the board will make a decision regarding the extra tournament. 1 Policy #4 Rev 2 NCHA Board of Directors Approved

79 NCHA Manager s Manual Appendix F Injuries Page 6

80 2014 Concussion and Injury Policy Objective: To ensure that injured players are protected, return to play in a safe manner and the injury is reported in a proper format. Applicability: This policy applies to all NCHA players. Process: Hockey Canada injury form must be filled out: A player is removed from play for the remainder of a period or game due to an injury sustained while playing hockey (Example: A player injured in the first period, but who returns to play in the second or third period would have a form filled out for them). A player is injured during a practice, whether on or off the ice. A player is forced to leave play for an unknown health reason. To be completed in full by team trainer or other team official. To be completed and submitted to the NOHA within 90 days. In the event that a player gets hit, or falls and shows any signs of a concussion (loss of consciousness, nausea, vomiting and disorientation) the team trainer will proceed with the following; The player will immediately cease play. The player will be taken to the dressing room where the team trainer will review with the player and the parents / guardian the plan for return to play. In any situations where the team trainer feels there may be any signs of concussion, it is recommended the player's parents / guardian take the player to be evaluated by a qualified physician. The player will be provided with the following documentation: o Hockey Canada Injury Report parent or guardian must 1 Policy #24 Rev 2 NCHA Board of Directors Approved

81 2014 Concussion and Injury Policy request to have the information on page 2 completed (form attached). o Return to Play Form must be signed by the physician after the player has met specific targets and tests (form attached). o Hospital Patient Information Sheet this document is handed out to all concussion victims that go to the hospital and are confirmed to have a concussion. This document explains the definition of a concussion, what to expect at the emergency, what to do at home and when and why you should return to the emergency after the examination. This document also explains the minimum expected steps to be followed regardless of the grade of the concussion in order to return to sports (form attached). After the concussion is confirmed, the team plan for return to play is as follows: o 4 days minimum no on ice activity (this has been confirmed by doctors and publications - the number of days can change depending on the severity of the concussion), but as confirmed by the physician. o On the 5 th day the player can come on the ice (supervised by the team trainer) for a skating session only. Very limited team interaction of drills. Concussed player will wear a safety vest identifying him or her as a concussed player that cannot participate in any contact. If the player can skate and shows no signs or symptoms they can then proceed to the next steps, following physician approval. o The player will then join the team for a standard practice but again wear the safety vest identifying the player as concussed. If the player can participate in all aspects of the practice and shows no signs or symptoms they can then proceed to the next steps. o The player can then go back to see their physician to get final approval and sign off on the Return to Play form by the doctor. o No player will be able to return to full contact play without the doctor's consent. 2 Policy #24 Rev 2 NCHA Board of Directors Approved

82 2014 Concussion and Injury Policy It is important to note that at any time in any of the steps, if a player starts to show symptoms due to the concussion, the player will need to go back one step and slow the process down. We also need to keep in mind that rushing the process will inevitably result in the player being out for a longer period of time or indefinitely. Any abnormalities can be discussed with the team trainer but if the trainer requests to have a Return to Play form signed by a physician, this decision will be final and mandatory. 3 Policy #24 Rev 2 NCHA Board of Directors Approved

83 2014 Concussion and Injury Policy PATIENT INFORMATION SHEET CONCUSSION IN CHILDREN A concussion is any injury to the head that may cause loss of consciousness or confusion or amnesia (memory loss). You don't need to hit your head or be knocked out to develop a concussion. A sudden jerk or jarring motion can also cause an injury to the brain. After a concussion, symptoms of a "Post-Concussion Syndrome" may appear including: headache, poor concentration, dizziness, blurred vision, fatigue and inability to do normal activities. No sports or other contact activities should be played until all symptoms are completely better both at rest and during no contact exertion. Severe brain injury can occur if a second concussion occurs before the first injury is completely better. WHAT TO EXPECT IN THE EMERGENCY DEPARTMENT: Your doctor will examine your child to determine the severity of the concussion and to look for other possible injuries. Skull x-rays are rarely done in the emergency department. Most children with a concussion can be safely diagnosed without any special tests. Concussions are usually graded as Grade 1 (mild) to Grade 3 (severe - any loss of consciousness). WHAT TO DO AT HOME: During the first day, watch your child closely for changes in behavior. Your child may be tired and want to sleep after the injury. After one hour, wake your child up. They should wake up easily and act normally. During the first night after the injury, wake your child for a few minutes every 2 to 3 hours (or as directed by your doctor). Your child should wake and act normal. During the first few hours, only give clear fluids to prevent nausea and vomiting. Give acetaminophen (Tylenol, Tempra, Panadol) to relieve mild headaches and help your child feel more comfortable. 4 Policy #24 Rev 2 NCHA Board of Directors Approved

84 2014 Concussion and Injury Policy RETURN TO THE EMERGENCY DEPARTMENT IMMEDIATELY IF YOUR CHILD DEVELOPS: A convulsion (seizure). Confusion can't remember their name or their age. Dizziness or unsteadiness on their feet. Vomiting more than twice. A change in personality or behavior. A severe headache or a fever. Drainage of blood or fluid from their nose or ear(s). A new problem or does not improve as expected. SUGGESTED STEPS IN RETURNING TO SPORTS: 1. No sports. Rest until all symptoms are gone. 2. Walking and simple activities. 3. Sport specific exercises (skating for hockey, running for soccer). 4. Non-contact play. 5. Contact practice after medical clearance. 6. Game play. If symptoms occur (headache, dizziness, nausea) with any step, return to previous step until symptoms disappear. This may be several days at each step. REFERENCE McCrory P et al. Summary and agreement statement of the 2nd International Conference on Concussion in Sport, Prague Br J Sports Med 2005;39: Policy #24 Rev 2 NCHA Board of Directors Approved

85 HOCKEY CANADA INJURY REPORT PAGE 1/2 See reverse for mailing address Forms must be filled out in full or form will be returned. This form must be completed for each case where an injury is sustained by a player, spectator or any other person at a sanctioned hockey activity CLAIMS MUST BE PRESENTED WITHIN 90 DAYS OF THE INJURY DATE. DATE OF INJURY: / / Mo. Day Yr. INJURED PARTICIPANT: Player Team Official Game Official Spectator Name: Birthdate: / / Sex: M F Mo. Day Yr. Address: City / Town: Province: Postal Code: Phone: ( ) Parent / Guardian: DIVISION Initiation Novice Atom Peewee Bantam Midget Juvenile Junior CATEGORY AAA A BB CC DD House Minor Junior Adult Rec. AA B C D E Major Junior Senior Other: BODY PART INJURED NATURE OF CONDITION Head Face Skull Eye Area Throat Dental Back Neck Lower Upper Trunk Ribs Abdomen Chest Concussion Laceration Fracture Sprain Strain Contusion Dislocation Separation Internal Organ Injury Arm: Left Collarbone Right Elbow Shoulder Hand/Finger Upper arm Forearm/Wrist Leg: Left Knee Right Toe Shin Thigh Other Foot Pelvis Hip Groin ON-SITE CARE On-Site Care Only Refused Care Sent to Hospital by: Ambulance Car INJURY CONDITIONS Name of arena / location: Exhibition/Regular Season Period #2 Playoffs/Tournament Period #3 Practice Overtime: Try-outs Dry Land Training Other Gradual Onset Warm-up Other Sport Period #1 Other: CAUSE OF INJURY Hit by Puck Collision with Boards Non-Contact Injury Hit by Stick Collision on Open Ice Collision with Opponent Fall on Ice Checked from Behind Collision with Net Fight Blindsiding Was the injured player in the correct league and level for their age group? Yes No Was this a sanctioned Hockey Canada activity? Yes No LOCATION Defensive Zone Offensive Zone Neutral Zone Behind the Net 3 ft. from Boards Spectator Area Parking Lot Dressing Room Bench Other: WEARING WHEN INJURED Full Face Mask Intra-Oral Mouth Guard Half Face Shield/Visor Throat Protector Helmet/No Face Shield No Helmet/No Face Shield Short Gloves Long Gloves ADDITIONAL INFORMATION Has the player sustained this injury before? Yes No If Yes how long ago Was a penalty called as a result of the incident? Yes No Estimated absence from hockey? 1 week 1-3 weeks 3+ weeks DESCRIBE HOW ACCIDENT HAPPENED (Attach page if necessary) I hereby authorize any Health Care Facility, Physician, Dentist or other person who has attended or examined me/my child, to furnish Hockey Canada any and all information with respect to any illness or injury, medical history, consultation, prescriptions or treatment and copies of all dental, hospital, and medical records. A photo static/electronic copy of this authorization shall be considered as effective and valid as the original. Signed: (Parent/Guardian if under 18 years of age) Date: TEAM INFORMATION (To be completed by a Team Official) Association: Team Name: Team Official (Print): Team Official Position: Signature: Date: HEALTH INSURANCE INFORMATION THIS MUST BE FILLED OUT IN FULL OR FORM PROCESSING WILL BE DELAYED Occupation: Employed Full-time Employed Part-time Unemployed Full-Time Student Employer (If minor, list parent s employer): 1. Do you have provincial health coverage? Yes No Province: 2. Do you have other insurance? Yes No (IF YES, PLEASE SUBMIT CLAIM TO YOUR PRIMARY HEALTH INSURER.) 3. Has a claim been submitted? Yes No (IF YES, PLEASE FORWARD PRIMARY INSURER EXPLANATIONS OF BENEFITS.) Make Claim Payable To: Injured Person Parent Team Other: Branch APPROVAL

