2016-17 Community Recreation Department
Youth Basketball Programs - Grades Kindergarten - 8th Register by October 19!
Registration Deadline
Wednesday, October 19
Sign up by October 19 online or at the Rec Dept Office - Late
registrations will be added only where team openings exist.
Late fees apply!
Fees
Kindergarten, 1st & 2nd Grade Small Fry
2nd & 3rd Grade Girls Combo League Instructional Basketball Program
Saturdays, December 3 - February 18
Emphasis on learning basketball fundamentals through drills/short games
introduced by a lead instructor. Teams are formed by the Rec. Dept. based on
school/area of town. Boys Gr. 2 and Girls Gr. 2/3 Combo League will begin with
practice/clinics and continue into game play. VOLUNTEER COACHES NEEDED.
• Kindergarten - 9:00 am at James Madison or Horace Mann
• Gr. 1 Girls - 9:00 or 10:00 am at James Madison or TBA
• Gr. 1 Boys - 10:00 or 11:00 am at Horace Mann Middle School
• Gr. 2/3 Girls combo players - 11:00 am or 12:00 pm at James Madison
or TBA
• Gr. 2 Boys - 11:00 am or 12:00 pm at Horace Mann Middle School
Gr. K-2 Boys & K-3 Girls_________________$15.00
Fee after October 19___________$20.00
Non-residents Gr. 1-2___________$22.00/27.00 late
Gr. 3-5 Boys & Gr. 4-5 Girls_______________$21.00
Fee after October 19___________$26.00
Non-residents Gr. 3, 4 & 5_______$32.00/$37.00 late
Gr. 6 Boys & Girls______________________$27.00
Fee after October 19___________$32.00
Non-residents Gr. 6____________$40.00/$47.00 late
Gr. 7-8 Boys & Girls_____________________$36.00
Fee after October 19___________$41.00
Non-residents Gr. 7-8___________$54.00/$59.00 late
Players will be contacted after November 22 by their coach.
*SASD Residents of Cleveland, Mosel and Centerville add $3.00 to the
resident fee.
3rd, 4th, 5th & 6th Grade Boys & Girls Leagues
Saturdays, December 3 - February 25 (plus an occasional Fri. night)
Register on line at https://apm.activecommunities.com/
sheboyganrec/Home or by mail or at the Rec Dept office.
Make checks payable to: Community Recreation Department
Open gym/practices for all Kindergarten, Gr 1., Gr. 2 (and Gr. 2/3 Combo League)
players are Tuesday and Friday pm’s (dependent upon gym availability) at
Horace Mann or Longfellow. Coaches may choose to have their team attend
1-2 practices per week.
Teams are formed by the Rec. Dept. based on school/area of town. Boys
and girls leagues are separate. Games are scheduled between 9 am and 2
pm. Players will be contacted after November 8 by their coach. 1- 2 evening
practices per week are organized by the volunteer coach. If possible, teams
will remain intact from last year. VOLUNTEER COACHES NEEDED.
Coaches Meetings/Orientation & Training
These meetings for coaches cover league format including: schedules, roster
and t-shirt distribution. League rules will also be reviewed. The workshop
will provide coaches with the basic fundamental skills and drills necessary
for coaching a youth team.
Grade
Date
Time
Site
7&8
Tues., Nov. 1
5:156:30 pm
Rec. Dept.
Conference Room
5:307:00 pm
South High School
Room 116
Kinder,1 Tues., Nov. 15
&2
5:306:30 pm
Longfellow School
Cafeteria
2&3
Girls
6:307:15 pm
Longfellow School
Cafeteria
3, 4, 5
&6
Tues., Nov. 1
Tues., Nov. 15
Basketball Player Registration Form - Grades Kindergarten - 8th
Player's Name_____________________________________________________________________________________________________
Address/City____________________________________________________________________________ Zip Code___________________
Primary Phone_______________________________ Secondary Phone_______________________________________________________
Birthdate_____________ Age_________
Boy
Girl
School Attending __________________Grade_______________________
Medical problems coaches should be aware of?__________________________________________________________________________
Parent's Names____________________________________________________________________________________________________
E-mail address (please print)_________________________________________________________________________________________
For all RETURNING Players:
I wish to play with the same group as last year. Yes_____ No _____
Name of last year's coach and/or team__________________________________________________________________________
I would like to play basketball with the following person:___________________________________________________________
LIABILITY INFORMATION: You should be aware that Recreation programs involve an element of risk or danger for all participants and may
cause serious injury, death or property loss. The Sheboygan Area School District Community Recreation Department does not provide nor
cover any medical or hospital insurance for participants in our programs. All persons participating in Community Recreation Department
sponsored activities must provide their own insurance and assume risk of all injuries. I have read and understand this liability information.
ALSO READ AND SIGN THE BACK OF THIS FORM >>>
PARENT/GUARDIAN SIGNATURE_____________________________________________ DATE_______________________________________
I am interested in making this program a success by volunteering as a coach of my child's team. I understand that signing here will
automatically assign me to my child's team, pending the background check.
