Alateen Final Event Plan Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.This form is required if you are planning an event involving Alateen members. An Alateen Event is defined as any Alateen activity other than a registered meeting. NOTE: All Alateen meetings are closed (available to Alateens and AMIASs only). An annual or bi-annual open Alateen meeting is considered an Alateen Event. Complete this form in its entirety and submit it to the Area Alateen Events Coordinator (alateenevents@scws-al-anon.org) for approval at least 30 days before the event date, 60 days before an overnight event. Name of Event *Type of Event - Check One box *AA/Al-Anon Event with Alateen ParticipationFundraiser for AA/Al-Anon Convention with Alateen ParticipationFundraiser for Alateen Conference (SCAC) Registered Alateen meeting open - Open to the publicDistrict sponsoring the “Other” event - provide details belowOther - provide details belowOther Event DescriptionLocation of Event - Facility Name and Location *Address Line 1City--- Select state ---AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeDate and Time Event Starts *DateTime(If this is a multi-day event, complete a separate Event Plan Form for EACH day)Date and Time Event Ends *DateTimeHow many Alateens do you estimate will attend the event? If this is an annual event, use the attendance from the previous year.Event Sponsors Two Event Sponsors are required, they must be currently certified AMIAS. One male and one female AMIAS are required. Event Sponsor 1 Name *FirstLastDistrict # *Email *Phone * Event Sponsor 2 Name *FirstLastDistrict # *Email *Phone *Al-Anon Event ChairpersonFirstLastEmailPhoneAl-Anon Event Co-ChairFirstLastEmailPhoneConvention Website / URLAA Convention Chair FirstLastAA Event Chairperson EmailFirst Aid and Medical Emergencies Who is responsible for bringing the First Aid Kit items? *Who will be responsible for rendering basic first aid to the Alateen members? *Which Sponsor(s) will have on hand the completed Permission/Medical forms to give to emergency personnel, if a medical emergency arises? *Who will be responsible for contacting the parent/guardian to inform them of the medical emergency? *If medical personnel transport an Alateen off-site, which Event Sponsor follow the medical transport and remain with the Alateen in the medical facility until a parent/guardian arrives? *Who will assume the duties/responsibilities of the Sponsor who went off-site to remain with the Alateen during the medical emergency? *What is the name and address of the Emergency Room closest to the facility? *Who will be responsible for writing the medical emergency incident report? NOTE: The incident report should be provided to the Convention Chair or other individual responsible for the liability of the event *Behavioral and Safety Compliance Who will read the Area Alateen Safety & Behavioral Requirements (pg 7) and Event-specific Behavioral Requirements, if any? * should off-site, their When will the Area Alateen Safety & Behavioral Requirements (pg 7) and Event-specific Behavioral Requirements, if any, be read to the Alateens? *Where will printed copy(s) of the Area Alateen Safety & Behavioral Requirements (pg 7) and Event-specific Behavioral Requirements, if any be posted? *Who will be responsible for separating the non-compliant minor Alateen from the group, contacting their parent/guardian, and remaining with the Alateen until the parent/guardian arrives to remove them from the facility property? *Who will be responsible for escorting the non-compliant adult Alateen member off the facility property and confiscating their event badge? *AMIAS Chaperones – MUST BE CURRENTLY CERTIFIED AS AN AMIAS A minimum of one AMIAS per 10 Alateens required at all times throughout the event. Upload the list of AMIAS Chaperones using the Upload Forms at the bottom of this form. Include: Full Name District # Email Confirmation Method Date of Confirmation Verification Date When and how did they confirm they would chaperone the event? (e.g. text, email, phone) ** Use the password protected AMIAS Distribution Roster on Google Docs to verify AMIAS status A copy of the Signature Page below will be returned to the Event Sponsor #1 (above) after it has been approved. It will contain the signature of the Area Alateen Events Coordinator, the date it was approved, and the date by which the SCWS Alateen Event Plan Final Form must be submitted. AMIAS Supervisor Schedule Describe who, when, where, and what task each Sponsor & AMIAS Chaperone will be assigned to throughout the event. Attach the schedule using the file upload at the bottom of this form. A minimum of one AMIAS per 10 Alateens must be assigned a task for all time slots. There can be NO gaps in the schedule – Every minute from START to END should be listed. At least one SPONSOR must on the schedule every minute throughout the event. Include: who is supervising Alateens during set-up and clean-up (before and after event) who is verifying registration, collecting permission forms, and signing in the Alateens who is problem-solving for Alateens arriving without registration and/or permission forms who is supervising the entrances and exits (and facility grounds, if needed) who is supervising the Alateens in the meeting room who is the bathroom escort and/or hallway monitor who is supervising the Alateens at each location during the break who is responsible for signing out the Alateens (if a Convention or Conference) or assuring all Alateens have safely left the facility grounds (for all other Alateen events) File Uploads - Upload your AMIAS Supervisor Schedule and any other documents requested. * Drag & Drop Files, Choose Files to Upload You can upload up to 5 files. Submit