86 PHYSICIAN S STATEMENT HOCKEY CANADA INJURY REPORT PAGE 2/2 Physician: Address: Tel: ( ) Name of Hospital / Clinic: Address: Nature of Injury: Date of First Attendance: Claimant will be totally disabled: From: To: Is the injury permanent and irrecoverable? No Yes Give the details of injury (degree): Prognosis for recovery: Did any disease or previous injury contribute to the current injury? No Yes (describe): Was the claimant hospitalized? No Yes (give hospital name, address and date admitted): Names and addresses of other physicians or surgeons, if any, who attended claimant: I certify that the above information is correct and to the best of my knowledge, Signed: Date: DENTIST STATEMENT Limits of coverage: $1,250 per tooth, $2,500 per accident Treatment must be completed within 52 weeks of accident UNIQUE NO. SPEC. PATIENT S OFFICIAL ACCOUNT NO. Patient Last name Given name Address City / Town Province Postal Code Dentist PHONE NO I HEREBY ASSIGN MY BENEFITS PAYABLE FROM THIS CLAIM DIRECTLY TO THE NAMED DENTIST AND AUTHORIZE PAYMENT DIRECTLY TO HIM / HER SIGNATURE OF SUBSCRIBER FOR DENTIST USE ONLY FOR ADDITIONAL INFORMATION, DIAGNOSIS, PROCEDURES OR SPECIAL CONSIDERATION. I UNDERSTAND THAT THE FEES LISTED IN THIS CLAIM MAY NOT BE COVERED BY OR MAY EXCEED MY PLAN BENEFITS. I UNDERSTAND THAT I AM FINANCIALLY RESPONSIBLE TO MY DENTIST FOR THE ENTIRE TREATMENT. I ACKNOWLEGDE THAT THE TOTAL FEE OF $ IS ACCURATE AND HAS BEEN CHARGED TO ME FOR THE SERVICES RENDERED. I AUTHORIZE RELEASE OF THE INFORMATION CONTAINED IN THIS CLAIM FORM TO MY INSURING COMPANY/PLAN ADMINISTRATOR. DUPLICATE FORM SIGNATURE OF (PATIENT/GUARDIAN) OFFICE VERIFICATION DATE OF SERVICE DAY / MO. / YR. PROCEDURE INITIAL TOOTH CODE TOOTH SURFACE DENTIST S FEE LAB CHARGE TOTAL CHARGE THIS IS AN ACCURATE STATEMENT OF SERVICES PERFORMED AND THE TOTAL FEE DUE AND PAYABLE & OE. NOTE: All benefits subject to insurer payor status, provisions of the policy, Hockey Canada sanctioned events. TOTAL FEE SUBMITTED Mail completed form to: NORTHERN ONTARIO HOCKEY ASSOCIATION 110 Lakeshore Drive Phone: North Bay, ON P1A 2A8 Fax:

87 Subject: Team concussion return to play plan In the event that a player gets hit, falls or experiences and or shows any signs of a concussion, proceed with the following: The player will immediately be pulled from play. The player will be taken to the dressing room where they will be reviewed with the parents / guardian before for return to play. In any situations where there may be any signs of concussion, recommendation will be that the players parents / guardian take the player to be evaluated by a qualified physician. The player will be provided with the following documentation: Hockey Canada Injury Report - parent or guardian must request to have the information on page 2 completed. Return to Play Form - must be signed by the physician after the player has met specific targets and tests. Concussion Hospital Sheet - this document is handed out to all concussion victims that go to the hospital and are confirmed to have a concussion. This document explains the definition of a concussion, what to expect at the emergency, what to do at home and when and why you should return to the emergency after the examination. This document also explains the minimum expected steps to be followed regardless of the grade of the concussion in order to return to sports. After the concussion is confirmed the team plan for return to play is as follows: 4 days minimum. no on ice activity (the number of days can change depending on the severity of the concussion On the 4th day the player can come on the ice for a skating session only. Very limited team interaction of drills. Concussed player will wear a safety vest identifying him or her as a concussed player that cannot participate in any contact. If the player can skate and shows no signs or symptoms they can then proceed to next steps. The player will then join the team for a standard practice but again wear the safety vest identifying the player as concussed. If the player can participate in all aspects of the practice and shows no signs or symptoms they can then proceed to next steps. The player can then go back to see their physician to get final approval and sign off on the Return to Play form. >No player will be able to return to full contact play without the doctors consent. It is important to note that at any time, during any of the steps, if a player starts to show symptoms due to a concussion, the player will need to go back one step and slow the process down. Rushing the process will inevitably result in the player being out for a longer period of time or indefinitely.

88 HOCKEY TRAINERS CERTIFICATION PROGRAM RETURN TO PLAY Name of Player is able to return to play following injuries sustained on Date Considerations /restrictions with respect to return to play: Name of Treating Physician Signature Date: This information is strictly confidential and will only be used to assist in the player s safe return to play. All records will be returned to the player. Disclaimer: Personal information used, disclosed, secured or retained will be held solely for the purposes for which we collected it and in accordance with the National Privacy Principles contained in the Personal Information Protection and Electronic Documents Act. 107 Hockey Trainers Certification Program

89 This recommended protocol has been provided as a template for organizations to implement a Return to Play Protocol. It is in MS Word format so that team or league specific information can be added. CMRG Ltd. has provided these guidelines as information only and assumes no liability with regard to athletes who are treated following this protocol. CMRG Concussion Management Program Concussion Recommended Return to Play Protocol for Schools and Teams Steps of return to play (RTP) if a player sustains a concussion 1. Player sustains a suspected concussion 2. If there is a loss of consciousness, assume C-spine injury, immobilize, initiate EAP and call an ambulance. 3. If there is no loss of consciousness (player returns to bench), assess for concussion and associated injury and continue serial assessment with SCAT2 pocket card. 4. Remove the player from the game. If a concussion is suspected, they CANNOT RTP in that game. WHEN IN DOUBT, SIT THEM OUT. 5. Do not leave the player alone. Monitor signs and symptoms and if there are ANY concerns, they must be taken to ER. 6. Do NOT administer medication 7. Inform coach and parent/guardian about the injury and advice to monitor the athlete. Symptoms could appear hours later. 8. The player should be seen by a healthcare professional with knowledge of concussion. If there are ANY concerns, they should be taken to ER to rule out serious injury. 9. Initial treatment for a concussion is rest, rest, rest (Physical and Mental - Mental rest means that the individual with a concussion should not be doing anything which requires focus or concentration, which means no computer use, television or video games). If the athlete is deemed to have a noncomplicated sport concussion, initial management is REST only. Assessment with a CMRG Concussion Management affiliated physician can be booked within 1 to 2 weeks. 10. Once symptoms have subsided, contact CMRG Concussion Management affiliated physician (see below). Symptoms may take several days to go away as all patients react differently. 11. The RTP process follows the following guidelines

90 RTP guidelines Remember, symptoms may return later that day or the next, not necessarily when exercising! This RTP was recommended at the Zurich Concussion Conference. Step 1: Rest Step 2: Light exertion (below 70% of max) Step 3: Increase exertion, weight training, interval training, etc. Step 4: Sport specific non-contact activity Medical Clearance Step 5: Contact Practice Step 6: RTP. Important!! For urgent assessments or concerns, go directly to ER, NOT to CMRG Concussion Management affiliated physicians CMRG Concussion Management affiliated physicians assist with RTP advice and it is important to remain on complete rest until seen by the physician. To contact CMRG Concussion Management affiliated physician. Please contact any of the CMRG Concussion Management affiliated physicians (listed below). The athlete does NOT need to see the CMRG Concussion Management affiliated physician URGENTLY if there are no medical concerns. If there are URGENT concerns the athlete should be seen in ER. Any athlete with concerns should be advised to REST completely and book a follow-up appointment with a CMRG Concussion Management affiliated physician. This physician will guide RTP decisions. The appointment is covered by OHIP, but there may be a charge for the post concussion test and RTP note. At the CMRG Concussion Management affiliated physician s office, the player will undergo a series of tests and, if deemed appropriate by the physician, may take the ImPaCT follow-up test (approximately 30 minutes). This test will be compared to the baseline test score. It is important to understand that the test is only part of an overall concussion evaluation and may or may not be used during the follow-up assessment. A note from the CMRG Concussion Management affiliated physician must provided before the athlete is allowed to RTP. CMRG Concussion Management Affiliated physicians.

