Coach Instructional Hours For SCTP

Name:School:

School County:

DATE DESCRIPTION (Competition or Practice) HOURS INITIALSInitial each date that SCTP was taught.

Every coach planning or teaching SCTPmust fill out time sheet for accurate reporting.

Total # of StudentsTotal Hours

Signature__________________________________________________________________Date_______________________________________________________________________

Please send to:Jen Pittmanjennifer.pittman@dnr.state.ga.us770.388.0045 Work Phone706.557.3042 FAX

SSSF Form #HC 1 Rev. 09/12

Head Coach’s Last Name: ________________________________ State Abbreviation

Yes, I acknowledge that I am a Volunteer Head Coach of the Scholastic Clay Target Program (SCTP), a program of the Scholastic Shooting Sports Foundation (SSSF) through which gun clubs, shooting facilities and other organizations committed to the development of young adults can provide these individuals with opportunities to participate in an organized, adult supervised YOUTH DEVELOPMENT PROGRAM utilizing the clay target sports.

Yes, I acknowledge that I have received a copy of the General Guidelines for SCTP Head Coaches, read and understand these Guidelines and agree to act within the Guidelines and in the best interests of the SCTP. Furthermore, I understand that my participation in the SCTP as a volunteer does not create any employment, independent contractor, partnership, agency or any other relationship between myself and the SSSF.

Head Coach for Discipline(s): Trap Skeet Sporting Clays Olympic Trap Int’l Skeet

(Please PRINT)

Team Name _____ ____________________

First Name Last Name

Home Address (no PO Boxes)

City State Zip

Cell Phone (_______) Home Phone (_______)

Work Phone (_______) *E-mail address

Fill in date started with SCTP (mm/yyyy):________/___________ Shirt Size (Small thru 3XL): __________________

Coach Certification:

USAS/NRA/CMP Coach Certification Issue Date:____________

NSSA/NSCA Instructor Certification Level ______ (1,2 or 3) Issue Date:____________

4-H Shooting Sports Shotgun Certification Issue Date:____________

NRA Shotgun Instructor Certification Issue Date:____________

State Agency Coaches Course Issue Date: ____________

NSSA Associate Instructor Certification Issue Date: ____________

None - I understand that I will have to take the Double-Goal Coach Training course and will have a one-year exemption to obtain

an approved shotgun coaches course or other coaching course approved by the SSSF/SCTP National Office.

No Coach will be considered a SCTP Member until their completed registration form is entered on-line (www.shootSCTP.org) and a copy on file at SCTP National Headquarters.

*Email will be our primary form of contact. The Head Coach’s email address specified here will be our primary contact location.

________________________________________ _____________________________ Signature of Head Coach Date Signed

Head Coach Fee: $25 – Accepted forms of payment are: Check (payable to SSSF) or Credit Card This Acknowledgement Form must be signed and returned to: S.S.S.F. / SCTP Headquarters 51863 Schoenherr Rd. #202, Shelby Township, MI 48315

Scholastic Clay Target ProgramSM

HEAD COACH 2012-13 REGISTRATION FORM

SSSF Form #HC 2 Rev. 09/12

The Scholastic Clay Target Program (SCTP®) is a program of the Scholastic Shooting Sports Foundation

(SSSF) through which gun

clubs, shooting facilities and other organizations committed to the development of young adults can provide these individuals with opportunities to participate in organized, adult supervised trap, skeet and sporting clay activities including the international games of Olympic Trap and I.S.S.F. Skeet. The SSSF in cooperation with the National Shooting Sports Foundation (NSSF), the Amateur Trapshooting Association (ATA), the National Skeet Shooting Association (NSSA), the National Sporting Clays Association (NSCA) and USA Shooting (USAS), has exposed thousands of individuals in grades 12 and under to the positive experience of the shooting sports.

