VIRGINIA STATE SCHOOL SWIMMING CLUB

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VIRGINIA STATE SCHOOL SWIMMING CLUB APPLICATION FOR MEMBERSHIP 2017-2018 SEASON FAMILY NAME: Parent(s) / Guardian Name(s): Address: Telephone: Email Address: Alternative Email: Home: Mobile 1: Mobile 2: The club relies heavily on email correspondence, so please supply your most used email address. CHILD 1 PREFFERED DAYS: MON TUES WED THURS FRI (LTS ONLY) CHILD 2 PREFFERED DAYS: MON TUES WED THURS FRI (LTS ONLY)

CHILD 3 PREFFERED DAYS: MON TUES WED THURS FRI (LTS ONLY) CHILD 4 PREFFERED DAYS: MON TUES WED THURS FRI (LTS ONLY) CHILD 5 PREFFERED DAYS: MON TUES WED THURS FRI (LTS ONLY)

Health and Safety Agreement Virginia State School Swimming Club Workplace Health and Safety Registration: The Child/Children listed on this form are registered members of V.S.S.S.C For the 2017/2018 Season. I Being the Parent/Guardian of the child/children agree to abide by the rules for Learn to Swim and or Squad classes as per the current club handbook. I Agree that while Virginia State School Swimming Club officials, coaches and associated staff employed by Virginia State School P&C Association will take all responsible precautions to provide a safe training venue for my child/ children, the club officials, coaches and associated staff will not be held liable for any personal injury or damage to property which may occur during or arising out of the presence within the confines of the pool area of any person. Name of Members: 1 2: 3 4 Parent/ Guardian Name: Signature of Parent: Photography My Child May be photographed by our club photographer who holds a volunteering with children blue card, during their swimming lessons, while attending swimming club or whilst participating in official swimming carnivals. They May be used for multiple purposes. Do you give permission for your child/ children to be photographed? YES / NO (Please Circle) If YES please select which outlets you allow your child/children s photos to be used on. PRIVATE Facebook Page End of season Awards night presentation Club Promotions / Newsletters Newspaper Articles Signature of Parent / Guardian : Cancellation Agreement I Further agree to give TWO (2) Weeks Notice IN WRITING (E.G Email) that I will be cancelling my LTS and or Squad lessons and I will not be continuing after the current block of swimming lessons. Failure to do so will result in my fee refund being reduced. Signature of Parent / Guardian : Blue Card Application Agreement 'As VSSSC operates as a subcommittee of VSS P&C, we are bound by Blue Card requirements of the Schools employees other than teachers and parents category of regulated employment. Under this category, volunteer parents whose children do not attend VSS require a blue card to provide services to children at the swim club (for example, timekeeping). As the club delivers it's Friday night and carnival services through the provision of volunteer parents, you are required to have a current blue card should you not be the parent of a current VSS student.' Please Select one of the Following Options: Parent of a Virginia State School Student Already have a current blue card Will fill out the application form and apply for free