91 NCHA Manager s Manual Appendix G Insurance and Sanctioned Events Page 7

92 SPECIAL EVENTS & FUNDRAISING INSURANCE CERTIFICATE REQUEST THIS FORM IS TO BE COMPLETED FOR: Events other than regular games, practices, tournaments or meetings Events like year-end banquets or public relations, or club promotional events PLEASE NOTE: 1. You must attach a copy of the rental agreement with this request. 2. Requests submitted less than two (2) weeks before rental may not be processed. 3. Not all fundraising and special event activities are permitted by the Ontario Hockey Federation (OHF), for more information please read the OHF Insurance Guide available at HOCKEY TEAM INFORMATION: Name of Team/Club: Contact Name: Contact Contact Phone: Contact Fax: NAME OF FACILITY (THE THIRD PARTY) REQUESTING PROOF OF INSURANCE: Name: Address: Municipality: It is understood and agreed that the above entities are added to the policy as additional insured but only with respect to the operations of the named insured described above. This certificate applies to the members and authorized personnel of the insured while operating within the scope of their duties. Please show facility name above as Additional Insured EVENT DETAILS: Dates: Event Description: Are non-registered participants involved? No Yes (note they are not covered by this policy) Will alcohol be served at this event? No Yes (then complete Alcohol Supplement Form) FOR OFFICE USE ONLY Date Received: Approved By: Signature: P L E A S E S E N D TO NOHA AT : ( F A X ) O R JMAY@NOHA.ON.CA

93 DRYLAND TRAINING PROGRAM INSURANCE CERTIFICATE REQUEST THIS FORM IS TO BE COMPLETED: For any off-ice training activities or events where proof of insurance is required; And accompanied by: Dryland Training Instructor Acknowledgement Form Proof of Instructor s insurance Detailed Program Outline PLEASE NOTE: 1. Requests submitted less than two (2) weeks before rental may not be processed. 2. Not all strength and conditioning activities are permitted by the Ontario Hockey Federation (OHF), for more information please read the OHF Insurance Guide available at HOCKEY TEAM INFORMATION: Name of Team/Club: Contact Name: Contact Contact Phone: Contact Fax: NAME OF FACILITY (THE THIRD PARTY) REQUESTING PROOF OF INSURANCE: Name: Address: Municipality: ADDITIONAL INSURED It is understood and agreed that the above entities are added to the policy as additional insured but only with respect to the operations of the named insured described above. This certificate applies to the members and authorized personnel of the insured while operating within the scope of their duties. Please show facility name above as Additional Insured PROGRAM DETAILS: Program Dates: Program Description: Are non-registered participants involved? No Yes (note they are not covered by this policy) Is this a recurring program? No Yes FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE SEND TO NOHA AT: (FAX) OR KMAITLAND@NOHA.ON.CA

94 DRYLAND TRAINING INSTRUCTOR INFORMATION & AC KNOWLEDGEMENT FORM This form must be provided where an Insurance Certificate has been requested by an OHF Member Partner for Dryland Training activities. Remember to include a Detailed Program Outline with this form. INSTRUCTOR S INFORMATION: Instructor Name: Company Name: Address: Phone: Current Designation(s): Relevant Certification(s): REFERENCES: Do you have any criminal convictions that involve offences to persons, property or drugs or weapons? Please provide a minimum of 2 references: Name Phone # Relationship INSTRUCTOR ACKNOWLEDGEMENT: By signing below you are acknowledging that you have read and understand the OHF Insurance Guide and the Dryland Training Guidelines. By signing below you are agreeing to adhere to the requirements of the OHF with respect to dryland training as provided in the OHF Insurance Guide. Signature Date FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE SEND TO NOHA AT: (FAX) OR KMAITLAND@NOHA.ON.CA

95 ONTARIO HOCKEY FEDERATION Insurance Guide Program Overview, Sanctioning Summary & Dryland Training Guidelines

96

97 CONTENTS SECTION I:...4 Insurance Program Overview... 4 Relationship to Risk Management... 4 OHF Structure... 4 Communication... 5 Insurance Certificate Request... 5 The Link between Sanctioning & Insuring... 6 Who is insured?... 7 Approved OHF Events & Activities... 7 Approved OHF Events & Activities (continued)... 8 Approved OHF Events & Activities (continued)... 9 The Definite No List Hold Harmless & Facility Lease Agreements SECTION II:...13 Dryland Training Supplement Relationship to Risk Management OHF Position on Sanctioning Dryland Training...13 Overview of Dryland Training Definition of Dryland Training Importance of Supervision Dryland Training Guidelines Safety Emergency Planning Instructor Program Design Location & Equipment Supervision Frequency, Intensity & Duration Monitoring & Evaluation Age Specific Compliance Guidelines for participants Guidelines for Parents Guidelines for Players Guidelines for Team Coaches & Trainers Guidelines for Organizations References SECTION III: Forms...25 OHF INSURANCE GUIDE PAGE 3

98 SECTION I: INSURANCE PROGRAM OVERVIEW As a Branch of Hockey Canada, the Ontario Hockey Federation (OHF) is a participant in the National Insurance Program. The mandate of the program is to ensure that adequate financial resources are in place to compensate those who are injured or who have suffered a financial loss as the result of their involvement in hockey. Relationship to Risk Management Risk Management is the process of assessing potential variation in outcomes and then developing strategies to manage those areas where a resulting loss could have a negative impact on the organization s ability to achieve its objectives. Insurance is one strategy used in hockey to manage the financial uncertainty of potential losses. Insurance by itself does not prevent or reduce the likelihood of injury or claim and that is why it is necessary to develop other strategies to reduce the severity or frequency of loss. This section is designed to help hockey administrators better understand risk control with respect to event sanctioning, those events that are permitted or not permitted within the OHF and the insurance certificate request process. OHF Structure The OHF is the largest Branch of Hockey Canada and operates within a specified jurisdiction in Ontario. Hockey Northwestern Ontario and Ottawa District Hockey Association are the two additional Branches in Ontario. The OHF is comprised of seven (7) Member Partners (MPs) and they are: Alliance Hockey (ALLIANCE), Greater Toronto Hockey League (GTHL), Northern Ontario Hockey Association (NOHA), Ontario Hockey Association (OHA), Ontario Hockey League (OHL), Ontario Minor Hockey Association (OMHA), and Ontario Women s Hockey Association (OWHA). The OWHA is a provincial governing body for female hockey. All communication regarding insurance for female hockey in Ontario will be conducted through the OWHA and then OHF. OHF INSURANCE GUIDE PAGE 4

99 Communication Communication within the Branch operates in two fashions: top-down and bottom-up. Local clubs are to communicate through their Member Partner to the OHF and the OHF will communicate to local clubs through the Member Partner. Hockey Canada & Insurers Request for Certificate Ontario Hockey Federation (OHF) OHF Member Partners (7) Local Team/Club Provision of Certificate Insurance Certificate Request Throughout the season a club may be asked to demonstrate proof of their insurance coverage to rent a facility or participate in an event. The certificate is issued by the Insurance Company to the party making the request. This is usually a facility, municipality, school board or shopping mall. What the certificate offers is proof that the group using their facility is covered by a policy in the event of an injury or other incident. The process of issuing certificates is time intensive and requires varying levels of administration. As such, the OHF will not issue certificates to coaches, managers or clubs who want to know that they are covered for an event. This assurance can come from the OHF Member Partner in some other format. In order to provide a Certificate of Insurance to the party requesting one from your club, you must complete the appropriate Insurance Certificate Request (ICR) Form (Facility Rental, Special Events, Dryland Training). These forms are available in the appendices, on the OHF website at as well as through the OHF Member Partners. OHF INSURANCE GUIDE PAGE 5

100 The Link between Sanctioning & Insuring There is a direct link between sanctioning and insurance. Essentially, if an event is sanctioned then it is considered to be insured under the National Insurance Program. Sanctioning, or approving of an event can happen at three levels: Hockey Canada, the OHF and the OHF Member Partner. At each of these levels of governance, activities and events will be considered for their risk and relevance to the game of hockey. What local clubs need to be aware of is that each level of governance has the ability to strengthen the position of the level above. This is important because some of the activities that Hockey Canada will permit the OHF will not and thus the OHF Member Partner will not permit. On the other hand, Hockey Canada and the OHF may permit certain activities that the OHF Member Partner will not. The OHF is comprised of seven members, each with their own philosophy and regulations. In some circumstances one OHF Member Partner may sanction an activity that another will not. In any and all cases, OHF Member Partners will monitor and oversee the sanctioning of the events within their jurisdiction. Where there may be concern about the merit of an activity or event, the OHF Member Partner should contact the OHF for clarification. Any event that is sanctioned is thereby considered insured except in cases where the insurer, Hockey Canada, the OHF or the OHF Member Partner has expressly indicated that such events are not sanctioned. If an event is not sanctioned then it is not insured. The OHF recognizes the need for many hockey operations across the province to conduct internal and external fundraising to off-set the varying costs of participation. The need to fundraise cannot supersede the reasonable expectations of the organization to maintain safety for all participants and consideration of policy premiums for all participants within Hockey Canada. OHF INSURANCE GUIDE PAGE 6

101 Who is insured? The only people who are covered by the National Insurance Program are those individuals registered as Hockey Canada Participants (players, officials, coaches, trainers, named volunteers and staff). A facility or individual may be added to the policy as Additional Insured for a specified event, and that event only. Even though an event may be sanctioned, not all parties are necessarily insured. For instance, parents may be participating in a fundraiser, but not in a capacity that grants coverage. In such cases, additional coverage may be purchased from a local broker for a special event. There are also circumstances where an event falls outside the scope of the insurance policy or the guidelines established by Hockey Canada and the OHF and as a result there is no coverage afforded to any participants. When this situation arises and event organizers intend to proceed with the event they must indicate to the participants in some reasonable way that the event is not covered by Hockey Canada Insurance. As a protective measure for both the participants and the organizers it is highly recommended that an alternative source of insurance be attained to cover the event. Special Events policies can be sourced through local brokers, or through Hockey Canada s broker, B.F. Lorenzetti. The OHF maintains a list of brokers who may be able to provide coverage for events that fall outside the scope of hockey Canada s policy. Approved OHF Events & Activities The National Insurance Program is designed to meet the insurance needs of participants engaging in the game of hockey and related activities. Over the years, the definition of related activities has been challenged. Generally speaking, the further you move away from the ice, the further you are stretching the intent of the policy. Naturally all approved games, practices and tournaments are covered. Fundraising events can vary substantially and this may create some confusion. The following chart illustrates the events that have been approved by the OHF. If your event is on this list and you have met with any and all conditions, then it can be considered insured. If the event is not on this list then you may assume that is not sanctioned and you must contact your OHF Member Partner office. Please note that insurance coverage for each of the following events or activities is provided for the registered participants only. Event/Activity organizers may wish to purchase a separate Special Events policy where non-participants may be in attendance. OHF INSURANCE GUIDE PAGE 7

