SCVA Junior Girls Club Volleyball Manual

Transcription

2015
SCVA
Junior Girls Club
Volleyball Manual
Southern California Volleyball Association
1500 South Anaheim Blvd., Suite 280
Anaheim, CA 92805
714-917-3595  www.scvavolleyball.org
SCVA JUNIOR GIRLS’ MANUAL 2015
August 2014
To Team and/or Club Representatives,
Welcome to the 2015 SCVA Junior Girls’ Volleyball Season! We will begin our season with the Qualifying
tournaments in January. Please look over the tournament registration forms included in the packet for
tournament dates and registration deadline dates.
Please read over the manual carefully. There are recent changes regarding the registration process,
including the commitment letter, tryout dates, and Application to Change Clubs procedure. There are also
new divisions for the 2015 USAV Junior Olympics. We also ask for your continued support in helping
keep the facilities clean during tournaments. It is your responsibility as club representatives to make sure
that all staff, coaches, and parents associated with your club are aware of all the rules and regulations.
Please inform all parents and all outside parties of the rules specific to the junior girls’ season. Please
discuss, explain, and emphasize the rules specific to eligibility, registration, and facilities. Parent
handbooks are available through the SCVA office and website.
The USA Volleyball Waiver and Release of Liability Form has been drastically changed over the past
few years. There is a new Individual membership form that is formatted to use for all membership types;
i.e. junior player, adult player, coaches, chaperones, officials, etc. Please indicate on the form which
membership type is being submitted. This is the only form that will be accepted—no old forms will be
accepted! All registration material is available on our website under the blue link “Registration” across the
top of our home page.
The Parent Handbooks are available this year in pdf format only. Please provide your club parents with
the link to the document under the blue link “Registration” across the top of our home page. If you need
additional information, please call the SCVA office at (714) 917-3595 weekdays from 10:00 AM to 2:00
PM or email the office at [email protected].
If you need to use Express Mail (US Postal Service) please sign the signature release waiver located on
the form. For Federal Express, the mailing address for the SCVA is 1500 South Anaheim Blvd., Suite280, Anaheim, CA 92805.
Good luck to all teams and feel free to contact the office with any questions.
Sincerely,
Ann Davenport
SCVA Regional Commissioner
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Table of Contents
I.
GETTING STARTED
A.
Registration
B.
Insurance
1. Individual Coverage
2. Certificates of Insurance
C.
Entries
D.
Age Divisions
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5
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II.
ELIGIBILITY
A.
Beginning of Season
B.
Tryouts, Commitment Dates, & Transfer
Policy
C.
Coaches Impact Certification
D.
Request for Change of Club
E.
Inter-Regional Transfers
F.
New Players
G.
Team Changes within Club
H.
Clearinghouse Procedure (College-Bound
Athletes)
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III.
NON-SANCTIONED COMPETITION
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IV.
RECRUITING POLICY
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V.
FORMAT
A.
Seeding
B.
Qualifying Tournaments
C.
Mandatory Tournaments
D.
Regional Tournament
E.
Points
F.
Inter Regional & Post-Season Competition
1. Las Vegas Classic
2. Junior National Qualifiers
3. 2014 Junior Girls’ National
Championships
4. Summer Soiree
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TOURNAMENT REGULATIONS
A.
General Rules
B.
Rules Specific to 12 and 10 & Under
Divisions
C.
Tie-Breaking Procedure
D.
Pool Play Schedule
E.
Uniforms
F.
Officiating
G.
Supervision
H.
Warm-ups
I.
Line-up Sheets
J.
Protest Procedure
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VII.
FACILITY REGULATIONS
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VIII.
PARKING REGULATIONS
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VI.
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IX.
X.
Table of Contents Continued
SPECIFIC RULE CHANGES
SUPPLEMENTS
A.
Schedule (Tentative)
B.
Qualifying Format--Sample
C.
Tie-Breaking Procedure
D.
Official Roster/Line-up
E.
Libero Tracking Sheet
F.
Official Score Sheet
G.
Scorekeeping Tips and Reminders
H.
Scorekeeping Summary—Non-Deciding Set
I.
Scorekeeping Summary—Deciding Set
J.
Communicable Disease Precautions
K.
Summary of Coverage
L.
Incident Report Form
M.
Request Form for Facility Use Insurance
N.
Individual Membership Form
O.
Letter of Commitment
P.
Application to Change Clubs
Q.
Tryout procedures
R.
USA Volleyball Background Screening Policy
S.
USA Volleyball Background Screening Consent And Waiver Release Form
T.
Junior Club Personnel Code of Ethics
U.
Chaperone Responsibilities
V.
Medical History and Release Form
W.
Qualifying Tournament Entry
X.
Seeding Information Form
Y.
Mandatory Tournaments Entry
Z.
Regional Tournament Entry
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I. GETTING STARTED
A. Registration
All members (coaches, players, chaperones, team representatives, and club directors) MUST register
with the SCVA in order to participate in any SCVA activity. All adults involved in the club (Including club
directors, coaches, team representatives, and chaperones) must pass a USA Volleyball Background
Screening test prior to the registration process. The background clearance is good for a two year period.
The background screening process will take at least 14 days for processing. Please incorporate this
time frame when registering adults. Please refer to the registration packet that has a copy of the waiver
and release of liability form for all members, the team registration form, the medical release form, and
the consent and waiver form for the background screening of all adults associated with the club. Please
refer to the directions in the registration packet for specific instructions regarding online registration and
additional registration information. If you have any questions regarding registration call the SCVA office.
DUE TO THE USA VOLLEYBALL INSURANCE REGULATIONS, REGISTRATION FOR ALL CLUBS
IS DUE TWO WEEKS PRIOR TO THE FIRST TOURNAMENT IN WHICH THEY ARE ENTERED
INCLUDING THE COMPLETED BACKGROUND SCREEINIG PROCESS.
A 2014/2015 Individual Membership Form for each player, coach, and team representative must be
completed. This waiver and release form is two sided and requires signatures on both sides. All sections
must be filled out completely and signed on both sides before the registration form will be accepted.
Along with the 2014/2015 Individual Membership Form a completed Letter of Commitment must be
submitted for each player. All clubs must collect a copy of the Medical Release Form from every
player. It is mandatory that every coach carries a copy of the Medical Release Form for each player in
case of an injury. Do not submit these forms to the SCVA office. They are to remain on file with your
club.
As part of registration, it will be mandatory for each coach to sign a CODE OF ETHICS and return the
signed code along with their registration form and consent and waiver form in order to be eligible to
coach in any SCVA event.
A TEAM REGISTRATION FORM must be filled out for each team and submitted with the individual
registration forms. The team registration form is not mandatory to use. You may elect to use a form of
your own choosing (i.e., off of your computer). However, if you do use your own form, the information
must be in the same format and in the same order as the attached SCVA form.
Online individual registration, the completed team registration form, the completed and signed individual
registration forms, and the appropriate money must be received in the SCVA office before registration is
complete. Birthdates must be submitted for each registered member. Please check the forms
carefully and make sure they are complete.
All clubs must collect a copy of the Medical Release Form from every player. It is mandatory that every
coach carries a copy of the Medical Release Form for each player in case of an injury. Do not submit
these forms to the SCVA office. They are to remain on file with your club.
The registration fees for the season are as follows: $60.00 for each junior player, $60.00 for each adult,
plus an additional $20.00 for background screening. The fees have been increased due to the increase
of USAV registration fees. For each junior team registered the fee is $15.00. Club registration is
$150.00 which includes registration for both girls and boys clubs using the same name as well as for
facility insurance. Note: No club with an outstanding balance will be eligible to register with the SCVA
until the balance is paid in full.
Registration forms filled out and signed at club tryouts are not considered commitment to play by the
players.
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You may register new members throughout the season as long as: 1) the player is registered online, 2)
the completed paperwork and appropriate money is received in the SCVA office ONE WEEK prior to
participation, and 3) all eligibility requirements are met. Please note that a form to add new players to
your club is enclosed in the registration packet. Registration of new players will not be accepted unless
the add form is enclosed along with the waiver and release form.
No USAV registration cards will be distributed this season. Each club has the ability within their online
database to keep track of every player and staff and their USAV #. Upon request we can provide a
detailed description of how this is done.
NO REGISTRATION (EITHER PAPERWORK OR MONEY) WILL BE ACCEPTED AT ANY
TOURNAMENT SITE. It must be sent to the SCVA office. Please keep copies of ALL submitted
registration forms (both sides), and have your coaches carry copies of the medical release forms.
B. Insurance
1. Individual coverage
Once registered with the SCVA, members are covered by the USA Volleyball’s sport accident
policy. Please note that the liability insurance as provided by the SCVA will not cover the club
and/or its administrators during practice, tournaments, or tryouts unless the club and/or the SCVA
has on file the signed waiver and release forms. If an injury occurs during a tournament an Incident
Report Form must be completed (see Supplements) and returned to the SCVA office. Coaches
must carry a copy of the medical release forms with them at all times!
2. Certificates of Insurance
Certificate of Insurance, naming facilities as additional insured, are available upon request from the
SCVA office. The certificates will be issued within a three to four week period upon request.
Request should be made in writing listing the club, specific facilities required along with their
addresses, and sent by mail to the SCVA office. Please direct any questions regarding insurance to
Ann at the SCVA office.
C. Entries
The 2015 schedule is enclosed. The completed entry form and appropriate entry fee must be in the
SCVA office by the indicated deadline date before acceptance into any tournament. The entry deadline
will be FRIDAY, three weeks PRIOR to the tournament date. Phone and/or fax entries will be
accepted, only if there is available room. The entry fee will be $250.00 per team for each day of each
tournament, unless otherwise specified. One entry form can be used to enter any one or all of the
tournaments you wish. One entry form per club is enclosed—please make copies. The exceptions to
this entry form are the Las Vegas Classic, the Junior National Qualifiers, and the Summer Soiree, and a
tournament to be determined at a later date. These tournaments will have their own separate entry
forms. No entry will be accepted unless accompanied by the entry fee.
If a team is unable to participate, the SCVA office must be notified by 12:00 PM of the Friday
preceding the tournament date. If there is a problem after 12:00 PM the Friday preceding the
tournament date, you must leave a message at the SCVA office at (714) 917-3595. There will be
no refunds issued if a team drops from a tournament 10 days or less prior to the date of the
tournament.
Confirmation of the site and time will be posted on our website at www.scvavolleyball.org the week prior
to the tournament date. Please double check the playing sites on the Friday before the tournament date
to make sure there were no last minute changes. Please take the time to inform your coaches and
parents of the site locations for your teams, as it is your responsibility.
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D. Age Divisions
USA VOLLEYBALL JUNIOR PLAYER AGE DEFINITION
For use during the 2014-2015 Season
Once a player participates (including but not limited to practicing, training, attending workouts and/or
competition) in a club or varsity program for any university, college, community college, or junior college,
he/she is ineligible to take part in any regional and national programming, which includes but is not
limited to national JNC qualifying and championship events.
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18 and Under Division:
Players who were born on or after September 1, 1996
or
Players who were born on or after September 1, 1995 and a high school student in the twelfth (12th)
grade or below during some part of the current academic year
Note: These age definitions are used for domestic club programs and are not the same as the age
definitions for the International and/or Domestic High Performance programs for 2015.
No waivers will be granted for the 2015 season.
Please note that a junior athlete or team may NOT play in two age divisions during the same
season. An individual player may play in an older age division but must remain to play in that division
for the entire season (exception: optional tournaments). If you cannot field a team for a mandatory
tournament, you must consult the SCVA office in order to obtain a one-time waiver for the particular
tournament. If a waiver is not obtained, the team involved will forfeit all games for that day and will not
be allowed to participate in the next scheduled mandatory tournament. If more than one waiver is
granted during the course of the season due to a shortage of players, a different player must be
utilized each time.
II. ELIGIBILITY
A. Beginning of Season—Junior athletes are eligible to play for any club or team up until the beginning of
the sanctioned season. At the time of her first court appearance during the sanctioned season, the
athlete is to remain a registered member of that specific club throughout the season. Please note, that
for a club to be eligible to participate in regional events, or to be eligible for entry into the Las Vegas
Classic, the club must abide by the tryout and commitment dates set forth by the SCVA. However,
abiding by the tryout and commitment dates does not guarantee entry into these events.
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B. Tryouts, Commitment Dates, and Transfer Policy
For the 2014/2015 season, all junior girls clubs are eligible to host tryouts for the various age divisions
on the following dates:
1. Girls 14 and Under and 12 and Under Divisions - October 9th, 2014
2. Girls 18 and Under through 15 and Under Divisions - October 2nd, 2014
SCVA Tryout Procedures should be posted at all club tryouts.
SCVA Tryout Procedures for San Diego Areas should also be posted at all tryouts.
For the 2014/2015 season, no junior player/parent/guardian may commit to a club prior to the following
commitment dates: 4:00PM on Monday, October 6th for 18 and under through 15 and under
division, and 4:00PM on Tuesday, October 14th for 14 and under and 12 and under
divisions. No deposits may be given during the tryout period. Once the letter of commitment is
signed and turned into one club, the player is then committed to that club.
Please note, the SCVA recognizes that San Diego area high school players are bound to the CIF
rules. The SCVA asks that all San Diego clubs and players abide by those rules, so as to not
jeopardize the eligibility of girls during their high school season. Thus the following tryout dates and
commitment dates will be used for those clubs in the San Diego areas:
1. Girls 14 and Under - tryout date of October 18, 2014 with a
commitment date of October 27, 2014.
2. Girls 16 and Under and 15 and Under - tryout date of November 8, 2014
with a commitment date of November 17, 2014.
3. Girls 18 and Under - tryout date of November 15, 2014 with a
commitment date of November 24, 2014.
A Letter of Commitment must be signed by all participants.
After the tryouts and Letter of Commitment are signed and turned in, all teams in division 15 and
under and higher do not begin practices until December 1, 2014 or after.
The Transfer Period will be from December 13th, 2014 through February 20th, 2015. No transfer
between clubs will be allowed prior to or after the transfer period. In order to transfer between clubs
during the transfer period, one must complete an application for a change of clubs, and then wait for
the SCVA to approve the transfer.
If a player does not follow the tryout procedures, commitment date, and/or the transfer procedures,
she may be suspended for the 2014/2015 season.
C. Coaches Impact Certification
It is a requirement for all coaches be Impact Certified. There are webinars available through the USA
Volleyball website—www.usavolleyball.org—under Resources. Or look at the information regarding
Impact clinics on the SCVA website—www.scvavolleyball.org.
D. Inter-Regional Transfers
A player shall represent no more than one region, club, or team in sanctioned competition during the
same season. A family relocation due to a job or military transfer may receive special consideration.
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E. New Players
Players may be registered at any time throughout the year as long as the proper paperwork and monies
is received prior to participation.
F. Team Changes Within Clubs
During the season, an athlete may change teams within her age division within her respective club.
However, rosters must remain the same for the Qualifying, Regional, or Special Event tournaments.
Please note that it is your responsibility as coaches to make sure that the players as well as the parents
are well informed of these eligibility rules. There is a section that the parents must sign on the
registration form which acknowledges that they have been informed of these rules. They are to consult
their coach or Club Director for further details. Any questions regarding eligibility please call Ann
Davenport at the SCVA office. Please take the time to inform the parents of the involved athletes prior to
the beginning of the season as this will help alleviate misunderstandings.
G. Clearinghouse Procedures—College Bound Athletes
Prospective student-athletes intending to participate in Division I or II athletics must register and be
certified by the NCAA Initial-Eligibility Clearinghouse. Please inform your athletes and their parents to
obtain registration materials from their high school guidance counselors.
III. NON-SANCTIONED COMPETITION
Any team or club desiring to conduct a volleyball event or local, regional, or zone competition must receive
a sanction/approval from the SCVA. SCVA-registered players and teams competing in non-sanctioned
competition may jeopardize their eligibility.
AT THIS TIME, the SCVA will only sanction the following events: tryouts, scrimmages, or friendship
tournaments (where no entry fees are charged).
USAV/SCVA insurance is not in force during non-sanctioned events. Please refer to the USAV Official
Rulebook and/or Guidebook for specific policies.
IV. RECRUITING POLICY
Although the SCVA is aware of certain illicit recruiting actions, we have an inability to enforce such a policy
because recruiting violations come to us in a “he said, she said” manner and are very difficult to ascertain
fault. Therefore, we are asking the cooperation of all coaches and directors in this matter. The following are
guidelines that we ask all clubs to abide by:

Refrain from making negative comments concerning other clubs and/or their coaches.

