Dunn Police Athletic & Activities League, Inc. 1501 S. Clinton Ave. / Post Office Box 1238 Dunn, N.C. 28335 Office 910-892-1873 / Fax 910-292-4046 www.dunnpal.org / Internet TV www.dpaltv.com

The Dunn Police Athletic & Activities League, Inc. is a non-profit 501 (C) (3) youth organization. Dunn PAL supports Law Enforcement through the Community Oriented Policing model. The governing organization office is located at 1501 South Clinton Avenue in Dunn, N.C. Dunn PAL started in 1995 and has an active Board of Directors that assists with the governance and funding through contributions and fundraisers. Dunn PAL activities are funded through donations, fundraisers and grants. PAL is a chartered member of the National Police Athletic/Activities League in Florida (www.nationalpal.org). Dunn PAL is also chartered with the National Travel Basketball Association (NTBA) and National United Wrestling Association for Youth (NUWAY).

The Vision of Dunn PAL:  A community where all children have the support and opportunity to succeed.  

The Mission of Dunn PAL:  To provide a safe place for area youth to engage in after- school educational programs, enrichment activities, and athletics that build positive character.

PAL is for youth, which are in public school ages 5-19 and grades K-12. PAL offers both athletic and non-athletic activities for children and is not limited to sex, race or ethnic background. Any youth can participate who can follow the PAL participation criteria. PARENTS are invited to participate and volunteer as coaches, spectators, mentors or a variety of other available opportunities. There is always something to do!!!!!

1. Complete all information in this package. All parent/guardian signatures must be signed by the legal parent/guardian (required). No youth can participate unless all information is filled out and accurate.

2. Provide at least two (2) emergency contact numbers.

3. If there are any medical problems: bring letter of release from your doctor, complete medical history, list all medications taken and currently taking.

4. Email or provide a copy of your certified birth certificate or Certificate of Live Birth to this application. Your application will not be accepted and/or processed without all above mentioned items completed.

5. Return this application and all attachments to the PAL Office to be accepted and filed.

6. Program Specific registration is also required for each program in PAL.

PAL Board -  Executive Director Ret. Capt. R. W. Rowland

Each Member (youth) of Dunn PAL is expected to keep high standards for themselves, and be held accountable for their own actions both in the classroom and in the public. No member of Dunn PAL shall consistently continue to get in trouble both at school and at home and stay in the program! Those that constantly get in trouble do not wish to better themselves, nor do they wish other people to do the same.

Dunn PAL works off of a progress chart in that each member will strive to do better than they did earlier. Those who do not will have the option of attending classes to get them back on track or be placed on suspension or termination from Dunn PAL.

Dunn PAL strongly supports education and good grades before athletics. Before you can reach your athletic goals you must first reach the academic goal!!!!

The following is Dunn PAL’s participation criteria:

1. Maintaining a minimum of a “C” letter grade average or a 75% numeral grade average in every subject course while attending school. Anyone under a “C” or 75% average must attend PAL’s Tutoring program and/or their local schools tutoring program if grades are below that average. School Progress Reports and report cards will be used.

2. PAL Member is not to continuously get in trouble at school.

3. If any PAL Member is arrested he/she must notify the PAL Director immediately of the charge and the severity. If convicted of the charge he/she may face disciplinary action. If convicted the second time the member will be placed on suspension and/or terminated for the offense. If a member is arrested for a third or subsequent charge the member will be terminated immediately.

4. If any PAL Member is suspended from school in which he/she attends, the member is suspended from Dunn PAL the same amount of time. For second and subsequent suspensions from school in a year, the member will be suspended and/or terminated for an extended period to be determined by the PAL Director.

5. Any PAL Member placed in In School Suspension (ISS) more than twice will be under disciplinary status with Dunn PAL. Disciplinary status can be a variety of things such as suspension, community service and other things at the direction of the PAL Director.