102 Approved OHF Events & Activities (continued) Event Notes & Conditions Administration Coverage only applies where agreement does not include a Ice and Facility Rentals Holds Harmless clause. Where agreement includes such clause, the burden of responsibility lies with the signor and not Hockey Canada. On-Ice Events 1. Must be sanctioned by Member Partner; 2. Both teams must be properly registered; 3. Full equipment is to be worn; Exhibition Games (including International) 4. Registered officials must be used to officiate; 5. Where a game is between a male and a female team: a. OWHA must approve; b. Body checking is not permitted. Tournaments Must be sanctioned by Member Partner Participants must be registered within the OHF and off-ice team Canadian University and College Teams activities would require sanctioning by the Branch or registering MP Hockey Canada Teams vs. USA Hockey Teams Must be a sanctioned team Summer Evaluation &Conditioning Camps Only if approved by Branch and Member Partner Continued OHF INSURANCE GUIDE PAGE 8

103 Approved OHF Events & Activities (continued) Event Notes & Conditions Off-Ice Events Fundraising or year end event (i.e. banquet, auction) without alcohol 1. Facility ownership must be responsible for the serving of Fundraising or year end event (i.e. banquet, auction) with alcohol. alcohol. 2. Facility ownership must obtain all required permits to buy and sell alcohol. Dryland Training Only if approved (see section on Dryland Training for details) Development Seminars Mall Display and/or Mall Registration Booth Requires appropriate supervision Gambling, Lotteries (50/50, Raffle Tickets) Activity must comply with municipal and provincial legislation. Door-to-Door Selling, personal fundraising, cookies, candy bars, etc. Door-to-door sales are permitted only with appropriate supervision to reduce the risk of young players entering the homes of unknown persons. Snack Bar operators should be appropriately trained. Registered Snack Bar, Concessions participants under the age of 16 are not permitted to use deep fryers. Deep fryers must comply with local fire code and inspections. Bottle Drives, tree sales, donation drives, shoe shines, car wash Requires appropriate supervision and risk management to prevent injury to participants near vehicles OHF INSURANCE GUIDE PAGE 9

104 The Definite No List There are events that have previously led to injury claims or conflict with OHF programs, regulations or philosophy. Based on sound risk management, these events have been disallowed within the OHF. As a result, these events are not covered by Hockey Canada. The following is an on-going list of events that are not sanctioned by the OHF: Road Blocks Non-Hockey Related Activities Car Rallies Community Festivals * Other Sport Activities (including Inline Hockey & Ball Hockey) Community Parades ** Road Side Clean Up National Hockey League (NHL) Players participating in event Blueline Club, Canteen, Beer Tent Non-Sanctioned Summer Hockey Camps, Practices, Leagues Any lease agreement with a clause that transfers the financial burden to the team for facility negligence (see next page for details) Concerts Wood-Splitting Dances (as fundraisers for players or parents) Exhibition games involving nonregistered participants (including parents, sibling and celebrities) There may be additions to this list so please contact your OHF Member Partner or the OHF for more information or if you are unsure of whether or not your event is sanctioned. *Community Festivalswilllikely have their own insurance. Hockey Canadawill not coverthe event; rather provide coverage for registered hockey participants only. ** Community Parade participation may be permitted for teams entering to walk, but not on floats or other motorized vehicles. Coverage for parades will not be extended to the organizing group, only the registered hockey participants. OHF INSURANCE GUIDE PAGE 10

105 Hold Harmless & Facility Lease Agreements Before signing any facility lease agreement read the following information carefully. The term Hold Harmless is used to describe a clause in an agreement that will transfer certain financial responsibilities from one entity to another. For instance, a recreational facility may transfer the financial responsibility to the team for any injury or damage resulting from the team s activities. This is permitted under Hockey Canada Insurance. However, some facilities will try to transfer the financial responsibility to the team for any injury or damage that is the result of their own negligence or actions. This is not permitted under Hockey Canada Insurance. Hockey Canada Insurance will insure the hockey participants and their actions but not the operations of the recreational facility. Therefore, by signing an ice rental agreement with this type of clause, the person who signs it on behalf of the team or club is taking full responsibility for how the facility is managed or mismanaged. This includes maintenance, air quality, ice condition, security, emergency exits, wet spots on the floor, ammonia leaks, crowd control, nonfunctioning smoke detectors, faulty sprinkler system, structural defects and others that may arise. The following situations demonstrate the effective difference between an acceptable agreement and one that is not: Hold Harmless against damages arising from team s activities. The Oakdale Honey Bees have just completed their practice and have left the ice surface. As the last coach leaves the ice, they do not close the gate. The Oakdale Honey Bees dressing room door is located directly across from the ice surface and the gate. The next team begins to skate while waiting for the ice resurfacing to begin. An errant shot from one of the players goes through the gate, down the short hall and through the Honey Bees dressing room door where it strikes a player in the face. The resulting injuries are a directly caused by the action of the team not closing the dressing room door or the gate from the rink. The ice rental agreement the organization signed included a clause to transfer the responsibility of damages resulting from the team s activities to the team. As a result the facility is not liable for the damages caused by the team s activities. Hockey Canada Insurance is liable for the damages caused by the team s activities. This situation is acceptable to the insurance company and to Hockey Canada. While it is preferred that teams engage in safe risk management practices the purpose of the insurance policy is to cover situations when accidents occur. OHF INSURANCE GUIDE PAGE 11

106 Hold Harmless against all damages including facility negligence or actions. The Dorchester Lions are playing their final league game at the Dorchester Arena. During the game a lighting fixture falls from the rafters and lands on one of the players causing major injuries. The shattering of glass and metal pieces causes minor cuts to an on-ice official. The ice rental agreement the organization signed included a clause to transfer the responsibility of damages resulting from the facility s negligence or actions to the Dorchester Lions. As a result, the facility is not liable for the damages caused by the lighting fixture falling. Hockey Canada Insurance is not liable for the damages caused by the lighting fixture falling. The person(s) who signed the ice rental agreement are responsible for the damages. As a result, any assets held by that person or persons may be seized to cover the costs associated with the damages. This may include homeowner insurance, business assets, household assets, and future wages. No volunteer should bear the burden of this responsibility. That is why every organization that signs an ice rental agreement is required to read carefully the contents of that agreement. If they are unsure of the language or any clause it is best to send the agreement to the OHF through their Member Partner for review before signing anything. OHF INSURANCE GUIDE PAGE 12

107 SECTION II: DRYLAND TRAINING SUPPLEMENT Relationship to Risk Management Risk Management is the process of assessing potential variation in outcomes and then developing strategies to mange those areas where a resulting loss could have a negative impact on the organization s ability to achieve its objectives. Strength and conditioning programs are on the rise, and more hockey participants are becoming involved in this secondary program. It falls to the governing bodies to acknowledge the relative risks and devise strategies to manage them. For instance, there is the risk that a player may be injured during the course of an activity because the Instructor is unqualified and provides poor instruction or supervision. This section is intended to provide education, awareness and guidance regarding the risks of dryland strength and conditioning training and potential strategies to offset risk and increase participant safety and well-being. OHF Position on Sanctioning Dryland Training For dryland strength and conditioning programs to meet the sanctioning requirements of the OHF and to be insured by Hockey Canada, the following guidelines must be considered and specific requirements met. Teams requesting insurance coverage for this type of activity will be required to provide a supplementary application form in addition to the Insurance Certificate Request. OHF INSURANCE GUIDE PAGE 13

108 Overview of Dryland Training Most would agree that being physically fit is an important part of the overall development of children and youth. Various studies have demonstrated that children and youth who participate in sport and physical activity generally have higher self esteem, increased self and body image, improved grades in school, are less likely to engage in dangerous or illegal activities (like drug use), are less likely to become teen parents, and are less likely to develop diseases like diabetes, breast cancer and obesity related health conditions. Physical fitness also plays an expanding role in the development of a player s ability in hockey. As players move into higher divisions and more competitive levels of play, physical fitness will become more important for optimal performance. Historically speaking, strength and conditioning training for a pre-pubescent child was not always well looked upon by the medical field 1.General consensus was that strengthtraining in pre-pubescent children could not enhance strength because of the lack of available hormones required to build muscle. However, it seems these beliefs were based on relatively few studies and may not have taken significant factors into consideration 2. Today studies have shown that strength gains can be achieved in boys and girls with properly designed and supervised training programs 3. It is important to recognize that children and youth are not simply smaller adults. Emotionally, cognitively and physically they require special considerations and a different approach to strength and conditioning programs than do adults. The OHF recognizes that strength and conditioning programs can play an important role in minor hockey. Such programs are safe when properly designed and supervised; and can increase children s strength, fitness skills, sports performance, psycho-social well-being and overall health. In addition, the benefits of strength and conditioning training may include injury protection as muscle strength increases the stability of joints. However, it is important to take certain precautions when training young players. This document has been developed to provide a framework for strength and conditioning activities that take place under the auspices of the OHF and with appropriate Hockey Canada insurance coverage. OHF INSURANCE GUIDE PAGE 14