Allow no coach or club representative to make initial contact with an athlete or her parents.
We ask that these guidelines be followed in order to foster a positive experience for the players in the
pursuit of their volleyball goals.
V. FORMAT
The tournament format is designed to give maximum competition to each athlete in our program and to
allow them to achieve a healthy and satisfactory attitude toward themselves, their teammates and the sport
of volleyball. Following the qualifying tournaments, each team will be placed into their level of competition
(Divisions). There will be movement of teams following each Mandatory Tournament. Points will be
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awarded to teams based on their order of finish in their respective divisions. No points will be given for
optional or special event tournaments. Please refer to the enclosed point system for the specific point
breakdown.
A. Seeding
The only information available for seeding teams is what is submitted by the club with their tournament
entry form. Please include the following information:
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Team Name
Expected Division—what seed you expect; Division 7-8 would be equal to Silver Division, Seed
3 or 4.
Last year’s finish for the team
Strength comparison to last year’s team.
Comments helpful to understanding the team’s strength and weakness.
B. Qualifying Tournaments
Requests for morning and afternoon playing times for Day 1 will be considered only if noted on the
Qualifying entry form and received by the entry deadline. The Qualifying Tournaments will
determine the starting Division (and position within that Division) for each participating team in the
SCVA Mandatory Tournaments. Any non-participating team that wishes to enter future tournaments
will be placed in the appropriate position (excluding Divisions I, II, III, and IV). The Qualifying
Tournaments have their own separate entry forms that MUST be used to enter the teams. Teams
must enter ALL dates of the Qualifying Tournaments. A complete and detailed description for all the
age divisions will be issued when the number of teams in each division is known. Please refer to the
accompanied description. Remember, this is to be used as an example only; the exact format will be
issued later. Any non-qualifying teams wishing to enter future tournaments will be seeded at the
Program Director’s discretion.
18 & Under Division—3 Days (Estimated 275 teams)
Teams will be expected to identify themselves as Gold Division (top 64), Silver Division (next 64),
Bronze Division (next 64), Copper Division (next 64), and Brass Division (all remaining teams) on the
Qualifying entry. All teams wanting consideration for the Gold Division must submit a separate,
written statement to justify this consideration. Without this statement, seeding will be done at
the discretion of the Program Director. Teams will then be placed into the divisions based on their
own rankings and the number of total entries. All teams will compete on Day 1, Day 2, and Day 3 in
pool play and the final starting positions for the first Mandatory Tournament will be determined.
Bronze Division (next 64), Copper Division (next 64), and Brass Division (all remaining teams) on the
Qualifying entry. All teams wanting consideration for the Gold Division must submit a separate,
written statement to justify this consideration. Without this statement, seeding will be done at
the discretion of the Program Director. Teams will then be placed into the divisions based on their
own rankings and the number of total entries. All teams will compete on Day 1, Day 2, and Day 3 in
pool play and the final starting positions for the first Mandatory Tournament will be determined.
Teams will be expected to identify themselves as Gold Division (top 64), Silver Division (next 64), and
Bronze Division (all remaining teams) on the Qualifying entry. All teams wanting consideration for
the Gold Division must submit a separate, written statement to justify this consideration.
Without this statement, seeding will be done at the discretion of the Program Director. Teams
will then be placed into the divisions based on their own rankings and the number of total entries. All
teams will compete on Day 1, Day 2, and Day 3 in pool play and the final starting positions for the first
Mandatory Tournament will be determined.
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Teams will be expected to identify themselves as Gold Division (top 64) , Silver Division (upper middle
64), Bronze Division (lower middle 64), and Copper Division ( next 64 teams), and Flight 1 (all
remaining teams)on the Qualifying entry. All teams wanting consideration for the Gold Division
must submit a separate, written statement to justify this consideration. Without this statement,
seeding will be done at the discretion of the Program Director. Teams will then be placed into the
divisions based on their own rankings and the number of total entries. All teams will compete on Day
1, Day 2, and Day 3 in pool play and the final starting positions for the first Mandatory Tournament will
be determined.
Bronze Division (next 32), and Copper Division (all remaining teams) on the Qualifying entry. All
teams wanting consideration for the Gold Division must submit a separate, written statement
to justify this consideration. Without this statement, seeding will be done at the discretion of
the Program Director. Teams will then be placed into the divisions based on their own rankings and
the number of total entries. All teams will compete on Day 1, Day 2, and Day 3 in pool play and the
final starting positions for the first Mandatory Tournament will be determined.
Bronze Division (next 32), and Copper Division (all remaining teams) on the Qualifying entry. All
teams wanting consideration for the Gold Division must submit a separate, written statement
to justify this consideration. Without this statement, seeding will be done at the discretion of
the Program Director. Teams will then be placed into the divisions based on their own rankings and
the number of total entries. All teams will compete on Day 1, Day 2, and Day 3 in pool play and the
final starting positions for the first Mandatory Tournament will be determined.
NO POINTS WILL BE GIVEN FOR THE QUALIFYING TOURNAMENTS.
C. Mandatory Tournaments
Each team positioned in all Divisions must play in each Mandatory Tournament. The 18 and under
division will have 4 Mandatory Tournaments. All other divisions will have 5 Mandatory Tournaments. If a
team does not participate, the team will automatically drop a Division, but points will be given for last
place of that Division. If a team chooses not to participate in a SCVA Mandatory Tournament in order
to attend another tournament elsewhere, that team could drop a division. All Divisions will consist of 16
teams. Points will be given to each team participating in the Mandatory Tournaments.
Division I - IV:
The 16 teams will be seeded into 4 four team pools with match play. The top two
teams from each pool will play-off in a one game to 25 bracket format which will be played all the way
through. All four teams in each Division (with the exception of Division 1) will advance one Division for
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the following Mandatory Tournament. The 13 , 14 , 15 , and 16 place teams in each Division will
move down one Division for the following Mandatory Tournament. See below for the playoff summary.
1. Girls 13s – 18s
a. Playoffs for Divisions 1 – 2
1) Upper and Lower Brackets – first round is 2 out of 3 games
2) Following rounds are 1 game to 25
b. Playoffs for Divisions 3 – 4
1) Upper Brackets -- First round is 2 out of 3
2) Lower Brackets – One round of playoffs – 2 out of 3 games to
determine which team drops a division.
2.
Girls 12 and Under
a. Playoffs for divisions 1 and 2 only
b. All playoffs are 1 game to 25
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Division V thru remaining Divisions: The teams will be seeded into four pools of four with match
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play. The winner of each pool will move up one Division, and the 4 place team in each pool will move
down one Division for the next Mandatory Tournament. Play will be divided into Am and PM sessions
for Divisions V thru remaining Divisions. Starting times will alternate each Mandatory to ensure
fairness. Please note: if it becomes necessary to have a three team pool, match format will be the
best 3 of 5 games. Five team pools will play 2 out of 3 games on 2 courts, if possible.
D. Regional Tournament
The Regional Championships will be a one-day event for the 16 and under and 18 and under age
divisions. It will be a two-day event for all remaining divisions with pool play on Saturday and pool play
followed by single-elimination brackets on Sunday. The top 32 teams based on the overall point totals
will play in the Gold Division. If there is a tie on points for Regionals, the tie will be broken by using the
most current finish from the last Mandatory tournament. The remaining teams will be divided into groups
of 32, 48, or 64 to comprise the Silver, Bronze, Copper, and so forth. Double points will be awarded to
all participating teams.
E. Points: A point system based on a percentage multiplier will be implemented. It is under review and will
be distributed once the multiplier has been established.
F. Inter Regional and Post Season Competition
1. Las Vegas Classic Separate entry through www.advancedeventsystems.com
February 14th – 16th Location to be determined—18 and Under Open and Club Divisions and 17 and Under
Open and Club Divisions.
2. Junior National Qualifiers Separate entry through www.advancedeventsystems.com.
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a. April 11 – 13 : Age Divisions: 15 USA and American, 14, Open, USA, and American, 13 Open
and American, and 12 American and National.
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b. April 17 – 19 : Age Divisions: 18, 17, 16, Open, USA and American and 15 Open
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3. 2015 Junior Girls’ National Championships in New Orleans, Louisiana: June 24 – July 2
a. 18 and Under Divisions
1. Open
2. National
3. USA
4. American
b. 17, 16, 15, 14 and Under Divisions
1. Open
2. National
3. USA
4. American
5. Patriot
c. 13 and Under Division
1. Open
2. National
3. American
d. 12 and Under Division
1. National
2. American
e. 11 and Under Division
* Patriot
nd
.
A team must qualify for the Junior National Open Divisions. In order to qualify a team must enter
and play in one of the Junior National Qualifiers. For the inter-regional qualifier schedule, check at
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http://www.scvavolleyball.org/girls_other_jnq_dates.htm. Each of the Junior National Qualifiers has
a guaranteed number of slots into the Junior National Tournament.
The Girls’ Junior National Championships also offers three club divisions, the National, USA and the
American divisions. For the National division, the SCVA regional bids will be awarded to teams
based on the current regional rankings. There are 24 total USA bids all to be awarded at Junior
National Qualifiers. The 18, 17, 16, 15, 14, 13, and 12 and under divisions will be awarded at least
one American bid at each of the Junior National Qualifiers, providing that the division meets the
required number of teams per division. The American bid will also give one bid per division to the
SCVA region which will be awarded based on current standings. The Patriot division is a division for
which anyone can apply for entry. It is filled on a “first come first serve basis.” The SCVA highly
recommends that if a club and/or team is interested in the Junior National Volleyball Championships
to send all necessary paperwork and monies by the stated USA Volleyball deadlines. For further
information regarding the Junior National Championships, Junior National Qualifiers, and/or regional
bids please contact Ann Davenport in the SCVA office.
Once a team earns and accepts a bid in a Qualifier or applies for a bid in an at large process, the
roster of that team is frozen. All players listed on the roster of a team qualified for the Junior
National Championships may not transfer to any other club and/or team. In addition, players on a
frozen roster may not transfer to any other team even within the same club.
4. Summer Soiree Separate entry through www.advancedeventsystems.com.
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June 26 – June 29 —Anaheim, California—18, 16, 15, 13, 14 and 12 and Under Age Divisions.
VI. TOURNAMENT REGULATIONS
A. General Rules
1. A maximum of 15 players and 5 coach/staff personnel are allowed.
NOTE: Will be enforced this season.
2. Net Serve—If the ball hits the net on a serve, the ball is alive (playable).
3. Substitutions—In addition to the unlimited Libero substitutions, each team will have 12 team
substitutions.
4. All matches are 2 out of 3 games, rally scoring to 25 points in games 1 and 2 with no cap. Game 3
will be rally scoring to 15 points with no cap. Because of the rally point scoring method, teams have
three options at the coin toss: to serve, to receive serve, or to take choice of court. Please note that
one game play-off will be one game to 25, rally scoring with no cap.
5. The service zone has been extended to the entire width of the end lines.
6. Ceilings and/or obstructions are now in play.
7. The ball can be played with any part of the body.
8. Each player receives only one toss per service attempt. Two tosses are allowed for 14 and 12 and
under divisions only.
9. If a back row player plays the ball above the height of the net while on or in front of the 3-meter line,
the next player to touch the ball must be a teammate. If the ball enters the vertical plane of the net
and is blocked by the opposing team, it is an illegal attack by the back row player.
10. For other significant rule changes see the Official USA Volleyball Rulebook. This is available at
http://www.volleyballreftraining.com/rules_interpretations_indoor.php
the following link:
12
B. Rules specific to the 12 and 10 and Under Divisions:
Net height will be 7 feet
The Mikasa Ultra Lite Volleyball will be used (8 ounces)
Two serving tosses will be allowed
All other USA Volleyball rules will prevail.
C. Tie-Breaking Procedure (for Qualifying, Mandatory, and Regional)
In the case of a tie, pool position will be determined by the following formula:
2 way tie: 1) match record, 2) head to head
3 way tie: 1) match record 2) game record 3) point ratio
Play off seeding (Divisions I-IV only): Seeding will be based on 1) pool finish 2) match record 3) game
record 4) point ratio. Teams will be seeded to avoid any “pool conflicts” until the finals. The Tournament
Director will make the final decision if there are any further complications.
D. Pool Play Schedule
Listed below is the schedule for both four and five team pools (please note that there are certain
circumstances, which may change the listed order of the matches).
FOUR TEAM POOLS
Playing Teams Officiating Teams
1 vs. 3
2
2 vs. 4
1
1 vs. 4
3
2 vs. 3
1
3 vs. 4
2
1 vs. 2
4
E. Uniforms—(Rule 5, Article 1—Official USA Volleyball Rules)
FIVE TEAM POOLS
Playing Teams
Officiating Teams
1 vs. 5
3
2 vs. 4
5
1 vs. 3
4
2 vs. 5
1
3 vs. 4
2
1 vs. 2
3
3 vs. 5
4
1 vs. 4
5
2 vs. 3
1
4 vs. 5
2
1. The playing uniform shall consist of a jersey, shorts, socks, and light shoes (rubber or leather
soles without heels).
2. It is forbidden for Junior National age players to wear jewelry, including rope bracelets.
3. It is now required that all uniform numbers be centered on the chest and back. It will also be
required that all the numbers be 6” in height on the chest and 8” in height on the back. Numbers
must be in a color contrasting to that of the jersey and must be visibly located. Shirts may be
numbered from 1 through 99 inclusive. (0 or 00 is not allowed.)
4. Uniforms (jerseys and shorts) must be of the same color, style, and trim. If T-shirts, boxer shorts,
tights, leotards, body suits, bicycle shorts, etc are worn in such a manner that they are exposed,
they will be considered part of the uniform and must be worn by all the team members and must
be identical. For the purpose of identical uniforms, shoes, socks, and kneepads are not
considered part of the uniform and are not required to be identical for team members. During
cold weather, it is permissible for teams to wear identical training suits provided they are
numbered in accordance with the specifications of #3 above and are of the same color, style,
cut, and trim.
5. Uniform regulations will be strictly enforced. The Tournament Director will be responsible for
determining infractions and may make exceptions to this rule if circumstances warrant.
13
F. Officiating
Each team must provide a complete officiating team when scheduled. If the officiating team is late for
their assignment, that team will be responsible for officiating the remainder of that match and the next
non-pre-assigned match in that pool. Failure to officiate for an entire assigned match will result in the
forfeit of a game win from that team's overall record. A game win will become a game loss. If a team is
late for the last match of the day or misses the assignment, the penalty as described above will carry
over to the next tournament.
The officiating team will consist of SIX people:
nd
1. 1 2 Official
2. 2 Linepersons
3. 1 Official Scorekeeper
4. 1 Official Libero Scorekeeper
5. 1 Visible Scoreboard Keeper
•
•
•
•
•
•
A team that fails to have a complete officiating crew available for an officiating assignment including a rostered adult (preferably a team coach) for that team - at the time the court official
is ready to proceed can be penalized by losing points in the first set of its next match.
For every minute an officiating team is late to fulfill its assignment, one point will be awarded to
that team’s next opponent in the first set of the next match, up to a maximum of 25 points.
Penalty points begin to accumulate at the start of the receiving team’s warm-up.
An adult listed on the event roster must be present at the scorer’s table and easily identifiable
while any members of the team are officiating. Performing duties as the R2 on the match the
team is assigned to officiate fulfills this requirement.
A team may forfeit its entire next match for failing, a second time, to have an officiating crew
available on time for an officiating assignment.
Guidelines for scoring, performing as an R2, tracking the Libero control sheet and serving as a
Lines judge can be found at the following link:
http://www.volleyballreftraining.com/training_materials_junior.php
Enclosed in the Supplements please find a USA Volleyball score sheet. Make sure your team
members are familiar with the score sheet and can use it correctly. If you have any problems with an
official or need a rule clarification, please call the office at 714-917-3595.
G. Supervision
A registered member of USA Volleyball is REQUIRED to supervise ALL team members during any
SCVA competition. This person, or another registered adult, is required to remain on site until all team
members have left the campus. This pertains to ALL age levels. Failure to follow this requirement will
result in a $50.00 penalty fee, due before any future participation by the entire club. If the designated
supervisor is someone other than a coach, the Tournament Director must be notified.
H. Warm-ups
A 10-minute warm-up (including ball-handling, hitting, and serving) will be allowed before your first
match of the day ONLY--2 minutes shared ball handling and 4 minutes per team for hitting and serving.
A 4-minute per team warm-up will be enforced throughout the remainder of pool play.
I.
Line-up Sheets
14
Enclosed in the Supplements please find a copy of a roster/line-up sheet. Prior to your first match of
the day you will need to complete and turn in this form to the official on your court. This must be done at
EACH TOURNAMENT. List only the players (First and Last Names) that will be participating on that
given day. You will also need to provide the official with a separate line-up sheet for each game played
during the tournament. The line-up sheet has on the reverse side the appropriate number of line-up
forms for use during the entire day. No verbal line-ups will be accepted.
J.
Protest Procedure
A protest must be filed at the time of the incident—no later. Only the floor captain may file the protest
(the coach may intervene in 14,13, and 12 and under competition). The protest must be written on the
score sheet by the scorer or official and must be signed by both the floor captain and the referee. The
protested game will be completed but before the next game begins the protest must be ruled upon by
the site director. A protest cannot be filed after the completion of the match. JUDGEMENT CALLS MAY
NOT BE PROTESTED.
VII. FACILITY REGULATIONS
This season ALL facilities will follow the same rules. Please note that these are facility rules. A facility
encompasses the entire building: hallways, foyers, gym proper, and any rooms (unless otherwise
specified). The Tournament Director will make exceptions in case of inclement weather. The SCVA asks
your help in informing all parents, your players, and interested parties regarding these facility rules. If these
rules are not adhered to, we will lose the use of the gyms. (Please emphasize that NO food, drink, or
beach chairs are allowed.)
A. Chairs—NO chairs of any kind will be allowed INSIDE any facility. They may not be placed on
blankets, towels, or newspapers. The use of beach chairs is prohibited by campus administration.
B. Coolers—NO coolers will be allowed inside any facility unless the Site Director sets a specific area
aside.
C. Plastic squeeze water bottles—Plastic squeeze bottles with push/pull tops filled only with water will be
allowed courtside. Glass Containers of any kind are strictly prohibited.
D. Food and drink—NO food or drink will be allowed inside any facility unless the Site Director sets a
specified area aside. Any athlete SEEN with food or drink will not be allowed to participate in the
next game. If any person associated with a club (i.e., parent, coach, and/or other interested party) is
SEEN with food or drink in the gym all team and/or club members will remain until the conclusion of the
tournament on the same day of the infraction to thoroughly clean the facility. If a team, their members,
or supporters introduces and/or consumes alcoholic beverages in or about the playing site, the penalty
will be immediate disqualification.
E. Animals—No animals are allowed in any facility or any school campus, with the exception of service
dogs.
F. Skateboards and Rollerblades—There is NO skateboarding or rollerblading in any facility or on any
school campus, including parking lots.
G. Barbecues—NO barbecues that use briquettes, gas, or propane will be allowed on any campus.
** All water bottles must be removed from the court at the conclusion of your match. Water
bottles left after a match may be cause for your team’s loss of privilege to have water courtside.
The gym and outside eating and lounging areas must remain clean and picked up throughout the
tournament. Trash bags will be provided if necessary. Failure to comply with this will result in your
teams cleaning the facility.
15
VIII.
PARKING REGULATIONS
Each site has specific regulations. The majority of sites charge parking fees. Their fees are posted at the
entrance of the parking lots. NO parking passes will be available. Citations will be given at most facilities,
so please check carefully.
16
Supplements
Tournament Date
Saturday, January 3rd
Sunday, January 4th
SCVA
JUNIOR GIRLS’ SCHEDULE
2015 – Tentative
Division
18
16
Tournament Type
Qualifying Day 1
Qualifying Day 1
Entry Deadline
12/12/2014
12/12/2014
Saturday, January 10th
Sunday, January 11th
15
12
14
Qualifying Day 1
Qualifying Day 1
Qualifying Day 1
12/19/2014
12/19/2014
12/19/2014
16
18
Qualifying Day 2
Qualifying Day 2
12/12/2014
12/12/2014
14(SAT)
15
13
Qualifying Day 2
Qualifying Day 2
Qualifying Day 1
12/19/2014
12/19/2014
1/2/2015
Saturday, January 31st
Sunday, February 1st
18
16
Qualifying Day 3
Qualifying Day 3
12/12/2014
12/12/2014
Saturday, February 7th
Sunday, February 8th
12
13
14
Qualifying Day 2
Qualifying Day 2
Qualifying Day 3
12/19/2014
1/2/2015
12/19/2014
February 14th – 16th
18/17
29th Annual Las Vegas Classic
Separate Entry
Friday, February 20th
Saturday, February 21st
Sunday, February 22nd
Sunday, February 22nd
All Ages
15
12
13
Transfer Deadline
Qualifying Day 3
Qualifying Day 3
Qualifying Day 3
N/A
12/19/2014
12/19/2014
1/2/2015
Sunday, March 1st
16
14
Mandatory #1
Mandatory #1
2/6/2015
2/6/2015
Saturday, March 7th
Saturday, March 7th
Sunday, March 8th
Sunday, March 8th
12s/13s
18(Div 8+)
15
18 (Div 1-7)
Mandatory #1
Mandatory #1 (San Diego)
Mandatory #1
2/13/2015
2/13/2015
2/13/2015
2/13/2015
Saturday, March 14th
Sunday, March 15th
Sunday, March 15th
14 (Div 8+) (SAT)
16 (Div 8+) (SAT)
14 (Div 1-7)
16 (Div 1-7)
Mandatory #2
Mandatory #2
2/20/2015
2/20/2015
2/20/2015
2/20/2015
Revised 8/5/2014
Saturday, March 21st
Saturday, March 21st
Sunday, March 22nd
Sunday, March 22nd
18
15 (Div 8+)
12s/13s
15 (Div 1-7)
Sunday, March 29th
Saturday, April 4th
April 11 - 13
Mandatory #2
Mandatory #2
2/27/2015
2/27/2015
2/27/2015
2/27/2015
16
14
Mandatory #3
Mandatory #3
3/6/2015
3/6/2015
18
Mandatory #3
3/13/2015
15/14/13/12
Junior National Qualifier
Los Angeles Convention Center
Separate Entry
15 USA & American/14 Open, USA, American/13 Open & American/12 National & American
April 17 - 19
18/17/16/15
Junior National Qualifier Separate Entry
Los Angeles Convention Center
18/17/16 Open, USA, & American Divisions/15 Open only
Saturday, April 25th
Sunday, April 26th
15
12s/13s
Mandatory #3
Mandatory #3
4/3/2015
4/3/2015
Saturday, May 2nd
Sunday, May 3rd
14 (SAT)
16
Mandatory #4
Mandatory #4
4/10/2015
4/10/2015
Saturday, May 9th
18
Mandatory #4
4/17/2015
Sunday, May 10
Mothers Day
Mandatory #4
Mandatory #4
4/24/2015
4/24/2015
Saturday, May 16th
Sunday, May 17th
12s/13s
15
Saturday, May 23rd
Sunday, May 24th
16
18
One Day Regional
One Day Regional
5/1/2015
5/1/2015
May 30th & May 31st
14
Regionals
5/8/2015
June 6th & June 7th
12s/13s
Regionals
5/15/2015
15
Regionals
5/22/2015
June 13th & June 14th
June 26th – 29th
18/16/15/14/13/12 7th Annual Summer Soiree
Anaheim Convention Center, Anaheim, CA
Separate Entry
2015 Junior Girls Olympics: June 24th through July 2nd, New Orleans, Louisiana
Revised 8/5/2014
DAY 1
DAY 2
DAY 3
18's Qualifying
Tentative
1st & 2nd to 1st seed /3rd & 4th to 2nd seed.
Updated August 2012
Ist and 2nd to Power Pool Day 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Gold
Division
64 Teams
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
