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Home My WebLink About1. Soccer Camp Basic Info .MpSSACHUSETTs �r .r�� : YOUTH SOCCER CAM P Massachusetts Youth Soccer Camps have been :. � -� . designed to follow US Soccer best practices for " player development. The camp curriculum will follow _ _ a Play— Practice— Play format incorporating activities '.'' •` that iriclude periodization to sustain and optimize each player's performance throughout the duration of the canip. - - All of our camp staff hold US Soccer National Licenses - and have undergone extensive training on how to improve youth soccer players using empowerment and inclusive training methodology. i�1assachusetts Youth Soccer wiil partner with Challenger Sports to offer these programs to players in the Massachusetts soccer community. All camp - - participants will be provided with a uniyue environment ��- , ::: � that will develop their technical and tactical soccer skills - •- � � •- over the course of five days. through individual ball - mastery, small and large sided games. � - - � - - - Station Ave Elementary School 276 Station Avenue, South Yarmouth, MA 02664 July 17 - 21 Half Day 9am-12pm Ages 7-12 $180 Full Day 9am-4pm Ages 7-14 $299 lnterested in hosting one of our tntemationat Coaches. Contact Sfeve Hughes(shuyhes@challengersports com) for ��,s more infonnation. / � � \ i� ' �';��\ � �� FREE JERSEY ; & T-SH/RT! � - - . . . • - • - - � , all , , , , , �,�'��'� � Background Checks: `/ Has the Camp Owner or Directar obtained and reviewed the CORI and SORI of each staff ' person and volunteer who may have contact with a camper? Yes� No IMPORTANT! CONTACT THE YARMOUTH HEALTH DEPARTMENT ONE (1) WEEK PRIOR TO OPENING TO SCHEDULE AN INSPECTION! THIS IS MANDATORY! OVERNIGHT CAMPS MUST ALSO SCHEDULE AN INSPECTION WITH THE BUILDING AND FIRE DEPARTMENTS. By signing this application, I acknowledge that I have submitted all required documentation and I am in compliance with the State's minimum standards for Recreational Camps for Children,State Sanitary Code Chapter IY, 105 CMR 430.000. SIGNED: ��7�� ✓2 �7�J��d� PRINTED: �"`'��Er' �1`��N�S DATED: 6 ��-� �1 See the next page attached for a list of documents that must be completed and submitted before your application can be fully processed. You are strongly encouraged to complete these documents as soon as possible and submit them in advance. This will expedite the �"' process. � 04/30/15 3 of 3 Required Documents � See the MA Regulations for Minimum Standards for Recreational Camps for Children, State Sanitary Code, Chapter IV-105 CMR 430.000 and the guidance documents issued by the Department of Public Health, Division of Community Sanitation for additional assistance with developing the following documents. Check Documents Submitted *Staff information forms(see attached).................................................................. *Procedures for the background review of staff and volunteers (105 CMR 430.090)............. � *Copy of promotional literature(105 CMR 430.190(C))............................................. � *Procedures for reporting suspected child abuse or neglect(105 CMR 430.093).................. v� *Health care policy(105 CMR 430.159 (B)), including immunization records................... � *Discipline policy(105 CMR 430.191).................................................................. � *Fire evacuation plan—approved by local fire department(105 CMR 430.210(A)).............. ✓' *Disaster plan(105 CMR 430.210(B)).................................................................. *Lost camper plan(105 CMR 430.210(C))............................................................. � *Lost swimmer plan(105 CMR 430.210(C))........................................................... � *Traffic control plan(105 CMR 430.210(D)).......................................................... c/' *Day Camps—contingency plan(105 CMR 430.211)................................................. *Primitive, Trip or Travel Camps — Written itinerary, including sources of emergency care and contingency plans(105 CMR 430.212).............................................................. '� *Current certificate of occupancy from local building inspectar(105 CMR 430.451)............ *Written statement of compliance from the local fire department(105 CMR 430.215)........... � *Aquatic plan,including Christian Law,PFD fitting tests,water testing and swim tests...... Attach the names, ages, applicable current certifications (if any), such as First Aid, and the anticipated role at the camp of all supervisory staff(see below). Use as many pages as necessary to complete this. Please: If you are applying for an original camp license for a camp based in Yarmouth, you must file a plan showing the following with the board of health at least 90 days before your desired opening date (See MGL Ch. 140 § 32A): ➢ Buildings, structures, facilities and fixtures ➢ Proposed source of water supply ➢ Works for disposal or sewage and waste water Superviso staff ineans those persons with the responsibility, authority and training to provide direct supervision to camper groups. This may include counselors, junior counselors, general activity leaders or other staff who provide supervision to campers � without assistance. 04/30/15 � _�-. �_ Challenger Sports �� -� 94A Jefferson Boulevard, = ' Warwick, Ri ozsss . �lE�N i' G 2(l17 u . Te1: 401-213-0465 � Fax: 401-228-6548 HEA�Tt-i DEPT. CORI Administrator SORI Submitter Health Care Consultant Steve Hughes Steve Hughes lill M Samale, MD CORI Submitters Steve Hughes Dear Sir/Madam Please fmd enclosed the Challenger Sports 2017 Board of Health Packet. Within this packet you will fmd our Policies and Procedures, copy of our 2017 Insurance Certificate, Health Care Consultant Agreement, Written Orders from our Health Care Consultant and our application for the camp license itself, including the application fee. Please note,this packet does not contain the following documents/information: • Staff s CORI *� • Staff's SORI • Staff's physical and immunization records • Camper records(physicals and immunizations) • Camp Director/Camp Health Supervisor(Director/Health Supervisor is allocated a week prior to camp) All information regarding our Challenger Sport Coaching staff (CORI, SORI, and physical and immunization records) can be presented prior to the week of camp, or during the week of camp respectively. The collection of all camper information(physical and immunization record)is an ongoing process. Should you needlwish to review any and all information,please let me know a date when that could be arranged? Sincerely, Mo �tbarak Board of Health Liaison, Challenger Sports Regional Director (T): 401-213-0465 � (E): mabaxakna challengersports.com � �., C SNGTsry YOUR TOTAL SOCCER SULUTfON TABLE OF CONTENT 1. Application 2. Policies and Procedures 3. Good Practice Guidelines 4. Code of Conduct and Practice 5. Insurance Certificate 6. Appendices • - .- a. Appendix 1: American'Camp Association Certification -, . �% b. Appendix 2: Coaches Handboo.k � c. Appendix 3: Coaches Orientation Handbook d. Appendix 4: Challenger Sports Discipline Plan e. �►ppendix 5: Campers Release 1Naiver f. Appendix 6: Heafth Care Consultant Agreement g. Appendix 7: Written Orders from Health Care Consultant . h. Appendix 8: Emergency Contact List i. Appendix 9: Camp Marketing Brochure � 0�� a44Fq` ' ^C7'a � . ��.� � C� � �� . , , , � � � �