109 Definition of Dryland Training Strength and conditioning, also referred to as Dryland Training, includes activities prescribed and supervised by a certified trainer in a specific location for the purposes of enhancing overall fitness that includes cardiovascular endurance, muscular strength and general flexibility. Strength and conditioning programs will be approved as a team activity and not on an individual basis. Strength and conditioning programs will supplement on-ice training programs; Strength and conditioning activities will be prescribed and supervised by a certified Instructor. Strength and conditioning activities will take place in the presence of Speak Out certified team or organization personnel. Strength and conditioning programs do not include (at least for the purposes of defining it for insurance coverage), individual personal training or training sessions done on the player s own time (i.e. running, swimming, biking), participation in other sporting activities (like, but not limited, to floor or ball hockey), or any activity not expressly defined in this document. Importance of Supervision It has been estimated that 80% of all court cases (United States) concerning athletic injuries deal with some aspect of supervision 4. Although serious accidents are rare in supervised exercise programs, the liability costs associated with inadequate supervision are very expensive. The main causes of these accidents are poor facility maintenance, defective equipment, and inadequate instruction or supervision. OHF INSURANCE GUIDE PAGE 15

110 DRYLAND TRAINING GUIDELINES 1. Safety The same principles for safety apply to the facility and equipment for strength and conditioning training as those for on-ice activities. This includes consideration of the condition of the facility, location, lighting, ventilation, other patrons, personnel, equipment, and other similar items. 1.1 It is the responsibility of the team and/or organization personnel to ensure that the facility and equipment being utilized for the purposes of strength and conditioning meet applicable safety standards. If there is doubt about the safety of the facility, equipment or instructor, the team/organization personnel should stop the program. 2. Emergency Planning An emergency action plan is a written document that details the proper procedures for caring for injuries that may occur to participants during activity. While all strength and conditioning facilities should have such a document, it is important to appreciate that the document itself does not save lives. In fact, it may offer a false sense of security if it is not backed up with appropriate training and preparedness. This plan should align with the Emergency Action Plan found in the Hockey Canada Trainer s Program, Hockey Canada s Safety Requires Teamwork booklet, or Hockey Development Centre of Ontario Hockey Trainers Certification Program (HTCP). 2.1 The Instructor, or other team personnel, must develop a written, venue-specific emergency action plan to deal with injuries and reasonably foreseeable events within each facility. The plan must be shared with the players and be posted during strength and conditioning training sessions. As part of the plan, a readily accessible and working telephone must be immediately available to summon on-premise and/or off-premise emergency assistance. 2.2 The components of a written and posted emergency action plan must include: planned access to a physician and/or emergency medical facility when warranted, including a plan for communication and transportation between the venue and the medical facility; appropriate and necessary emergency care equipment on-site that is quickly accessible; and a thorough understanding of the personnel and procedures associated with the plan by all individuals. 2.3 All participants should know the Emergency Action Plan and the proper procedures for dealing with an emergency (i.e. location of phones, activating emergency medical services, OHF INSURANCE GUIDE PAGE 16

111 designated personnel to care for injuries, ambulance access, and location of emergency supplies). 2.4 All participants should review and practice emergency policies and procedures regularly. 2.5 All participants should adhere to universal precautions for preventing exposure to and transmission of blood-borne pathogens. 3. Instructor Whether the players improve their overall physical wellbeing and whether that translates to onice success is a by-product of a well managed strength and conditioning program. Selecting a qualified and appropriate Instructor is vital to achieving the desired level of success. 3.1 The Instructor must comply with any screening protocol applicable within the organization he or she is intending to work with. 3.2 The Instructor must provide proof of insurance coverage when requested. 3.3 The Instructor must be certified by an accredited organization. The following is a list of recommended organizations. There may be others that are not listed here, please check with Branch Office for approval. Ontario Physiotherapy Association (OPA) Ontario Kinesiology Association (OKA) Ontario Athletic Therapist Association (OATA) Ontario Association of Sport and Exercise Science (OASES) International Sport Science Association (ISSA) 3.4 The Instructor should achieve and maintain professional certification(s) and follow the applicable code of ethics. 3.5 The Instructor should have experience with children and strength and conditioning training. 3.6 When teaching new exercise, the Instructor should have the child perform the exercise under his or her supervision. 3.7 The Instructor should cooperate with a player s health care providers at all times, and provide service in the participant s best interest according to instructions specified by such providers. OHF INSURANCE GUIDE PAGE 17

112 4. Program Design 4.1 Strength and conditioning programs are to be designed and supervised by a certified Instructor and executed under the supervision of Speak Out certified team personnel. 4.2 Parents are to be informed of strength and conditioning programs, including content, requirements for attendance, fees, location and schedule prior to the commencement of the activity. 4.3 Strength and conditioning activities should be planned and the requisite number of qualified staff should be available. 4.4 Younger participants, novices or special populations engaged in such strength and conditioning activities should be provided with greater supervision. 4.5 Resistance training should supplement rather than replace other forms of physical activity. 4.6 The correct techniques should be taught for each exercise performed. 4.7 The size of the exercise equipment used should correspond to the size of the child. 5. Location & Equipment The OHF recommends that training sessions take place in accredited fitness facilities. The Accredited Fitness Appraisal Centres (AFAC) designation insures that minimum standards have been developed for personnel, the tests and equipment utilized, and the emergency procedures followed for use in a fitness centre. However, in circumstances where this is not possible, the following guidelines are suggested: 5.1 Strength and conditioning programs should take place in a safe environment (such as a gymnasium or other fitness facility with attention given to the lighting conditions, air quality and overall layout of facility) to ensure optimal supervision; 5.2 Exercise devices, machines and equipment including free weights should be assembled, set up and placed in activity areas in accordance with manufacturer s instructions, tolerances and recommendations and with accompanying safety signage, instruction placards, notices and warnings posted or placed according to relevant standards so as to be noticed by users prior to use. In the absence of such information, Instructors must complete these tasks in accordance with authoritative information available from other sources. OHF INSURANCE GUIDE PAGE 18

113 5.3 Prior to being put into service, exercise devices, machines or free weights must be thoroughly inspected and tested by the Instructor to ensure that they are working and performing properly, and as intended by the manufacturer. 5.4 Exercise machines, equipment (such as resistance balls and bands) and free weights must be inspected and maintained at intervals specified by manufacturers. In the absence of such specifications, these items must be regularly inspected and maintained according to the Instructor s professional judgment. 5.5 Exercise devices, machines, equipment and free weights which are in need of repair, as determined by regular inspection or as reported by users, must be immediately removed from service and locked out of use until serviced and repaired and be re-inspected and tested to ensure that they are working and performing properly before being returned to service. 5.6 Instructors and Team personnel should ensure that facilities are appropriate for strength and conditioning activities. Factors to be reviewed and approved prior to activity include, but are not limited to, floor surfaces, lighting, room temperature and air exchanges. 5.7 All equipment, including free weights, should be cleaned and/or disinfected regularly as deemed necessary by staff. Users should be encouraged to wipe down skin-contact surfaces after each use. 6. Supervision 6.1 Appropriate supervision of players participating in strength and conditioning activities is the primary and most significant tool we have in reducing injury or incident. 6.2 Participants must be properly supervised and instructed at all times to ensure maximum safety. 6.3 There must be a minimum of two (2) certified team or organization personnel per team in attendance at each strength and conditioning activity in addition to the instructor(s). 6.4 Players will not be alone or left unsupervised with the Instructor at any time. 6.5 The Instructor should have a clear view of all areas of the facility, or at least the zone being supervised by each Instructor. OHF INSURANCE GUIDE PAGE 19

114 6.6 The Instructor should be in close proximity to the group of participants under his or her care in order to see and communicate clearly with the participants and have quick access to participants in need of immediate assistance. 6.7 In combination with appropriate safety equipment, attentive spotting must be provided for participants performing activities where free weights are supported on the trunk or moved over the head/face. 7. Frequency, Intensity & Duration The program design is the responsibility of the designated Instructor. This information below will help participants to understand what they can expect and what might be considered excessive. 7.1 All training sessions should be preceded by a warm-up routine and followed by cool-down period. 7.2 Resistance training should supplement rather than replace other forms of physical activity. 7.3 There should be a gradual progression in the training intensity. 7.4 To introduce the participant to specific strength training exercises, it is recommended that no load be used initially. Later, once the participant has mastered the technique of the exercise, gradual loads can be introduced. If the participant s technique begins to break down, the load must be reduced to a point at which the correct technique is restored. 7.5 All exercises should be performed in a controlled manner, throughout a full range of motion. Training programs should centre on the "high repetitions - low loads" principle. 7.6 The maximum number of formal training sessions, including resistance training, per week for children up to twelve (12) years of age should not exceed three (3). Each training session should last no longer than ninety (90) minutes. Resistance training should never exceed three (3) sessions per week. OHF INSURANCE GUIDE PAGE 20

115 8. Monitoring & Evaluation Appropriate and timely feedback will help players to maximize their potential gains in strength and overall conditioning. 8.1 Instructors should include an evaluation and monitoring system to provide growth and development feedback to the players. 8.2 Players should be evaluated a minimum of three (3) times during the course of the program or season at the beginning, middle and end. 9. Age Specific As children progress in physical and psychological maturation their capacities will change. Recognizing the differences between young children and older adolescents is important in program design and safety. 9.1 Strength and conditioning programs are not permitted for participants under the age of seven (7), even if that player is playing on a team in a higher division. 9.2 Strength and conditioning programs with additional restrictions are permitted for preadolescent participants (prior to the onset of puberty). Strength and conditioning programs with fewer restrictions are permitted for adolescent participants (post onset of puberty). 9.3 Children between seven (7) and fourteen (14) years of age who have reached a level of maturity allowing participation in specified strength and conditioning activities (as determined and certified by their medical care provider and after clearance for participation) should be individually assessed by the strength and conditioning Instructor in conjunction with the child s parent(s)/guardian(s) to determine if they may engage in such activities. If so permitted, such activities should be developed and implemented according to the Instructor s professional judgment, in conjunction with the child s health care provider(s), and with a greater degree of instruction and supervision than that supplied to adolescents and adults Children fourteen (14) years of age and older who, according to the strength and conditioning Instructor s professional judgment, have reached a level of maturity allowing them to engage in specified strength and conditioning activities (provided they have been appropriately cleared for participation by parent(s) or guardians and health care provider(s), may engage in such activities in areas containing free weights and exercise OHF INSURANCE GUIDE PAGE 21