The SCTP is more than just another shooting program. The SCTP is designed to instill in young people a set of personal values and character traits that teaches fair play, compassionate understanding, individual responsibility, sportsmanship, self-discipline, and personal commitment - qualities necessary to become successful and contributing members of society. Competition is a part of the SCTP, but it is not the program’s underlying principle. The “win-at-all-costs” philosophy has no place in the SCTP. Striving to win while playing by the rules does. It is the DUTY of everyone involved in the SCTP (coaches, parents and participants) to be role models for SCTP team members to emulate by upholding high moral and ethical standards of personal conduct. SCTP activities are designed to incorporate two indispensable elements - SAFETY AND FUN. SAFETY is incorporated into ALL facets of SCTP activities. Team practices and competitive shoots include the element of FUN for all participants. SCTP participants learn the safe and responsible handling and use of firearms. They discover the joy of contributing to a shared team goal and the commitment that goes along with it. During this self-discovery process team members develop proficiency in a sport that can be shared and enjoyed with family and friends for a lifetime.

General Guidelines: Head Coach

The Head Coach is the linchpin of the SCTP and plays a pivotal role in the personal development of his or her athletes by promoting the principles of the SCTP. Head Coaches perform a variety of functions to support SCTP activities for which the SSSF is indeed very grateful.

The following guidelines identify what is expected from all SCTP Head Coaches.

Head Coaches MUST:

1) Be 21 years of age or older. 2) Work cooperatively with youth, families, SCTP National Staff, range operators, event organizers, and others in a mature,

courteous and respectful manner.

3) BE a positive role model by exhibiting good sportsmanship, promoting fair play, showing compassion, and demonstrating a personal commitment to the SCTP’s mission of youth development.

4) Know their state firearms laws and what the legal requirements are for participation.

5) Agree to a secure yearly background check to protect and promote the integrity of the SCTP.

6) Know the rules for handling and using firearms safely and can demonstrate them. It goes without saying that this is absolutely necessary and is demanded at every session where firearms are used or are present.

7) Know, respect and adhere to the SCTP Rules (published in the SSSF’s SCTP Official Handbook) and ensure that all participants know and follow the rules of the SCTP.

8) Promote a safe, friendly, and FUN-filled positive learning environment conducive to the development of ALL athletes registered in the program.

9) Agree that teams will not be allowed to participate in SCTP activities without their coach or other qualified and responsible parent on-site.

Scholastic Clay Target ProgramSM

Head Coach Guidelines

SSSF Form #HC 3 Rev. 09/12

10) Conduct practices on a regular basis.

11) Know the established emergency plans of the club or facility.

12) Agree that the following behavior should not be tolerated by ANY individuals (including but not limited to athletes, parents, coaches, officials, and adult volunteers) associated with the SSSF’s SCTP. Violation of this policy can constitute grounds for disciplinary action, including dismissal, as a volunteer coach from the SCTP program:

► Offensive language or obscenities. ► Verbal or physical actions or neglect that might bring emotional, psychological or physical harm or humiliate any

individual (this includes failing to provide adequate safety measures and care or supervision). ► Sexual harassment, sexual exploitation, or other actions of a sexual nature. ► Discrimination due to race, color, national origin, religion, sex, age, disability or sexual orientation. ► Consuming or condoning the use of alcohol or illegal drugs before or during SCTP events or being in

possession of or under the influence of alcohol or illegal drugs. ► Other behavior deemed inappropriate by the SCTP National Office or violates state or federal laws .

13) Take and complete the DOUBLE-GOAL COACH COURSE, which is included in your registration fee.

All coaches and adults registered with the SCTP serve strictly as a volunteer and that service is solely at the discretion and pleasure of the SSSF. Volunteers agree that SCTP National Headquarters may, at any time and for whatever reason, terminate a volunteer's service. In the same manner, a volunteer may decide him or herself to terminate his or her service at any time for whatever reason.

► Participation as a coach or adult volunteer in the SCTP shall not create or be misrepresented as creating any employment be employment, independent contractor, partnership, agency or any other relationship between the Coach and the SSSF or any of its affiliated companies.

