2014-15 Indoor Bocce Coaches Resource Guide

Coaches’ Resource Guide
Project UNIFY, the Special Olympics National Youth Engagement and
Activation Project, is supported by funding by the U.S. Department of
Education, Office of Special Education Programs.
BOCCE RESOURCES
Learn more by visiting the links below:
Bocce Coaching Guide
http://digitalguides.specialolympics.org/bocce/
Quick Start Guide http://digitalguides.specialolympics.org/bocce/?#/90
Planning a Training Season http://digitalguides.specialolympics.org/bocce/?#/4
Teaching Bocce Skills http://digitalguides.specialolympics.org/bocce/?#/26
Table of Contents
COMPETITION
Official Rules and Overview of Unified Indoor Bocce ....................... 2-8
2014-2015 Rule Changes .................................................................... 9
Bocce Scoresheet ............................................................................. 10
Uniform Requirements................................................................ 11-13
Player Assessments .................................................................... 14-15
Post-season Registration .................................................................. 16
ADMINISTRATION
Season Timeline .............................................................................. 17
State High School Championship Fact Sheet .................................... 18
Application for Participation ........................................................... 19
Coaches Forms ........................................................................... 20-23
Contact Information – SOMD Staff & District Representatives ......... 24
District Map ..................................................................................... 25
-1-
Official Rules
and
Overview of Unified Indoor Bocce Program
1) Bocce Court Size and Equipment
Court – Special Olympics Unified Bocce follows the official Special Olympics rules for bocce found at
www.specialolympics.org with the exception of a couple of minor modifications. The dimensions of
a Special Olympics regulation bocce court are 60 feet long x 12 feet wide. The foul line is 10 feet out
from each of the two end boards and is designated by a line and/or two cones. For students using
ramps the foul line will be extended to 20 feet from the end board (see dashed red line in image
below). Additionally, a mid-court line is marked 30 feet out from the end boards with paint or tape
and/or two cones.
Bocce Balls – There are two sets of four bocce balls. Usually one set of balls rolled by one team is
green and one set of balls rolled by one team is red. A smaller yellow or white target ball is called
the pallina.
The official ball for the 2014 season is the “Bubba Bocce” (gel-filled) balls.
Specifications – SOURCE: http://bubbabocce.com/specs.php
The United States Bocce Federation (USBF) official weight and size bocce is 920 grams and 107 mm
diameter. The Bubba Bocce (gel-filled) balls are designed to simulate the weight and size of a USBF
regulation weight and size bocce ball for US Open play. Technically, Bubba Bocce (gel-filled) balls are
sized slightly larger than 107mm because it is soft and under normal gripping pressure will deform in
one’s hand to a smaller size. The feel is balanced for players who shoot overhand and underhand
such that either method gives a satisfying feeling of equivalently playing with a "regulation" size and
weight ball. Weights are held to a strict tolerance of less than +/- 2.5% (about 20 grams).
Specific material components:
 Gel Filling— Bubba Bocce ball gel filling is a completely inert, non-toxic high density mixture,
which is safe and easy to clean up with only soap and water. It is safe for all plumbing and septic
and sewer systems and can safely be disposed in any landfill. It is completely harmless to all
animals and humans and no gloves or protection needs to be worn when cleaning it up or off
your hands.
-2-
2) Roster and Lineup Composition
A Unified Bocce roster is composed of a minimum of 4 and a maximum of 8 players. At least 50% of
the roster should be players with intellectual and other types of disabilities and the remaining
members should be students without disabilities. To foster a true inclusive environment, there
must be a minimum of two students with disabilities and two students without disabilities on
every team’s roster.
A team must use a playing lineup of four players for a frame. A frame consists of both teams
delivering all four of their bocce balls. Each player in the lineup must roll one ball during a frame.
Teams may use up to a maximum of eight players in a game, provided all of the players are
delivering at least one bocce ball every other frame. For example, if a team has eight players, four
are assigned to one end and the other four are assigned to the opposite end of the court. If one end
has a group of less than four players, the coach will designate the additional players needed to reach
four.
A team’s lineup for each frame always must consist of two players with disabilities and two
players without disabilities. In addition, each player of like role/type (i.e. athlete, partner) will
have (approximately) equal throwing opportunities.
3) Length of Game
A game is completed when either (a) one team reaches 16 total points or (b) a
designated/predetermined time limit (recommended - 30 minutes) has elapsed. Times may be
adjusted at the discretion of the tournament director. When the time limit is reached, the current
frame is completed and the team with the highest point total at that time is declared the winner. If
both teams are tied, one additional frame is contested to break it.
Dual Matches: In a dual match when only two teams are playing, one format used is a best two out
of three game series with each game concluding when one team reaches 16 points or 30 minutes
have elapsed.
4) Sequence of Play
a) One team has a set of four green bocce balls and one team has a set of four red bocce balls. All
eight of these bocce balls are rolled or tossed in an underhand delivery during a single frame.