64
63
62
61
60
59
58
57
56
55
54
53
52
51
50
49
Power Pool
Division
32 Teams
8 pools of 4
64-72 Teams
1st and 2nds
Silver
Division
64 Teams
16 pools of 4
3rds & 4ths
1st and 2nds
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
Bronze
Division
64 Teams
16 pools of 4
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
Gold
Division
16 pools of 4
16-18 pools of 4
128
127
126
125
124
123
122
121
120
119
118
117
116
115
114
113
32
31
30
29
28
27
26
25
Top 32 team or to fill the grid
GROUP A
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
17
18
19
20
21
22
23
24
3rds & 4ths
3rds & 4ths
96
95
94
93
92
91
90
89
88
87
86
85
84
83
82
81
16
15
14
13
12
11
10
9
64 Teams
16 pools of 4
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
1
2
3
4
5
6
7
8
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
64
63
62
61
60
59
58
57
56
55
54
53
68
67
66
65
52
51
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
104
missed?
seeded?
teams?
or
3rds
top
97
96
95
94
93
92
91
90
89
88
87
Division
64 Teams
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
168
missed?
seeded?
teams?
or
3rds
top
161
160
159
158
157
156
155
154
153
16 pools of 4
D4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
1st places are Div. I
2nd places are Div. 2
3rd places are Div. 3
4th places are Div. 4
D5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
D6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
D7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
D8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
1st places are Div. 5
1st and Best 2nds to fill grid
Non top teams - 2nds, 3rds and 4ths
Bronze
Division
64 Teams
16 pools of 4
3rd, 4th, 5ths
D3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Non top 32 - 2nds, 3rds and 4ths
Silver
136
135
134
133
132
131
130
129
128
127
126
125
124
123
122
121
D2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
1st and Best 2nds to fill grid to 32 teams
NOTE: NOT ALL 2ND PLACE FINISHERS
WILL GO TO THE GOLD IF THERE ARE MORE THAN 16 POOLS,
ONLY THE TOP 32 TEAMS!
3rd, 4th, 5ths
105
106
GROUP B 107
108
64-72 Teams 109
110
16-18 pools of 4 111
112
113
114
115
116
117
118
119
120
D1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
D9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
D10 D11 D12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
All teams
Copper
Division
The rest
of the teams
32-64 Teams
8-16 Pools of 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
224
223
222
221
220
219
218
217
216
215
214
213
212
211
210
209
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
256
255
254
253
252
251
250
249
248
247
246
245
244
243
242
241
178
179
180
GROUP C 181
The rest of the teams 182
183
184
16-24 Pools of 4 185
186
187
188
189
190
191
192
193
194
195
196
197
217
216
215
214
213
212
211
210
209
208
207
206
205
204
203
202
201
200
199
198
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
adds
1
256
2
All other teams
255
3
254
4
253
5
D13 and so on…
252
6
13 13 14
251
7
13 13 14
250
8
Copper
13 14 14
249The rest
9 of the teams
13 14 14
248
10
Division
13 14 15
247
11
13 14 15
246
1232-64 Teams
13 14 15
245
13
13 14 15
244
14
8-64 pools of 4
13 14 15
243
15
13 14 15
242
16
13 14 15
241
17
13 14 15
240
18
13 14 15
239
19
13 14 15
238
20
15
15
15
15
15
15
16
16
16
16
16
16
16
16
Top 16 are Div. 13
Next 16 seeds are Div. 14
and so on…
DAY 1
DAY 2
DAY 3
16's Qualifying
Tentative
Updated August 2012
1st and 2nd to Power Pool Day 2
Gold
Division
64 Teams
16 pools of 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
Power Pool
Division
32 Teams
8 pools of 4
Division
16-18 pools of 4
1st and 2nds
Silver
Division
64 Teams
16 pools of 4
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
3rds & 4ths
1st and 2nds
Bronze
Division
64 Teams
16 pools of 4
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
32
31
30
29
28
27
26
25
64 Teams
GROUP A
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
17
18
19
20
21
22
23
24
64-72 Teams
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
16
15
14
13
12
11
10
9
Gold
3rds & 4ths
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
1
2
3
4
5
6
7
8
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
64
63
62
61
60
59
58
57
56
55
54
53
65
66
67
68
52
51
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
104
missed?
seeded?
teams?
or
3rds
top
97
96
95
94
93
92
91
90
89
88
87
Division
172
missed?
seeded?
teams?
or
3rds
top
165
164
163
162
161
160
159
158
157
156
D4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
64 Teams
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
D3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
Silver
138
137
136
135
134
133
132
131
130
129
128
127
126
125
124
123
122
D2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
16 pools of 4
3rd, 4th, 5ths
105
106
GROUP B 107
108
64-72 Teams 109
110
16-18 pools of 4 111
112
113
114
115
116
117
118
119
120
121
D1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
16 pools of 4
D5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
D6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
D7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
D8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
Bronze
Division
64 Teams
16 pools of 4
3rd, 4th, 5ths
D9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
D10 D11 D12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
10 11 12
All teams
1st Place teams
Copper
Division
The rest
of the teams
32-64 Teams
8-16 Pools of 4
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
224
223
222
221
220
219
218
217
216
215
214
213
212
211
210
209
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
256
255
254
253
252
251
250
249
248
247
246
245
244
243
242
241
178
179
180
GROUP C 181
The rest of the teams 182
183
184
16-24 Pools of 4 185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
All other teams
Copper
Division
The rest
of the teams
32-64 Teams
8-16 Pools of 4
D13 and so on…
13 13 14
13 13 14
13 14 14
13 14 14
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
13 14 15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
Top 16 are Div. 13
and so on…
DAY 1
DAY 2
DAY 3
15's Qualifying
Tentative
Updated August 2012
1st and 2nds to Power Pool Day 2
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
Gold
Division
64 Teams
16 pools of 4
32
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
64
63
62
61
60
59
58
57
56
55
54
53
52
51
50
49
1
2
3
4
5
6
7
8
16
15
14
13
12
11
10
9
17
18
19
20
21
22
23
24
32
31
30
29
28
27
26
25
D1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
Gold
Division
64 Teams
16 pools of 4
D2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
D3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
D4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
1st place are Div. I
2nd place are Div. 2
3rd place are Div. 3
4th place are Div. 4
3rds & 4ths
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
GROUP A
Division
64-72 Teams
16 or 18 pools of 4
1st, 2nds and Top 3rds
to fill the grid.
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
Silver
Division
64-68 Teams
16-17 pools of 4
96
95
94
93
92
91
90
89
88
87
86
85
84
83
82
81
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
128
127
126
125
124
123
122
121
120
119
118
117
116
115
114
113
Bronze
Division
64-96 Teams
16-24 pools of 4
The rest of the teams
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
212
211
210
209
208
207
206
205
204
203
202
201
200
199
198
197
196
195
194
193
192
WILL GO TO THE GOLD, ONLY
THE TOP 32 TEAMS!
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
Silver
Division
Teams
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
9
9
9
1st place are Div. 5
2nd place are Div. 6
3rd place are Div. 7
4th place are Div. 8
5th place are Div 9
All 1st place in to the Silver Division
GROUP B
170
169
168
167
166
165
164
163
162
161
160
159
158
157
156
155
154
153
152
151
150
104
missed?
seeded?
teams?
or
3rds
top
97
96
95
94
93
92
91
90
89
88
87
3rd, 4th, 5ths
3rds & 4ths
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
16 pools of 4
All teams
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
64
63
62
61
60
59
58
57
56
55
54
53
65
66
67
68
52
51
Division
64-96 Teams
1
2
3
4
5
6
7
8
9
10
11
12
13
14
16 to 24 pools of 4
16
17
18
19
20
21
22
23
24
25
26
27
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
158
157
156
155
154
153
152
151
150
149
148
147
146
145
144
143
142
141
140
139
138
137
136
135
134
133
132
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
212
211
210
209
208
207
206
205
204
203
202
201
200
199
198
197
196
195
194
193
192
191
190
189
188
187
186
All 2nds, 3rds and 4ths
Bronze
Division
64-68 Teams
17 Pools of 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
9
9
9
9
9
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
13
14
14
14
14
14
14
Top 13 1st place teams are Div. 9
The other 8 - 1st place teams are Div 10
The top 8 - 2nd place teams are Div. 10
The other 13 - 2nd place team are Div 11.
The top 3 - 3rd place team are Div. 11
The next top 16 - 3rd place team are Siv. 12.
The other 2 - 3rd place teams are Div. 13.
The top 14 -4th place teams are Div. 13.
The other 4th place teams are Div. 14.
DAY 1
DAY 2
DAY 3
14's Qualifying
Tentative
Updated August 2015
1st and 2nd to Power Pool Day 2
Gold
Division
64 Teams
16 pools of 4
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
Power Pool
Division
32 Teams
8 pools of 4
1st and 2nds
Silver
Division
64 Teams
16 pools of 4
64 Teams
16 pools of 4
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
138
137
136
135
134
133
132
131
130
129
128
127
126
125
124
123
122
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
172
missed?
seeded?
teams?
or
3rds
top
165
164
163
162
161
160
159
158
157
156
D3
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
2
D4
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
4
16 pools of 4
D6
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
5
Division
16-18 pools of 4
Division
104
missed?
seeded?
teams?
or
3rds
top
97
96
95
94
93
92
91
90
89
88
87
64 Teams
GROUP B
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
Silver
64-72 Teams
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
64
63
62
61
60
59
58
57
56
55
54
53
65
66
67
68
52
51
3rd, 4th, 5ths
3rds & 4ths
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
D2
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
D5
1st and 2nds
Bronze
D1
Division
16-18 pools of 4
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
32
31
30
29
28
27
26
25
64 Teams
GROUP A
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
17
18
19
20
21
22
23
24
64-72 Teams
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
16
15
14
13
12
11
10
9
Gold
3rds & 4ths
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
1
2
3
4
5
6
7
8
16 pools of 4
D7
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
6
D8
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
8
D9
Bronze
Division
64 Teams
16 pools of 4
3rd, 4th, 5ths
D10
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
9
D11
D12
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
12
13
13
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
All teams
1st Place teams
Copper
Division
The rest
of the teams
32-64 Teams
8-16 Pools of 4
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
224
223
222
221
220
219
218
217
216
215
214
213
212
211
210
209
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
256
255
254
253
252
251
250
249
248
247
246
245
244
243
242
241
GROUP C
16-24 Pools of 4
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
All other teams
Copper
Division
The rest
of the teams
32-64 Teams
8-16 Pools of 4
D13 and so on…
13
13
13
13
13
13
13
13
13
13
13
13
13
13
Top 16 are Div. 13
and so on…
DAY 1
DAY 2
DAY 3
13's Qualifying
Tentative
Updated August 2015
up to 128 teams for day 1
1
2
3
4
5
6
7
8
16
15
14
13
12
11
10
9
17
18
19
20
21
22
23
24
32
31
30
29
28
27
26
25
1
2
3
4
8
7
6
5
9
10
11
12
16
15
14
13
Gold
Division
32 Teams
3rds & 4ths
8 pools of 4
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
Gold
Top 16 teams or to fill the grid
Division
32 Teams
8 pools of 4
GROUP A
36 Teams
3rds & 4ths
9 pools of 4
1st and 2nds
17
18
19
20
21
22
23
24
25
32
31
30
29
34
33
28
27
26
35
36
37
38
39
40
41
42
43
misseeded
teams?
48
47
46
45
44
Non top 16 teams - 2nds, 3rds and 4ths
Silver
Division
32 Teams
8 pools of 4
33
34
35
36
37
38
39
40
48
47
46
45
44
43
42
41
49
50
51
52
53
54
55
56
64
63
62
61
60
59
58
57
Silver
3rds and 4ths
Division
32 Teams
8 pools of 4
3rds & 4ths
GROUP B
32 Teams
8 pools of 4
1st and 2nds
49
50
51
52
53
54
55
56
64
65
63
66
62
67
61
68
60
69
59
70
58
71
57
72
mis-seeded teams?
80
79
78
77
76
75
74
73
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
14
14
14
14
14
14
14
14
15
15
15
15
15
15
15
15
16
16
16
16
16
16
16
16
Top 8 are Div. 13
Bronze
Division
32 Teams
8 pools of 4
65
66
67
68
69
70
71
72
80
79
78
77
76
75
74
73
81
82
83
84
85
86
87
88
96
95
94
93
92
91
90
89
Bronze
3rds and 4ths
Division
32 Teams
8 pools of 4
3rds & 4ths
All Teams To Group C
Copper
Division
97
98
99
100
101
102
103
104
112
111
110
109
108
107
106
105
113
114
115
116
117
118
119
120
128
127
126
125
124
123
122
121
GROUP C
All the rest
of the teams
81
82
83
84
85
86
87
88
89
90
91
92
104
105
103
106
102
107
101
108
100
109
99
110
98
111
97
112
96
113
95
114
94
115
93
116
Any new teams?
128
127
126
125
124
123
122
121
120
119
118
117
9
9
9
9
9
9
9
9
Copper
Division
13
13
13
13
13
13
13
13
and so on…
DAY 1
DAY 2
12's Qualifying
DAY 3
Tentative
Updated August 2012
up to 128 teams for day 1
1
2
3
4
5
6
7
8
16
15
14
13
12
11
10
9
17
18
19
20
21
22
23
24
32
31
30
29
28
27
26
25
1
2
3
4
8
7
6
5
9
10
11
12
16
15
14
13
Gold
Division
32 Teams
3rds & 4ths
8 pools of 4
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
4
4
4
4
4
4
4
Gold
Top 16 teams or to fill the grid
Division
32 Teams
8 pools of 4
3rds & 4ths
1st and 2nds
17
GROUP A 18
19
36 Teams 20
21
9 pools of 4 22
23
24
25
32
31
30
29
34
33
28
27
26
35
36
37
38
39
40
41
42
43
misseeded
teams?
48
47
46
45
44
Non top 16 teams - 2nds, 3rds and 4ths
Silver
Division
32 Teams
8 pools of 4
33
34
35
36
37
38
39
40
48
47
46
45
44
43
42
41
49
50
51
52
53
54
55
56
64
63
62
61
60
59
58
57
Silver
3rds and 4ths
Division
32 Teams
8 pools of 4
3rds & 4ths
1st and 2nds
49 64 65
80
GROUP B 50 63 66
79
51 62 67
78
32 Teams 52 61 68
77
53 60 69
76
8 pools of 4 54 59 70
75
55 58 71
74
56 57 72
73
mis-seeded teams?
5
5
5
5
5
5
5
5
6
6
6
6
6
6
6
6
7
7
7
7
7
7
7
7
8
8
8
8
8
8
8
8
Bronze
Division
32 Teams
8 pools of 4
65
66
67
68
69
70
71
72
80
79
78
77
76
75
74
73
81
82
83
84
85
86
87
88
96
95
94
93
92
91
90
89
Bronze
3rds and 4ths
Division
32 Teams
8 pools of 4
9
9
9
9
9
9
9
9
10
10
10
10
10
10
10
10
11
11
11
11
11
11
11
11
12
12
12
12
12
12
12
12
3rds & 4ths
Copper
Division
97
98
99
100
101
102
103
104
112
111
110
109
108
107
106
105
81 104 105
128
82 103 106
127
83 102 107
126
All Teams To Group C
GROUP C 84 101 108
125
85 100 109
124
86 99 110
123
All the rest 87 98 111
122
113 128
of the teams 88 97 112
121
114 127
89 96 113
120
13 14 15 16
115 126
90 95 114
119
Copper
13 14 15 16
116 125
91 94 115
118
13 14 15 16
117 124
92 93 116
117
Division
13 14 15 16
118 123
Any new teams?
13 14 15 16
119 122
13 14 15 16
120 121
13 14 15 16
13 14 15 16
Top 8 are Div. 13
and so on…
TIE BREAKING PROCEDURES
Is it a two-way tie?
Are the match records identical of the teams involved?
Yes
Use head to head results to break the tie
Is it a three-way tie?
Are the match records identical of the teams involved?
Yes
Are the game records identical of the teams involved?
No
The game percentages
of the teams involved in the
tie will be used to break the
Yes
The point percentage of the teams involved in the tie will be used to break the tie.
S.C.V.A. Official Roster/Line-up
Team Name:
Date:
#
PLAYER’S NAME
Warm-up Procedures: 1st match of the day – 2 minutes shared court, 4 minutes
per each team for hitting and serving. Remaining matches in pool play will be
4 minutes per team. Please provide at least two shaggers. Note: Serving team
will have first warm-up period.
COACHES: PLEASE READ AND SIGN BELOW
Remember to indicate your floor captain with a small “C” next to their number on the line-up sheet.
Please write your line-up according to the players starting position order.
If used, 1ST Libero / 2nd Libero number(s) must be marked on the line-up sheet before each match.
*COACHES: Your signature verifies that: 1) you have completed the roster/line-up sheet, 2)
you have read and understand the warm-up procedures.
HEAD COACH (PRINTED)
COACH’S SIGNATURE
ASSIST.COACH(PRINTED)
ASSIST.COACH(PRINTED)
TEAM REP/CLUB DIRECTOR
REFEREE’S VERIFICATION:
(PRINT NAME & INITIAL)
TEAM NAME
LIBERO
Primary
Secondary
LIBERO
Primary
Secondary
LIBERO
Primary
Secondary
LIBERO
Primary
Secondary
LIBERO
Primary
Secondary
LIBERO
Primary
Secondary
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
I
V
VI
I
V
VI
I
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
I
V
VI
I
V
VI
I
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
I
V
VI
I
V
VI
I
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
I
V
VI
I
V
VI
I
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
I
V
VI
I
V
VI
I
SET 1 VS. ___________________
IV
III
II
IV
SET 2
III
II
IV
SET 3
III
II
V
VI
I
V
VI
I
V
V
V
V
V
V
VI
VI
VI
VI
VI
VI
`
I
SCVA Libero Control Sheet
A or B
A
SP
LIBERO
L
R
A or B
B
I
II
III
IV
V
VI
LIBERO
L
R
A or B
A
I
II
III
IV
V
VI
A or B
B
SP
A
I
II
III
IV
V
VI
B
A or B
SP
I
II
III
IV
V
VI
I
II
III
IV
V
VI
A
SP
LIBERO
LIBERO
L
R
A or B
A or B
B
I
II
III
IV
V
VI
A
A or B
SP
I
II
III
IV
V
VI
Enter the Libero number(s) in the Libero box and starting players' numbers in the SP column.
Do not use slash marks when recording Libero replacements. When the starting Libero replaces a player, write L next to the exiting player.
If the second Libero replaces the starting Libero, write R next to the L. When the regular player replaces the Acting Libero, write the number next to the Libero B
SP
LIBERO
LIBERO
L
R
A or B
A or B
B
I
II
III
IV
V
VI
A
SP
I
II
III
IV
V
VI
A or B
SP
I
II
III
IV
V
VI
LIBERO
LIBERO
L
R
A or B
SP
A or B
SP
SP
I
II
III
IV
V
VI
I
II
III
IV
V
VI
A or B
SP
I
II
III
IV
V
VI
A or B
SP
I
II
III
IV
V
VI
A or B
SP
I
II
III
IV
V
VI
SP
SP
A or B
SP
A
I
II
III
IV
V
VI
A or B
A
I
II
III
IV
V
VI
A or B
A or B
A or B
SP
I
II
III
IV
V
VI
I
II
III
IV
V
VI
LIBERO
LIBERO
L
R
I
II
III
IV
V
VI
A or B
B
SP
LIBERO
L
R
A or B
SP
I
II
III
IV
V
VI
Enter the Libero number(s) in the Libero box and starting players' numbers in the SP column.
Do not use slash marks when recording Libero replacements. When the starting Libero replaces a player, write L next to the exiting player.
If the second Libero replaces the starting Libero, write R next to the L. When the regular player replaces the Acting Libero, write the number next to the Libero SP
I
II
III
IV
V
VI
A or B
SP
I
II
III
IV
V
VI
A or B
A or B
B
I
II
III
IV
V
VI
A or B
SP
A or B
A or B
SP
I
II
III
IV
V
VI
A or B
LIBERO
L
R
I
II
III
IV
V
VI
A or B
SP
SP
A or B
SP
I
II
III
IV
V
VI
SP
I
II
III
IV
V
VI
8:00a = 08:00
1:00p = 13:00
2:00p = 14:00
3:00p = 15:00
Name of the Competition
City, State
Hall
Pool Phase
Division
®
Men
Women
Category Adult
Junior
CoEd
Match N
o
TEAM
TEAM
Set 1
:
Order
I
II
Score at Substitution
:
:
:
:
:
:
:
:
Service Rounds
Libero#
III
:
:
:
:
:
:
:
:
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
A
VI
:
:
:
:
:
:
:
:
S
R
:
:
:
:
:
:
:
:
1
4
1
4
1
4
1
4
1
4
1
4
2
5
2
5
2
5
2
5
2
5
2
5
3
6
3
6
3
6
3
6
3
6
3
6
S
R
Libero#
Team
End
Losing
VI
TEAM
Points
1 13 25
1 13 25
2 14 26
2 14 26
3 15 27
3 15 27
4 16 28
4 16 28
5 17 29
5 17 29
6 18 30
6 18 30
7 19 31
7 19 31
8 20 32
8 20 32
9 21 33
9 21 33
10 22 34
10 22 34
11 23 35
11 23 35
12 24 36
12 24 36
Time
Outs
Time
Outs
1
4
1
4
1
4
1
4
1
4
1
4
:
2
5
2
5
2
5
2
5
2
5
2
5
:
3
6
3
6
3
6
3
6
3
6
3
6
:
B
I
II
III
IV
V
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
Order
I
:
:
:
:
:
:
:
:
Service Rounds
II
III
:
:
:
:
:
:
:
:
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
B
VI
:
:
:
:
:
:
:
:
S
R
:
:
:
:
:
:
:
:
Points
Points
1 13 25
1 13 25
2 14 26
2 14 26
3 15 27
3 15 27
4 16 28
4 16 28
5 17 29
5 17 29
6 18 30
6 18 30
7 19 31
7 19 31
8 20 32
8 20 32
9 21 33
9 21 33
10 22 34
10 22 34
11 23 35
11 23 35
SET 2 RESULTS
Score
SIGNATURES
Team B
1st Referee
Scorer
OFFICIALS PRINTED NAMES
1st
2nd
Scorer
S
R
Libero#
A
I
Team
End
II
:
:
:
:
:
:
:
:
III
:
:
:
:
:
:
:
:
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
:
VI
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
D =Delay A=Asst Coach IMPROPER REQUEST
# =Player T =Trainer
TEAM A : TEAM B
C =Coach M=Manager
W
P
E
D
Warn Penlty Expel DisQ
A
B
12 24 36
12 24 36
1
4
1
4
1
4
1
4
1
4
Time
Outs
Time
Outs
1
4
1
4
1
4
1
4
1
4
1
4
2
5
2
5
2
5
2
5
2
5
2
5
:
:
2
5
2
5
2
5
2
5
2
5
2
5
3
6
3
6
3
6
3
6
3
6
3
6
:
:
3
6
3
6
3
6
3
6
3
6
3
6
SET SCORE
:
:
:
:
:
REMARKS
4
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Region
Work Team
S
A
N
C
T
I
O
N
S
1
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Score
Team A
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Libero#
SET 1 RESULTS
Losing
Set 2
Team
:
L
Winning
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Start
Sets W
Winning
:
Points
:
MATCH WINNER
:
vs
Team
Time
Level
OFFICIAL SCORESHEET
Start
Court
2SetSksht_13, 07/12/2013, Copyright 2013, USA Volleyball, [email protected]
®
USAVolleyball
Date
8:00a = 08:00
1:00p = 13:00
2:00p = 14:00
3:00p = 15:00
City, State
Hall
Pool Phase
Date
Court
Time
®
USAVolleyball
Division
®
Men
Women
Category Adult
Junior
CoEd
Match N
o
TEAM
Level
OFFICIAL SCORESHEET
vs
D =Delay A=Asst Coach IMPROPER REQUEST
# =Player T =Trainer
TEAM A : TEAM B
C =Coach M=Manager
REMARKS
P
E
A
D
TEAM
SET RESULTS
S
A
N
C
T
I
O
N
S
Score
Winning
Losing
SET SCORE
B
Warn Penlty Expel DisQ
L
:
DecSetSksht_13, 07/11/2013, Copyright 2013, USA Volleyball, [email protected]
W
Sets W
MATCH WINNER
SIGNATURES
:
Team A
:
Team B
1st Referee
:
Scorer
:
OFFICIALS PRINTED NAMES
:
1st
2nd
:
Scorer
:
Work Team
Region
Set_____
Service Rounds
Team
:
I
_A
B
Libero#
II
:
:
:
:
:
:
:
:
Order
Start
III
:
:
:
:
:
:
:
:
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
_A
B
S
S
Points
R
R
VI
:
:
:
:
:
:
:
:
9
1
I
2 10
:
:
:
:
:
:
:
:
II
:
:
:
:
:
:
:
:
3 11
4 12
5 13
6
7
8
Team
Libero#
Points Points at Chg
III
:
:
:
:
:
:
:
:
_A Team
B
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
VI
:
:
:
:
:
:
:
:
1 13 25 1 13 25
2 14 26 2 14 26
I
3 15 27 3 15 27
:
:
:
:
:
:
:
:
II
:
:
:
:
:
:
:
:
4 16 28 4 16 28
5 17 29 5 17 29
6 18 30 6 18 30
7 19 31 7 19 31
8 20 32 8 20 32
9 21 33 9 21 33
10 22 34 10 22 34
11 23 35 11 23 35
12 24 36 12 24 36
End
III
:
:
:
:
:
:
:
:
IV
:
:
:
:
:
:
:
:
V
:
:
:
:
:
:
:
:
:
VI
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
:
1
4
1
4
1
4
1
4
1
4
1
4
Time
Outs
1
4
1
4
1
4
1
4
1
4
1
4
Time
Outs
Time
Outs
1
4
1
4
1
4
1
4
1
4
1
4
2
5
2
5
2
5
2
5
2
5
2
5
:
2
5
2
5
2
5
2
5
2
5
2
5
:
:
2
5
2
5
2
5
2
5
2
5
2
5
3
6
3
6
3
6
3
6
3
6
3
6
:
3
6
3
6
3
6
3
6
3
6
3
6
:
:
3
6
3
6
3
6
3
6
3
6
3
6
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
Substitutions 1 2 3 4 5 6 7 8 9 10 11 12
SCORER
TIPS AND REMINDERS
SCORER
TIPS AND REMINDERS
®
USAVolleyball
®
1. ALL CAPITAL LETTERS throughout the score sheet.
2. ALL information prior to the first serve and after the last point should be in PEN
3. In the OFFICIALS section, LAST NAME, FIRST NAME.
4. Tournament DATE should be SIX characters, mm/dd/yy (example: 09/18/04)
5. All TIMES should be in INTERNATIONAL TIME (ex: 9am=0900, 2:15pm=1415)
6. After the coin toss, place an "X" in THREE places: (can be done for both sets)
1. through the encircled of the serving team
2. through the encircled S of the receiving team
3. in SERVICE ROUNDSRbox 1 for the Position I player of Receiving team
7. You may use PENCIL from the first serve until final point is recorded.
8. Make a small CHECK MARK over the number in the Service Rounds box for
each player's FIRST SERVE (if a legal serve)
Exceptions:
1. wrong server
2. set point awarded to receiving team on loss of rally
3. In a deciding set, at the change of courts,
a.When team on left serves point 8, use a check mark on far left and transfer the last exit score
from the previous server from the far left to the far right; no exit score is recorded in far left box,
final exit score is recorded in far right box.
b.when the team on the right earns point 8, or the team on the left earns point 8 on a loss of
rally, transfer the last exit score from the previous server from the far left to the far right.
SCORER
TIPS AND REMINDERS
USAVolleyball
2. through the encircled of the receiving team
3. in SERVICE ROUNDS box 1 for the Position I player of Receiving team
Exceptions:
1. wrong server
SCORER
TIPS AND REMINDERS
®
Exceptions:
1. wrong server
®
®
USAVolleyball
®
®
USAVolleyball
Exceptions:
1. wrong server
®
9. THREE actions on SUBSTITUTION:
1. Slash the player #, replace with sub player #
2. Write the Score at Change (sub team score first)
3. Slash the team sub
10. After the LAST POINT is recorded (begin using pen):
1. Record END time in INTERNATIONAL TIME
2. Circle BOTH final EXIT SCORES (Service Rounds section ONLY)
3. Record team names and scores of set in RESULTS section
4. Hourglass unused points in the Points column (both teams)
5. Check score sheet for errors and proper count of substitutions
6. SIGN score sheet AFTER all information has been VERIFIED
7. Obtain Captain/Coach signatures, then offer to 1st referee for SIGNATURE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
QUICK REFERENCE FOR PEN/PENCIL USAGE
PEN
(prior to first serve)
· heading
· OFFICIALS section
· team names
· 3 "Xs" for S , R and
· lineups
· set START time
1
PENCIL
(everything during game play)
· "check mark" for first serve
· slashes in Points column
· exit scores
· Substitutions and Time Outs
· Sanctions and Remarks
PEN
· heading
· team names
· lineups
· set START time
1
PENCIL
· exit scores
CRANE-ScorerTipsUSAc.cdr-Rev 03/12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
PEN
· heading
· team names
· lineups
· set START time
1
PENCIL
· exit scores
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
PEN
(after last point recorded)
· set END time
· circle final exit scores
· RESULTS section
· hourglasses in Points column
· signature
1
2
3
4
5
6
7
8
9
10
11
PEN
· set END time
· RESULTS section
· signature
PEN
· set END time
· RESULTS section
· signature
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
PEN
· heading
· team names
· lineups
· set START time
1
PENCIL
· exit scores
PEN
· set END time
· RESULTS section
· signature
LINE-UP SHEET
TEAM
2
LIBERO
Nº
PURPLE 22 14
IV
III
II
15
1
16
V
VI
I
12
4c
9
SERVICE
COACH SIGNATURE
USAVolleyball
®
2
3
Line Ups:
1. Start with position I (right Back)
for BOTH teams.
2. Match position numbers between
Line-Up Sheet and Score sheet
3. Enter Libero number
in the space provided
USAVolleyball
Hall
Team Line-up
Nº of
Players
I
9
Category:
Adult
00 TEAM
II
16
Score at Change
1