6. Any PAL Member who is arrested for violation of local, state or federal laws other than drug violations will be considered under the PAL Disciplinary Status and will be required to attend other means of discipline such as psychiatric treatments, counseling sessions, peer mediation classes etc. imposed on the member before returning to PAL and may be ordered to attend such classes while participating in PAL.

7. All terminations from Dunn PAL will be for a period no less than 12 months from the date of termination. PAL Member must re-apply to Dunn PAL for admission and be approved to participate in Dunn PAL.

8. Anyone who graduates from high school will not be eligible to participate once he/she graduates. Anyone who drops out of school will not be allowed to participate. Anyone who enrolls in an approved High School Diploma Program at a community college and presents a letter of enrollment and is age 18 or younger can participate under the same guidelines as above. Community College students must attend every class. Community College students who miss two consecutive classes will be considered a dropout and automatically terminated from Dunn PAL.

DRUG/ALCOHOL POLICY PAL MEMBERS EFFECTIVE OCTOBER 7, 2002

PAL Members – Any youth between the ages of 5 and 19 years old who are enrolled in the Dunn Police Athletic & Activities League. Must be enrolled and attending an accredited educational school in grades K-12.

Drug/Alcohol – Any intoxicating beverage and/or any illegal Controlled Substance which the State of North Carolina or the Federal Government has declared as being Illegal under the General Statutes of North Carolina and the United States code.

Consume/Digest – Refers to anything taken orally and/or intravenously into the human body.

Possess/Possession – Refers to the actual holding and/or on the person of any individual and/or any item that is in the control of any individual.

Intoxication and/or Under the Influence – Physical or mental impairment of one’s faculties due to the effects of alcohol and/or controlled substances (drugs) to such a degree as to reduce the capability of an individual to exercise rational judgment or discharge their assigned obligations.

Positive Alcohol Test – The presence of alcohol in an individual’s system at a level that registers on a qualified alcohol instrument conducted by the City of Dunn Police Department. Any amount of alcohol that registers on a qualified instrument is in violation of local, state and federal law for being under the legal age for the consumption of alcohol.

Positive Controlled Substance Test – A positive finding on an approved portable testing device/kit which is approved by the Dunn Police Athletic & Activities League. A positive laboratory finding of the presence of a drug or a metabolite thereof, in an individual’s urine and/or blood at levels prohibited by the Substance Abuse and Mental Health Services Administration (SAMHSA) or, for those drugs not subject to SAMHSA guidelines, at the levels prohibited by the Dunn Police Athletic & Activities League and/or the City of Dunn. All “positive” controlled substance tests shall be confirmed by a different technology than used in the initial test.

Random Testing – This is an unannounced drug test given to a predetermined percentage of PAL Members. These PAL Members are selected in a statistically sound random selection process from a pool of all eligible PAL Members.

Reasonable Suspicion – The belief that one is using or has used drugs and/or alcohol in violation of the Dunn Police Athletic & Activities League policy. This belief shall be based upon specific, contemporaneous, articulable observations concerning the appearance, behavior, speech or body odors of the person suspected. The observations must be made by a trained supervisor. By way of illustration, and not limitation, the following, either singularly, or in combination, may constitute reasonable suspicion:

(1) Direct observation of drug and/or alcohol use or possession;

(2) Physical symptoms or manifestations of being under the influence of drugs and/or alcohol including, but not limited to slurred speech, odor on the breath, incoherence, or loss of coordination, etc.

(3) Extreme behavior including verbal or physical altercations with others;

(4) Evidence that a PAL Member may have tampered with a specimen;

(5) Verifiable information from others based upon their observations.

Reasonable Suspicion Testing – Testing of a PAL Member based on abnormal actions sufficient to cause reasonable suspicion that he/she has violated this policy. Supervisors must document reasonable suspicion either within 24 hours of the event giving rise to the reasonable suspicion, or, prior to actually receiving drug-testing results.