► Other behavior that is deemed inappropriate by the SCTP National Office or violates state or federal laws. A Coach’s involvement in the SCTP shall be strictly as a volunteer whose service is solely at the discretion of the SSSF / SCTP National Headquarters. Volunteers agree that SCTP National Headquarters may at any time, for whatever reason, terminate a volunteer's service. In the same manner, a volunteer may decide him or herself to terminate his or her service at any time for whatever reason. A Coach’s participation in the SCTP shall not create or be misrepresented as creating any employment, independent contractor, partnership, agency or any other relationship between the Coach and the SSSF or any of its affiliated companies. A Coach may not solicit contributions or other assistance from third parties using SSSF’s name. A Coach may, however, engage in solicitation activities in the Coach’s own name or, with approval, the name of the Coach’s gun club, shooting facility or other organization in order to support the team’s SCTP activities. Volunteers who fail to act in the best interests of the SCTP or who are found in violation of SCTP rules and policies, including these General Guidelines, shall be subject to disciplinary action, up to and including dismissal from the SCTP program. Incidents of suspected or observed violations of these General Guidelines or other SCTP rules and policies by volunteers should first be reported in writing to the State Advisor. The Advisor will investigate the alleged offense and take corrective action if deemed necessary. A report of action taken will be communicated to the SSSF. Any suspected or observed abuse of SCTP youth participants or other illegal conduct by volunteers should be reported immediately to local law enforcement and to the State Advisor. In the event the State Advisor is unable to correct a problem, he or she will submit a copy of the written report and a written request for assistance to the SSSF. The SSSF will treat all written complaints of alleged or actual misconduct by volunteers seriously and will investigate such complaints promptly. False or malicious claims against volunteers WILL NOT be tolerated. Volunteers who are subject to disciplinary action will have the opportunity to appeal any disciplinary action taken against them by contacting the SSSF National Office in writing. All decisions of the SSSF following its review are final. These General Guidelines for SCTP Head Coaches are subject to change. Changes may be implemented even if they have not been communicated and may supersede, modify or eliminate existing guidelines.

SSSF Form # AC/AV Page 1 of 3 Rev. 09/12

Head Coach’s Last Name:____________________________

State Abbreviation

Use this form to register Assistant Coaches & Adult Volunteers working directly with SCTP Athletes.

Check One: Assistant Coach Adult Volunteer

Yes, I acknowledge that I am a Volunteer of the Scholastic Clay Target Program (SCTP), a program of the Scholastic Shooting Sports Foundation (SSSF) through which gun clubs, shooting facilities and other organizations committed to the development of young adults can provide these individuals with opportunities to participate in an organized, adult supervised YOUTH DEVELOPMENT PROGRAM utilizing the clay target sports.

Yes, I acknowledge that I have received a copy of the SCTP Assistant Coaches and Adult Volunteer Guidelines. I have read and understand these Guidelines and agree to act in accordance with them and in the best interests of the SCTP. Furthermore, I understand that my participation in the SCTP as a volunteer does not create any employment, independent contractor, partnership, agency or any other relationship between myself and the SSSF.

Volunteer for Discipline(s): Trap Skeet Sporting Clays Olympic Trap Int’l Skeet

Team Name _____ ______ ____________________ (Please Print)

First Name Last Name _________

Home Address (no PO Boxes) _________

City ___________ State __ Zip

Home Phone (_______) _____ Cell Phone (_______) _________

Work Phone (_______) _____ *E-mail address _________

Fill-in date started with SCTP (mm/yyyy):_______________________ Shirt Size (Small thru 3XL): __________________

Coach Certification:

USAS/NRA/CMP Coach Certification Issue Date:____________

NSSA/NSCA Instructor Certification Level ______ (1, 2 or 3) Issue Date:____________

4-H Shooting Sports Shotgun Certification Issue Date:____________

NRA Shotgun Instructor Certification Issue Date:____________

State Agency Coaches Course Certification Issue Date:____________

NSSA Associate Coach Certification Issue Date:____________

None – As Assistant Coach, I understand that I will have to take the Double-Goal Coach Training course and will have a one-year exemption to obtain an approved shotgun coaches course or other coaching course approved by the SSSF/SCTP National Office.

No Coach/Adult Volunteer will be considered a SCTP Member until their completed registration form is entered on-line (www.shootSCTP.org) and a copy on file at SCTP National Headquarters.

*Email will be our primary form of contact and the Coach’s/Volunteer’s email address will be our primary point of contact. If any of your contact information changes, please notify the SCTP National Office with the update(s) as soon as possible.

