GALION ATHLETIC EMERGENCY ACTION PLAN Team:_______________________________________ School Year: _________________ Head Coach:__________________________ Coach’s Cell Phone: ___________________

• Each coach must complete all requested data within the first two days of official practice start. • An Emergency Action Plan PRACTICE must be completed within the first week of each practice season

(see notes at bottom of this page). • One copy of this completed page must be on file in the High School athletic office within seven days of

the first official start date of practice. • Additional copies of this data should be provided to each coaching staff member, designated first-aid

responder and the athletic trainer. EMS/Fire/Police: 419-468-9111 Trainer Jon Vitello: 567-241-6224 High School Office: 419-468-6500 Athletic Director Kyle Baughn: 419-512-4867 Middle School Office: 419-468-3134 MS Athletic Director Isaac Keinath 419-543-3515 Practice/Game site address: ___________________________________________________________________ Specific directions to practice/home site from nearest major intersection: __________________________________________________________________________________________ Where should EMS come to have quick access to the injured athlete: __________________________________ Who is to provide primary care to the athlete:_____________________________________________________ Where are the Emergency Medical forms and the First-Aid kit located:_________________________________ Where is the AED located:____________________________________________________________________ Who calls EMS: ____________________________________________________________________________ Where is the phone from which to call EMS:______________________________________________________ Where should EMS come to have quick access to the injured athlete:__________________________________ Who notifies the parent(s) that athlete is being transported: __________________________________________ Who notifies the trainer and athletic director: _____________________________________________________ Who manages the remainder of contest/practice: __________________________________________________ Who opens doors/gates for EMS: ______________________________________________________________ Who travels with injured athlete: _______________________________________________________________ Who does follow-up with parent: ______________________________________________________________ Who documents the injury: ___________________________________________________________________ Where is the closest weather shelter: ____________________________________________________________ Who has keys/access to weather shelter: _________________________________________________________ Who performs daily safety check of field/court/practice area:_________________________________________ AED locations: High School- E wall by Cafeteria entrance. Stadium- E wall in weight room by training room entrance. Middle School- E wall by gym main entrance. Intermediate- wall Primary- wall YMCA- Sycamore Creek- none Victory Lanes- none

Portable- with Trainer at all times. Date of “Emergency Action Plan” Practice: ________________ Verified by: __________________________________________________ Date: ______________

Address: Heise Park Stadium & Baseball Field 6 Heise Park Lane, Galion, Ohio 44833 Tennis Courts “Heise Park” Corner of Jefferson & W Payne, Galion YMCA & Softball Field (Behind YMCA) 500 Gill Avenue, Galion, Ohio 44833 Peco Park 1321 Freese Works Pl, Galion, Ohio 44833 Fisher Building 405 Grant St, Galion, Ohio High School Gym 472 Portland Way North, Galion, Ohio 44833 Middle School Gym & Soccer Field (Behind MS) 474 Portland Way North, Galion, Ohio 44833 Intermediate Gym & Nature Trail (Behind Intermediate) 476 Portland Way North, Galion, Ohio 44833 Primary Gym 478 Portland Way North, Galion, Ohio 44833 Amman Reservoir Amann Reservoir Dam, Galion, Ohio 44833 Victory Lanes 739 Portland Way South, Galion, Ohio 44833 Sycamore Creek Golf Course 4810 OH-309, Galion, Ohio 44833