The purpose of initiating a Zero Drug and Alcohol Policy is to ensure and enforce a Drug and Alcohol Free PAL Center and Drug and Alcohol Free Youth. This section of PAL Rules and Regulations is not intended to implicate and accuse, but is to ensure and enforce PAL’s Zero tolerance of Drug and Alcohol use.

This policy and governing rules is to educate both the youth and Parents of Drug and Alcohol use and the consequences of its use here at PAL.

It is hereby declared the General Policy of the Dunn Police Athletic & Activities League: To maintain a play and education facility to be free of alcohol and substance abuse and to take whatever actions are reasonably necessary to insure that this policy is achieved and that those subject to it are aware of and comply with the requirements herein.

To provide PAL Members with an Assistance Program with access to counseling for a limited amount of visits. That conduct by PAL Members in contravention of this policy is unacceptable and declared to be “detrimental personal conduct” and shall be cause for disciplinary action up to including dismissal from PAL without prior warning. Whenever appropriate, PAL Members who are substance abusers will be encouraged to seek rehabilitation.

It is hereby declared the policy of the Dunn Police Athletic & Activities League that PAL Members shall:

1. Not unlawfully use, possess, manufacture, distribute, dispense or sell controlled substances as defined in the North Carolina General Statutes.

2. Not possess or use, or have an odor of alcohol on their breath or person while enrolled in the Dunn Police Athletic & Activities League. By North Carolina State Law, a person MUST be 21 years of age to possess, consume and/or purchase any alcohol (intoxicating beverage

3. Submit immediately to reasonable requests for testing when requested by a responsible Supervisor, Coach, Parent and/or PAL Staff Member or other authorized Dunn Police Athletic & Activities League representative. Refusal shall be cause for disciplinary action up to and including dismissal from PAL for at least 12 months or longer.

4. Notify their Supervisor, Coach, Volunteer, Parent and/or PAL Staff Member before beginning any PAL activity when taking any medications or drugs, prescription or non-prescription, which may interfere with the safe and effective performance of such activity.

5. Provide to the PAL Director within 24 hours of request, a current valid prescription for any drug or medication identified when a drug screen/analysis is positive. The Prescription must be in the PAL Members name.

6. Notify the PAL Director and parent/guardian within four days of being charged with or convicted of, a drug or alcohol related offense. The failure to so notify – whether or not a subsequent conviction occurs – and any conviction that may occur shall be grounds for disciplinary action, including dismissal for a period of no less than six (6) months or longer.

It is the Duty of the Dunn Police Athletic & Activities League to report to the legal parent/guardian of the PAL Member the circumstances of the drug/alcohol violation of this policy.

1. PAL will report to the legal parent/guardian the violation of this policy

2. PAL will report that a drug/alcohol testing is required of the violation.

3. PAL will report any and all findings from all testing results.

4. PAL will report all disciplinary action and/or dismissal to the legal parent/guardian.

5. PAL will report all recommended counseling, testing etc. to the legal parent/guardian.

PAL Youth Membership Registration Form Confidentiality: Any confidential information requested is for our records and for the funding our Organization receives. The answers you provide will be kept completely confidential. Your cooperation in providing this information is both appreciated and necessary.

Family Yearly Income (Please check one):

Youth Information Below

PARENTS/GUARDIAN ALLOW TO PARTICIPATE STATEMENT:

I am the legal parent/guardian of the youth named above, and I understand the Organization Statement and Purpose of the Dunn Police Athletic & Activities League. I further give my permission for my child to participate in Dunn PAL. I agree for my child to attend all PAL related activities and functions as much as possible. I further agree that my child will follow the PAL Participation Criteria and Drug/Alcohol Policy at all times for the duration of this registration. I have made my child aware of the PAL Participation Criteria and Drug/Alcohol Policy and he/she has agreed to follow the rules set out on this registration form.

I further agree to assist the Dunn Police Athletic & Activities League whenever possible with events, fundraisers and Parent Meetings.