______________________________ Signature of Assistant Coach or Adult Volunteer Date Signed

Assistant Coach & Adult Volunteer Fee: $25 – Accepted forms of payment are: Check (payable to SSSF) or Credit Card This Acknowledgement Form must be signed and returned to: S.S.S.F./SCTP Headquarters, 135 Chesterfield Lane, Suite 102, Maumee, OH 43537

Scholastic Clay Target ProgramSM

Assistant Coach and Adult Volunteer 2012-13 Registration Form

SSSF Form #AC/AV Page 2 of 3 Rev. 09/12

The Scholastic Clay Target Program (SCTP®) is a program of the Scholastic Shooting Sports Foundation

(SSSF) through which gun

clubs, shooting facilities and other organizations committed to the development of young adults can provide these individuals with opportunities to participate in organized, adult supervised trap, skeet and sporting clay activities including the international games of Olympic Trap and I.S.S.F. Skeet. The SSSF in cooperation with the National Shooting Sports Foundation (NSSF), the Amateur Trapshooting Association (ATA), the National Skeet Shooting Association (NSSA), the National Sporting Clays Association (NSCA) and USA Shooting (USAS), has exposed thousands of individuals in grades 12 and under to the positive experience of the shooting sports.

The SCTP is more than just another shooting program. The SCTP is designed to instill in young people a set of personal values and character traits that teaches fair play, compassionate understanding, individual responsibility, sportsmanship, self-discipline, and personal commitment - qualities necessary to become successful and contributing members of society. Competition is a part of the SCTP, but it is not the program’s underlying principle. The “win-at-all-costs” philosophy has no place in the SCTP. Striving to win while playing by the rules does. It is the DUTY of everyone involved in the SCTP- coaches, parents and participants- to be role models for SCTP team members to emulate by upholding high moral and ethical standards of personal conduct. SCTP activities are designed to incorporate two indispensable elements - SAFETY AND FUN. SAFETY is incorporated into ALL facets of SCTP activities. Team practices and competitive shoots include the element of FUN for all participants. SCTP participants learn the safe and responsible handling and use of firearms. They discover the joy of contributing to a shared team goal and the commitment that goes along with it. During this self-discovery process team members develop proficiency in a sport that can be shared and enjoyed with family and friends for a lifetime.

General Guidelines: Assistant Coach and Adult Volunteer

Assistant Coaches and Adult Volunteers working directly with young athletes play a critical role in SCTP program within their respective states by promoting the principles of the SCTP while acting in the program’s best interest. SCTP Assistant Coaches and Adult Volunteers perform a variety of functions to support SCTP activities for which the SSSF is indeed grateful. The following guidelines identify what is expected from all SCTP Assistant Coaches and Adult Volunteers. Assistant Coaches and Adult Volunteers MUST: 1) Be 18 years of age or older.

2) Work cooperatively with youth, families, SCTP National Staff, range operators, event organizers, and others in a mature, cour-

teous and respectful manner. 3) BE a positive role model by exhibiting good sportsmanship, promoting fair play, showing compassion, and demonstrating a

personal commitment to the SCTP’s mission of youth development. 4) Know their state firearms laws and what the legal requirements are for participation.

5) Agree to a secure yearly background check. 6) Agree that everyone, including the parents of participants, knows the rules for handling and using firearms safely and that they

can demonstrate them. It goes without saying that this is absolutely necessary and is demanded at every session where firearms are used or are present.

7) Know, respect and adhere to the SCTP Rules (published in the SSSF’s SCTP Official Handbook) and ensure that all participants

know and follow the rules of the SCTP. 8) Agree to a safe, friendly and FUN-filled positive learning environment conducive to the development of ALL athletes registered in

the program. 9) Accept the responsibility for supervising and controlling their respective team participants at all SCTP events at all times. Teams

will not be allowed to participate in SCTP activities without their coach or other qualified and responsible parent on-site.

Scholastic Clay Target ProgramSM

Assistant Coach and Adult Volunteer

SSSF Form #AC/AV Page 3 of 3 Rev. 09/12

10) Provide CLOSE SUPERVISION and personal attention at all times when participants are handling firearms or are in an area where firearms are being stored or used.

11) Conduct practices on a regular basis.

12) Know the established emergency plans of the club or facility.

