GILLETTE SWIM TEAM (GST) GATORS TEAM REGISTRATION FORM WINTER SEASON DATE OF REGISTRATION:

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1 GILLETTE SWIM TEAM (GST) GATORS TEAM REGISTRATION FORM WINTER SEASON DATE OF REGISTRATION: NAME: (LAST) (FIRST) (MI) GENDER: BIRTHDATE: AGE: STREET ADDRESS: CITY: STATE: ZIP CODE: FATHER S NAME: FATHER S PHONE: (HOME) (WORK) (CELL) MOTHER S NAME: MOTHER S PHONE: (HOME) (WORK) (CELL) PRIMARY PHONE: SECONDARY PHONE: CONTACT ADDRESS: BILLING ADDRESS (if different from above): Please check here if you would like to receive your invoices via USA and WSI REGISTRATION FEE ($51.00)(Required) GST REGISTRATION FEE ($40.00)(Required) ONE MONTH DUES (Required) Guppies $40.00 Gators $45.00 Red $50.00 White $60.00 Blue/Senior $70.00 TOTAL PAID: $51.00 $40.00 $ $ Please tell us how you heard of the Gillette Swim Team: Parent or Legal Guardian Signature

2 GILLETTE SWIM TEAM GATORS CODE OF CONDUCT FOR PARENTS WINTER SEASON As a condition of membership, the undersigned hereby acknowledges and agrees to read and adhere to the Parents Code of Conduct provided below. The Code covers all relevant activities that affect and reflect on the Gillette Swim Team. CODE OF CONDUCT 1) Parents shall not interfere with the coaching staff during practices or swim meets. (Generally, unless summoned by a coach or working at a meet, parents shall not cross the white line on the pool deck.) 2) Parents shall not engage in or condone any act of sexual or other forms of harassment, lewd behavior, or violence at the Aquatic Center, swim meets, or other GST functions. 3) Parents shall not pull their children from practice because they are dissatisfied with their swimmers or coaches performance. 4) Parents shall not approach any official during a swim meet with questions or complaints about an official s decision. 5) Parents shall not criticize the coaching staff in front of swimmers. 6) Parents shall not engage in any conduct that is detrimental to the team. 7) Parents shall constructively and respectfully discuss issues they have with the team or coaching staff apart from practices and swim meets in privately arranged meetings or at relevant GST meetings. (Issues of significance should be reported in writing on GST Disciplinary Incident Report Forms which are available at the Aquatic Center.) 8) Parents shall always maintain a respectful and supportive attitude toward their own children, other swimmers, other parents, and the coaching staff. 9) Parents shall ensure their children arrive to practice on time and are picked up on time when practices are finished. 10) Parents shall responsibly supervise any non-swimming children they bring to the Aquatic Center. 11) Parents shall adhere to all School District and Aquatic Center policies while on Aquatic Center premises. 12) Parents shall engage in good sportsmanship and project a positive image of GST during swim meets. All Gillette Swim Team parents agree and are thus obligated to follow the aforementioned Code of Conduct. The GST coaching staff and Board of Directors reserve the right to discipline parents who fail to follow the Code. At the discretion of the Board and /or GST Coaching staff, disciplinary action can range from verbal warnings to expulsion from the team. DATE: PARENT S SIGNATURE:

3 GILLETTE SWIM TEAM GATORS CODE OF CONDUCT FOR SWIMMERS WINTER SEASON As a condition of membership, GST swimmers are obligated to adhere to the Code of Conduct provided below. The Code covers all relevant activities that affect and reflect on the Gillette Swim Team. 1) Swimmers shall not engage in or encourage any act of sexual or other forms of harassment, lewd behavior, or violence at the Aquatic Center, swim meets, or other GST sponsored functions. 2) Swimmers shall not tease, bully, or negatively criticize other swimmers. 3) Swimmers shall not use profane language at the Aquatic Center, swim meets, or any other GST activity. 4) Swimmers shall not engage in horseplay before, during, and after practices and swim meets. 5) Swimmers shall not use or possess alcohol, tobacco products, illegal controlled substances, or contraband of any kind. 6) Swimmers shall not steal or damage property at any GST activity and shall be liable for corresponding costs thereof. 7) Swimmers shall not engage in disorderly conduct at any GST activity or at motels, restaurants, pools, or other public facilities or places while representing GST. 8) Swimmers shall not engage in any conduct detrimental to the team. 9) Swimmers shall always treat other swimmers, coaches, officials, and parents with respect. 10) Swimmers shall follow all Aquatic Center and School District rules during practices and swim meets. 11) Swimmers shall engage in good sportsmanship and project a positive image of GST during swim meets. 12) Swimmers shall adhere to all rules of conduct required by USA Swimming. The GST coaching staff and Board of Directors reserve the right to discipline swimmers who fail to follow the Code. Disciplinary procedure, which is defined in the following section, can range from verbal warnings to expulsion from the team. DATE: SWIMMER S SIGNATURE PARENT S SIGNATURE:

4 GILLETTE SWIM TEAM TERMS, CONDITIONS, AND OBLIGATIONS CONTRACT WINTER SEASON Each parent will check the information on the GST bulletin board at least one time per week during the swim season. Each parent will read and understand the contents of the Gillette Swim Team Handbook. The USA and GST registration fees are due prior to the swimmer s first practice. These fees are nonrefundable. For new swimmers, a grace period of two weeks can be granted at the discretion of the Head Coach or Head Age Group Coach. Monthly dues are as follows: $40.00-Guppies, $45.00-Gators, $50.00-Red, $60.00-White, and $70.00-Blue/Senior with a per family cap of $ per month. Monthly dues are due by the 10 th day of each month. Swimmers who attend ONE practice a month will be charged for a full month. If a swimmer s dues are not paid by the 10 th of the month, that swimmer will receive written notice from GST. Upon receipt of this notice, the aforementioned swimmer must pay the outstanding monthly fee in full. Nonpayment will result in the swimmer s loss of practice privileges until such time as the fee in question is paid in full. Each swimmer and parent will be asked to sign a Code of Conduct form. Failure to comply with this Code of Conduct can result in consequences as severe as a violator s permanent suspension from GST. Obligation to assist in all fundraising events and swim meets Gillette Swim Team has the unique privilege of training and competing at the Aquatic Center, Wyoming s best facility. Use of this facility, as well as operation of the Gillette Swim Team, requires members to fundraise and hold swim meets. Several fundraising events and swim meets requiring hundreds of member work hours are held each year to help GST maintain its financial obligations. These events and meets, from which the team s necessary cash flow is derived, can only be successfully run with the active participation of all member families. Therefore, GST parents are obligated to perform the following: 1. Work at all home swim meets, the number of hours and service performed determined by the Meet Director. 2. Work at all fundraising events, the number of hours and service performed determined by the Fundraising Director. Duties assigned at swim meets include, but are not limited to, setting up the pool, timing races, working in concessions, hospitality, the control booth or team store, giving awards, officiating, operating the scoreboard, and cleaning the facility. A $50 deposit will be required for each member family prior to home swim meets. The swimmers meet entries will not be processed unless they are accompanied by the $50 deposit. The deposit will be returned to the family at the end of the meet if the family has met its obligations during the meet. A volunteer sign up sheet will be posted on the bulletin board prior to each home meet. Parents who do not sign up on the to work during the meet and clean up afterward will be called and given an opportunity to sign up prior to their swimmer being scratched from the meet. Duties assigned at fundraising events, include but are not limited to, working concessions at high school swim meets, selling raffle tickets or other items, and obtaining corporate sponsorships. This season, GST has an opt out provision for fundraising events as well as a fundraising incentive. A member family may opt out of fundraising by contributing $100 per swimmer to GST by October 16, This provision does not apply to the member family s obligation to work at swim meets. Date Responsible Member Family Signature