5
2
6
3
7
4
8
0

2nd 6th
8

3rd 7th
18
1st 5th
4th 8th
NonDecSetSksht11
5/25/11
USA Volleyball
Copyright 2011
[email protected]
D
P
E
/
D
D
D
12
1

5
2
6
3
7
4
8
1

10

21
PURPLE
III
4
3
1

5
2
6
3
7
4
8
3

12

22
V
5
Ax
S
R
VI
2
7
6
1

5
2
6
7
3
7
8
4
8
1
5
2
6
3
4
4

13

25
22 14
A
or
B
Points
12/
/
13
/
14
/
15
/
16
17
/
18
/
19
/
20
/
21
/
22
/
/ /1
/1 12/ 23
5

14
/4
/5
/6
/7
/8
/9
3
8
11
12
15
16
1

7

17
5
/
/
17
/
18
/
19
/
15 26
16 27
28
29
30
20 31
10 21 32
/ /
11 22 33
2
6
3
7
4
8
Time
Outs
/4
/5
/6
/7
/8
/9
10
/
11
/
Time
Outs
x
x
Women
2
5
29
11
30
D
A
B
A
A
44
B
C B
IMPROPER REQUEST
X
TEAM A : TEAM B
/
5
2
6
3
7
4
8
10
4 : 7 16 : 17 18
7: 10 19 : 21
# = Player
1
1
1 12 :10
1 24:23
D
:
D
:
A
Level
Match NºFINALS
19 : 00
Time:
13
12
24
23
19
19
24
4 24
1
5
2

11

19
5
2
6
3
7
4
8
1

5
2
6
3
7
4
8
3
12

20
4
After the Coin Toss
When Play begins
During Play
End of set
8
13
13
1

5
2
6
3
7
4
8
4

13

24
1

5
2
6
7
3
7
8
4
8
1

5
2
6
3
4
7

15

27
5
Set End time:
1. When last play is whistled dead
2. Use international time HH:MM
4
11
9
8