13) Agree that the following behavior should not be tolerated by ANY individuals (including, but not limited to, athletes, parents, coaches, officials, and adult volunteers) associated with the SSSF’s SCTP. Violation of this policy can constitute grounds for disciplinary action, including dismissal, as a volunteer from the SCTP program:

► Offensive language or obscenities.

► Verbal or physical actions or neglect that might bring emotional, psychological or physical harm or humiliate any individual (this includes failing to provide adequate safety measures and care or supervision).

► Sexual harassment, sexual exploitation, or other actions of a sexual nature.

► Discrimination due to race, color, national origin, religion, sex, age, disability or sexual orientation.

► Consuming or condoning the use of alcohol or illegal drugs before or during SCTP events or being in possession of or under the influence of alcohol or illegal drugs.

► Other behavior deemed inappropriate by the SCTP National Office or violates state or federal laws.

14) Take and complete the DOUBLE-GOAL COACH COURSE, which is included in your registration fee.

All coaches and adults registered with the SCTP serve strictly as a volunteer and that service is solely at the discretion and pleasure of the SSSF. Volunteers agree that SCTP National Headquarters may at any time, for whatever reason, terminate a volunteer's service. In the same manner, a volunteer may decide him or herself to terminate his or her service at any time for whatever reason.

► Participation as a coach or adult volunteer in the SCTP shall not create or be misrepresented as creating any employment, independent contractor, partnership, agency or any other relationship between the Coach and the SSSF or any of its affiliated companies.

► Other behavior that is deemed inappropriate by the SCTP National Office or violates state or federal laws.

A Coach may not solicit contributions or other assistance from third parties using SSSF’s name. A Coach may, however, engage in solicitation activities in the Coach’s own name or, with their approval, the name of the Coach’s gun club, shooting facility or other organization in order to support the team’s SCTP activities. Volunteers who fail to act in the best interests of the SCTP or who are found in violation of SCTP rules and policies, including these General Guidelines, shall be subject to disciplinary action, up to and including dismissal from the SCTP program. Incidents of suspected or observed violations of these General Guidelines or other SCTP rules and policies by volunteers should be reported in writing to the State Advisor. The Advisor will investigate the alleged offense and take corrective action if deemed necessary. A report of action taken will be communicated to the SSSF. Any suspected or observed abuse of SCTP youth participants or other illegal conduct by volunteers should be reported immediately to local law enforcement and to the State Advisor. In the event that State Advisor is unable to correct a problem, he or she will submit a copy of the written report and a written request for assistance to the SSSF. The SSSF will treat all written complaints of alleged or actual misconduct by volunteers seriously and will investigate such complaints promptly. False or malicious claims against volunteers WILL NOT be tolerated. Volunteers who are subject to disciplinary action will have the opportunity to appeal any disciplinary action taken against them by contacting the SSSF National Office in writing. All decisions of the SSSF following its review are final. These General Guidelines for SCTP Assistant Coaches and Adult Volunteers are subject to change. Changes may be implemented even if they have not been communicated and may supersede, modify or eliminate existing guidelines.

Form #SC Rev. 09/12

The Scholastic Clay Target Program (SCTP) places a strong emphasis on sportsmanship and safety. As part of this effort, parents/guardians are asked to read and discuss the elements of this Sportsmanship Contract with their child athlete. This is a contract between the Scholastic Shooting Sports Foundation and the parent/guardian and his/her child. The signatures on this form signify agreement to comply with the provisions of this contract.

IMPORTANT! A parent or guardian and his/her child (athlete) must sign and return THIS FORM along with a

signed PARENTAL CONSENT FORM to the team’s Head Coach.

Parents:

I understand the Scholastic Clay Target Program’s first and foremost priority is safety. I will enforce the SCTP’s

safety standards with my child at all times. I will encourage my child and other team members to have fun. I will

behave as a positive role model, respect the goals of the SCTP, and reinforce the character values of good

sportsmanship, teamwork, and self-discipline. I agree to stay off the shooting field. Any problems or criticisms

will be presented in a positive way to the coaches or a designated assistant. I will refrain from criticizing other

shooters, coaches, using abusive language, or consuming alcohol or drugs before or during all SCTP activities that I

attend. I understand that unsportsmanlike behavior on my part may result in me being asked to leave the area.