Each player stands behind or on the foul line when delivering his or her bocce ball or the pallina.
b) A coin flip at the beginning of the game determines which team rolls or tosses the pallina and
the first bocce ball. The team winning the coin flip also selects the color of the bocce ball they
will use. A player has three attempts to roll or toss the pallina past the mid-court line and
having it stop before the foul line on the opposite end of the court. If he/she is unsuccessful on
all three attempts, a player for the opposing team is given one opportunity. If that player is
unsuccessful, the official will place the pallina in the center on the opposite end foul line. At no
time does a team lose its earned pallina advantage of being able to deliver the first ball. The
player for the team winning the coin toss with the pallina advantage must also deliver the first
bocce ball.
-3-
c) If the initial placement of the pallina is less than 12 inches from the sideboards, the official will
move the pallina away from the sideboards so there is a 12 inch separation. After this initial
placement, the pallina can be moved by a bocce ball anywhere inside the court, including
against the sideboards.
d) After the first player delivers the pallina and first bocce ball, the opposing team then rolls the
next bocce ball.
e) After that second ball is delivered, whatever team has its color ball closest to the pallina steps
aside and allows the other team to roll its bocce balls until it gets one of them closest to the
pallina. When this occurs, then the opposing team rolls its color bocce balls until it gets one
closer to the pallina. This sequence of play continues throughout the frame.
The best way to remember this rule is if your team’s ball is closest to the pallina, you do not roll
another ball until the other team gets a ball closest to the pallina. A good way to officiate is to
say, for example, “Green (ball) is closer, red rolls.”
f)
This sequence continues until both teams have delivered all four of their balls, thus concluding
the frame.
g) Following the official’s determination of the points earned, all players walk to the opposite end
of the court and start the next frame. The one team that is awarded points is presented with
the pallina to begin the next frame.
5) Scoring
After both teams roll all four of their bocce balls, the frame is completed and the court official
awards the points. Only one team can receive points in a frame.
One point is awarded for each bocce ball of the same color which is closer to the pallina (the small
yellow ball) than the closest ball of the opposing team’s color.
In cases where two opposing bocce balls are positioned very close to the pallina, the official will
measure to determine which one is closer and awarded the point. If these two bocce balls are
exactly the same distance from the pallina, then 0 points are awarded for that frame.
EXAMPLE:
RED scores 2 points because there are two red balls closer
than any one GREEN ball.
-4-
6) Legal Throws
a) Players are permitted to roll or toss the bocce ball or pallina in an underhanded delivery,
preferably using one hand. An underhanded delivery is defined as releasing the ball below the
waist. A player can grip the ball by placing his/her hand over or under the ball – see images
below. For those players requiring it, a ramp may be used. NOTE: Releasing the ball below the
waist is a safety precaution to maximize ball control – releasing above the waist will not be
considered a foul.
Under
Inverted grip
Players must have at least one foot on/in the court of play. Additionally, their feet behind or on the foul
line when delivering the ball. If a player uses a ramp, the end of the ramp must be on or behind the foul
line. (Players using ramps have an extended foul line to 20ft.) If the ramp does not touch the floor, the
ramp will not break the plane of the foot fault line.
The penalty for a player (team) committing the foul will be to declare the specific ball being
thrown dead. If possible and safe, the referee will seek to stop the ball just delivered before it
reaches the pallina and the other balls “in contention”, remove the just released/thrown ball
from the court and declare the just released/thrown ball to be a dead ball. If the just released
ball does come in contact with the pallina and/or other balls “in contention” and these balls are
moved from their original position, then the referee will place the balls back as close to their
original position as possible and play will continue.
b) Teams may hit the side boards and end boards with their bocce balls. These are legal rolls.
c)
If the pallina is hit out of the court, the frame is declared dead. All of the bocce balls are brought to the
opposite end of the court and a new frame is started by the players positioned at that end.
d) If the thrown bocce ball exits the court without contacting any other ball on the court, the thrown
bocce ball is ruled dead and is not placed back in the court.
e)
If the thrown ball comes into contact with the pallina and/or other balls and any bocce ball exits the
court, the referee will declare the thrown ball dead and place the balls back as close to their original
position as possible and play will continue.
-5-
7) Additional Details
a) Proper Measurement Procedure: When measuring the distance of the bocce ball from the pallina, the
official should take the end of the measuring tape and place it on the side and in the center of the bocce
ball. He/she should then take the measuring tape over the top of the pallina. The distance calculated is
from the center side of the bocce ball to the top center of the pallina.
b) Ramps: There are many different types of ramps that can be used for bocce. The one rule is that a ramp
must allow for a player to deliver (push, touch, etc.) his/her bocce ball on their own. No device can be
used which propels or pushes or hits the bocce ball. The bocce ball must always be touched by the player.
The foul line for students using ramps will be extended to 20 feet from the end board. The ramp may
not extend beyond the 20 ft. line.
c)
Coaching or instructional assistance may not be provided by a coach or teammate once a player steps into
the court. A player is not allowed to step back out of the court once he or she enters it.