Name________________________________________ Date of Birth____________ Phone(s)___________________________
Parents - Volunteer Coaches Needed!!
The success of this program is dependent upon volunteer leadership. Each
team must have an adult coach to organize the team for 1-2 weekday
practices for Gr 3-8 (optional practices for Kindergarten, Gr 1 and Gr 2)
and 10-12 sessions or games. A well designed program of instruction and
training has been prepared. If you would like to coach or assist please
sign up on your child's registration form.
2016-17 Community Recreation Department
7th & 8th Grade Boys - Tuesday Night Recreation Leagues
December 6- February 21 (No games December 27)
City-wide boys leagues with teams formed by the Rec. Dept. based on school.
Games will be Tuesday, between 5:30 and 8:30 p.m. Practices are set by
the volunteer coach. Players will be contacted by their coach with practice
information. If possible, Rec. Dept. teams will remain intact from last year.
VOLUNTEER COACHES NEEDED
NOTE: Travelling/Select leagues will not be offered, but practice times for independent
teams at this level will be offered, approximately 2 time slots per week. These practice
slots will allow players to participate in the Tuesday Recreation League and on a
weekend tournament team.
E-mail address (please print)_______________________________________________________________________________
Choose Code According to Grade Level
Grade
Code
Fee
Late
Fee
Non- NR
Res
Late
K
Girls 5475 $15
$20
$22
$27
1
Girls 5430 $15
$20
$22
$27
2&3
Girls 5454 $15
$20
$22
$27
4
Girls 5499 $21
$26
$32
$37
5
Girls 5503 $21
$26
$32
$37
6
Girls 5489 $27
$32
$40
$47
Gr. 7/8 Girls Code 5715 - waiting list for possible team
7th & 8th Grade Girls
Due to low enrollment the last several years, we are not offering a formal
7th/8th Gr. Girls League. If there is enough interest we will form 1 or 2
independent Rec. level teams that will play local parochial, private, or
travelling school teams. Please call 459-3773 to express your interest in being
on a 7th/8th Gr. girls team.
Our youth sports philosophy is "Let the Kids Have Fun!"
Date__________By________ Cash____ Check____Credit Card
Grade Code
Fee
Late
Fee
Non- NR
Res Late
K
Boys 5514
$15
$20
$22
$27
1
Boys 5467
$15
$20
$22
$27
2
Boys 5471
$15
$20
$22
$27
3
Boys 5485
$21
$26
$32
$37
4
Boys 5502
$21
$26
$32
$37
5
Boys 5508
$21
$26
$32
$37
6
Boys 5492
$27
$32
$40
$47
7
Boys 5714
$36
$41
$54
$59
8
Boys 5716
$36
$41
$54
$59
Credit Card Number ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ Expiration Date ______/______
Name on Card_______________________________________________________ CVV-Code (3 digits on back of card) ___ ___ ___
Sheboygan Community Recreation Department
Sport: Youth Basketball - 2016 - 17
This form must be signed by the parent/guardian and athlete prior to participation.
If you have any questions you may call 459-3773.
Name of Athlete:_____________________________
Parent & Athlete Concussion Information Sheet
Reformatted from the Center for Disease Control’s Heads Up Concussion in Youth Sports Program
A concussion is a type of traumatic brain injury that changes the way the brain normally works. A concussion is caused by bump, blow, or jolt to the
head or body that causes the head and brain to move rapidly back and forth. Even a “ding,” “getting your bell rung,” or what seems to be a mild bump or
blow to the head can be serious.
WHAT ARE THE SIGNS AND SYMPTOMS OF CONCUSSION?
Signs and symptoms of concussion can show Signs Observed by Coaching Staff
up right after the injury or may not appear or
be noticed until days or weeks after the injury.
If an athlete reports one or more symptoms of
concussion listed below after a bump, blow, or
jolt to the head or body, s/he must be kept out
of play the day of the injury and until a health
care professional, experienced in evaluating for
concussion, says s/he is symptom free and it’s OK
to return to play.
•
•
•
•
•
•
•
•
•
•
Appears dazed or stunned
Is confused about assignment or position
Forgets an instruction
Is unsure of game, score, or opponent
Moves clumsily
Answers questions slowly
Loses consciousness (even briefly)
Shows mood, behavior, or personality changes
Can’t recall events prior to hit or fall
Can’t recall events after hit or fall
Symptoms Reported by Athletes
•
•
•
•
•
•
•
•
•
Headaches or “pressure” in the head
Nausea or vomiting
Balance problems or dizziness
Double or blurry vision
Sensitivity to noise
Feeling sluggish, hazy, foggy or groggy
Concentration or memory problems
Confusion
Just not “feeling right” or “feeling down”
Sheboygan Area School District
830 Virginia Avenue
Community Recreation Department
607 S. Water St.
Sheboygan, WI 53081
Elementary & Middle School
Basketball Registration 2016-17
Sign up by October 19
Late registrations will be added only where
openings exist and late fees will apply!