Such actions on my part could also result in my child being disqualified or even removed from the SCTP.

By signing this form, I affirm that I have read and understand the behavioral standards for parents as stated above

and the behavioral standards for my child as stated below, and that I agree to abide by the stipulations therein.

Parent or Guardian’s Signature: ______________________________________ Date: ______________

Athletes:

I understand shooting on a SCTP team is a privilege. I agree to act responsibly and follow all safety rules while

participating in the SCTP. I will encourage and support my teammates, cooperate and show respect to my

coaches, and represent the team in a positive manner both at practices and in competition. I will set specific

attainable goals, attend practices with a positive attitude, practice good sportsmanship at all times, and comport

myself as a lady or gentleman at all times. I understand that unsportsmanlike behavior on my part may result in

my disqualification and even expulsion from the SCTP. I will not lie, cheat, or steal nor tolerate those who do.

By signing this form, I affirm that I am academically eligible to participate in extra-curricular activities as set forth

by my school, that I have read and understand the behavioral standards for athletes as stated above, and that I

agree to abide by the stipulations therein.

Athlete’s Signature: ______________________________________ Date: _________________

Scholastic Clay Target Program’s

Sportsmanship Contract

SSSF FORM #C&W Page 1of 2 Rev. 09/12

Please fill in your: Head Coach’s Last Name: _____________________________________________

State Abbreviation

The Scholastic Clay Target Program (SCTP

®) is sponsored by the Scholastic Shooting Sports Foundation (SSSF) and independent manufacturers and

retailers in the shooting, hunting and outdoor trade industry (collectively, SCTP Sponsors). Joining SSSF in the SCTP is the National Shooting Sports

Foundation (NSSF®), the Amateur Trapshooting Association (ATA), the National Skeet Shooting Association (NSSA), the National Sporting Clays

Association (NSCA) and USA Shooting (USAS) which may also include their affiliated state associations (collectively, Governing Bodies).

INSTRUCTIONS: Before you can participate in the SCTP, this Consent & Waiver must be completed, signed by you (and your parent/legal guardian if you are under the age of 18), and returned to your Head Coach to submit to SCTP Headquarters. NEW CONSENT & WAIVER FORMS MUST BE COMPLETED AT THE BEGINNING OF EACH SCTP SEASON. PLEASE READ THIS FORM CAREFULLY, AS IT IS A LEGAL DOCUMENT THAT CAN AFFECT YOUR RIGHTS – SEE BACK OF THIS FORM!

Team ID # ______________________Team Name: __________________

Name: _______ (Please PRINT)

Address:

City: State: Zip:

Phone: Scholastic Grade Level (Fall Semester 2012):______

Gender: Male / Female Birth date (mm/dd/yyyy): __ / / Shirt size (small thru 3XL): _________

Parent/Legal Guardian E-mail address:

SCTP SEASON: SEPT 01 – AUG 31. Beginning with the 2011 Season and henceforth, Team Registration will open on September 1. Team

Registration closes for the season 30 days prior to each discipline’s SCTP State Championship or May 1, whichever comes first.

COACHES: Athletes in the highest category in ANY SCTP discipline will be classified automatically in that same category in ALL disciplines for which they are registered. Refer to the SCTP Handbook, Section 3C.

FILL in the year started in the SCTP for each discipline in which you participate:

(Example – 2007)

TRAP SKEET SPORTING CLAYS

OLYMPIC TRAP

INT’L SKEET

20 ___ 20 ___ 20 ___ 20 ___ 20 ___

Scholastic Clay Target ProgramSM

2012-13 CONSENT & WAIVER

ORM

Division:

R - ROOKIE

IE –INTERMEDIATE / Entry

IA – INTERMEDIATE / Advanced

JV - SENIOR / Jr Varsity

Disciplines: (select all that apply)

TRAP (ATA) OLYMPIC SKEET (USAS)

SKEET (NSSA) OLYMPIC TRAP (Bunker) SPORTING CLAYS (NSCA)

Division:

R - ROOKIE

IE –INTERMEDIATE / Entry

IA – INTERMEDIATE / Advanced

JV - SENIOR / Jr Varsity V - SENIOR / Varsity

C - COLLEGIATE DIVISION 1 DIVISION 2 DIVISION 3

SCTP Athletes: IF member, must provide NGB numbers:

ATA #_______________________

NSSA # _____________________

NSCA # _____________________

USAS #______________________

Reminder: NGB Memberships must be renewed each year before SCTP State Championships. All targets will be registered for Skeet, Sporting Clays and USAS disciplines at State and National Championships.