5 Gillette Swim Team Swimmer s Agreement to Hold Team Harmless I,, agree to and hereby release the Gillette Swim Team (GST), (Print name of parent, guardian or adult swimmer) GST coaching staff, Aquatic Center, Campbell County School District, Wyoming Swimming Inc., USA Swimming, and their agents and employees from all liabilities and claims resulting by reason of injuries that may occur to while (Print name of swimmer) participating in the programs of the Gillette Swim Team. Participation includes training sessions, swim meets, travel to and from training sessions and swim meets, and other activities scheduled by GST. I agree to indemnify and hold harmless the aforementioned and their agents and employees against any and all liability and personal injury, even one resulting in death, or loss and damage to property, or both while enrolled in the GST program. Finally, I agree to reimburse the aforementioned for any and all damages they are compelled to pay resulting from any such claim, demand, action, or cause of action as may result from my or my child s action while participating in the GST program. (SIGNATURE) (DATE) Emergency Medical Treatment Authorization I,, in the event that I cannot be reached to make arrangements (Print name of parent, guardian or adult swimmer) for emergency medical attention, authorize the staff or coaches of the Gillette Swim Team (GST) to take my child,, to (Print name of swimmer) (Print name of physician) or to the nearest medical facility. If the named physician is not available, I authorize the staff and coaches to obtain emergency medical attention and treatment for my child at a hospital or clinic of their choice. Additionally, I give consent to the hospital or clinic and physicians to render emergency treatment to my child. (Signature) (Date) Insurance Company: Policy Number: Insured Party: Group Number: Known Allergies: Known Medical Conditions: Emergency Phone Numbers: (Work) (Home): (Cell): (Other): NOTE: This information is important to ensure treatment and reimbursement for medical expenses incurred when parents are not available.

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7 GST Swim Team Fundraising Incentives Can you sell more than your $ in Gator Dip Raffle tickets? OR Do you know a business that would be interested in sponsoring the Gator Swim Team? Swimmers who sell $ in Gator Dip Raffle tickets or receive a $ sponsorship will receive a GST sweatshirt and will be recognized at the Candy Cane Swim Meet. Business sponsors will also be recognized on the scoreboard during home meets. Sponsorship Monies and All Raffle tickets are due November 16, 2009 if you choose to participate in the incentive. REMINDER: You have an obligation to the team to sell $ in Gator Dip Raffle tickets or you may do the opt out fee. You must turn in ALL tickets by November 16, 2009 or you will be billed for them. Deposit Checks for $ for Gator Dip raffle tickets will be returned to you as soon as you return your tickets and money collected.

8 GST Winter Season Fundraising Opt Out The undersigned member family elects NOT to participate in the GST fundraising activities for the Winter Season. We understand that the fundraising activity for this season is the Gator Dip Raffle. We understand that opting out of the fundraising activity does NOT relieve us of our obligation to work during home swim meets. We agree to pay $100 (one hundred dollars) per swimmer as our Opt-Out Fee. We have enclosed $ for the Opt-Out fee. Swimmers Names Dated Signed Parent or Legal Guardian This form and the appropriate Opt-Out fee must be returned to GST no later than October 16, 2009.

9 P. O. Box 4398 Gillette, WY September 28, 2009 Dear The Gillette Gators competitive swim team is looking for business sponsors to aid in our fundraising efforts. We are a non-profit organization serving more than 100 swimmers. We are requesting $ for business sponsorships this season. Your contribution will help offset expenses and we will proudly display your company s logo in the Candy Cane and State meet programs as well as the electronic scoreboard at the aquatic center during home events. We Thank You and appreciate your commitment to our youth. Sincerely, Barbara Pilon Barbara Pilon, President

10 Your Help is Wanted and Needed Name Phone Please place an X by one of the committees that you would be willing to help with. Communications Fundraising Meet Entries Social Swim Meets Team Recognition If you are a first time member would you be interested in having someone contact you to answer questions? Name Phone If you are a returning member, would you be interested in being a mentor to a new member? Name Phone