Exception: For those players that require additional assistance and support due to their level of disability
and are unable to deliver a bocce ball without appropriate verbal cues, a coach or teammate may provide
this type of verbal support. In these instances, a coach or teammate cannot direct a player where to
deliver their ball and cannot provide physical assistance with delivery of the bocce ball. This needs to be
done independently by the player. Players that require additional coaching support need to be identified
to the official and the other team’s coach prior to the start of the game.
1) Players with visual disabilities are permitted to have a cone, cylinder (similar to a 1½” PVC pipe, or
track & field relay baton), or teammate stand behind the pallina and provide verbal cues as to the
location of the pallina. A bell or other sound-emitting apparatus may also be used. No coaching is
allowed; just cues such as “I am standing in back of the pallina.”
2) Checking position of points — One player from each team may proceed down the outside of the
court before delivering his/her ball and the player must remain outside of the court while checking
the position of points.
-6-
d) Court Access – Only one player at a time may access the court. Non-players (e.g. coaches,
paraprofessionals) are required to remain within the confines of the "coaching box" – the area from
the 10’ foot fault line to the endline and/or behind the endline (see diagram). Non-players may
transition from one end of the court to the other between frames.
Exception: For those players that require additional assistance and support due to their
level of disability, a coach or teammate (preferred) may assist the player onto the court
and, if necessary, provide assistance with physical balance, but may not direct, instruct, or
assist the throw whatsoever.
e) Sportsmanship – In the spirit of sportsmanship, at the conclusion of each match teams should
come together and shake hands.
-7-
f) Principle of Meaningful Involvement – The most important one of the “7 Criteria for the
Success of a Special Olympics Unified Sports Program” is the principle of meaningful
involvement. Fundamentally, the principle of meaningful involvement ensures that every player
is given an opportunity to contribute to the success of his or her team through their unique skills
and qualities. This means that every teammate: (a) demonstrates sufficient sport-specific skills
and game understanding; (b) plays a valued role on the team that emphasizes his or her
personal talents; and (c) has an opportunity to play without a heightened risk of injury.
All team members must be engaged and provide their own individual abilities and strengths. In
so doing, athletes and partners may have different perspectives. The athletes on the team may
not be accustomed to the experience of having their contributions accepted and respected. In
addition, partners may need to be encouraged to play to their own personal bests while being a
good teammate to others.
Consequently, when Unified Sports teams are created, it is extremely important that both
athletes and partners are assessed as to their abilities and game play. While there could be
noticeable differences in their skills, the coach will be able to observe their overall performance
to determine if they have the requisite skills and understanding to safely participate on this
team. The goal is that every teammate should play a meaningful role and have the opportunity
to contribute his or her strengths to their Unified Sports team. There should be a quality of
social interaction and communication among teammates that allows everyone to participate
fully and enjoy a positive experience.
Indicators of Meaningful Involvement
 Teammates compete without causing undue risk of injury to themselves or others.
 Teammates participate according to the rules of competition.
 Teammates have the ability and opportunity to contribute to the success of the team.
 Teammates adjust their skills according to those of other players, resulting in improved
performance by team members with lesser ability.
Meaningful involvement is not achieved when certain team members …
 Display superior sports skills without involving their teammates.
 Serve predominantly as on-field coaches rather than teammates or mentors.
 Control most aspects of the game, especially during the most critical periods.
 Do not train or practice regularly and only show up on the day of competition.
 Lower their level of ability dramatically so that they do not hurt others or control the entire
game.
Note: It is important that all coaches and program leaders understand the Principle of
Meaningful Involvement prior to the selection of team members.
As you can see, Unified Sports further meets the mission of Special Olympics and embraces the
philosophy and principles of Special Olympics Unified Sports.
“I don’t see many differences. Athletes and partners both want to compete. And everyone wants
to have fun.” – Don Hess, Unified Sports coach
-8-
2014 RULE CHANGES
PAGE 3 – Roster and Lineup Composition
CHANGE –
A Unified Bocce roster is composed of a minimum of 6 4 and a maximum of 8 players.
CHANGE –
Addition: “In addition, each player of like role/type (i.e. athlete, partner) will have
(approximately) equal throwing opportunities.”
Page 3 – Length of Game
CHANGE –
A game is completed when either (a) one team reaches 16 total points or (b) a
designated/predetermined time limit (recommended – 30 minutes) of either 30
minutes or 45 minutes has elapsed. Times may be adjusted at the discretion of the
tournament director.
Page 5 – Legal Throws
CHANGE –
Players must have at least one foot on/in the court of play. Additionally, their feet
behind or on the foul line when delivering the ball. If a player uses a ramp, the end of
the ramp must be on or behind the foul line. (Players using ramps have an extended
foul line to 20ft.) If the ramp does not touch the floor, the ramp will not break the
plane of the foot fault line.
CLARIFICATION
d) If the thrown bocce ball exits the court without contacting any other ball on the
court, the thrown bocce ball is ruled dead and is not placed back in the court.
e) If the thrown ball comes into contact with the pallina and/or other balls and any
bocce ball exits the court, the referee will declare the thrown ball dead and place the
balls back as close to their original position as possible and play will continue.