16
Substitutions:
1. Slash exiting player number
2. Record entering player number
(Work left to right)
3. Record Score at Change
(subbing team score 1st)
Fill in boxes top to bottom
4. Slash team Substitutions
// // //// / / /
REMARKS
EX SUB #3 FOR #15, B, SET 1, 19-18
A = Ast Coach
T = Trainer
M= Manager
D= Delay
8:00a = 08:00
1:00p = 13:00
2:00p = 14:00
3:00p = 15:00
4:00p = 16:00
5:00p = 17:00
6:00p = 18:00
4
2
3
4
5
Pool/Phase - A, B, 1, 2, etc.
Level - 16 Open, 18 Club, A,etc.
Date - MM/DD/YY
Substitutions: 1 2 3 4 5 6 7 8 9 10 11 12
SET SCORE C= Coach
4: 6
7 : 10
CoEd
13
13
1
31
1
Heading Information Hints
Date: 05/31/12
Libero#
28
33
MA
TEAM END 19 : 22
x B 23 X GOLD
I
II
III
IV
V
VI
//58
/c/ /9 2c/31
/ /3 1 7
//5 15 3 2
12/c 8
/8/58
/
23
/
24
/
25
/
26
/
27
32
Pool/
Phase
Junior
A
or
B
S
R
Points
//c4//c /2 13/ 24/ /2
/ 3 4//c8
12
/8/c4c /3 14/ 25/ /3
4
// / // / /
Use blue or black ink. You may use pencil in the shaded section
and the N° of Players section after the initial line-up entry
CRANE - 1pagex12.cdr - 7/21/12
IV
/
152
/15
Libero#
2012 US OPEN CHAMPIONSHIPS
State UT
Court
18
Substitutions: 1 2 3 4 5 6 7 8 9 10 11 12
SANCTIONS
W
Sanctions:
1 Improper Request
2. Yellow Card penalty
Point circled and slashed
in the Points section
3. Team Delay
4. Expulsion
5. Disqualification
6. Verbal warnings are not
recorded on the score sheet
OFFICIAL SCORE SHEET
2
Warning Penalty Explsn Disqual
4
Men
/
Keeping Score:
1. Start with Service Round 1
2. When the player contacts the
ball for service tic the number
in the box
3. If a point is scored slash the
number in the Points section
4. When a loss of rally occurs
write the exit score in the box
then slash the next point in the
opponents Points column
START 19 :
Svc Order
USAVolleyball
Division:
1
Heading information in all caps
SALT LAKE CITY
CONV CTR
City
Service Rounds
4
1
Serving team: X through S
Receiving team: X through R
and Service Rounds box 1
Set Start time:
1. Use international time HH:MM
2. When R1 beckons for 1st serve
4
Libero Serving:
1. When the libero serves
place a triangle around the
numeral for that service position
2. A triangle should be placed around
any points scored by the libero
Non-Deciding
Set
One Page Scoring Summary
®
Remarks:
1 For exceptional activity only
(No coloring or notes to friends)
Record: What happened, Player #,
Team, Set # and score
2. Exceptional Substitution
3. Circle exiting player indicating they
may not return to the set
OFFICIALS
TALBOTT, BOB
2nd Referee:
SHOE, DONNA
Print Name
NAME, YOUR
1st Referee:
Scorer
SET 1
Sign Name
Work Team
Your Name
SILVER
Region
RESULTS
SET
Winning Team:
1
Losing Team:
GOLD
PURPLE
A
1st Referee Signature
Set
number
1
Team
Captains
1
LS
Score
27
25
Officials names:
Last name first,
Work Team and
Region in all CAPS
B
Bob Talbott
5
End of Set:
1 Circle last point scored by each team
in the Service Rounds section(if the last
point is from a loss of rally, do not tic
the number in the Service Rounds box)
2. Enter the team names (all caps)
and scores in the Results section
3. Hourglass all unused points
4. Verify the sheet for correctness
and sign
5. Have Team Captains or Coaches sign
6. Give to R1 for confirmation and signature
USAVolleyball
Deciding
Set
One Page Scoring Summary
®
®
Team B earns point 8 or team A earns point 8 on a loss of rally
Recording headings and
events in a deciding set is
the same as a non-deciding
set with the exception of
the court change
Enter the line-up
City
Hall
LINE-UP SHEET
TEAM
IV
III
Women
OFFICIAL SCORE SHEET
Adult
Junior
SILVER
II
III
Libero#
3 22
IV
A
B
S
R
or
V
VI
1
Libero#
A
B
S
R
Points
Nº of
Players
Team Line-up
SET 3
Men
Category:
or
9
I
9
II
BLUE
X
III
IV
V
VI
1 12 23
1 12 23
2 13 24
2 13 24
3 14 25
3 14 25
4 15 26
4 15 26
5 16 27
5 16 27
6 17 28
6 17 28
7 18 29
7 18 29
8 19 30
II
8 19 30
9 20 31
9 20 31
4 12
5 13
6
VI
I
SERVICE
COACH SIGNATURE
USAVolleyball
1st 5th
5
1
5
1
5
1
5
1
5
1
5
2
6
2
6
2
6
2
6
2
6
2
6
3
7
3
7
3
7
3
7
3
7
3
7
4
8
4
8
4
8
4
8
4
8
4
8
5
1
5
1
5
1
5
1
5
1
5
Time
Outs
2
6
2
6
2
6
2
6
2
6
2
6
Time
Outs
:
:
3
7
3
7
3
7
3
7
3
7
3
7
4
8
4
8
4
8
4
8
4
8
4
8
:
:
8
2nd 6th
3rd 7th
4th 8th
Jonas Pike
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
4
TEAM
I
Service
Order
II
SILVER
III
IV
Service Rounds
W
Libero#
3 22
5
1
5
1
5
1
5
1
5
Time
Outs
6
2
6
2
6
2
6
2
6
:
:
3
7
3
7
3
7
3
7
3
7
3
7
4
8
4
8
4
8
4
8
4
8
4
8
V
S
R
VI
Points
1
1
5
1
5
1
5
1
5
1
5
1
5
2
6
2
6
2
6
2
6
2
6
2
6
A
B
S
R
or
I
9
BLUE
Libero#
9
II
X
III
IV
V
TEAM
Points
VI
1 12 23
1 12 23
2 13 24
2 13 24
3 14 25
3 14 25
4 15 26
4 15 26
5 16 27
5 16 27
6 17 28
6 17 28
7 18 29
7 18 29
8 19 30
8 19 30
9 20 31
9 20 31
3
7
3
7
3
7
3
7
3
7
3
7
4
8
4
8
4
8
4
8
4
8
4
8
3rd 7th
4th 8th
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
A
B
IMPROPER REQUEST
TEAM A : TEAM B
# = Player
SET SCORE C= Coach
D
:
D
:
D
:
D
:
D
:
D
:
A = Ast Coach
T = Trainer
M= Manager
D= Delay
8:00a = 08:00
1:00p = 13:00
2:00p = 14:00
3:00p = 15:00
4:00p = 16:00
5:00p = 17:00
6:00p = 18:00
SILVER
A
B
Points At Chg
or
I
II
III
:
TEAM END
IV
V
VI
10 21 32 10 21 32
1
5
1
5
1
5
1
5
1
5
1
5
1
5
1
5
1
5
1
5
1
5
1
5
Time
Outs
2
6
2
6
2
6
2
6
2
6
2
6
Time
Outs
Time
Outs
2
6
2
6
2
6
2
6
2
6
2
6
:
:
3
7
3
7
3
7
3
7
3
7
3
7
7
3
7
3
7
3
7
3
7
3
7
8
4
8
4
8
4
8
4
8
4
8
:
:
3
4
:
:
4
8
4
8
4
8
4
8
4
8
4
8
8
D
1. Enter Points At Change
2. NO check mark in Service
Rounds box on far left
3. On far right repeat last
exit score of previous server
4. No exit score recorded on
far left
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
6
E
VI
2
Team A serves for point 8
A
B
or
2nd 6th
P
V
1
5 13
Warning Penalty Explsn Disqual
IV
6
4 12
SANCTIONS
III
5
3 11
DecSetSksht11
05/25/11
Copyright 2011,
USA Volleyball
[email protected]
II
Court change
B serves for point 8 or
A earns point 8 on
a loss of rally
Court change
A serves for point 8
:
TEAM END
2
7
1. Enter points at change
2. Check mark in Service Rounds
box on far left
3. During switch, no exit score
recorded on far left
4. On far right repeat last
exit score of previous server
5. Final exit score recorded on
far right
I
SILVER
1
11 22 33 11 22 33
2 10
1st 5th
or
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
Nº of
Players
Team Line-up
When the libero serves
place a triangle around the numeral
for that service position on both sides
:
START
A
B
Points At Chg
16 : 45
Time:
10 21 32 10 21 32
1
Score at Change
V
Service Rounds
7
1
A
Level
Points
3 11
Date: 05/31/12
CoEd
TEAM
2 10
Score at Change
Enter team A line-up on
BOTH far left and far right
Division:
TEAM
I
Service
Order
USAVolleyball
11 22 33 11 22 33
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
Substitution: 1 2 3 4 5 6 7 8 9 10 11 12
REMARKS
OFFICIALS
SHOE, DONNA
2nd Referee: TALBOTT, BOB
Print Name
NAME, YOUR
Sign Name Your Name
Region LS
Work Team ORANGE
1st Referee:
Scorer
:
START
2012 US OPEN CHAMPIONSHIPS
State UT
Court 2
SALT LAKE CITY
Pool/
Match Nº
CONV CTR
Phase WA
RESULTS
SET
3
A
Team
Captains
Score
15
11
BLUE
Losing Team: SILVER
Winning Team:
B
1st Referee Signature
CRANE - 1pagex12 - 7/21/12
COMMUNICABLE DISEASE PRECAUTIONS
……when a player is bleeding, has an open wound or has
blood on his/her uniform, the game shall be stopped
immediately. The player must leave the court and shall not
return until the proper procedure is followed. The
competition area and equipment must be completely
cleaned and disinfected before play resumes….
1. Routine use of glove or other precautions to prevent skin an mucousmembrane exposure when contact with blood or other body fluids is
anticipated.
2. Immediately wash hands and other skin surfaces if contaminated (in
contact) with blood or other body fluids. Wash hands immediately after
removing gloves.
3. The bloodied portion of the uniform must be properly disinfected or the
uniform changed before the athlete may continue participation.
4. Clean all blood contaminated surfaces and equipment with a solution
made from a 1 – 10 dilution of household bleach or other disinfectant
before competition resumes.
5. Practice proper disposal procedures to prevent injuries caused by
needles, scalpels and other sharp instruments or devices.
6. Although saliva has not been implicated in HIV transmission, to minimize
the need for emergency direct mouth-to-mouth resuscitation,
mouthpieces, resuscitation bags or other ventilation devices should be
available for use.
7. All personnel with bleeding or oozing skin should refrain from all direct
athletic are until the condition is healed.
8. Contaminated towels should be properly disposed of.
2012-2013 Season
INSURANCE PROGRAM
USA Volleyball administers a medical and liability insurance program customized
specifically for the sport of volleyball. It is designed to respond specifically to the
inherent hazards of the sport. Offered as part of the sanctioning program, it is one of
the most cost effective policies available.
EFFECTIVE DATES:
CARRIERS:
September 1, 2012 – September 1, 2013
AXIS Insurance Company (American Specialty) - General Liability
National Union Fire Insurance Company – Sport Accident
GENERAL LIABILITY COVERAGE SUMMARY
The General Liability plan includes spectator and participant liability, sexual abuse
and harassment coverage. A $1,000,000 limit of liability for bodily injury and property
damage loss is provided with additional limits available on an excess basis. Coverage
is provided for officials, volunteers, coaches, trainers, sponsors and registered
participants. The policy covers liability from pre-event setup, the event itself and postevent activities at sanctioned events. The policy will respond to claims from spectators,
participants and the public in general. The USA Volleyball registration requirement is
a condition of the liability policy and a common practice among sports federations.
The general liability policy provides an extension of coverage to include non-owned
physical damage to volleyball related sports equipment which is under your care
custody and control. This extension is limited to a maximum of $5,000 and required
certified damage or proof of loss from payment.
NAMED INSURED: United States Volleyball Association, United States Volleyball, Inc. (“USAV”),
USAV Regional Volleyball Associations committee members and commissioners
while acting on the behalf of and under the direction of USA Volleyball,
USAV Member Clubs, but only with respects to activities sanctioned or approved
by USAV or its Regional Association Commissioner,
USAV coaches, trainers and “member officials”, while acting in their capacity as
such, but only with respect to activities sanctioned or approved by USAV or its
Regional Association Commissioners.
USAV “member officials” for non-USAV sanctioned volleyball competitions who
have paid the appropriate premium and whose names are recorded and on file
with USAV;
Validly-registered athletes participating in events sanctioned by USAV or its
Regional Volleyball Association (Validly-registered means registered with a
Regional Volleyball Association)
Event organizers/promoters/event managers of USAV-sanctioned events and
only with respects to USAV sanctioned events.
*No coverage will apply for regions and clubs for events conducted in which
all participants are not USAV members, except for non-sanctioned
fundraising activities.
It is further understood and agreed that USAV “member officials” are those who
have successfully completed the USAV officials’ certification program.
Page 1 of 5
08/31/2012
Definition: “Sanctioned or Approved” Event: An event USA Volleyball and a Regional
Association Commissioner has approved or sanctioned as a USA Volleyball event. Events shall
include, but may not be limited to, team competition, practices, sports clinics, or fundraisers
conducted or attended as a part of a sanctioned event.
ADDITIONAL INSUREDS: Certificates will be issued naming other interests as
additional insured in respect to sanctioned activities by the named insured.
GENERAL LIABILITY LIMITS OF INSURANCE:
Each Occurrence
Participant Legal Liability
Personal Injury and Advertising Injury
General Aggregate
Employee Benefits Liability
Products – Aggregate Limit
Damage to Premises Rented To You (Any One
Premises)
Medical Expense Limit
Non-Owned Auto & Hired Auto Liability
$1,000,000
$1,000,000
$1,000,000
$5,000, 000 Per Event
$1,000,000
$1,000,000
$1,000,000
Excluded (Medical Expense by Sport Accident)
$1,000,000 *(Only by special written approval
by USAV national office)
NOTABLE EXCLUSIONS WITHIN THE POLICY:
Nuclear Exclusions, Asbestos, Pollution, Employment Related Practices, Bodily Injury
to Employees and Player v. Player claims
THIS IS ONLY A SUMMARY OF THE GENRAL TERMS AND CONDITIONS OF THE INSURANCE CONTRACT BETWEEN
NATIONAL AND USA VOLLEYBALL. IT IS NOT THE INTENT OF THIS SUMMARY TO LIST ALL THE DETAILS RELATING
TO THE INSURANCE CONTRACT. ACTUAL COVERAGES ARE DETAILED IN THE INSURANCE POLICY AND SUCH
COVERAGE IS SUBJECT TO ALL THE TERMS, PROVISIONS, CONDITIONS AND EXCLUSIONS CONTAINED THEREIN.
RELIANCE SHOULD NOT BE MADE ON THIS GENERAL SUMMARY. CONSULT THE ACTUAL POLICY FOR A
COMPLETE DESCRIPTION OF COVERAGE.
A REVIEW OF GENERAL LIABILITY COVERAGE
Commercial General Liability insurance provides coverage for claims of bodily injury or
property damage made against the insured for which they become legally liable. The
insurance company will pay on behalf of USA Volleyball and other named insureds,
claims which the Insureds shall become “legally” obligated to pay as damages because
of bodily injury or property damage to which the insurance applies, caused by an
occurrence during the policy period, up to the policy limit.
The General Liability policy for USA Volleyball is an “occurrence” policy. A claim under
this policy shall be considered as being first made at the earliest of the following times:
(a) When USA Volleyball first notifies the Insurance Company in writing that a claim
has been made; or
(b) When USA Volleyball first notifies the Company in writing that a suit has been
brought; or
(c) When USA Volleyball first notifies the Company in writing of specific
circumstances, which may result in a claim being made or suit being brought.
All claims for damages because of bodily injury to the same person, including damages
claimed by any person or organization for care, loss of service, or death resulting at
any time from the bodily injury, will be deemed to have been made at the time the first
of those claims is made.
Page 2 of 5
08/31/2012
All claims for damages because of property damage causing loss to the same person or
organization as a result of an occurrence will be deemed to have been made at the
time of the first of those claims is made.
EXCLUSIONS
The USA Volleyball General Liability insurance policy does not apply to the following:
(a) Ownership, maintenance, operation, use, loading or unloading of any automobile
or aircraft owned or operated by or rented or loaned to any Insured or operated by
any person in the course of employment by any insured.
(b) Actual, alleged or threatened discharge, dispersal, release or escape of pollutants.
(c) Loss due to war, whether or not declared, civil war, insurrection, rebellion or
revolution.
(d) To any obligation for which USA Volleyball may be held liable under any workers’
compensation, unemployment compensation or disability benefits law.
(e) To bodily injury to any employee of USA Volleyball arising out of and in the course
of their employment or to any obligation of USA Volleyball to indemnify another
because of damages arising out of such injury.
(f) To loss arising out of asbestos
(g) To loss arising out of employment related practices
(h) Claims or actions brought by one player against another player
(i) Intentional Acts: Bodily injury or property damage expected or intended from the
standpoint of the insured.
(j) Bodily injury or property damage for which any insured may be held liable by
reason of:
(1) causing or contributing to the intoxication of a person
(2) the furnishing of alcoholic beverages to a person under the legal drinking age or
under the influence of alcohol or any statue, ordinance or regulation relating to the
sale, distribution or use of alcohol beverages.
The above exclusions are only a recap of the pertinent exclusions. This policy contains
additional exclusions not specifically listed here.
Page 3 of 5
08/31/2012
BROADENED COVERAGE
The General Liability policy has been broadened to include the following coverage:
(a) Contractual Liability – Covers oral and written contracts or agreements relating to
the conduct of USA Volleyball’s business.
(b) Personal Injury and Advertising Injury Liability – Covers USA Volleyball’s legal
obligations for injury to others arising from:
(1) False arrest, detention, imprisonment or malicious prosecution
(2) Libel, slander, defamation or violation of right of privacy and/or
(3) Wrongful entry or eviction or invasion of right of private occupancy
(c) Incidental Malpractice Liability – Covers USA Volleyball, Employees and Volunteers
for legal liability arising out of rendering or failure to render certain professional
health care services. Medical providers must be volunteers without compensation.
This coverage is limited to the terms and conditions of the actual policy.
(d) Host Liquor Liability – Covers against loss arising out of the giving or serving of
alcoholic beverages at functions incidental to USA Volleyball’s normal operations.
(e) Premises Damage Legal Liability - $1,000,000 for property damage to premises
insured that USA Volleyball rents from others, or premises temporarily occupied by
the named insured. This coverage is excess insurance only over any part of any
other insurance that provides coverage for property damage to said premises.
(f) Non-owned Watercraft (up to 58’ feet) – Covers loss arising out of the use of nonowned watercraft by USA Volleyball.
(g) Limited worldwide liability coverage for bodily injury, property damage, personal
injury and advertising injury liability subject to the terms and conditions of the
actual policy.
(h) Additional Persons Insured – Broadens the Named Insured to include any
employees of USA Volleyball while acting within the scope of their duties.
(i) Extended Bodily Injury coverage provides coverage for loss resulting from
intentional acts resulting in bodily injury if the use of reasonable force is used to
protect persons or property.
Page 4 of 5
08/31/2012
SPORT ACCIDENT EXCESS MEDICAL INSURANCE COVERAGE
The Sport Accident Excess Medical insurance program provides participant coverage
for loss resulting directly from members competing in an approved or sanctioned
event. Coverage does not include loss from pre-existing conditions or competing in
non-sanctioned events. The coverage extends from the start, through the completion of
the event, including direct designated group travel to and from the event.
The Medical policy provides up to $25,000 of excess accidental medical coverage for
expenses incurred within one year of the date of the accident. Written proof of loss by
the Insured is required within 90 days or as soon as is reasonably possible. Proof
must, however, be furnished no later than 12 months from the time it is otherwise
required, except in the absence of legal capacity. The policy provides coverage against
loss in excess of coverage provided under other valid and collectible medical insurance
and is subject to a $250 per claim deductible. If no other collectible medical insurance
is available, the loss is subject to a $1,000 deductible.
If injury to the member athlete requires treatment by a legally qualified physician or
confinement in a legally constituted hospital, or employment of a trained nurse, x-ray,
or ambulance services, and if the first expense of such treatment is incurred within 90
days of the date of the accident, the insurance company will pay the usual and
customary expense incurred up to $25,000, subject to the appropriate deductible and
any other collectible insurance.
DEFINITION OF PARTICIPANT: Athletes, coaches, trainers, volunteers, committee
members, officials and any other persons who are functioning on behalf of and/or
while participating in any event sanctioned or approved by USA Volleyball.
DEFINITION OF PARTICIPATING: Participating includes pre-event and post event
activities which are officially approved or sanctioned events. Pre-event activities can
include but are not limited to clinics, event dinners and pre-event practicing. Post
event activities can include but are not limited to award banquets, award ceremonies
and clinics that occur within one day after the event. Coverage is also included for
non-sanctioned volleyball related activities for certified officials who meet extended
coverage criteria.
ACKNOWLEDGEMENT WAIVER AND RELEASE FROM LIABILITY
As with most sports activities, a signed “Acknowledgement Waiver and Release from
Liability” (AWRL) form is required from all participants and from parents or guardians
in the case of minors. This requirement exists in virtually every sport. It serves to
document that the participants or parents of participating minors have acknowledged
the inherent risk and danger associated with participating in sporting events. It is
intended to serve as “appreciable warning” of these risks and the participants by
signing the waiver, are giving their informed consent to the acceptance of those risks.