116 devices/machines generally used by adults, but with a greater degree of instruction and supervision than that supplied to adult populations while training Compliance 10.1 A team engaging in strength and conditioning activities will demonstrate compliance with the requirements within these guidelines prior to receiving a Proof of Insurance Certificate by completing a secondary insurance request form and sharing that with their OHF Member Partner. OHF INSURANCE GUIDE PAGE 22

117 GUIDELINES FOR PARTICIPANTS Guidelines for Parents Be informed Speak to the Instructor regularly Obtain regular updates on player s progress Obtain medical advice prior to start of strength and conditioning activities Speak to your child Be aware of any use of performance enhancing techniques Ensure there is proper supervision and attention before leaving your child Request references and credentials from of the Instructor from the team staff Guidelines for Players Be aware of your physical limitation Ask questions if you are unsure Do not attempt any exercise that you are uncomfortable with Guidelines for Team Coaches & Trainers Read this guideline and share with coaches Make information available Be vigilant Ensure proper insurance coverage is in place Properly screen Instructors prior to activity Obtain references and credentials from Instructor and share with parents Never force a player to do an exercise Ensure a safe environment Guidelines for Organizations Read this guideline and Inform coaches Make information available Be vigilant Be informed know which teams are participating in strength and conditioning activities Ensure proper insurance coverage is in place Never force a player to do an exercise Ensure a safe environment OHF INSURANCE GUIDE PAGE 23

118 References 1. American Academy of Pediatrics: Weight training and weight lifting: information for the pediatrician. Phys Sportsmed 1983; 11 (3): Falk B, Tenenbaum G: The effectness of resistance training in children: a meta-analysis. Sports Med 1996; 22(3): Falk B, Mor G: The effects of resistance and martial arts training in 6 to 8 year old boys. Pediatric Exercise Science 1996; 8(1): Bucher C.A. & Krotee M.L.: Management of Physical Education & Sport (11th Edition). Boston MA: McGraw-Hill, NSCA Professional Standards and Guidelines Task Force: Strength and Conditioning Professional Standards and Guidelines, May NSCA Professional Standards and Guidelines Task Force: Strength and Conditioning Professional Standards and Guidelines, May OHF INSURANCE GUIDE PAGE 24

119 SECTION III: FORMS Ice & Facility Rental Insurance Certificate Request Dryland Training Program Insurance Certificate Request Dryland Training Instructor Information & Acknowledgement Form Special Events & Fundraising Insurance Certificate Request Special Events with Alcohol Supplement Form OHF INSURANCE GUIDE PAGE 25

120 FACILITY & ICE RENTAL INSURANCE CERTIFICATE REQUES T THIS FORM IS TO BE COMPLETED FOR: Ice rental for game(s), practice(s) or tournament(s) Meeting or other facility room for team or club meetings PLEASE NOTE: 1. You must attach a copy of the rental agreement with this request. 2. Requests submitted less than two (2) weeks before rental may not be processed. HOCKEY TEAM INFORMATION: Name of Team/Club: Contact Name: Contact Contact Phone: Contact Fax: NAME OF FACILITY (THE THIRD PARTY) REQUESTING PROOF OF INSURANCE Name: Address: Municipality: ADDITIONAL INSURED It is understood and agreed that the above entities are added to the policy as additional insured but only with respect to the operations of the named insured described above. This certificate applies to the members and authorized personnel of the insured while operating within the scope of their duties. Please show facility name above as Additional Insured ACTIVITY DESCRIPTION Game Dates: Practice Dates: Tournament Dates: Meeting Dates: Are non-registered participants involved? No Yes (if yes, they are not covered by this policy) FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE FA X OR EM AIL TO YOUR OHF MEMBER PARTNER OFFICE

121 DRYLAND TRAINING PROGRAM INSURANCE CERTIFICATE REQUES T THIS FORM IS TO BE COMPLETED: For any off-ice training activities or events where proof of insurance is required; And accompanied by: PLEASE NOTE: Dryland Training Instructor Acknowledgement Form Proof of Instructor s insurance Detailed Program Outline 1. Requests submitted less than two (2) weeks before rental may not be processed. 2. Not all strength and conditioning activities are permitted by the Ontario Hockey Federation (OHF), for more information please read the OHF Insurance Guide available at HOCKEY TEAM INFORMATION: Name of Team/Club: Contact Name: Contact Contact Phone: Contact Fax: NAME OF FACILITY (THE THIRD PARTY) REQUESTING PROOF OF INSURANCE: Name: Address: Municipality: ADDITIONAL INSURED It is understood and agreed that the above entities are added to the policy as additional insured but only with respect to the operations of the named insured described above. This certificate applies to the members and authorized personnel of the insured while operating within the scope of their duties. Please show facility name above as Additional Insured PROGRAM DETAILS: Program Dates: Program Description: Are non-registered participants involved? No Yes (note they are not covered by this policy) Is this a recurring program? No Yes FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE FA X OR EM AIL TO YOUR OHF MEMBER PARTNER OFFICE

122 DRYLAND TRAINING INSTRUCTOR INFO R M ATION & AC K N OWLEDG EMENT FO RM This form must be provided where an Insurance Certificate has been requested by an OHF Member Partner for Dryland Training activities. INSTRUCTOR S INFORMATION: Instructor Name: Company Name: Address: Phone: Current Designation(s): Relevant Certification(s): REFERENCES: Do you have any criminal convictions that involve offences to persons, property or drugs or weapons? Please provide a minimum of 2 references: Name Phone # Relationship INSTRUCTOR ACKNOWLEDGEMENT: By signing below you are acknowledging that you have read and understand the OHF Insurance Guide and the Dryland Training Guidelines. By signing below you are agreeing to adhere to the requirements of the OHF with respect to dryland training as provided in the OHF Insurance Guide. Signature Date FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE FA X OR EM AIL TO YOUR OHF MEMBER PARTNER OFFICE

123 SPECIAL EVENTS & FUNDRAISING INSURANCE CERTIFICATE REQUES T THIS FORM IS TO BE COMPLETED FOR: Events other than regular games, practices, tournaments or meetings Events like year-end banquets or public relations, or club promotional events PLEASE NOTE: 1. You must attach a copy of the rental agreement with this request. 2. Requests submitted less than two (2) weeks before rental may not be processed. 3. Not all fundraising and special event activities are permitted by the Ontario Hockey Federation (OHF), for more information please read the OHF Insurance Guide available at HOCKEY TEAM INFORMATION: Name of Team/Club: Contact Name: Contact Contact Phone: Contact Fax: NAME OF FACILITY (THE THIRD PARTY) REQUESTING PROOF OF INSURANCE: Name: Address: Municipality: It is understood and agreed that the above entities are added to the policy as additional insured but only with respect to the operations of the named insured described above. This certificate applies to the members and authorized personnel of the insured while operating within the scope of their duties. EVENT DETAILS: Dates: Event Description: Please show facility name above as Additional Insured Are non-registered participants involved? No Yes (note they are not covered by this policy) Will alcohol be served at this event? No Yes (then complete Alcohol Supplement Form) FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE FA X OR EM AIL TO YOUR OHF MEMBER PARTNER OFFICE

124 SPECIAL EVENTS WITH ALCOHOL SUPPLEMENT FORM THIS FORM IS TO BE Completed for special event at which alcohol will be served or sold Accompanied by the Special Events Insurance Certificate Request Form PLEASE NOTE: 1. Registered volunteers and participants are not permitted to serve or sell alcohol at any sanctioned event. 2. Alcohol permits must be arranged with the LCBO and must be approved in the name of the facility, not any registered participant or team. 3. Failure to comply with the above will result in the event not being sanctioned and not insured. 4. Requests submitted less than two (2) weeks before event may not be processed. EVENT DETAILS: Dates: Event Description: Is the alcohol permit (LCBO) registered to the facility? Yes No (if no then to whom?) Will the facility be providing servers? Yes No (if no then who will serve?) It is recommended that teams, clubs and associations conduct any event involving alcohol at an established serving facility such as a restaurant or banquet hall. If this event is not sanctioned and the organizer proceeds please note that alternative insurance coverage will need to be arranged. FOR OFFICE USE ONLY Date Received: Approved By: Signature: PLEASE FA X OR EM AIL TO YOUR OHF MEMBER PARTNER OFFICE

125 NOTES:

126 NOTES:

127 OHF MEMBER PARTNERS: ALLIANCE 71 Albert Street Stratford, Ontario N5A 3K2 Tel: (519) Fax: (519) GTHL 265 Rimrock Road, Unit 4 Toronto, Ontario M3J 3C6 Tel: (416) Fax: (416) NOHA 108 Lakeshore Drive North Bay, Ontario P1A 2A8 Tel: (705) Fax: (705) OHA 1425 Bishop Street, Unit 2 Cambridge, Ontario N1R 6J9 Tel: (519) Fax: (519) OHL 305 Milner Avenue, Suite 208 Scarborough, Ontario M1B 3V4 Tel: (416) Fax: (416) OMHA 25 Brodie Drive, Unit 3 Richmond Hill, Ontario L4B 3K7 Tel: (905) Fax: (905) OWHA 5155 Spectrum Way, Building 3 Mississauga, Ontario L4W 5A1 Tel: (905) Fax: (905)