Page 6 – Additional Details
CHANGE –
Players with visual disabilities are permitted to have the official a cone, cylinder
(similar to a 1½” PVC pipe, or track & field relay baton), or a teammate stand behind
the pallina and provide verbal cues as to the location of the pallina. A bell or other
sound emitting apparatus may also be used. No coaching is allowed; just cues such as
“I am standing in back of the pallina.”
Page 7 – Additional Details
CHANGE –
Court Access – Only one player at a time may access the court. Non-players (e.g.
coaches, paraprofessionals) are required to remain within the confines of the
"coaching box" – the area from the 10’ foot fault line to the endline and/or behind the
endline (see diagram). Non-players may transition from one end of the court to the
other between frames.
Exception: For those players that require additional assistance and support due to
their level of disability, a coach or teammate (preferred) may assist the player onto
the court and, if necessary, provide assistance with physical balance, but may not
direct, instruct, or assist the throw whatsoever.
-9-
- 10 -
Uniform Requirements
Participants are required to be in school uniform for all regular season and tournament play. It is the
responsibility of the match/tournament director and match officials to enforce these regulations and the
decision of the official is the final decision.
All uniform complaints must be registered before the start of the match. Coaches are required to bring
violations to the attention of the tournament director. During the regular season, the ruling will be
made by the host administration. It will be the responsibility of the tournament director to make the
ruling. At the state tournament, the responsibility will lie with the tournament director and Special
Olympics Maryland staff.
The following uniform regulations will be in effect:
UNIFORMS – Unified Sports logo usage
1. All (new – i.e. purchased in 2013 or more recent) Interscholastic Unified Sports must have the
Unified Sports pill/lozenge shaped logo appear on the jersey/shirt of the uniform.
2. The Unified Sports logo can be printed/embroidered in red, black or white.
********* Embroidery SAMPLE *********
3. The logo needs to be in the pill/lozenge shape, not open – see “open” example below.
- 11 -
4. Logo Location and Sizing Options
The Unified Sports pill/lozenge shaped logo can be positioned on the chest, sleeve, or collar of
the jersey/shirt – see below.
UNIFORMS – General Specifications
1. The shirt must be either a polo or t-shirt type in its design. The shirt may not be sleeveless.
2. Shirts must be of a school color, however, a white or black shirt with school identification is
permitted. No “plain white” or shirts “turned inside out” to circumvent the uniform rule will be
allowed.
3. There can be no markings on the shirt other than the school name, player’s name, school
mascot, normal manufacturer’s trim or manufacturer logo (no more than 2¼ square inches). No
team rosters/schedules or quotes/sayings will be allowed on competitive shirts.
4. When standing, apparel must cover the midriff.
5. Bottoms may be shorts, skirts, or athletic pants (e.g. sweat pants), ideally, of a school color,
black, or white. No jeans of any color.
6. Visible undergarments worn under the uniform must be unadorned and of a single solid color. A
school name or insignia is permitted provided it is no larger than 2¼ inches square and no
dimension is larger than 2¼ inches.
FOOTWEAR
1. Proper footwear is required (no boots, slippers, open toe shoes, including flip-flops).
HEADGEAR
1. No hats, rimless headwear, including bandanas are allowed. Religious and medical-related
headwear is permissible.
2. Headbands, wristbands, and armbands must be of a solid color. If a solid color, a piece of
material may be folded, tied, and used as a headband as long as it is not wider than 2” (approx).
- 12 -
PENALTIES
1. Player may not begin play with an illegal uniform. If a legal uniform cannot be obtained, the
player is disqualified in that event (uniform violations do not apply during warm-ups).
2. Once the match has begun and a uniform violation is noted, an automatic penalty will be
assessed to the player. The player must immediately comply with the uniform rule or the player
will be disqualified from the event.
3. Removing the shirt (appearing with a bare upper body) while in the competition area shall lead
disqualification from the event.
Note: Players must be in their uniform or proper school-issued uniform, such as warm-ups, and must
wear proper footwear (no flip-flops or slippers) to accept an award.
- 13 -
Player Assessments
Team will be divisioned with teams of similar ability levels. Playing against comparable teams
leads to more enriching and enjoyable competition experiences.
To achieve this outcome, each Unified Bocce team will provide an assessment score for every
player on its team which is an indicator of his/her skill level.
Following is a step-by-step description of the steps coaches will take to acquire an assessment
score for each player.
POINTS of EMPHASIS:
 The qualifying scores for the District Tournaments MUST be conducted no sooner than
Wednesday, January 7th.
 The player rolls or tosses all eight bocce balls. The coach will only measure the closest
three balls and record their distance in inches.
 If the pallina is displaced from the original spot at 30ft, 40ft or 50ft, it is to be replaced on
the original spot before the next ball is rolled and before any measurements are taken.
 ALL distances MUST be in inches (only) – if the distance is a fraction of an inch, round up to
the nearest inch.
PROCEDURE:
1. Each player will legally roll or toss bocce balls from behind the foul line and attempt to
get his/her ball as close as possible to the pallina.