It is important to remember that a signed waiver DOES NOT reduce the need for
insurance or effective safety practices. A signed waiver is USAV’s “first line of defense”
against a cause of action for negligence and is a very effective risk management tool.
The Regional Commissioner and others working under the direction of the Region
must make every effort to conduct an event with safety as the number one concern.
Page 5 of 5
08/31/2012
Secondary Sport Accident – Summary of Coverage for 2012-2013 Season
All Domestic Team Participants Competing in Sanctioned USA Volleyball Events
Insurer:
Claims Administrator:
National Union Fire Insurance Company of PA
American Specialty
What is covered?
Accidental injury that occurs while participating in USA Volleyball sanctioned events.
Who is covered?
All members registered with USA Volleyball including but not limited to athletes, coaches, trainers,
volunteers, committee members, and officials while functioning on behalf of or while participating in a
sanctioned event.
What are the benefits?
Excess Accident Medical – $25,000 maximum per injury
Coverage will consider the usual and customary expense for medically necessary care received at a
hospital or provided by a licensed practitioner.
Accidental Death & Dismemberment - $10,000 principal sum
Coverage will consider $10,000 for the accidental loss of life and $2,500, $5,000 or $10,000 (depending
on loss type) for covered incidents resulting in accidental dismemberment. Loss must occur within 100
days after the date of accident.
Is there a deductible?
Yes. The deductible for USA Volleyball’s accident medical coverage is $250 for participants with primary
health insurance. This means that the injured person must pay the first $250 of the medical bill. If
primary health insurance is not carried, the deductible is $1,000.
Does the policy have any restrictions?
 For coverage to apply, the injury must be reported immediately to an official.
 The policy provides coverage against loss in excess of coverage provided under other
valid and collectible medical insurance.
 See policy for specific exclusions.
 Claims must be filed within 90 days of treatment.
What is not covered?
 Illness or Sickness
 Re-injury and/or Pre-Existing Conditions
 Injuries caused by wear and tear of overuse, such as tendonitis, bursitis or stress
fractures
 Injuries occurring elsewhere than the premises designated for competition
 Suicide or Attempted Suicide
 Fighting, unless as an innocent victim
 Hernias, in any form
 Non-prescription drugs
 Expenses incurred outside the United States
This is only a general summary of coverage and is not intended to attempt to describe all of the plan provisions.
Actual coverages are detailed in the policy and are subject to the conditions contained therein.
Updated 08/31/2012
USA VOLLEYBALL
INCIDENT REPORT FORM
INJURY OR PROPERTY DAMAGE
Submit this form to:
1500 South Anaheim Blvd. Suite 280
Anaheim, CA 92805
Or email to [email protected]
SUBMIT THIS FORM TO YOUR REGIONAL VOLLEYBALL OFFICE (ADDRESS ABOVE)
INJURED PERSON INFORMATION / PROPERTY DAMAGE OWNER
Last Name
First
Middle
Telephone Number (
 Single
)
Married
Address
Social Security Number ________ _____ _________
City _______________________________ State______ Zip______________
Age________ D.O.B _____ ____ ______
 Male Female
Employer and Address _______________________________________
___________________________________________________________
Date of Incident ___________________ Time of Incident ________AM/PM
Does the injured person have other medical insurance?  Yes  No
If yes, please provide name of company and policy #:
___________________________________________________________
INJURED PERSON:  Participant Official Coach
 Spectator Volunteer Other: ____________________________
Team Name: ___________________________________________________
Region: _______________________________________________________
USAV Membership #: ____________________________________________
GUARDIAN/PARENT (IF INJURED PERSON IS A MINOR)
Last Name
First
Middle
Address City State
Telephone Number (
)
Zip
INCIDENT INFORMATION
BODY PART INJURED
 Ankle (L/R)
 Shoulder (L/R)
 Knee (L/R)
 Wrist (L/R)
 Nose
 Finger
 Head
 Eye (L/R)
 Tooth
 Ear(L/R)
 Back
 Neck
 Internal
 No Injury
 Other
COURT SURFACE
 Concrete
 Asphalt
 Grass
 Sand
 Wood
 Sport Court
If sport court, what is under-lying surface?
Wood
 Concrete
 Asphalt
CLASSIFICATION
 Non-injury
 Minor injury or illness
 Serious injury or illness
If Ankle Injury, was ankle
 Taped
Supported
 Unsupported
Shoes:  Yes No
INCIDENT
Collision (participant/spectator)
Collision (with object)
Collision (participant/participant)
Collision (spectator/spectator)
Struck by falling/flying object
Caught in, on, between
Animal/insect bite/sting
If Knee Injury, was knee:
 Braced Supported
 Unsupported
Knee Pads:  Yes No
INCIDENT LOCATION
PRIMARY INJURY
 Before Competition/Event
 Allergy
 During Competition/Event
 Amputation
 AfterCompetition/Event
 Foreign Body
 Laceration
 Heat Exhaustion
 Competition area
 Hypertension
 Concession area
 Cold Injury
 Parking lot
 Electrical Shock
 Admission area
 Strain/Sprain
 Restrooms/locker rooms
 Abrasion
 Off property
 Illness
 Bleachers/stands
Dislocation
Nausea
 Burn
 Fracture
 Pain
 Cardiac
 Contusion
Seizures
 Concussion
Sting/bite
Death
Slip/Fall
Overexertion
Assault/Sexual
Assault/Non-Sexual
Property Damage
DISPOSITION
No care given:
 Patient refused
 Not needed
Released:
 To parent
 To personal vehicle
Referral
 To doctor
 To hospital/clinic
EMS transport:
 Trainer recommended
 Patient/parent quested
Describe how the injury or property damage occurred: (attach a separate sheet if necessary)
WITNESS INFORMATION
Name
Address
Telephone Number
1.
(
)
2.
(
)
Tournament Director, Club Director, Coach and/or USA Volleyball Official completing this form:
Name: _________________________________________________________ Signature: ________________________________________________________
Title: __________________________________________________________ Date: ____________________ Phone #: (_____)__________________________
Event Name: ______________________________________________________________________________________________________________________
Event Location:
Sanctioning Region:
Region Signature:
Region Use Only: For processing, please submit this form to: American Specialty, Attn: Jeff Jacobson, P.O. Box 459, Roanoke, IN 46783;
Phone: 260-672-8800 or 800-245-2744; Fax: 260-672-8835; Email: [email protected]
SCVA Facility Use Insurance Request 2014/2015
To ensure valid insurance certificates, please complete all
Club and facility information accurately.
Club Information:
Club Name
________________________________________ Director __________________________________
Address
________________________________________City, State, Zip ____________________________
Phone
________________________________________ Email ____________________________________
Facility Information:
Facility Name _______________________________________ Contact Name _____________________________
Address
________________________________________ City, State, Zip ____________________________
Phone
________________________________________
Address
________________________________________ City, State, Zip ____________________________
Phone
________________________________________
Address
________________________________________ City, State, Zip ____________________________
Phone
________________________________________
Address
________________________________________ City, State, Zip ____________________________
Phone
________________________________________
Address
________________________________________ City, State, Zip ____________________________
Phone
________________________________________
.
2014-2015 INDIVIDUAL MEMBERSHIP FORM
This application, the USAV Code of Conduct and Waiver and Release of Liability must be read and signed before the USAV registrant/RVA member listed on the application is allowed to take part in any sanctioned
activity (by example only: training, competition, practice/warm-up sessions, meeting or testing sessions). This application must be completed legibly, only by the applicant and/or his/her parent/guardian, with accurate
personal information that pertains to the applicant. Membership with USA Volleyball is individual and is not transferable from one person to another. Additional RVA requirements may apply.
MEMBERSHIP APPLICATION
LEGAL FIRST NAME:
MI:
LEGAL LAST NAME:
 Check box if name has changed in the past year. If yes, please provide previous name:
ADDRESS:
CITY:
STATE:
CLUB NAME:
****Required for all Junior Club Staff:
GENDER:
 Male
 Female
JUNIORS ONLY:
ZIP CODE:
BIRTHDATE:
Social Security # _______-______-________
E-MAIL:
GRADE (2014/2015 School Year)
HIGH SCHOOL GRAD YEAR
(USA Volleyball does NOT provide e-mail addresses to third parties)
HOME PHONE:
CELL PHONE:
 Check box if you do NOT wish to be on USAV master 3rd party list.
 Check box if you do NOT wish to receive USAV electronic news.
USA Volleyball is committed to diversity. This information is used to report aggregate data to the United States Olympic Committee. Please check one of the following:
 I choose not to respond
 White, not Hispanic or Latino
 American Indian or Alaskan Native, not Hispanic or Latino
 Asian, not Hispanic or Latino
 Black or African American, not Hispanic or Latino
 Hispanic or Latino
 Two or more races, not Hispanic or Latino
 Native Hawaiian or Other Pacific Islander, not Hispanic or Latino
Are you:
 Hearing impaired/deaf (for USA Deaflympic Talent ID)
 Disabled Physically (for Paralympic Talent ID)
Membership Options (Annual fees per person)
 Adult Membership
 Senior Membersip (Age 60+)
Junior Membership
Chaperone Membership
$60.00
$35.00
$60.00
$40.00
 Extended Official
 Other:
 Background Screen
 Optional Donation to USA Team Programs. *
$10.00
$
$20.00
$5.00
*$1 will be donated to each: Men’s and Women’s National Teams, High Performance Girls and Boys and Regional Junior Development
Participant Role(s)
 Player
 Head Coach
(Check all that apply – Depending on selection, additional requirements may apply)
 Assistant Coach
 Team Rep
 Chaperone
 Official
ACKNOWLEDGEMENT/USE AGREEMENT
 Other ___________________
SIGNATURE REQUIRED
SIGNATURE REQUIRED
• I agree that I will abide by the rules and guidelines regarding club affiliation as established by the Regional Volleyball Association in which I am applying for membership.
• I hereby agree to be filmed, videotaped and photographed, and to have my name, image, picture, likeness, voice and biographical information otherwise recorded, in any media,
during USA Volleyball (USAV) and/or its Regional Volleyball Association (RVA) sanctioned events, by USAV/RVA’s authorized representative, under the conditions specified by the
USAV/RVA (the “Footage”).
• I hereby grant USAV/RVA, with no financial or other compensation due to me, full right and license to use, and to authorize third parties to use, in all media, the Footage for: (1) news
and information purposes, (2) promotion of the specific competition(s) in which I compete, (3) promotion of the Sport, and (4) promotion of USAV/RVA, provided that, in no event
may the USAV/RVA use or authorize the commercial use of the Footage in any manner that would imply my endorsement of any company, product, or service, without my written
permission.
• I hereby certify that the information provided is being done directly by myself or by me, as the legal guardian representing a minor, and that it is true and accurate to the best of my
knowledge. I also understand and agree that incomplete or false information is grounds for denial of membership.
Participant’s Signature (regardless of age):
If applicant is under 18 years of age
Parent/Guardian’s Name
Date signed:
E-Mail:
Parent/Guardian’s Signature:
Date signed:
USA VOLLEYBALL WAIVER AND RELEASE OF LIABILITY
I acknowledge that volleyball or any sporting event is an extreme test of a person’s physical and mental limits and that my participation in a volleyball event can cause potential death,
serious injury, or property damage. With a full understanding of the potential risks, I HEREBY ASSUME THE RISKS OF PARTICIPATING OR OFFICIATING IN A
VOLLEYBALL EVENT.
I hereby take the following action for myself, my executors, administrators, heirs, next of kin, successors and assigns: a) I WAIVE, RELEASE, AND DISCHARGE from any and all
claims or liabilities for death or personal injury or damages of any kind, EXCEPT THAT WHICH IS THE RESULT OF GROSS NEGLIGENCE AND/OR WANTON MISCONDUCT
OF PERSONS OR ENTITIES LISTED BELOW, which arise out of or relate to my traveling to and from or my participation in any volleyball event, THE FOLLOWING PERSONS
OR ENTITIES: USA Volleyball and its Regional Volleyball Associations, tournament directors, sponsors, and the officers, directors, employees, representatives, and agents of any of
the above; b) I AGREE NOT TO SUE any of the persons or entities listed above for any of the claims or liabilities that I have waived, released or discharged herein; and c) I
INDEMNIFY AND HOLD HARMLESS the persons or entities mentioned above from any claims made or liabilities assessed against them as a result of my actions.
Date signed:
Date signed:
If applicant is under 18 years of age, a parent or guardian must execute, in addition to the foregoing Waiver and Release, the following, for and on behalf of the minor.
The undersigned parent and natural guardian or legal guardian of the applicant ( ______________________________________________ [minor’s name]) executes the foregoing Waiver and
Release for and on behalf of the minor named herein. I hereby bind myself, the minor and all other assigns to the terms of the Waiver and Release. I represent that I have legal capacity and
authority to act for and on behalf of the minor named herein, and I agree to indemnify and hold harmless the persons or entities named in the Waiver and Release for any claims or liabilities
assessed against them as a result of any insufficiency of my legal capacity or authority to act for and on behalf of the minor in the execution of the Waiver and Release. I fully consent to my
child’s participation in USAV/RVA events.
Parent/Guardian’s Name (if registrant is under 18 years of age):
REQUIRED FOR PARTICIPATION: Total of 4 signature(s) for Junior participant and parent – 3rd and 4th signature on 2nd page
rd
nd
Total of 3 signature(s) for Adult participant– 3 signature on 2 page
Revised 07/23/2014
Page 1 of 2
USA VOLLEYBALL CODE OF CONDUCT
SIGNATURE REQUIRED
SIGNATURE REQUIRED
THE FOLLOWING ACTIONS ARE PROHIBITED:
1. Violation of any anti-doping policies, protocols or procedures as defined by the International Olympic Committee (IOC), World Anti-Doping Agency (WADA), Federation
Internationale de Volleyball (FIVB), US Anti-Doping Agency (USADA) or the United States Olympic Committee (USOC). Violations of this provision will be adjudicated only by
USADA or the proper anti-doping authority, not USA Volleyball (USAV).
2. Possession, consumption or distribution of alcohol and/or tobacco if illegal or in violation of USA Volleyball (USAV) or Regional Volleyball Association (RVA) policy.
3. USAV policy prohibits the possession, consumption or distribution of alcohol and/or tobacco by anyone registered as a junior volleyball player at the event venue of any
USAV/RVA sanctioned junior event.
4. Use of a recognized identification card by anyone other than the individual described on the card.
5. Physical damage to a facility or theft of items from a room, dormitory, residence or other person. (Restitution will be part of any penalty imposed.)
6. Possession of fireworks, ammunition, firearms, or other weapons or any item or material which by commonly accepted practices and principles would be a hazard or harmful to
other persons at USAV/RVA sanctioned events.
7. Any action considered to be an offense under Federal, State or local law ordinances.
8. Violation of the specific policies, regulations, and/or procedures of the USAV, RVA or the facility used in conjunction with a sanctioned event. (It is the responsibility of the
individual to be familiar with applicable specific policies, regulations and procedures.)
9. Conduct which is inappropriate as determined by comparison to normally accepted behavior.
10. Physical or verbal intimidation of any individual.
11. Actions that will be detrimental to USAV or the RVA.
USA VOLLEYBALL DISCIPLINARY POLICY:
Infraction
When Occurred
Suggested Maximum Penalty
First
Before or during event
Individual disqualified (if person is a junior, he/she will be sent home as soon as possible and parent or guardian notified). The
individual may be declared ineligible for USAV registration or RVA membership for one year starting from the date of infraction.
After event concludes
The individual may be declared ineligible for USAV registration or RVA membership for one year starting from the date of
infraction.
Individual disqualified (if person is a junior, he/she will be sent home as soon as possible and parent or guardian notified). The
Second
Before or during event
individual may be declared ineligible for USAV registration or RVA membership for two years starting from the date of
infraction.
After event concludes
The individual may be declared ineligible for USAV registration or RVA membership for two years starting from the date of
infraction.
Third
Individual may be declared ineligible for USAV registration or RVA membership for the remainder of his/her lifetime.
NOTE :
Major misbehavior (e.g. verbal or physical abuse of a child, sexual harassment, etc.) may subject the
violator to lifetime ineligibility for USAV registration or RVA membership after the first infraction.
Penalties are only applied after affording the participant due process may be required by the Ted Stevens Olympic and Amateur Sports Act
(TSOASA), USOC, USAV, and RVA. Appeals, other than for doping violations, may be made in accordance with procedures set forth in the
bylaws and operating codes of USA Volleyball and the RVA as printed in the current Official USA Volleyball Guide and RVA Handbook,
respectively.
• I have read and understand the USA Volleyball Code of Conduct and Disciplinary Policies
• I agree and consent to abide by the USA Volleyball Code of Conduct and Disciplinary Policies and other region specific code of conducts and/or disciplinary policies.
• I understand that, if I violate the USAV and/or RVA Codes of Conduct, I might be subject to disciplinary action in accordance with USAV and/or RVA Disciplinary Policies.
Date signed:
Date signed:
Junior Club Eligibility:
Junior Girls: I agree that I will be affiliated with the above named club for the 2014/2015 sanctioned season, and that I am aware of the Junior Girls Eligibility
Requirements. I am aware that for a girls club to be eligible for regional competition the club must abide by the tryout dates and commitment dates and transfer
policies and procedures set forth by the SCVA. In addition, any transfers must be approved by the SCVA office. The transfer deadline for the Junior Girls
season is February 20, 2015. Under NO CIRCUMSTANCES will transfers be granted to any player who has competed at ANY JUNIOR NATIONAL
QUALIFIER.
Junior Boys: I agree that I will be affiliated with the above club 2014/2015 season. I am aware that for a boys club to be eligible for regional competition, the
club must abide by the tryout dates and commitment dates set forth by the SCVA. For the 2014/2015 season, clubs will be eligible to host tryouts after
September 4th with a commitment date of September 9th. In addition, any transfers must be approved by the SCVA office. No transfers will be awarded
UNDER ANY CIRCUMSTANCES after May 29, 2015.
Date signed:
Revised 07/23/2014
Date signed:
Page 2 of 2
SCVA Letter of Commitment – Junior Girls
(Non San Diego Members)
DO NOT SIGN WITHOUT READING CAREFULLY. DO NOT SIGN PRIOR TO 4:00PM ON WEDNESDAY, OCTOBER 8, 2014 (15-18&UNDER) OR
WEDNESDAY, OCTOBER 15, 2014 (14&UNDER).
This requirement has been created to protect the player and parent/guardian as a member of a club.
1.
2.
3.
4.
5.
6.
7.
8.
Basic Penalty. I understand that by signing this letter. I am committed to joining the club named with this document for the entire
2014/2015 season. If I compete for another club, I may be subject to suspension for the remainder of the season.
a. Early Signing Period. A player who signs a Letter of Commitment before 4:00PM on October 6, 2014 (15-18&under) or October
14, 2014 (14&under) is subject to suspension for the entire season. A club representative may not ask a player to sign prior to
4:00PM on October 8, 2014 or October 15, 2014 either.
b. A player may not sign a Letter of Commitment before 4:00PM on Monday, October 6, 2014 (15-18&under) or Tuesday, October
14, 2014(14&under) regardless of the date of the tryout. A player who signs a Letter of Commitment or a club that allows a
th
th
player to sign at a tryout date prior to 4:00PM on October 6 (15-18&under) or 14 (14&under) is subject to suspension for the
entire season. Under no conditions may the Letter of Commitment be pre-signed or pre-dated before this time frame. In turn,
no deposit monies, team or club fees can be collected before 4:00PM on Monday, October 6, 2014 (15-18&under)or Tuesday,