CONCUSSION DANGER SIGNS
In rare cases, a dangerous blood clot may form on the brain in a person with a concussion and crowd the brain against the skull. An athlete should
receive immediate medical attention if after a bump, blow, or jolt to the head or body s/he exhibits any of the following danger signs:
• One pupil larger than the other
• Convulsions or seizures
• Is drowsy or cannot be awakened
• Cannot recognize people or places
• A headache that not only does not diminish, but gets worse
• Becomes increasingly confused, restless, or agitated
• Weakness, numbness, or decreased coordination
• Has unusual behavior
• Repeated vomiting or nausea
• Loses consciousness (even a brief loss of consciousness • Slurred speech should be taken seriously)
WHY SHOULD AN ATHLETE REPORT THEIR SYMPTOMS?
If an athlete has a concussion, his/her brain needs time to heal. While an athlete’s brain is still healing s/he is much more likely to have another
concussion. Repeat concussions can increase the time it takes to recover. In rare cases, repeat concussions in young athletes can result in brain swelling or
permanent damage to their brain. They can even be fatal.
BASKETBALL MINI-CLINICS
WHAT SHOULD YOU DO IF YOU THINK YOUR ATHLETE HAS A CONCUSSION?
If you suspect that an athlete has a concussion, remove the athlete from play and seek medical attention. Do not try to judge the severity of the
injury yourself. Keep the athlete out of play the day of the injury and until a health care professional, experienced in evaluating for concussion, says s/he is
symptom­-free and it’s OK to return to play.
Rest is key to helping an athlete recover from a concussion. Exercising or activities that involve a lot of concentration, such as studying, working on
the computer, or playing video games, may cause concussion symptoms to reappear or get worse. After a concussion, returning to sports and school is a
gradual process that should be carefully managed and monitored by a health care professional.
For further information go to www.sheboyganrec.com and click on “Youth Programs.”
PARENT/GUARDIAN AGREEMENT STATEMENT
I have read the Concussion Awareness Information and I agree that if it appears that my child may have sustained a concussion or head injury that he/
she is to be removed from any program activity until such time that a trained medical professional can examine him/her and approve their return to play
in the activity, pursuant to Section 118.293 Wisconsin Statutes relating to concussions and other head injuries. In such case, I understand that I am to
provide a written clearance from a trained medical professional for my child to return to play in the activity.
I have read and fully understand this statement regarding concussions.
HOOP DREAMS GIRLS - Grades 1 - 8
Students will have an opportunity to participate in an Instructional
Basketball Clinic focused on teaching fundamental skills necessary
to be successful. Bring your own ball if you have one. Directed by
Eric Spielman, North High Varsity Girls Coach.
Dates: Mondays, September 26, October 3,10, 17
Time: Grade 1-4 Girls - Code 5684 6:00-7:00 pm
Grade 5-8 Girls - Code 5681 7:10-8:30 pm
Place: North High School - Raider Gym/Fieldhouse
Fee: $15.00 residents; $22.50 non-residents
$18.00 SASD residents of Cleveland, Centerville or Mosel
NORTHSTARS BOYS - Grades 3 - 8
The Sheboygan North Basketball coaching staff will conduct clinics
for all boys interested in sharpening their basketball fundamentals.
Dates: Wednesdays, September 28, October 5, 12, 19
Time: Grades 3 - 4 Boys - Code 5687 - 6:00-7:00 pm
Grades 5 - 8 Boys - Code 5686 - 7:10-8:30 pm
Place: North High School - Raider Gym
Fee: $15.00 residents; $22.50 non-residents
$18.00 SASD residents of Cleveland, Centerville, Mosel
NAME OF PARENT OR LEGAL GUARDIAN (please print)_____________________________________________________________________________
SIGNATURE OF PARENT OR LEGAL GUARDIAN: ___________________________________________________ DATE: ___________________________
ATHLETE AGREEMENT STATEMENT
I have read the Concussion Awareness Information and I agree that if it appears that I may have sustained a concussion or head injury that I am to be
removed from any program activity until such time that a trained medical professional can examine me and approve my return to play in the activity,
pursuant to Section 118.293 Wisconsin Statutes relating to concussions and other head injuries. In such case, I understand that I am to provide a written
clearance from a trained medical professional for me to return to play in the activity.
I have read and fully understand this statement regarding concussions.
NAME OF ATHLETE (please print)________________________________________________________________________________________________
SIGNATURE OF ATHLETE: _____________________________________________________________________ DATE: ____________________________
Cancellation Information:
Rec. Dept. information/cancellation line is 208-5805 OR sign up for text message alerts via Twitter when activities have
been cancelled. Go to www.sheboyganrec.com for twitter instructions.
Any questions on clinics or the Grade K-8 Basketball program,
please call the Recreation Dept - 459-3773.