2. The coach marks on the floor with tape three spots where the pallina will be placed: In the
center of the court 30 feet (Spot # 1), 40 feet (Spot # 2), and 50 feet (Spot # 3) from the
end board.
3. The coach places the pallina on the center of Spot # 1 (30-foot line – mid-court) and the
player rolls or tosses all eight bocce balls. The coach will only measure the closest
three balls and record their distance in inches.
4. The coach then places the pallina on the center of Spot # 2 (40-foot line – opposite ramp
foot fault line) and the player rolls or tosses all eight bocce balls. The coach will only
measure the closest three balls and record their distance in inches.
5. The coach then places the pallina on the center of Spot # 3 (50-foot line – opposite foot
fault line) and the player rolls or tosses all eight bocce balls. The coach will only
measure the closest three balls and record their distance in inches.
6.
Measurements will be taken from the center side of the bocce ball to the center side of
the pallina, for a total of nine measurements. These are to be recorded in the
appropriate columns next to the player’s name on the Unified Bocce Divisioning
Scoresheet.
- 14 -
DIAGRAM:
- 15 -
- 16 -
Season Timeline

Saturday, November 15th
o Start date – Maryland Public Secondary Schools Athletic Association (MPSSAA)
start date – schools may not begin training for winter Unified Sports prior to
this date.

Friday, December 5th
o MPSSAA first (eligible) play date – Winter Sports

Wednesday, January 7th
o Team assessment scores may be administered.

District Tournaments
o District tournaments will be hosted January 26th thru February 5th. (Results due
to SOMD on or before Thursday, February 5th)

State Championship – Wednesday, February 11, 2015
District Tournament gold medalists will advance to the State Invitational. The districts are assigned
as follows:
DISTRICT
1
2
3
4
5
6
7
SCHOOL SYSTEM
Allegany
Garrett
Washington
Frederick
Baltimore City
Montgomery
Prince George's
Charles
- 17 -
Overview:
The landmark Maryland Fitness and Athletics Equity for Students with
Disabilities Law ensures students with disabilities are provided with
equivalent opportunities in interscholastic sports, physical education,
and intramural sports. Unified Sports® provides a means which brings
together students with and without disabilities in a fulfilling inclusion
experience.
Date:
Wednesday, February 11, 2015
(inclement weather date) Thursday, February 12, 2015
Schedule:
10:00 AM
10:30 AM
11:00 AM
4:00 PM
5:00 PM
Locations:
Hagerstown Community College
11400 Robinwood Drive Hagerstown, Maryland 21742
Participants:
Approximately 200 student-athletes and 30 coaches will advance from
one of seven District Tournaments to compete in the State
championship. The participating public school systems are: Allegany,
Baltimore City, Charles, Frederick, Garrett, Montgomery, Prince
George’s, and Washington.
Schools Arrive
Opening Ceremony
Competition
Awards
Departure
Coaches Pre-competition Webinar:
Thursday, Feb 5, 2015 6:00 PM EST
Register at - https://attendee.gotowebinar.com/register/4772183192495235585
Volunteers:
Approximately 100 volunteers are recruited from throughout the
community. To register to volunteer, please visit:
http://www.somd.org/volunteer/volunteer-opportunities/
3701 Commerce Drive, Suite 103 Baltimore, MD 21227
Tel (410) 242-1515 www.somd.org
Maryland
Application for Participation
Each participant and coach must satisfy their respective school system’s requirements (e.g. annual medical). Special Olympics Maryland
requirements are indicated below.
For players/competitors each of the following items must be
completed and provided to Special Olympics Maryland (SOMD):
- Special Olympics Applications for Participation – see right image.
 It is important that the form is completed in its entirety.
 Coaches MUST ensure disabilities are noted properly.
 ALL participants, regardless of age, need a parent/guardian
signature.
- 19 -
ALL forms are to be scanned and emailed,
or hand delivered to your respective
Regional Sports Director or District Representatives.
Coaches Forms
Every coach must have a valid and current Volunteer Application prior to the start of training.
Special Olympics Maryland will complete a criminal background screening for every volunteer
using the information provided on the application; volunteers must successfully pass the
background screening as well in order to participate in Special Olympics. One’s
application/screening must be valid through the date of the state invitational (i.e., it cannot
expire during the season).
To be considered valid, the application:
 must include all three pages (including the third page waivers added in 2012),
 must have all necessary information (including diagnosis) and
 must have all required signatures (including).
Applications/screenings that are complete are valid for three years from the date of the
screening.
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Volunteer Application and Unified Sports® Partner Release
Date Form Completed: __________________________________
In accordance with the Special Olympics Volunteer Screening Policy and with the interest of the
health and safety of all participants in mind, we ask your cooperation by fully completing the requested information.
ALL information is required and confidential.
Please Print All Information Legibly
Complete LAST Name
Complete FIRST Name
NO nick name or shortened name
Complete MIDDLE Name
NO Middle Initial
Gender
Female
**
____________/________/____________
Social Security Number for Applicants 18 & Older
Date of Birth: ______/_____/_____
Month Day Year
Male
**A social security number is required to perform a background check. Criminal background checks are required of all adult Special Olympics
Maryland athletes, volunteers and employees. Applications without this information will be returned.