October 14, 2014 (14&under).
c. Only One Letter of Commitment Permitted. A player who signs more than one Letter of Commitment with more than one club
is subject to suspension for the entire 2014/2015 season.
Verbal Commitments. A player may commit verbally to a club prior to October 6, 2014 (15-18&under) or October 14, 2014 (14&under).
A verbal commitment is not binding. The player may revoke the commitment at any time, before signing the Letter of Commitment,
without penalty.
Recruiting Ban after Signing. I understand that all clubs are obligated to respect my signing and shall cease to recruit me upon my signing
this document. I shall notify any recruiter who contacts me that I have signed.
Club Signatures Required Prior to Submission to the SCVA. This document must be signed and dated by the Club Director before being
submitted to the SCVA along with other registration documents.
Parent/Guardian Signature Required. My parent, or legal guardian, is required to sign this Letter of Commitment if I am less than 21 years
of age at the time of signing.
Falsification of Letter of Commitment. If I falsify any part of this Letter of Commitment, including the date, I understand that I am subject
to suspension for the entire 2014/2015 season.
Nullification of Other Agreements. My signature on this Letter of Commitment nullifies any agreements, verbal or otherwise, which
would release me from the conditions stated within this document.
Binding Agreement. I understand that I have signed this Letter of Commitment with the club and not with a particular individual. If the
coach or any player(s) leave the team, I remain bound by the provisions of this document. Basis of release from commitment from club:
dramatic material changes from what was promised, examples but are not limited to dramatic changes in practice schedules a club makes
or dramatic changes from what was promised, then it may be grounds for a release from the commitment. Examples include, but are not
limited, to significant changes in practice schedules, practice locations, tournament schedule, costs, etc.
I certify that I have read all terms and conditions in this document. I have discussed them with the club representative named within, and I fully
understand, accept, and agree to be bound by them.
NOTE: IT IS A VIOLATION OF SCVA POLICY TO POST-DATE THIS DOCUMENT
Club Name:__________________________________
Team Name: _______________________________________
Player’s Name: _______________________________
Player’s Signature: ___________________________ Date: ________
Address: ____________________________________
City: _______________________ State: _____ Zip: _______
Parent’s Name: ______________________________
Parent’s Signature:___________________________ Date:_________
Parent’s Phone #:____________________________
Parent’s Email: _____________________________________
Club Director: ______________________________
Director’s Signature:___________________________ Date:_________
SCVA Letter of Commitment – Junior Girls
(San Diego Members)
DO NOT SIGN WITHOUT READING CAREFULLY. DO NOT SIGN PRIOR TO 4:00PM ON MONDAY, OCTOBER 27, 2014 (14&Under), MONDAY,
NOVEMBER 17, 2014 (15/16&UNDER), OR MONDAY, NOVEMBER 24, 2014 (18&Under).
This requirement has been created to protect the player and parent/guardian as a member of a club.
1.
2.
3.
4.
5.
6.
7.
8.
Basic Penalty. I understand that by signing this letter. I am committed to joining the club named with this document for the entire
2014/2015 season. If I compete for another club, I may be subject to suspension for the remainder of the season.
a. Early Signing Period. A player who signs a Letter of Commitment before 4:00PM on October 27, 2014 (14&under), November
17, 2014 (15/16&under), or November 24, 2014 (18&under) is subject to suspension for the entire season. A club
representative may not ask a player to sign prior to 4:00PM on October 27, 2014, November 17, 2014, or November 24, 2014
either.
b. A player may not sign a Letter of Commitment before 4:00PM on October 27, 2014 (14&under), November 17, 2014
(15/16&under), or November 24, 2014 (18&under) regardless of the date of the tryout. A player who signs a Letter of
Commitment or a club that allows a player to sign at a tryout date prior to the stated commitment date is subject to suspension
for the entire season. Under no conditions may the Letter of Commitment be pre-signed or pre-dated before this time frame.
In turn, no deposit monies, team or club fees can be collected before 4:00PM on October 27, 2014 (14&under), November 17,
2014 (15/16&under), or November 24, 2014 (18&under).
c. Only One Letter of Commitment Permitted. A player who signs more than one Letter of Commitment with more than one club
is subject to suspension for the entire 2014/2015 season.
Verbal Commitments. A player may commit verbally to a club prior to October 27, 2014 (14&under), November 17, 2014 (15/16&under),
or November 24, 2014 (18&under). A verbal commitment is not binding. The player may revoke the commitment at any time, before
signing the Letter of Commitment, without penalty.
Recruiting Ban after Signing. I understand that all clubs are obligated to respect my signing and shall cease to recruit me upon my signing
this document. I shall notify any recruiter who contacts me that I have signed.
Club Signatures Required Prior to Submission to the SCVA. This document must be signed and dated by the Club Director before being
submitted to the SCVA along with other registration documents.
Parent/Guardian Signature Required. My parent, or legal guardian, is required to sign this Letter of Commitment if I am less than 21 years
of age at the time of signing.
Falsification of Letter of Commitment. If I falsify any part of this Letter of Commitment, including the date, I understand that I am subject
to suspension for the entire 2014/2015 season.
Nullification of Other Agreements. My signature on this Letter of Commitment nullifies any agreements, verbal or otherwise, which
would release me from the conditions stated within this document.
Binding Agreement. I understand that I have signed this Letter of Commitment with the club and not with a particular individual. If the
coach or any player(s) leave the team, I remain bound by the provisions of this document. Basis of release from commitment from club:
dramatic material changes from what was promised, examples but are not limited to dramatic changes in practice schedules a club makes
or dramatic changes from what was promised, then it may be grounds for a release from the commitment. Examples include, but are not
limited, to significant changes in practice schedules, practice locations, tournament schedule, costs, etc.
I certify that I have read all terms and conditions in this document. I have discussed them with the club representative named within, and I fully
understand, accept, and agree to be bound by them.
NOTE: IT IS A VIOLATION OF SCVA POLICY TO POST-DATE THIS DOCUMENT
Club Name:__________________________________
Team Name: _______________________________________
Player’s Name: _______________________________
Player’s Signature: ___________________________ Date: ________
Address: ____________________________________
City: _______________________ State: _____ Zip: _______
Parent’s Name: ______________________________
Parent’s Signature:___________________________ Date:_________
Parent’s Phone #:____________________________
Parent’s Email: _____________________________________
Club Director: ______________________________
Director’s Signature:___________________________ Date:_________
Application to Change Clubs – Junior Girls
During the sanctioned season, a player is to remain a registered member of one specific club throughout the
season. However, during the transfer period, a player or parent/guardian may request a transfer in club affiliation.
The transfer period is from December 13, 2014 through February 20, 2015. The player or parent/guardian must
submit this form to the office of the Southern California Volleyball Association by 4:00PM on Friday, February 20,
2015. Under NO CIRCUMSTANCES will transfers be granted to any player who has competed at ANY JUNIOR
NATIONAL QUALIFIER. The form must be completed by the player or parent/guardian, current Club Director, and
new Club Director. The form will then be reviewed by the SCVA, who must ultimately approve the transfer. Please
allow up to 5 business days for the transfer to be approved.
The current club is under no obligation to release the player. If the club will not grant a release, the player or
parent/guardian may appeal to the SCVA. To appeal to the SCVA, the request must be made via email to the
Regional Commissioner at [email protected]
Player and Parent/Guardian Information
Player’s Name: _________________________
Parent/Guardian’s Name: __________________
Player’s Signature: ______________________
Parent/Guardian’s Signature: _______________
Date of Birth: __________________________
Phone Number: __________________________
Email: _______________________________________________________________________________
You will be notified via email if the player’s transfer is approved or denied.
Current Club Information
I release this player from my volleyball club and request that this player be removed from our roster.
Club: _______________________________
Team Name: ___________________________
Club Director: _______________________
Signature: _____________________________
Date: ______________________________
Phone Number: ________________________
Email: _____________________________
I would like to be notified when this player is released.
New Club Information
I accept this player to my volleyball club and request that this player be added to our roster.
Club: ______________________________
Team Name: ___________________________
Club Director: ______________________
Signature: _____________________________
Date: _____________________________
Phone Number: ________________________
Email: ____________________________
SCVA TRYOUT PROCEDURES
Non San Diego Areas
TO BE POSTED AT ALL CLUB TRYOUTS
1. JUNIOR GIRLS CLUB TRYOUTS WILL OPEN ON THURSDAY, OCTOBER 2, 2014
FOR GIRLS AGES 15 AND UNDER THROUGH 18 AND UNDER.
2. JUNIOR GIRLS CLUB TRYOUTS WILL OPEN ON THURSDAY, OCTOBER 9, 2014
FOR GIRLS AGES 14 AND UNDER.
3. NO DEPOSITS MAY BE ACCEPTED AT TRYOUTS UNDER ANY
CIRCUMSTANCES.
4. EACH PLAYER/PARENT/GUARDIAN WILL SIGN A LETTER OF COMMITMENT.
5. THE LETTER OF COMMITMENT MAY NOT BE SIGNED PRIOR TO 4:00PM ON
MONDAY, OCTOBER 6th FOR 15 AND UNDER THROUGH 18 AND UNDER
GIRLS, AND 4:00PM ON TUESDAY, OCTOBER 14TH FOR 14 AND UNDER GIRLS.
6. AFTER 4:00PM ON OCTOBER 6TH AND OCTOBER 14TH 2014, A
PLAYER/PARENT/GUARDIAN MAY TURN IN A LETTER OF COMMITMENT AND
CLUB DEPOSIT TO ONE CLUB.
7. THE PLAYER WILL THEN BE COMMITED TO THIS CLUB UNTIL DECEMBER 13,
2014.
8. THE TRANSFER PERIOD WILL BE FROM DECEMBER 13, 2014 UNTIL
FEBRUARY 20, 2015.
9. TRANSFER PROCEDURES MUST BE FOLLOWED.
10.NO TRANSFERS WILL BE ALLOWED PRIOR TO OR AFTER THE TRANSFER
PERIOD.
SCVA TRYOUT PROCEDURES
San Diego Areas
TO BE POSTED AT ALL CLUB TRYOUTS
1. JUNIOR GIRLS CLUB TRYOUTS WILL OPEN ON SATURDAY, OCTOBER 18, 2014 FOR
GIRLS AGES 14 AND UNDER.
2. JUNIOR GIRLS CLUB TRYOUTS WILL OPEN ON SATURDAY, NOVEMBER 8, 2014 FOR
GIRLS 16 AND UNDER AND 15 AND UNDER.
3. JUNIOR GIRLS CLUB TRYOUTS WILL OPEN ON SATURDAY, NOVEMBER 17, 2014
FOR GIRLS AGES 15 AND UNDER.
4. NO DEPOSITS MAY BE ACCEPTED AT TRYOUTS UNDER ANY CIRCUMSTANCES.
5. EACH PLAYER/PARENT/GUARDIAN WILL SIGN A LETTER OF COMMITMENT.
6. THE LETTER OF COMMITMENT MAY NOT BE SIGNED PRIOR TO 4:00PM ON
MONDAY, OCTOBER 27, 2014 (14&UNDER), MONDAY, NOVEMBER 17, 2014
(15/16&UNDER), OR MONDAY, NOVEMBER 24, 2014 (18&UNDER).
7. AFTER 4:00PM ON OCTOBER 27, 2014 (14&UNDER), NOVEMBER 17, 2014
(15/16&UNDER), OR NOVEMBER 24, 2014 (18&UNDER), A
PLAYER/PARENT/GUARDIAN MAY TURN IN A LETTER OF COMMITMENT AND CLUB
DEPOSIT TO ONE CLUB.
8. THE PLAYER WILL THEN BE COMMITED TO THIS CLUB UNTIL DECEMBER 13, 2014.
9. THE TRANSFER PERIOD WILL BE FROM DECEMBER 13, 2014 UNTIL FEBRUARY 20,
2015.
10. TRANSFER PROCEDURES MUST BE FOLLOWED.
11. NO TRANSFERS WILL BE ALLOWED PRIOR TO OR AFTER THE TRANSFER PERIOD.
BACKGROUND SCREENING POLICY OF USA VOLLEYBALL AND ITS REGIONAL
VOLLEYBALL ASSOCIATIONS
Last revised June 21, 2013
POLICY:
It is the policy of USA Volleyball (USAV) and its Regional Volleyball Associations (RVAs) that any
club/entity intending to hire or use registered individuals in any sanctioned junior volleyball events
and/or activities (some examples of events or activities that can be sanctioned with regional approval
are: tournaments, practices, clinics, tryouts, and fundraisers) will accept and abide by this
background screening policy. The following individuals, 18 years of age or older, will be screened:
Club directors, club administrators, team reps, coaches, chaperones, and trainers who intend to
register, affiliate and/or participate with a junior volleyball club or team in a USAV/RVA. Any Junior
Tournament Director/Site Director/On-site Tournament Administrator/Manager and official 18 or
older who intends to work a junior sanctioned event will also be screened with the exception of a
junior player. Each RVA may also choose to require other members of their organization to submit
to and pass a background screen in order to affiliate with their organization. Additionally, the
club/entity will enforce the penalties resulting from a negative background screening report. Failure
to do so is grounds for automatic suspension of membership privileges to participate in USAV/RVA
sanctioned junior events and/or activities. All disqualified individuals have the right to dispute the
findings of the background screening directly with the RVA’s approved Background Screen Vendor.
The RVAs and/or USAV will not register, or allow to be registered, any individual who refuses to
consent to a background screen if he/she intends to affiliate and/or participate with a junior club/team,
in the RVA or any other regional or national junior level programming. Junior members are any
members under the age of 18. A background screen will not be required for those individuals who
will be classified only as junior players or those individuals not registered, affiliated and/or
participating with a junior volleyball club or team in a RVA (other than those categories listed above).
For those regions that allow individuals under 18 to be an assistant coach, any individual who is not
yet 18 years old and who is in a non-player role affiliated with a junior club must be background
screened immediately upon reaching 18 years of age. A 30-day grace period shall apply from the
date of the 18th birthday in order to allow time for the background screening to be processed. During
the 30-day grace period, the same restrictions apply to the individual and should be enforced as are
in place for junior coaches regarding supervision by a qualified adult. It is the responsibility of the
individual, club and region to identify the individuals in this situation and to meet the background
screening requirement. Upon the conclusion of the 30-day grace period, the individual may not
participate in a non-player role affiliated with a junior club unless the background screening
requirement is met.
All screens will be good for two membership seasons (maximum of 26 months). Anyone that fails a
background screen cannot reapply for another screen until the following season. USAV and the
RVAs retain the right to require additional background screens at any time with the exception of
reissuing an application that was previously disqualified due to falsification.
PROCESS:
Every individual required to submit Background Screening must complete, sign and date the Consent
and Waiver Release Form. Electronic signatures are only accepted on the USAV Online Registration
System. The Background Screen Consent and Waiver Release form will be submitted and the
applicant cleared before the applicant may participate in RVA/USAV sanctioned junior events and/or
activities.
Upon receipt of the above described documents, the USAV/RVA will request that the USAV/RVA
approved Background Screen Vendor perform the background screen.
Page 1 of 2
Revised by RVAs 06/21/13
All information received as a result of a background check will be strictly confidential. Notice of
clearance or disqualification for all applicants will be provided to:
1. The designated contact of the RVA that submitted the application.
2. USA Volleyball National Office
A notice of automatic disqualification will be sent by email by the USAV/RVA approved Background
Screen Vendor to the RVA office. The RVA will provide the approved Background Screen Vendor a
contact e-mail for the Club Director or highest staff member for the hiring entity. The approved
Background Screen vendor will then contact the Club/entity to provide notice of the automatic
disqualification and request additional contact information for the disqualified individual.
The complete profile will be sent by the USAV/RVA approved Background Screen Vendor directly to
an automatically disqualified individual using the agreed upon method of delivery, along with a copy
of the “Summary of Your Rights under the Fair Credit Reporting Act” (FCRA), and a notification that
the individual is prohibited from participating in USAV/RVA sanctioned junior events and/or activities.
All disqualified individuals have the right to review and dispute the accuracy of the background
screening findings directly with the USAV/RVA approved Background Screen Vendor. A disqualified
individual MAY NOT appeal an automatic disqualification or the results of the findings of the
background screen vendor to the RVA and/or USAV. USAV and each RVA is required by the policy
to accept the findings of the approved background screen vendor.
Individuals automatically disqualified are excluded from participation in any USAV/RVA sanctioned
junior events and/or activities.
EFFECTIVE SEPTEMBER 1, 2013, AUTOMATIC DISQUALIFIERS FOR PARTICIPATION IN
SANCTIONED JUNIOR EVENTS AND/OR ACTIVITIES:
Anyone found guilty, entering a plea of guilty, or a plea of nolo contendere (no contest) regardless
of adjudication or received court directed programs and/or other sentencing directives in lieu of a
finding of guilt, for the following criminal offenses; All Sex offenses, Murder, and Homicide
regardless of time limit; Felony Violence and Felony Drug offenses in the past 10 years; any
misdemeanor violence offenses in the past 7 years; any multiple misdemeanor drug and alcohol
offenses within the past 7 year; or any other crimes (not listed) against children in the past 7 years
(the time frames associated with the categories of crime listed above are calculated based on the
date of the offense).
Individuals found to have pending court cases for any of the disqualifying offenses will be disqualified.
If the disposition of the pending case does not meet the criteria for disqualification as listed above,
the individual would then be cleared and reinstated.
Falsification of information on any membership application or the consent/release form is grounds
for membership revocation or restriction of membership.
Individuals that are automatically disqualified must wait one season before reapplying for affiliation
and/or participation with a junior club or team.
ENFORCEMENT:
The hiring entity is responsible for ensuring adherence to this policy, and ensuring that those
individuals who are disqualified do not participate in USAV/RVA sanctioned junior events and/or
activities.
PENALTY:
Failure of a club/entity to request background screening or enforce disqualification is cause for the
RVA or USAV to impose penalties. The minimum penalty shall be suspension of all members of the
offending club/entity until background screening and enforcement requirements are met. Additional
measures may include financial penalties and/or extended suspensions against disqualified
individuals and/or the club/entity.
Page 2 of 2
Revised by RVAs 06/21/13
2013 Season - BACKGROUND SCREENING PROCESS FOR NON-US CITIZENS
The organization will need to collect more information for non-US citizens who do not have a
social security number. An example would be a college student who is in the United States to
attend school. With the Visa/Green Card number, SSCI can still do a screening on the
information provided.
If the non-US citizen has a social security number, both fields (SSN and Visa/Green Card) must
be completed. If there is no social security number, this must be clearly indicated. That means
that the applicant must write “no SSN” in the social security field. If the SSN field is left blank, the
application will be considered incomplete. The Visa/Green Card field must be completed. If
neither field is completed, the application will be considered incomplete and more information will
be requested of the region.
Non-US citizens WITH a valid social security number may proceed by completing the application
on-line.
Background screening applications for non-US citizens WITHOUT a valid social security number
cannot be conducted on-line since the Visa/Green Card Number field is not an available field in
the online system at this time.
The non-US citizen without a social security number will be instructed to use the link to the PDF