SSSF FORM #C&W Page 1of 2 Rev. 09/12

Please fill in your Head Coach’s Last Name: _____________________ State Abbreviation: (Parents & Athletes: Please Read Carefully)

In exchange for and as a condition of being allowed to participate in the SCTP, Athletes and Athlete’s parent/legal guardian (if Athlete is a minor child) agree as follows:

1. Athlete acknowledges that the SCTP is a team-based program that provides TEAM competitions in trap, skeet, sporting clays, Olympic Bunker Trap, and International Skeet which involve

the use of firearms. Athlete further acknowledges that the SCTP emphasizes and REQUIRES the SAFE HANDLING and USE of firearms at ALL VENUES or LOCATIONS where

firearms are present. Failure to adhere to this requirement may be grounds for removal from the SCTP

2. Athlete requests to participate knowing and understanding that there are risks and dangers associated with the use of firearms, including serious bodily injury, death and property damage.

Athlete agrees to assume all risks, inherent or otherwise, that may occur due to, arise out of or be in connection with Athle te’s own participation, including without limitation the risk of

serious bodily injury, death and property damage. Athlete further agrees to assume all risks, inherent or otherwise, that may occur due to, arise out of or be in connection with the

participation of others in the SCTP, including without limitation other competitors; instructors/coaches; staff or volunteers of SSSF, SCTP Sponsors, or the Governing Bodies; and audience

members.

NOTE: Please be advised that it is not possible to list all of the activities and related risks that Athlete may encounter by participating in the SCTP. There may be risks that are not

known to Athlete, or to other athletes of the SCTP, including staff or volunteers of SSSF, SCTP Sponsors or the Governing Bodies, and may not be foreseen or reasonably foreseeable by

anyone at this time or at the time of the activities in which Athlete participates. Athlete agrees to assume all risks of serious bodily injury, death and property damage, and all other risks of

participation in the SCTP, whether or not described to Athlete. Athlete understands that there are risks and dangers associated with the use of firearms, including serious bodily injury,

death and property damage. Athlete agrees to assume all risks of serious bodily injury, death and property damage that may occur due to, arising out of or in connection with Athlete’s own

participation or the participation of others in the SCTP.

3. Athlete further covenants not to sue and agrees to release, waive, and discharge the SSSF, SCTP Sponsors and the Governing Bodies, and each of their respective directors, officers,

employees, agents or volunteers (collectively, “Released Parties”), from any and all claims, demands, actions, suits, proceed ings, liabilities, damages, losses, judgments and expenses

(including reasonable attorney’s fees and costs) that Athlete may suffer, directly or indirectly, due to, arising out of or in connection with Athlete’s own participation or conduct (negligent or

otherwise) in the SCTP or the conduct (negligent or otherwise) of other athletes in the SCTP, including without limitation, the conduct (negligent or otherwise) of the Released Parties.

4. To the fullest extent allowed by law, Athlete agrees to defend, indemnify and hold the SSSF, SCTP Sponsors and the Governing Bodies, and each of their respective directors, officers,

employees, agents or volunteers, harmless from and against any and all claims, demands, actions, suits, proceedings, liabilities, damages, losses, judgments and expenses (including

reasonable attorney’s fees and costs) by third parties (including Athlete’s own family) for any bodily injury, death or property damage or other incident occurring due to, arising out of or in

connection with Athlete’s own participation or conduct (negligent or otherwise) in the SCTP.

5. Medical Attention: Athlete gives his/her consent to SSSF, Sponsors, the Governing Bodies and the host organization of any SCTP event to provide, through a medical staff of its choice,

customary medical/athletic training attention, transportation and emergency services as warranted in the course of my participation in SCTP events.