Home Street Address
City
State
Email address
Zip Code
Primary Phone: Please check box -
Employer/School: _______________________________________________
Home
Cell
Occupation/Position: _________________________________________
Employer/School Address: _____________________________________________________________________________________________________
City: ___________________________________
State: __________
Zip Code: __________________
Emergency Contact and Health Insurance Information
Emergency Contact Name: ____________________________________________________________________________
Relationship to you ______________________________Primary Phone Number: ________________________________
Health Insurance Company: __________________________________________________________________________
Policy Number: _____________________________________________________________________________________
Adult volunteers/partners, please list (1) adult, non-family reference: please print all information
Individuals 17 years old or younger must complete the separate Student/Minor Reference Form
Reference: Complete Name: _______________________________________________________________________
Home Address: __________________________________________________________________________________
City: ___________________________________________
State: ______________
Zip: ___________
Primary Phone Number: (____) _____________________________
For Licensed Medical Professionals Only. Please check all that apply:
Medical License (circle)
PA
RN
EMT
MD
Other:________________
Created by the Joseph P. Kennedy, Jr. Foundation.
Authorized and Accredited by Special Olympics, Inc. for the Benefit of Persons with Intellectual Disabilities
PAGE 1 OF 3
REV 9/ 2012
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Please read each statement before signing: I do hereby understand and confirm that:
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I have completed the General Orientation/Protective Behaviors session for volunteers and have been educated on the Special Olympics
Maryland Volunteer Code of Conduct and SOMD’s general procedures for protecting athletes from abuse. I agree to abide by these
guidelines for the benefit and safety of all participants in the Special Olympics Program;
I give my permission to Special Olympics Maryland to verify the information I have given and to conduct a criminal background screening
and/or driving record screening;
I authorize others to make available to any duly authorized representative of Special Olympics Maryland any information relevant to my
volunteer application or status, and I waive any right I may have with regard to the release of this information to Special Olympics
Maryland;
I agree to indemnify and hold harmless Special Olympics Maryland and any person to whom this request is presented and their agents
and employees, from and against all claims, damages, losses and expenses, including reasonable attorneys’ fees arising out of this
request;
in the course of volunteering for Special Olympics Maryland, I may be dealing with confidential information, and I agree to keep that
information in the strictest confidence;
the relationship between Special Olympics Maryland and volunteers is an “at will” arrangement, and it may be terminated at any time
without cause by either the volunteer or Special Olympics Maryland;
I grant Special Olympics Maryland permission to use my likeness, voice and words in television, radio, film or in any form to promote
activities of Special Olympics Maryland;
I am responsible for informing Special Olympics Maryland of ALL changes regarding information contained in this application, and that I
may be asked to provide updated information at any time.
In consideration of participating in Special Olympics Maryland Unified Sports, I represent that I understand the nature of the event and
that I (and/or my minor child) am (are/is) qualified, in good health and in proper physical condition to participate in Unified Sports events. I
fully understand the event may involve risks of serious bodily injury which may be caused by my own actions or inactions, by the actions
of others participating in the event, or by conditions in which the event takes place. I fully accept and assume all such risks and all
responsibility for losses, costs, and/or damages I (and/or my minor child) may incur as a result of my (and/or my minor child’s)
participation. I acknowledge that at any time that if I (we) feel that the event conditions are unsafe; I (and/or my minor child) will
discontinue participation immediately.
If during participation in Special Olympics activities I should need emergency medical treatment and I (and/or my minor child) am (are/is)
not able to give consent for or make my own arrangements for that treatment because of my injuries, I authorize Special Olympics
Maryland to take whatever measures are necessary to protect my health and well-being including, if necessary, hospitalization.
I (and/or my minor child) release, indemnify, covenant to sue and hold harmless Special Olympics Maryland, its administrators, directors,
agents, officers, volunteers, employees and other Unified Sports participants and sponsors, advertisers, and if applicable, any owners and
lessors of premises on which the activity takes place from all liability, any losses, claims (other than that of the medical accident benefit)
demands, costs, or damages that I (or my minor child) may incur as a result of participation in Unified Sports events and further agree that
if, despite this “Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement” I or anyone on my behalf, makes a claim
against any of the Releasees, I will indemnify, save and hold harmless each of the Releasees from any litigation expenses, attorney fees,
loss, liability, damage or cost which may incur as a result of such claim.
Please answer the following questions:
SIGN
1. Do you use illegal drugs?
2. Have you ever been convicted of, or granted probation before judgment for:
a) a criminal offense; or b) driving while impaired, intoxicated, or under the
influence of alcohol or drugs?
3. Have you ever been charged (as an adult or juvenile) with neglect, abuse or assault?
4. Has your driver’s license ever been suspended or revoked in any state or other jurisdiction?
5. Within the past five (5) years, have you been at fault for two (2) or more
traffic accidents, or had your automobile insurance cancelled for safety reasons?