form which is to be printed, completed using the Visa/Green Card Number, signed, and sent or
faxed to the region. The region will then forward that application to Kerstin Fracassini-Rieff at the
national office who will forward the form to SSCI for processing.
06/21/2011
USA Volleyball
Consent and Waiver Release Form
All Fields are required. Missing information will delay the processing of this form.
Applicant’s Name (printed)
Date of Birth
First
Club Name
Middle Initial
SSN
Last
US Visa Number
Do not leave blank, if no SSN, write “No SSN”
Applicant’s Present Address
City
State
Zip
E-Mail
Home Phone
Work Phone
Cell Phone
BACKGROUND SCREEN RELEASE:
I hereby release and hold harmless USA Volleyball, the Regional Volleyball Associations, their employees and agents,
from any liability resulting from a background screen, including the specifics listed below.
(Applicant), authorize and give consent for the above named organization to
I,
obtain information regarding myself. This includes the following: Social Security Number Verification, Criminal background
records/information, Driver’s license check, and Addresses.
I, the undersigned, authorize this information to be obtained either in writing, electronic transmission or via telephone in
connection with my employment and/or volunteer application. Any person, firm or organization providing information or
records in accordance with this authorization is released from any and all claims of liability for compliance. Such
information will be held in confidence in accordance with the organization’s guidelines.
I understand that it is the policy of this organization that any member who participates with junior members in any capacity,
including supervisory personnel, club directors, team representatives, coaches, chaperones and trainers, officials, junior
tournament directors, junior tournament site directors and on-site junior tournament administrators/managers shall submit
to a background screen immediately upon application for registration and every second season thereafter as long as that
individual is a registered member.
Further, I understand that I have the right to review and dispute the accuracy of the background screening findings directly
with the approved vendor and understand that I may not appeal an automatic disqualification or the results of the findings
to the RVA and/or USAV.
Print Name
Date
Signature
DISQUALIFIERS:
I understand that disqualification from all junior events and/or activities will result if I have been found guilty, pled guilty; or
pled nolo contendere (no contest) regardless of adjudication or received court directed programs and/or other sentencing
directives in lieu of a finding of guilt, for the following criminal offenses; All Sex offenses, Murder, and Homicide regardless
of time limit; Felony Violence and Felony Drug offenses in the past 10 years; any misdemeanor violence offenses in the
past 7 years; any multiple misdemeanor drug and alcohol offenses within the past 7 years; or any other crimes (not listed)
against children in the past 7 years (the time frames associated with the categories of crime listed above are calculated
based on the date of the offense).
Any criminal conviction, finding of guilt, guilty plea or plea of nolo contendere for an offense listed above that occurs after
the initial background screen has been completed will require the applicant to resubmit for a Background Screen clearance
before further participating in junior events and/or activities.
Falsification of any information on any registration application or this form is grounds for membership revocation or
restriction of membership. A conviction or falsification of information that results in a failed background screen forfeits all
fees paid with my registration application.
By signing the Background Screen Consent form, I agree to report to the Regional Volleyball Association any convictions
for offenses found in the Automatic Disqualifier list that may occur between this background screen and the next
mandatory screen for USA Volleyball.
Print Name
Date
Signature
2014/15 Season – Revised 08/05/2014
2015 Season - USA VOLLEYBALL JUNIOR CLUB PERSONNEL CODE OF ETHICS
It is the duty and obligation of USA Volleyball affiliated Junior Club Program administrators, directors, coaches
and other club personnel to assure the following Code of Ethics is followed and adhered to by all individuals who
have an active role in a USA Volleyball Junior Club Program in any Region of USA Volleyball.
In a continuing effort to promote safe, healthy and ethical communication, relationships and treatment of all
USA Volleyball players and personnel, all adults associated with a junior club program must read, accept and
submit this Code of Ethics before they are eligible to actively participate in a junior club program associated,
affiliated, or participating in USA Volleyball.
1.
All adult club personnel affiliated with a junior program must be a registered member with a Region of
USA Volleyball and USA Volleyball.
2.
All adult club personnel including coaches, chaperones, assistant coaches, trainers, etc. affiliated with a
junior program intending to participate in USA Volleyball must have an approved and current
background screen on file as per USA Volleyball policy. It is intended that the term “all adult club
personnel” be all inclusive and not limited to only those categories identified herein.
3.
A head coach or assistant coach affiliated with a junior program must also: be an adult (see Region
definition of an adult) and be IMPACT certified according to USA Volleyball and Region policies.
4.
If allowed by Region rules, an assistant coach who has not yet met the age of majority in the state of residence
must be supervised by a head coach recognized by the Region and must meet all applicable Region and
USA Volleyball requirements. Individuals who are registered as junior players and also have an interest in
coaching should contact their region regarding coaching eligibility.
5.
Responsibilities:
A. A head coach or other equally qualified club personnel must be present at all practices and
competitions. A head coach, adult club representative personnel or registered chaperone must be
present during team-supervised travel. This individual shall be responsible for the moral, legal and
ethical well-being for each participant during team/club activities.
B. Coaches shall understand the unique power of a coach-athlete relationship. Coaches and all other club
personnel shall not exploit athletes and shall avoid any relationships which could compromise the
integrity of the learning and participation process, impair their professional judgment and/or take
advantage of a situation for their own personal gain or gratification.
C. All club personnel must understand that all forms of sexual abuse, assault or harassment of a current or
former athlete are unethical and illegal even when an athlete invites or consents to such behavior or
involvement. Club personnel shall not engage in sexual/romantic relationships with current athletes or
other participants over whom there is/was authority. See B above.
D. All club personnel shall insure that all individuals have met all Regional Volleyball Association and USA
Volleyball membership requirements prior to participation in any club, team and/or Region/National
USA Volleyball activity.
E.
All club personnel must inform the players and their parent(s)/guardian(s) about any Region
and/or USA Volleyball transfer policy. This policy may restrict or prohibit a participant from
transferring to another club or team if specified criteria have been met. Likewise, all club personnel
Page 1 of 2
must inform the players and their parent(s)/guardian(s) of any rules or policies regarding coaching
transfers during a particular season.
F.
All club personnel shall abide by and inform the players and their parent(s)/guardian(s) of applicable
regional recruiting policies.
G. All club personnel may not participate in, require another individual to participate in, or condone any
act considered to be illegal under federal, state or local laws and/or ordinances.
H. All club personnel shall strive to educate their athletes and personnel to respect, honor and adhere to
the rules of the facility being used during practices, tournaments or events. In this regard, the rules of
the facility shall have priority over the rules of the Regional Volleyball Association.
I.
All club personnel shall ensure that all activities are suitable for the age, experience and ability of their
athletes.
J.
All club personnel shall seek professional medical advice when making decisions regarding an injured
athlete's ability to continue training or playing.
K.
All club personnel shall, while serving in a professional capacity, avoid any drug, tobacco or alcohol use
while in the presence of athletes.
L.
All club personnel shall not supply or condone the use of drugs, alcohol, tobacco, fireworks,
ammunition, firearms, knives or any item or material that can be used as a weapon, to any of the
participants or athletes and shall report any athlete using or in the possession of the same.
M. All club personnel shall not allow, encourage, condone or require any behavior that threatens an athlete’s
amateur status or Regional, USA Volleyball, school and/or collegiate eligibility.
N. All club personnel shall maintain all relationships with other club personnel on a professional and
confidential basis.
O. All club personnel must be positive role models. This includes being courteous, respectful and polite to
players, parents, other coaches, club directors, event personnel, and officials.
P.
All club personnel will not engage in any physical, verbal or emotional harassment, abusive words or
actions, or coercion of current and/or former athletes.
Q. All club personnel will immediately report any suspected case of illegal activity, abuse, assault,
harassment, or ethical violations of this club personnel code of ethics to the appropriate authorities,
including Regional Volleyball Administrators.
Any violation of this Code may result in sanction being issued against the club representative, the individual(s)
and the club/team involved. These sanctions may extend to the loss of eligibility of the club representative,
the individual(s), the entire club and the team involved.
I acknowledge that I have read, understand and agree to abide by the statements in this Code of Ethics.
Applicant Signature
Print Name
Date
Parent/Guardian Signature
(On Behalf of Minor Applicant)
Date
Page 2 of 2
Print Name
2013-2014 CHAPERONE RESPONSIBILITIES
Thank you very much for volunteering to be a junior team chaperone. As a chaperone you are
assuming certain responsibilities for the welfare of the players under your care, custody and
control. To assist you in knowing what your responsibilities are we have created this information
sheet for you. Please read and discuss these responsibilities with the team coach or manager. If
you understand and accept these responsibilities please sign and date the bottom of the form and
return the form to the coach or manager.
As a Chaperone, I understand and take responsibility for the following:
1. As an assigned driver transporting players to and from an event, I will obey all traffic laws
and will not take any driving risks that will place the players or me in a harmful situation. All
players as well as myself will wear seatbelts while in the automobile.
2. If using my personal automobile for transporting players, I understand that I am responsible
for any accidents or injuries to my automobile, myself or to the players. I agree to have
automobile liability insurance in the amount of $300,000 or more covering the automobile I
will use to transport players. I agree not to transport more players than my automobile has
seatbelts for.
3. I will have a meeting with the players I am chaperoning to discuss the following:
a.
b.
c.
d.
e.
f.
Room accommodations - player responsibilities and conduct
Curfew
Check-in requirements with you if the players are going to leave the hotel.
Review of departure times and team activity agenda times.
Alcohol, tobacco and illegal drug restrictions.
Team meals.
4. I will refrain from using alcoholic beverages while conducting my chaperone responsibilities.
I will absolutely not drink and drive myself or any players while acting as a chaperone. If for
any reason I feel impaired to chaperone, drive, or carry out any of my responsibilities I will
personally contact the team coach or manager and advise him/her of my impairment.
5. I will do everything that is reasonable and prudent to insure the safety of myself and the
players while performing any chaperone duties.
6. As a chaperone, I understand that I am working under the direction of the Club, Regional
Volleyball Association, or USA Volleyball Association. Any General Liability insurance
available to the Club, Regional Association or USA Volleyball Association (excluding auto
insurance) is also made available to me while working on behalf of or at the direction of the
Club, Regional Association or USA Volleyball. I understand that I may be personally
responsible and liable for any of my actions that fall outside the scope of authority granted to
me by the Club, Regional Association, or USA Volleyball.
Signature
Date
Printed Name
Revised 08/01/2013
THIS FORM IS TO BE CARRIED TO ALL SANCTIONED COMPETITIONS & PRACTICES.
2014-2015 USAV YOUTH & JUNIOR VOLLEYBALL PLAYER
MEDICAL RELEASE FORM
This must be completed - legibly - and signed in all areas by both the player and his/her parent or guardian. I understand and agree that this
document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information
confidential. By signing this form the participant affirms having read and agreed to the terms and conditions listed below.
Club:
Team Name:
 Male
First Name
Last Name
Primary Contact: Parent or Guardian
Name:
 Female
Age
Address:
City, State & Zip
Alternate Phone:
Primary Phone:
Secondary Contact:  Parent/Guardian
Name:
Primary Phone:
Birth Date
Other
Alternate Phone:
Primary Insurance Co
Primary Group/Policy #
Family Physician Name
Physician Phone
/
Please elaborate on any medical conditions of which we should be aware:
Please list any medications currently being taken:
In the past 24 months, have you been tested, diagnosed and/or treated for a concussion:  Yes  No
If yes, provide the date (months and year), who performed the testing/diagnosing/treatment and what was the outcome:
Please list any allergies:
If None, please write None.
Participant Signature
Date:
(regardless of age):
Participant,
, has my permission to participate in training,
competition, events, activities and travel sponsored by USA Volleyball or any of its Regional Volleyball Associations (RVAs). I approve
of the leaders who will be in charge of this program. I recognize that the leaders are serving to the best of their ability. I certify that the
participant has full medical insurance with the company listed above. I understand and agree that this document will be kept in the
possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. I agree to
allow the authorized adult team personnel to release this information in the event of a medical emergency to a third party medical
provider. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities
described above.
Parent/Guardian Signature:
Relationship to Participant:
Date:
If, during the course of my daughter's/son's activities in volleyball, she/he should become ill or sustain an injury, I hereby authorize you
to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred through my insurance company.
Signature:
Date:
Parent/Guardian
or
I do not authorize emergency medical/dental care for my daughter/son.
Signature:
Date:
Parent/Guardian
Revised 06/24/2014
Entries
2015 SCVA Tournament Entry Form -
Girls
15OO South Anaheim Blvd., Suite 280, Anaheim, CA 92805
Phone: 714-917-3595 Fax: 714-917-3596
Club Name:
Phone #1:
Club Director:
Phone #2:
NEW ENTRY FORM FOR ALL QUALIFYING TOURNAMENTS – Please enter as many teams as possible at 1 time!
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
4.
Total Due:
18s:
18 Qualifying
1/3, 1/18, 1/31
12/132
$750
$750
$750
$750
Tourney Type:
Tourney Date:
Entry deadline:
5.
6.
7.
$750
$750
18s TOTALS:
16 Qualifying
1/4, 1/17, 2/1
12/12
$750
$750
$750
$750
Tourney Type:
Tourney Date:
Entry deadline:
16 Qualifying
1/4, 1/17, 2/1
12/12
$750
5.
6.
7.
$750
$750
16s TOTALS:
15 Qualifying
1/10, 1/25, 2/21
12/19
$750
$750
$750
$750
Tourney Type:
Tourney Date:
Entry deadline:
15 Qualifying
1/10, 1/25, 2/21
12/19
$750
$750
5.
6.
7.
$750
15s TOTALS:
14 Qualifying
1/11, 1/24, 2/8
12/19
$750
$750
$750
$750
Tourney Type:
Tourney Date:
Entry deadline:
14 Qualifying
1/11, 1/24, 2/8
12/19
$750
$750
5.
6.
7.
$750
14s TOTALS:
13 Qualifying
1/25, 2/7, 2/22
1/2
$750
$750
$750
$750
Tourney Type:
Tourney Date:
Entry deadline:
13 Qualifying
1/25, 2/7, 2/22
1/2
$750
$750
5.
6.
7.
$750
13s TOTALS:
12 Qualifying
1/10, 2/7, 2/22
12/19
$750
$750
$750
$750
16s:
18 Qualifying
1/3, 1/18, 1/31
12/132
$750
Tourney Type:
Tourney Date:
Entry deadline:
12 Qualifying
1/10, 2/7, 2/22
12/19
$750
$750
5.
6.
7.
$750
12s TOTALS:
15s:
14s:
13s:
12s:
Seeding Information Form
Please submit information for each team entered in the Qualifying Tournaments. Make copies of the form as
needed to accommodate the number of teams submitted. Please include with the Qualifying tournament entry
form.
Team Name: _______________________________________________________________________________
Expected Division: __________________________________________________________________________
Last year’s finish: ___________________________________________________________________________
Strength Compared to last year’s team: __________________________________________________________
__________________________________________________________________________________________
Post Season Tournament Results: ______________________________________________________________
__________________________________________________________________________________________
Additional Comments: _______________________________________________________________________
__________________________________________________________________________________________
Team Name: _______________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Team Name: _______________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Girls
Phone: 714-917-3595 Fax: 714-917-3596
Club Name:
Phone #1:
Club Director:
Phone #2:
NEW ENTRY FORM FOR MANDATORY TOURNAMENTS – Please enter as many teams as possible at 1 time!
Tourney Type:
Tourney Date:
Man #1
3/7 & 3/8
Entry deadline:
1.
2.
3.
Man #2
3/21
Man #3
4/4
Man #4
5/9
2/13
2/27
3/13
4/17
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
Man #1
2/28
Man #2
3/14 & 3/15
Man#3
3/28
Man #4
5/3
18s TOTALS:
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
2/6
2/20
3/6
4/10
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
Man #1
3/8
Man #2
3/21 & 3/22
Man #3
4/25
Man #4
5/17
16s TOTALS:
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
2/13
2/27
4/3
4/24
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
Man #1
3/1
Man #2
3/14 & 3/15
Man #3
3/29
Man #4
5/2
15s TOTALS:
Tourney Type:
Tourney Date:
Entry deadline:
2/6
2/20
3/6
4/10
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
Tourney Type:
Tourney Date:
Man #1
3/7
Man #2
3/22
Man #3
4/26
Man #4
5/16
Entry deadline:
2/13
2/27
4/3
4/24
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
Man #1
3/7
Man #2
3/22
Man #3
4/26
Man #4
5/16
1.
2.
3.
14s TOTALS:
1.
2.
3.
13s TOTALS:
Tourney Type:
Tourney Date:
Entry deadline:
1.
2.
3.
2/13
2/27
4/3
4/24
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
$250
12s TOTALS:
Total Due:
18s:
16s:
15s:
14s:
13s:
12s:
Girls
Phone: 714-917-3595 Fax: 714-917-3596
Club Name:
Phone #1:
Club Director:
Phone #2:
NEW ENTRY FORM FOR ALL REGIONALS TOURNAMENTS – Please enter as many teams as possible at 1 time!
Tourney Type:
Tourney Date:
18 Regional One Day
5/24
Tourney Type:
Tourney Date:
18 Regional One Day
5/24
Entry deadline:
5/1
Entry deadline:
5/1
1.
2.
3.
Tourney Type:
Tourney Date:
Entry deadline:
$250
$250
18s TOTALS:
16 Regional One Day
5/23
Tourney Type:
Tourney Date:
5/1
1.
2.
3.
16 Regional One Day
5/23
Entry deadline:
5/1
4.
5.
$250
$250
$250
$250
$250
16s TOTALS:
Tourney Type:
Tourney Date:
15 Regionals
6/13 & 6/14
Tourney Type:
Tourney Date:
15 Regionals
6/13 & 6/14
Entry deadline:
5/22
Entry deadline:
5/22
1.
2.
3.
4.
5.
$500
$500
$500
Tourney Type:
Tourney Date:
Entry deadline:
Tourney Type:
Tourney Date:
5/8
Tourney Type:
Tourney Date:
Entry deadline:
Entry deadline:
Tourney Type:
Tourney Date:
5/15
Entry deadline:
1.
2.
3.
Entry deadline:
5/15
$500
$500
12s TOTALS:
12 Regionals
6/6 & 6/7
Tourney Type:
Tourney Date:
5/15
Entry deadline:
12 Regionals
6/6 & 6/7
5/15
4.
5.
$500
$500
$500
16s:
13 Regionals
6/6 & 6/7
4.
5.
$500
$500
$500
Tourney Type:
Tourney Date:
5/8
$500
$500
14s TOTALS:
13 Regionals
6/6 & 6/7
1.
2.
3.
14 Regionals
5/30 & 5/31
4.
5.
$500
$500
$500
18s:
$500
$500
15s TOTALS:
14 Regionals
5/30 & 5/31
1.
2.
3.
Total Due:
4.
5.
$250
$250
$250
$500
$500
12s TOTALS:
15s:
14s:
13s:
12s:

SCVA Junior Girls Club Volleyball Manual

Transcription

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