128 ONTARIO HOCKEY FEDERATION Eglinton Avenue East Toronto, Ontario M3C 3C w w w. o h f. o n. c a

129 NCHA Manager s Manual Appendix H Affiliation Page 8

130 NOHA AFFILIATION CHART DECEMBER 2006 JUNIOR JUNIOR B A MIDGET AAA MIDGET AA MIDGET A MIDGET B MINOR MINOR MIDGET AA MIDGET A BANTAM BANTAM AA BANTAM A BANTAM AAA MINOR BANTAM AAA PEEWEE AAA MINOR PEEWEE AAA MINOR BANTAM AA MINOR BANTAM A PEEWEE AA PEEWEE A PEEWEE B MINOR MINOR PEEWEE AA PEEWEE A B MIDGET BB BANTAM BB PEEWEE BB MIDGET C BANTAM C PEEWEE C MIDGET CC BANTAM CC PEEWEE CC MIDGET D BANTAM D PEEWEE D MIDGET H/L BANTAM H/L PEEWEE H/L ATOM AA ATOM A ATOM B ATOM BB ATOM C ATOM CC ATOM D ATOM H/L MINOR ATOM AA MINOR ATOM A NOVICE AA NOVICE A NOVICE NOVICE NOVICE NOVICE NOVICE NOVICE H/L B BB C CC D MINOR NOVICE AA MINOR NOVICE A INITIATION THIS CHART ABOVE SHOWS THE DIVISIONS AND CATEGORIES THAT ARE AVAILABLE WITH THE NOHA. EACH ASSOCIATION AND TEAM ARE TO ENSURE THAT THEY READ NOHA REGULATION 7. NOHA REGULATION 7 SHALL BE THE OFFICIAL AFFILIATION DOCUMENT OF THE NOHA. THE CHART ABOVE IS TO BE USED ONLY AS A GUIDE TO UNDERSTAND AFFILIATION REGULATIONS WITHIN THE NOHA. Teams within the NOHA can affiliate with team shown in the chart above either vertically straight up or with any team listed on the same line from right to left only, or with any team listed diagonally and to the left. Teams cannot affiliate with teams diagonally and to the right.

131 NOHA REGULATION NUMBER SEVEN as of MAY 2013 AFFILIATION Purpose: To provide an opportunity for higher division or category teams to dress the maximum number of players allowable for a game in accordance with the Playing Rules. R.7.1. Affiliation regulations and procedures shall be in accordance with the provisions in HC Regulation E. R.7.2. Affiliation options are as indicated below for each category. Each Association/Club must declare its affiliation option no later than October 15th of the playing season. Such declaration shall be completed by the official signing officers in writing and forwarded to the NOHA Office and available to the OHF upon request. The NOHA Affiliation Declaration form must be used. R.7.3. Geographic subdivisions, for the purpose of this Regulation, shall be determined by the NOHA Board of Directors. R.7.4. Teams must have a NOHA Player Affiliation Record form duly completed and signed by the Referee for each game this player participates in. Teams must also have a copy of the teams approved Affiliation Declaration. R.7.5. A player of a team of a lower division and the same or lower category of the same club, or of an affiliated team, or a specially affiliated player, may play for a team or teams of higher divisions and categories at any time, to a maximum of ten (10) games. However, if the player s registered team completes its regular season and playoffs before the player s affiliated team or teams, the player may thereafter affiliate an unlimited number of times. Exhibition and/or tournament games, which are not part of regular league games or playoff games, are excluded from the number of games. NOTE: Teams using affiliated players are not responsible for the information on the affiliated players HCR record if the player has been approved electronically on the HCR. If for any reason a player is found to be ineligible after being registered and approved by the NOHA, the team the player is registered with will be held responsible. If a team uses this player as an affiliate player, this team cannot be held responsible and points cannot be taken away from them for using this player while he was on an approved HCR roster. The player cannot play an eleventh game (11) until the player s registered team completes its regular season and playoffs. NOTE: The NOHA Tournament of Champions is considered play-offs and therefore does count towards the ten (10) game total. R.7.6. Appearance of a registered player s name on the official game report of a game shall be considered participation in the game except in the case of an alternate goalkeeper, in which case actual participation only shall be considered as taking part in the game, and such participation shall be specially noted on the official game report.

132 R.7.7. R.7.8. R.7.9. A player who is granted an appeal to register in Minor Hockey in a Branch other than their home Branch or country, is ineligible to advance to a team of a higher division or category as an affiliate player. Affiliated players used by a higher division/category team in a game, shall be designated on the official game report by the use of the symbol AP after their name on the players line-up or roster. In any team affiliation, the player must have permission from the coach or manager of the team they are registered with before the affiliated player can participate in any game or practice. Failure to receive permission may result in the suspension of the Coach. R An NOHA Senior A team may neither have a Major Junior team as an affiliate nor use players from a club team in the Major Junior category. A Junior A team located in the NOHA area may have an affiliated Junior team situated only within the NOHA area. R A Junior A team within the NOHA area may affiliate with a Junior B team situated anywhere within the NOHA. R Players from a lower category affiliated team advancing to the higher category team are not required to electronically register in the HCR with the team of the higher category but remain members of the lower category team. Such players are not numbered among the higher category team s list of registered players. (paragraph also listed under R.4.38). R Teams have the following affiliation options: Club System - HC Regulation E.9(c) shall govern this affiliation. The determining factor for Club Affiliation shall be common signing officers for the purpose of registration and releases. Within a Club System, affiliate players must be: A) from a lower age division and the same or lower category, or; B) from the same age division and a lower category. Players and teams that are part of a declared Club System shall not be eligible to affiliate to another team through a Team-to-Team affiliation or Specially Affiliated Player list. The NOHA Affiliation Declaration Form must be used to file this type of affiliation. Team-to-Team Affiliation - This affiliation shall be governed by HC Regulation E9(a). The affiliate team must be a team: from within the same geographic subdivision as the team to whom they are; A) affiliating, and B) from a lower age division and the same or lower category, or; C) from the same age division and a lower category. Players on a team-to-team affiliation are ineligible to play as an affiliate player on any other team either through a Specially Affiliated Player List or a Club System. The NOHA Affiliation Declaration Form must be used to file this type of affiliation. Specially Affiliated Players (19 at Large) - HC Regulation E.9(b) shall govern this affiliation. Players eligible to be part of a Specially Affiliated Players list must: A) reside within the same geographic subdivision as the team to whom they are affiliating, and, B) be from a lower age division and the same or lower category; or, C) be from the same age division and a lower category.

133 Specially Affiliated Players may not be selected to participate as an affiliate player to another minor hockey association/club that has declared either a Team-to-Team Affiliation or Club System affiliation for the current season. These players may not be on more than one Specially Affiliated Player List. The final list of players must be forwarded to the NOHA office by January 15th or earlier of the playing season. The Affiliation at Large List must be completed in full with written consent (signing officers) from both teams involved in the affiliation. All players used as Specially Affiliated Players must be listed on the NOHA Affiliation at Large List and approved by the NOHA Executive Director before competing as an affiliated player. Once listed as a Specially Affiliated Player, a player may not be dropped from the list during the current season and replaced unless the team with which he signed his CHA Registration Certificate releases him on or before January 10th. The NOHA Affiliation at Large List must be used to register this type of affiliation. A minor hockey team may have, as part of its Specially Affiliated Players, a player registered with a team in the Ontario Women s Hockey Association (OWHA), provided that the player meets the residence, age requirements and other Regulations regardless of where the player plays in the OWHA program. R Midget AAA teams may affiliate with 19 players at Large. These players may come from the District that is host to this team and any abutting district that does not have a Midget AAA team. Teams have until January 15th to declare a total of 19 players or less. R.7.15 If a player is released by his/her residence association (AA or below) and there is a AAA team in their District which they are eligible to play for and then registers with another association (AA or below) in another District, he/she is not eligible to affiliate with the AAA team in that District or any other District without written approval from their Home District AAA team.

134 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) NOHA PLAYER AFFILIATION RECORD Team Name: Notes: This form must be used by all teams using affiliated players. 1- Teams must have a copy of their approved Association/Team Affiliation Declaration form along with this form. 2-Teams who are using the 19 Players at Large Affiliation must have that approved form along with this form. 3-This sheet must be signed by the Game Official for each player who is used as an affiliated player in all games. 4-For further information please review NOHA Regulation 7 Players Name Players team Signature of Game Official Date

135 NCHA Manager s Manual Appendix I Criminal Check Page 9

136 APPENDIX H OHF/NOHA Criminal Record Check Policy All individuals holding the title of coach, assistant coach, trainer, assistant trainer, manager, on ice official and anyone else determined by the Risk Assessment Tool which is contained in Appendix B of the OHF Speak Out Policy shall be subject to Criminal Record Checks which include the Vulnerable Sector Screening and a search of the National Sex Offender Registry. Individuals with outstanding Criminal Code convictions or who have been charged with such offences that have not yet gone to trial but which continue to be prosecuted, shall not be eligible to hold the above positions or those Association positions determined by the Risk Assessment Tool. These offences include, but are not limited to, the following: Offences which deem the Individual ineligible to participate in any capacity as determined by Appendix K Assault with a Weapon Assault Cause Bodily Harm Aggravated Assault Sexual Assault Sexual Interference Sexual Exploitation Invitation to Sexual Touching Making, distributing or possessing child pornography Current prohibitions or probation orders forbidding the individual to have contact with children under the age of 14 Indictable criminal offences for child abuse Luring a Child Voyeurism Possession for the Purpose of Trafficking Production of a Substance (as defined in the C.D.S.A.) Robbery Any other offences pertaining to violence, whether or not involving weapons