I am aware that the Dunn Police Department is the lead organization and the Dunn Police Athletic & Activities League sponsors all activities, and most are free of charge. I agree that I will not hold the Dunn Police Department, Dunn Police Athletic & Activities League, City of Dunn, Volunteers, Staff, Police Officers, PAL Director, members or sponsors responsible for any accident or injury beyond their control.

I am the Parent/Guardian of the above youth, and I have read and understand the above form and read and understand all the information contained in the PAL Participation Criteria and Drug/Alcohol Policy and agree to all its contents. I further agree that all the information contained in this application is true and accurate to the best of my knowledge.

This form is to be filled out completely and filed with Dunn PAL before the youth can participate in any activities or go on any trips.

I am the legal parent/guardian of the youth applying to the Dunn Police Athletic & Activities League and I have legal custody and control of the youth and I do hereby grant the Dunn Police Athletic & Activities League Director, Staff, Police Officers, Volunteers and Coaches of Dunn, N.C. permission to seek treatment for my child to a hospital or qualified physician in the case of an accident or injury for medical treatment. I give the Dunn Police Athletic & Activities League Director, Staff, Police Officers, Volunteers and Coaches the authority to make emergency medical decisions in my absence and I know that they will contact me at their earliest time and notify me of the emergency with my child. I further agree for my child to be transported to any medical facility for emergency medical treatment.

A I hereby grant permission for my child to participate in all Dunn PAL programs.

I specifically authorize the following:

1 Conducting of interviews, tests, grades and questionaires for student or project evaluation purposes.

2 Release of confidential school information (results of academic or special education testing, disciplinary, conduct, progress reports and grades) as needed from the school my child attends.

3 Referral of other agencies for specific services

4 Publicity activities, including interviews, photos and video taping.

5 Authorization for my child to be transported to field trips, meetings, games and other activities.

6 Participation in services specified in my child’s program such as counseling, instruction and enrichment.

7 Emergency medical treatment to be administered at a local hospital or any licensed health practitioner or dentist, in the event of illness, accident or emergency, if I am unable to be reached.

B I further state I will not hold Dunn PAL or any other authorized agency liable for such medical treatment in case of illness, accident or any emergency situation.

C To further my child’s academic, personal and vocational development, I will participate in at least one parent – Dunn PAL conference per nine weeks.

I am the legal Parent/Guardian of the above named child, I understand and agree to the following arrangements for transportation as it relates to my child’s participation in the Dunn Police Athletic & Activities League Program:

1. My child has my permission to be transported from his/her school to the Dunn PAL Center (or other site of activity) by the Harnett County School Bus.

2. On days when my child is participating in PAL Activities, the Harnett County Public School will not transport my child to my home after activities.

3. Following the activities, my child may be transported to my home by members of the Dunn Police Department, Dunn Police Athletic & Activities League or other responsible adults working with the Dunn Police Athletic & Activities League. My child may also be transported on PAL vans to any activities, events or programs that Dunn PAL participate.

"I understand that since my child will be riding a Harnett County Schools Bus, they will be expected to abide by all policies within the Harnett Primary Student / Parent Handbook." If your child is suspended from the bus for inappropriate behavior, they will not be allowed to ride the bus to PAL nor the regular bus to their after school destination. If suspended from one bus, the student is suspended from ALL HCS buses and the parent/ guardian will have to provide their own transportation for their child to and from school during the suspension period.

Drug/Alcohol Policy and fully agree and give permission for the Dunn Police Athletic & Activities League and/or any person and/or organization they designate to perform any and all such drug/alcohol testing on my child as deemed necessary.

Class Schedule: (if applicable)

This document will present the procedures for disciplining student behaviors at the Dunn Police Athletic & Activities League. We are committed to academic success for every student. Here at the Dunn PAL, we expect that each student will respect staff members, volunteers, and other students at all times. Students that disrupt the operation of Dunn PAL; interfere with the rights of others; damage to PAL property or personal property will be held accountable for that behavior. (See PAL rules)

Any staff member who witnesses inappropriate behavior has the obligation and responsibility to implement this system. Any parent volunteer witnessing any inappropriate behavior will notify a staff member so disciplinary action, if warranted, can be taken.