YES
NO
YES
YES
YES
NO
NO
NO
YES
NO
I affirm that I have read and understand this Volunteer Application and that the information given is true and complete. I have read the “Release and
Waiver of Liability, Assumption of Risk, and Indemnity Agreement” and fully understand and agree to it. I also understand that in the event false
information is provided, I may be terminated from my volunteer position.
Applicant Signature: __________________________________________________________________
Date: ___________________________
SIGN
IF APPLICANT IS A SPECIAL OLYMPICS MARYLAND ATHLETE:
I hereby certify that I have reviewed this information with the applicant whose signature appears above. I am satisfied based on that review that the
applicant understands this release and has agreed to the provisions included.
Name (PLEASE PRINT) ___________________________________________ Relationship to Applicant_________________________________
SIGN
IF APPLICANT IS A MINOR:
Parent/Guardian Name: ________________________________________________________
Relationship to Applicant:
Signature of Parent/Guardian: ______________________________________________________________________
_________________________________________________________________
Signature of Special Olympics Maryland Staff or Authorized Representative
PAGE 2 of 3
REV 9/ 2012
- 22 -
Parent
Guardian
Other_________________
Primary Phone #: ___________________________
Date: ___________________
Photo ID Provided:
Yes
NO
HOUSING & CONCUSSION WAIVER / APPLICATIO N SIDE THREE OF THREE
NAME ___________________________________________________
COUNTY__________________________________________________
DATE OF BIRTH________/_________/________
□ FEMALE
or
□ ATHLETE
□ MALE
or
□ NEW PARTICIPANT
□ VOLUNTEER
or
□ CURRENT
SIGN
SPECI AL OLYMPICS M ARYL AND HOUSING POLICY
The health and safety of all Special Olympics Maryland participants is of paramount importance to Special Olympics Maryland. Participants should feel that every
Special Olympics Maryland event is a safe and positive experience and should not be fearful of other participants, coaches or volunteers. Athletes will be matched
for housing based on size, level of maturity, ability and age. Each member of the delegation shall be assigned his/her own bed. Athletes and volunteers may not
share a room with an athlete or volunteer of the opposite sex *. The chaperone/athlete ratio of at least one properly registered chaperone to every four athletes
must be maintained during overnight events. All chaperones must be screened in accordance with the Special Olympics Volunteer Screening Policy.
*See complete Special Olympics Maryland Housing Policy for allowed exceptions. The complete Special Olympics Maryland Housing Policy can be found at
www.somd.org
By signing below I acknowledge that I have read and accept the Special Olympics Maryland Housing Policy and will abide by the terms of the policy.
Signature of ADULT participant _____________________________________________________________________________________
Date _________/__________/_________
SIGN
IF APPLICANT IS A SPECIAL OLYMPICS MARYLAND ATHLETE:
I hereby certify that I have reviewed this information with the applicant whose signature appears above. I am satisfied based on that review that the applicant understands this release
and has agreed to the provisions included.
Name (PLEASE PRINT) ______________________________________________ Relationship to Applicant_________________________________
SIGN
IF PARTICIPANT IS A MINOR:
Signature of Parent/Guardian __________________________________________________________________________________
Date _________/_________/______
Name (print) ________________________________________________________________________________________
SIGN
INF O RM AT IO N O N C O NC U S SIO N S
A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with
the force transmitted to the head. They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild,
all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed
properly. In other words, even a “ding” or a bump on the head can be serious. You can’t see a concussion and most sports concussions occur without loss of
consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If you/your athlete report any
symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away. Participants with the signs and
symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the participant
especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs,
particularly if the participant suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe
brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that athletes will often under report symptoms of injuries,
and concussions are no different. As a result, education of administrators, coaches, parents and athletes is the key for athlete safety. Any participant even
suspected of suffering a concussion should be removed from the game or practice immediately. No participant may return to activity after an apparent head injury
or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the participant should continue for
several hours. Special Olympics Maryland, Inc. requires the consistent and uniform implementation of well-established return to play concussion guidelines that
have been recommended for several years including an participant who is suspected of sustaining a concussion or head injury in a practice or game shall be
removed from competition at that time and may not return to play until the participant is evaluated by a licensed heath care provider trained in the evaluation and
management of concussion and has received written clearance to return to play from that health care provider. For current and up-to-date information on
concussions you can go to: http://www.cdc.gov/Concussion
Signature of ADULT participant _____________________________________________________________________________________
Date _________/__________/_________
SIGN
IF APPLICANT IS A SPECIAL OLYMPICS MARYLAND ATHLETE:
I hereby certify that I have reviewed this information with the applicant whose signature appears above. I am satisfied based on that review that the applicant understands this release
and has agreed to the provisions included.