6. Athlete grants to the SSSF, SCTP Sponsors and the Governing Bodies permission to reproduce, publish, distribute, or otherwise use in any reasonable manner Athlete’s name, photograph,

likeness and statements in connection with the promotion of the SCTP, in all media, including, without limitation, the Internet, news articles, advertisements or other electronic or print

materials. Athlete further covenants not to sue and agrees to waive, release and discharge the SSSF, SCTP Sponsors and the Governing Bodies, and all of their respective directors, officers,

agents, employees and volunteers, from and against any and all claims, demands, actions, suits, proceedings, liabilities, damages, losses, judgments and expenses (including reasonable

attorney’s fees and costs) arising out of or in connection with the use of Athlete’s name, photograph, likeness and statements, including, without limitation, any and all claims for invasion

of privacy, publicity, defamation and/or portrayal in a false light, copyright infringement and any claims and/or demands for compensation or royalties.

7. Athlete’s signature below indicates that Athlete has read and fully understands this entire Consent & Waiver, and that it shall be binding upon Athlete, his representatives,

heirs, assigns and next of kin.

Parents/Legal Guardians

8. As the parent or legal guardian of the Athlete, a minor child, I affirm that I have the authority to act on behalf of the Athlete and, as such, do hereby give my consent for the Athlete to

participate in the SCTP. I declare that I have read and fully understand this entire Consent & Waiver, and that by signing below I agree that all of the provisions of this Consent & Waiver

are equally binding upon me, my representatives, heirs, assigns and next of kin, as they are upon the Athlete.

Parent / Guardian Name:______________________________________________________________________ ____________________________________ (Please PRINT)

Address (if different than above): _______________ ____________

City: State: Zip: ________ __________

Phone: Parents Email Address (2): ________________________________ _______________ (Optional)

__________________________________________________________________ ______________________________

Parent or Legal Guardian’s Signature Date

___________________________________________ ____________________

Athlete’s Signature Date

*NOTE TO COACHES: A completed copy of this Consent & Waiver Form for each team member must be in your possession prior to registering any athlete. You must retain a copy of the consent form, mail the copy with the original signature to SCTP Headquarters, and update athlete’s profile on-line yearly. No athlete will be

considered a SCTP Member until their completed consent form is entered on-line and on file at SCTP National Headquarters. Coaches must comply with information

requests from headquarters. Failure to produce the required information will result in removal from the program.

It is YOUR responsibility to verify that the divisional information is correct. If you determine there is an error in the information you have submitted, contact SCTP

Headquarters immediately! No corrections to a athlete’s division will be considered once the SCTP State Championship Squad Entry Form has been submitted (per discipline). If it is determined that the divisional information is incorrect for a squadded athlete, the entire squad involved with the individual in question will be

disqualified from participating in that discipline for the balance of the SCTP season.

ALWAYS fill in your Team State abbreviation & your last name at the top of every form being submitted.

Form #MED Rev. 09/12

Team Name (required):

Athlete’s Name: (Please PRINT)

Address:

In the event that the Athlete may require emergency medical care, or in the event Athlete may become ill, while

participating in the Scholastic Clay Target Program, Athlete (and Athlete’s parent/legal guardian if Athlete is a

minor) hereby gives advanced consent to the Scholastic Shooting Sports Foundation, SCTP® Sponsors and

Governing Bodies, including their respective volunteers, to provide, through a medical staff of their choice,

necessary or advisable medical care and treatment to Athlete.

Athlete (and Athlete’s parent/legal guardian if Athlete is a minor) further agree to pay any and all medical costs,

expenses and charges and to release, waive, discharge and hold harmless the Scholastic Shooting Sports

Foundation, SCTP® Sponsors and the Governing Bodies, and each of their respective directors, officers,

employees, agents or volunteers, from and against any liability or any claim or demand arising from or

connected with such medical care and treatment.

Athlete - Print Name

Athlete Signature Date

Parent/Legal Guardian - Print Name

Parent/Legal Guardian Signature Date

*** This form must be retained by Team coaches. Do Not send to Headquarters.

In the event of any emergency, please contact the following individual:

Name: ___ Relationship To Athlete: _________________ _

(Please PRINT)

Address: _________________________ _

Telephone: (Home) _____________ (Work) _____________ _ (Cell) _____________

Email:

SCTP ProgramSM

Medical Consent Form