137 Offences for which disqualification from participation is to be determined by the Member Partner exclusion policy or as noted. Assault Threatening Possession of a Substance (as defined in the Controlled Drug and Substance Act [C.D.S.A.]) Impaired Driving (while Driver s License is suspended) Theft, Fraud and Related Offence (while in a Position of Trust) Convictions pertaining to illegal substances, other than for manufacture and/or trafficking Firearm Related Offences (other than use of firearm in the commission of an offence) An acceptable window of time for the exclusion of offences (minimum of 3 years) shall be determined by the Member Partner. The exclusion of time commences at the expiration of the penalty imposed by the Courts not the date of the charge or conviction. It is the obligation of any person required to produce a Criminal Record Check by virtue of this Policy to advise his or her Association's Professional Designate responsible for criminal record checks of a charge or conviction under any offence listed in this Policy. The Ontario Hockey Federation, its Member Partners and their members shall each appoint a Professional Designate to be responsible for the collection and retention of criminal record checks, which must be under the designates control and secured in a safe storage area separate from Association files. REVISED- JUNE 1, 2011

138 APPENDIX K Risk Assessment Tool & Rating The Risk Assessment Tool is not a scientific assessment, but is designed to help alert you to potential factors in a volunteer or staff position. No single check-list fits all situations so organizations are encouraged to adapt this tool to meet their specific needs and any local legal obligations. 8 Questions to consider when assessing the risk level associated with each position. 1) Does the person in this position serve people who may be vulnerable? Children under the age of 18 Persons with communication or language boundaries 2) Does the person in this position have access to players? Direct contact with players at the rink or away from the rink Driving players in their vehicle within Hockey Canada s Speak Out parameters 3) Is the person in this position required to make physical contact with a player s body? Demonstrating a skill Touching the player Contact with bodily fluids 4) Does the person in this position have access to property or equipment? Personal equipment Facility equipment Organization equipment 5) Is the person in this position involved in making decisions about a player s future or movement within the system? Perceived or actual position of authority 6) Does the person in this position have access to confidential information? Personal documents or communications 7) Does the person in this position have access to money? Personal funds Organizational funds 8) Is the person in this position involved in making decisions on behalf of the organization? Perceived or actual position of authority Enters into agreements on behalf of the organization If you answered Yes to any question above here are some suggested steps: Reference Check Police Record Check Regular supervision Participant evaluation of position Specific behaviour code is provided June 2011

139 NORTHERN ONTARIO HOCKEY ASSOCIATION 110 LAKESHORE DRIVE NORTH BAY, ONTARIO P1A 2A8 PHONE: (705) FAX: (705) APPENDIX J CRIMINAL OFFENCE DECLARATION NOHA CRIMINAL OFFENCE DECLARATION Print Name: Position: Team/Association: I,, hereby declare that: I have no convictions or outstanding charges for offences under the Criminal Code of Canada as specified in the NOHA Policy for Police Record Checks up to and including the date of this declaration for which a pardon has not been issued or granted under the Criminal Records Act (Canada). OR I have the following convictions for offences under the Criminal Code of Canada as specified in the NOHA Policy for Police Record Checks for which a pardon under the Criminal Records Act (Canada) has not been issued or granted: Signature of Applicant: Date: June 2011

140 2015 Police Record Check Request July 2015 To Whom It May Concern: The Nickel City Hockey Association (NCHA) requires that all volunteer Coaching Staff and Team Management have a valid Police Record Check, which includes the Vulnerable Sector Screening, prior to the current hockey season. Please complete a Police Record Check, including Vulnerable Sector Screening, for the following NCHA volunteer:, with the date of birth of. Regards, Gaston Lescault NCHA President /08/01 Rev 1

141 GREATER SUDBURY POLICE SERVICE CONSENT TO DISCLOSURE OF PERSONAL INFORMATION (PLEASE PRINT) SURNAME (LAST NAME) GIVEN NAMES MAIDEN NAME OR OTHER SURNAMES USED (IF APPLICABLE) PLACE OF BIRTH D DD MM YEAR SEX AREA TELEPHONE (RES) DRIVERS LICENCE NUMBER O B NUMBER STREET APT/UNIT MUNICIPALITY POSTAL CODE (PROVIDE PREVIOUS ADDRESS IF YOU DID NOT RESIDE AT THE ABOVE ADDRESS FOR MORE THAN FIVE YEARS) NUMBER STREET APT/UNIT MUNICIPALITY POSTAL CODE REASON FOR REQUEST: EMPLOYMENT VOLUNTEER OTHER: ORGANIZATION/AGENCY APPLYING TO: NOTE: INFORMATION IS COLLECTED AND DISCLOSED ACCORDING TO SECTIONS 29(1) AND 31 OF THE MUNICIPAL FREEDOM OF INFORMATION AND PROTECTION OF PRIVACY ACT AND WILL BE USED TO DISCLOSE PERSONAL INFORMATION TO THE APPLICANT. QUESTIONS ABOUT THIS COLLECTION SHOULD BE DIRECTED TO THE RELEASE OF INFORMATION COORDINATOR, GREATER SUDBURY POLICE SERVICE, 190 BRADY ST., SUDBURY AT (705) , EXT WAIVER AND RELEASE I HEREBY REQUEST THAT THE GREATER SUDBURY POLICE SERVICE SEARCH THEIR INTERNAL RECORDS AND RECORDS AVAILABLE THROUGH THE CANADIAN POLICE INFORMATION CENTRE (CPIC). I UNDERSTAND THAT A CRIMINAL RECORD CONVICTION CAN ONLY BE CONFIRMED BY MY FINGERPRINTS AND THAT ANY POSSIBLE CONVICTIONS WILL BE STAMPED INDICATING ONLY THAT A CONVICTION MAY OR MAY NOT EXIST. I ACKNOWLEDGE THAT ADDITIONAL FEES APPLY TO THE TAKING OF FINGERPRINTS AND FOR THE RCMP TO PROCESS MY REQUEST. IN CONSIDERATION, OF THE COMPLIANCE WITH THE FOREGOING AUTHORIZATION, I HEREBY RELEASE, WAIVE AND FOREVER DISCHARGE THE GREATER SUDBURY POLICE SERVICES BOARD, ITS EMPLOYEES AND AGENTS, AND OTHER POLICE AUTHORITIES FROM ALL CLAIMS, DEMANDS, DAMAGES, COSTS, EXPENSES, ACTIONS, CAUSES OF ACTION, WHETHER IN LAW OR EQUITY, HOWSOEVER CAUSED, RESULTING OR ALLEGED TO RESULT FROM YOUR COMPLIANCE WITH THE FOREGOING AUTHORIZATION. AND I DO FURTHER WAIVE ANY AND ALL RIGHTS I MAY NOW OR HEREAFTER HAVE WITH RESPECT TO THE RELEASE OF SUCH RECORDS AS SET OUT HERETOFORE. SIGNATURE OF APPLICANT DATE I.D. VERIFIED BY: SCREENING FOR VULNERABLE POSITION IF YOU ARE APPLYING FOR A POSITION WHERE YOU WILL HAVE DIRECT CONTACT WITH VULNERABLE PERSONS (ie. CHILDREN, ELDERLY AND/OR DISADVANTAGED) DEFINED AS: A PERSON WHO, BECAUSE OF THEIR AGE, A DISABILITY OR OTHER CIRCUMSTANCES WHETHER TEMPORARY OR PERMANENT, (a) ARE IN A POSITION OF DEPENDANCE ON OTHERS, (b) ARE OTHERWISE AT A GREATER RISK THAN THE GENERAL POPULATION OF BEING HARMED BY PERSONS IN A POSITION OF AUTHORITY OR TRUST RELATIVE TO THEM THIS FURTHER CONSENT MAY BE REQUIRED I FURTHER CONSENT TO A SEARCH BEING MADE IN THE AUTOMATED CRIMINAL RECORDS RETRIEVAL SYSTEM MAINTAINED BY THE ROYAL CANADIAN MOUNTED POLICE TO FIND OUT IF I HAVE BEEN CONVICTED OF, AND BEEN GRANTED A PARDON FOR, ANY OF THE SEXUAL OFFENCES THAT ARE LISTED IN THE SCHEDULE TO THE CRIMINAL RECORDS ACT. I UNDERSTAND THAT, AS A RESULT OF GIVING THIS CONSENT, IF I AM SUSPECTED OF BEING THE PERSON NAMED IN A CRIMINAL RECORD FOR ONE OF THE SEXUAL OFFENCES LISTED IN THE SCHEDULE TO THE CRIMINAL RECORDS ACT IN RESPECT OF WHICH A PARDON WAS GRANTED OR ISSUED, THAT RECORD MAY BE PROVIDED BY THE COMMISSIONER OF THE ROYAL CANADIAN MOUNTED POLICE TO THE SOLICITOR GENERAL OF CANADA, WHO MAY THEN DISCLOSE ALL OR PART OF THE INFORMATION CONTAINED IN THAT RECORD TO A POLICE SERVICE OR OTHER AUTHORIZED BODY. THAT POLICE SERVICE OR AUTHORIZED BODY WILL THEN DISCLOSE THAT INFORMATION TO ME. SIGNATURE OF APPLICANT DATE NOTE: Search results will be provided in the language in which the information is provided to the Greater Sudbury Police Service or recorded in the Greater Sudbury Police Service data base, whether or not that is the language of this application. Completed record check must be picked up within 3 months from date of request or it will be destroyed. Afterwards, any new request shall be subject to the fee in place at the time of the new request. (REC05.02/00) Revised 12/08 OVER Page of