Name (PLEASE PRINT) ______________________________________________ Relationship to Applicant_________________________________
IF PARTICIPANT IS A MINOR:
SIGN
Signature of Parent/Guardian __________________________________________________________________________________
Date _________/_________/______
Name (print) ________________________________________________________________________________________
SOMD STAFF INITIALS: _________
SOMD STAFF USE ONLY: STATE_______ COUNTY_______
PAGE 3 OF 3
Rev 9/2012
- 23 -
Contact Information
Special Olympics Maryland Staff
Nick Anderson
Regional Sports Director -
Email:
Mobile:
Office:
Melissa Anger
Regional Sports Director -
ANNE ARUNDEL, CALVERT, CAROLINE, CECIL, CHARLES,
DORCHESTER, KENT, QUEEN ANNE’S, SOMERSET, WICOMICO, and
WORCESTER
[email protected]
443-472-2443
410-242-1515 ext 143; 1-800-541-7544 (in MD)
Email:
Mobile:
Office:
ALLEGANY, CARROLL, FREDERICK, GARRETT, MONTGOMERY, and
PRINCE GEORGE’S
[email protected]
410-979-5112
410-242-1515 ext 122; 1-800-541-7544 (in MD)
Sam Hodapp
Regional Sports Director Email:
Mobile:
Office:
BALTIMORE CITY, BALTIMORE COUNTY
[email protected]
703-994-3227
410-242-1515 ext 125; 1-800-541-7544 (in MD)
Melissa Kelly
Senior Sports Director for School Programs
[email protected]
Unified Sports District Representatives

ANNE ARUNDEL
Brian Layman
[email protected]

BALTIMORE CITY
LaDonna Schemm
[email protected]

CECIL
Sue Snyder
[email protected]

CHARLES
Michelle Ignaszewski
[email protected]

FREDERICK
Michelle Hill
[email protected]

PRINCE GEORGE’S
MacKenzie Pettrey
[email protected]

WASHINGTON
Marcia Nissel
[email protected]
- 24 -
District Map – Indoor Bocce
- 25 District
School System
1
1
2
3
4
5
6
7
Allegany
Garrett
Washington
Frederick
Baltimore City
Montgomery
Prince George’s
Charles
P
a
r that Matter campaign will take place in Middle Schools and High
The Minutes
e
Schools across the state.
n
What is the Minutes
t that Matter campaign?
L was launched to provide students, teachers, coaches, administrators, and parents a
Minutes that Matter
e to support the mission of Special Olympics Maryland by giving just minutes. The
wonderful opportunity
participating schooltcommunity will work together to promote acceptance and inclusion for all people, and to
also raise funds in support of year-round sports training and competition opportunities for people of all ages
t
with intellectual disabilities.
e
A central focus of the campaign will be a one minute classroom fundraiser called the Unified Minute. This 60
r
second spare change drive, with a suspenseful countdown and competitive flair will be student-led and a great
deal of fun! Although the Minutes that Matter campaign is flexible enough to make it fit for any school, there are
six steps we will encourage schools to take:
Step One: Make a fundraising plan: Schools will decide on a date and format for their 60 second Unified
Minute, encourage online fundraising, and choose other creative fundraising strategies! Determine
exciting incentives for fundraising.
Step Two: Spread the word: Schools will promote the campaign with teachers, students, and parents
Step Three: Online fundraising: Schools will encourage students to set up individual fundraising pages
and record personal “Minutes that Matter” messages to share with friends and family
Step Four: Educate and raise awareness about Special Olympics and inclusion: Schools can take
advantage of many age-appropriate lesson plans, activities, tools and curriculum that are available, which
will teach students to celebrate the inclusive mission of Special Olympics Maryland
Step Five: Hold a great event or events: We have provided some tips and proven fundraising
strategies, but schools can also get creative and encourage students to come up with their own ideas
Step Six: Wrap up and reward: Collect and turn in funds, thank and reward participants (By December 1,
2014)
To register or for more information visit: http://www.minutesthatmatter.org/event/Maryland
For Questions Contact Michele Maas, Minutes that Matter Coordinator,
Special Olympics Maryland, at [email protected] or 410-242-1515 ext. 103
JOIN THE PLUNGE TRADITION
6th Annual Cool School Challenge
January 30th, 2015
Students from all around Maryland will come together at Sandy Point
State Park to be a part of the biggest pep rally to support athletes
with intellectual disabilities.
Event Information
Date: Friday, January 30th, 2015
Event Hours: 10:00am-1:00pm
Plunge Time: Noon
Location:
Sandy Point State Park, Annapolis
Prizes:
Top Fundraising Plunger
Top Fundraising Team
Individual Fundraising Incentives
3701 Commerce Dr, Ste. 103
Attn: Cool Schools 2015
Baltimore, MD 21227
Phone: (410) 242-1515
Fax: (410) 242-2580
[email protected]
With just $50 in pledges, all participants receive a
commemorative 6th Annual Cool School Challenge shirt, a
complimentary lunch and the great feeling of freezing your
“fur” off for a truly worthy cause. Plus, the more money
Plungers raise, the more cool stuff they can get.
The school team that fundraises together travels together!
Special Olympics Maryland is going the mile to cover the cost of
any school team traveling together on a bus from their school.
For more information visit:
www.coolschoolsmd.com
For questions please contact Michele Maas
at 410-242-1515 ext.103 or [email protected]