Virginia State School Swimming Club Fees Schedule 2017/2018 FAMILY NAME: (NB Membership is compulsory for LTS Students, Squad Lessons can be paid per session without membership) Membership Per Annum Amount Amount to Pay 1 x Child $60.00 2 x Children $90.00 3 x Children $110.00 4 x Children $120.00 Squad Fees Per Week 5 Week Block Amount To Pay 1 x Child $20.00 $100.00 2x Children $35.00 $175.00 3x Children $45.00 $225.00 4x Children $55.00 $275.00 (Squad fees for non-financial Members is $25 per child per session) LTS Fees Per Week 5 Week Block Amount To Pay 1 x Child 1 Lesson $15.00 $75.00 1 x Child 2 Lesson $22.50 $112.50 1 x Child 3 Lesson $30.00 $150.00 2 x Child 1 Lesson $30.00 $150.00 2 x Child 2 Lesson $50.00 $225.00 2 x Child 3 Lesson $60.00 $300.00 Membership = LTS Fees = Squad Fees = Total To Pay = PRE SEASON 2017/2018 Block One Monday 14th August to Friday 15th September 2017 (This Block is subject to change if numbers are not viable) SEASON 2017 / 2018 Block One Tuesday 3 rd Oct to Friday 3 rd Nov 2017 (5 week block) Block Two - Monday 6 th Nov to Friday 8 th Dec 2017 (5 week block) Block Three Monday 22 nd Jan to Friday 23 rd Feb 2018 (5 week block) Block Four - Monday 26 th Feb to Thursday 29 th March 2018 (5 week block) Block Five Monday 16 th April to Friday 18 th May (5 week block) Winter Block Monday 21 st May to Friday 8 th June (3 Week Block) (This Block is subject to change if numbers are not viable) Fees are charged in 5 week blocks and payable in advance. Public Holidays will not be charged for. Invoices will be prepared 2 weeks PRIOR to each block and are due BEFORE BLOCK STARTS. Failure to pay the reserved positions/s will be forfeited and the child unable to commence swimming. Swimmers commencing after the beginning of a block, fees will be adjusted accordingly. Please refer to handbook for full rules explanations. Payment of fees can be made by cash, cheque or EFT. Cash - Fees box is located at the storeroom door of the pool and should be placed in a sealed envelope with swimmers surname and state if it is for LTS/SQUAD. EFT to BSB: 064 120 A/C No: 00902322 A/C Name: Virginia State School Swimming Club Please quote swimmers surname as Reference on EFT s.

VIRGINIA STATE SCHOOL SWIMMING CLUB CONTACT SHEET 2016-17 SEASON In the first instance the easiest and fastest way to contact the club is via email vsssc.coordinators@gmail.com Some questions can be answered by reading the swim clubs page on the website www.virginiass.eq.edu.au (Under P&C Tab, Swim Club). Membership Coordinator MUST be notified asap if your swimmer no longer wants lessons/squad. Charges apply (as stated in the handbook) in advance & until such time as notification. #Carnival Selector MUST be notified ASAP regarding unavailable swimmers selected in carnivals. (By phone if late notification). Should you need to contact by other means following is a list of contacts for the club. Position Name Phone 1 Phone 2 Chairperson Carlie Shah 0404761990 Secretary Jane O Brien 0422812944 Vice Chairperson Clive Berry 0400446667 Membership Coordinator Chantel Foster 0423454347 Carnival Selector Melanie Berry 0408838803 Chief Recorder Karen Synnott and Phoebe Knight 0415216688 0416887936 Quartermaster Cassie Pepper Swimming Club Monthly Meeting 7pm on the 2nd Wednesday of every month in the Computer room at Virginia State School. Please join in and attend a meeting as new faces and suggestions are always welcome. Carnival Selections Carnival Selections are made from the Best Times Report from Friday Night swims. Swimmers can only be selected if they swim on Friday Nights and make themselves available for Carnivals (notification is on your Membership form). Carnivals are fun and team spirit is always high at Virginia! Approx. one carnival per month of the swimming season - each carnival is different. Club Night Volunteers/Canteen Roster ALL Friday night families are required to help volunteer for Club Night roles or in the Canteen at least once per term. Please check the noticeboard/ email for your turn. If you are unable to attend, it is your responsibility to swap with another family.

VIRGINIA STATE SCHOOL SWIM CLUB NOW HAS ITS OWN APP! Download our new app now for FREE now! This app will be the new way of communicating to our members. Information such as Class Schedules, Important Dates, Carnival Selections and Club News will be uploaded to this app. To Download : 1. Download team app from the Apple or Google Play Store 2. Sign up to Team App - You will be sent an email to confirm your registration 3. Log Onto the App and search for Virginia Swim Club 4. Choose your applicable group, you can choose more than 1 (eg. Squad parent and Friday night Member) 5. Wait for your application to be approved by one of our admin 6. If you do not have a smart phone you can log onto your computer to view online. Go to virginiaswimmingclub.teamapp.com and sign up as above. Need Help? Contact: Chantel Foster 0423454347 Vsssc.coordinators@gmail.com