Appropriate student dress and grooming are important factors in the safe and orderly operation of the camp. Each student’s appearance should reflect a positive image of the school and contribute to a distraction-free learning environment. Students are not to wear clothing that is loose, sagging, cut, torn, baggy, revealing, spaghetti-strap, backless, low cut or short.

Pants- must be worn at the waist or upper hip and must not reveal underclothing.

Shorts and Skirts- must be fitted at the waist or upper hip, must not reveal underclothing, and must be mid-thigh in length or longer.

Tops (Shirts and Blouses) - must not revealed underclothing, midsection, torso, back, chest, breasts or cleavage.

Dresses- must not reveal underclothing, midsection, torso, back, chest, breasts, or cleavage and must be mid-thigh in length or longer.

Shoes- must not distract from or interfere with the learning environment or present a safety or health hazard. Tennis shoes or closed-toe shoes are preferred. House shoes/house slippers of any kind are not allowed.

Head Coverings- no type of head covering is to be worn in the facility at any time unless otherwise told by higher authority.

Underclothing- must wear appropriate underclothing.

Pajamas/loungewear- any and all pajamas/loungewear are prohibited.

Jewelry/Piercings- Noisy, distracting and excessive jewelry or accessories are prohibited. Jewelry/Piercings must not distract from or interfere with the learning environment or present a safety or health hazard.

Tattoos- Permanent or temporary must not become a distraction or student will be told to cover them.

Dunn PAL weapon policy is strongly enforced. A “weapon” means any object, device or instrument, designed as a weapon or through its use is capable of threatening or producing bodily harm or which may be used to inflict self-injury. Any persons found with weapons on PAL property will be turned over to the Dunn Police Department.

(Here at Dunn PAL we are dedicated to excellence as well as education. If your child is enrolled in the After-school/Summer Program, Your child is expected to participate in the program activities

for at least one hour or longer each day depending on the activity(s) in the class to include

participating in enrichment programs offered. Each student will be regularly evaluated and is expected to meet certain requirements set by his/her instructor. Also each participant in the Dunn PAL After-school program MUST participate in at least one Enrichment program (Art, Media Arts, Robotics, Athletics, etc

Satisfactory attendance and participation to practices is a must. Failure to comply with the rules and regulations of this program could result in your child being dismissed from the program.

All PAL Members are required to attend and participate in a minimum of 30 days within each semester (Sept.-Dec. also Jan.-May Upon 3 unexcused absences a “warning” notice will be sent to the parent/guardian that the student is in jeopardy of becoming terminated from the After-school program. A fourth unexcused absence will be immediate termination from the program

Here at Dunn PAL, student’s safety is our main concern. Any person that is not on the Pick Up/Emergency Contact list must have a note from the parent/guardian on this application in order to pick up a student. The note must include: the student’s name, date & time of pick up, a contact number to reach the Parent/guardian will be required should we have any concerns, and the note must be signed by the parent/guardian giving permission. A valid photo ID from the person is required to pick up the student. If we do not have this, the person will be considered unauthorized and will not be allowed to pick up the student.

Each parent of a member will be required to successfully participate in a MINIMUM of 4 Volunteer hours each month to directly benefit the Dunn Police Athletic & Activities League in its programs and fundraisers and/or the local school your child attends.

(In the After-school/Summer Program there will be a Mandatory one-hour Parent meeting on

rd a predetermined Thursday of each month at 6:00 PM and location to be announced (usually 3

Thursday but could be changed each month Attendance at this meeting counts toward your 4 hours a month, also PTA’s at your child’s school you attend will count. *Failure to meet the required 4 hours

which includes the mandatory parent meeting each month could terminate your child immediately without prior warning.*)

I hereby give my child permission to use the Dunn Police Athletic & Activities League computers for Email and/or Internet in compliance with Title XIII Children’s Online Privacy Protection Act of 1998.