SAVE THE DATE: San Clemente Aquatics Registration for

SAVE THE DATE: San Clemente Aquatics Registration for 2017-18 August 31 st is the last day of the 2016-17 swim year. All swimmers that want to continue on with us for 2017-18 must register again during the time frame listed below. This applies to all swimmers regardless of when you registered during the year. We have three different registration dates depending on your swimmers status as of August 1. During the registration process, all swimmers will be charged the annual swimmer fee of $40 and the 2018 Southern California Swimming registration fee of $64. Registration for currently active swimmers begins online Monday, August 14th and ends Sunday, August 20th. All returning swimmers that are currently on our team need to be registered by Sunday, August 27 th if they plan on continuing past August 31. (Registration for currently active swimmers will not be charged the Team Registration fee of $100 if you register between August 14 and August 20). All Summer Program swimmers (Barracuda s) and swimmer s inactive as of August 1 will register beginning Monday, August 21. New Swimmer Online Registration will begin on Monday, August 28th. All registration is on a first come first serve basis. In our Novice Program we have a limited number of spaces in each group and when they are full, you will need to select a different day/time. The day/time you have now is not guaranteed for the 2017-2018 registration. If you need a specific day/time, I urge you to register early. (Active swimmers have priority at registration).

Please let me know if you do not plan on registering with us for 2017-18. If there is some reason why you can t register during the dates above, please contact me at kymsabins@gmail.com. Your swimmer must have a paid registration for 2017-18 to be able to return to practice beginning September 1 st. All returning swimmers that are currently active on our team need to be registered by August 27 th so that the registration can be changed over for the new swimmer registration. All accounts without 2017-18 registrations will be inactivated on September 1 st. Hope everyone has a great championship meet. Go SCA! Kym Sabins Team Admin San Clemente Aquatics

TEAM REGISTRATION PACKET 2017-2018 SEASON Swim Team Agreement and Payment/Billing Policies Dues Schedule Service Hour Policy Termination Form Workout Schedule for Age Groups/Senior Groups Workout Schedule for Novice Program (MT/Bronze) Save the Date Swim Meet Schedule (September 2017-December 2017) Swim Meet Schedule (January 2018-August 2018) *will be distributed in early December Group Equipment List Swimmer Code of Conduct Parent Code of Conduct and Responsibilities Concussion Information Sheet

SCA Team Agreement & Payment/Billing Policies The purpose of this agreement is to set forth the terms and conditions required to become a member of San Clemente Aquatics. SCA Board of Directors has adopted policies that it believes necessary for the effective operation of the program. All individuals and families applying for team participation agree to be bound by these policies, fee schedule, and late charges as they now exist, or as they may be modified in the future. All swimmers are required to register annually with USA Swimming. The benefits with this registration include coverage under a limited, co-benefit, accident and liability insurance policy. NO OTHER INSURANCE IS PROVIDED TO PARTICIPANTS IN THE PROGRAM. I acknowledge that this organization is run primarily through the involvement and participation of its members. I agree to be bound by the participation requirements established by the Board of Directors and established in the SCA Service Hour Policy. In addition, I consent to and authorize the use and reproduction by San Clemente Aquatics of any photographs and any other audiovisual materials taken of my child for promotional material, educational activities, exhibitions, or for any other use to benefit the program. MEMBERSHIP POLICY: San Clemente Aquatics is a nonprofit, public benefit corporation. Swim 'Dues' provide the high quality coaching and swim programs necessary to support a year-round swim program. MONTHLY SWIM DUES: Monthly dues cover your workout training and vary depending on group placement. All families must use auto-pay for their monthly billing. Swimmers will be held out of the pool if these fees are not current. Monthly dues are required of all swimmers and will not be prorated based upon attendance. If your swimmer swims one day in any given month, you are responsible for dues for that month. Monthly dues are based on the published fee schedule and billed to your credit card/debit card/ach on the 1st of the month. A late fee of $25.00 will be assessed to those accounts whose payment is declined and not resolved by the 10th of the month. Monthly Dues for Mini-Tritons, Bronze and High School Prep are based on a 12 month billing cycle. Monthly Dues for all other groups are based on a 10 month billing cycle (September-June). (If you are inactive for 2 months or longer and you return during the season (Sept-Aug), you will be billed dues in July & August).

NEW SWIMMER START DATES: The first month s dues are based on the date of the online registration. If you qualify for half dues it will be credited on the following month s statement. Registration completed prior to the 15th = full monthly dues. Registration completed on or after the 15th = half monthly dues. TEAM REGISTRATION: Team Registration fee is $100 per family. Should your swimmer go inactive and return to the team for any reason other than medical reasons, they must reregister. When re-registering you are charged the Team Registration. There is an annual swimmer fee of $40.00 per swimmer that will be assessed with September Dues or when you first register. The annual swimmer fee is prorated 50% for the swimmers registering between March 1-July 1. USA SWIMMING REGISTRATION This is a mandatory annual fee of $64 covering your USA Swimming Membership. USA Swimming is the governing body of amateur swimming and provides insurance for your swimmer. This registration is completed on the pool deck and the forms are available from your coach. All swimmers will be required to show their original birth certificate or passport. (For returning swimmers, this fee will be charged with the August Registration and electronically submitted to USA Swimming by the Team Administrator. BC/Passport is not required for returning swimmers.) The USA Swimming membership fee covers January through December of the calendar year and is not prorated by USA Swimming. Any swimmer not registered with USA Swimming may be denied training with SCA until he/she is current with the registration. Monthly dues are not prorated for time missed because of USA Swimming non-registration issues. If a new swimmer registers with USA Swimming on or after September 1, their registration will be good until December of the following year. Online registration and USA Swimming registration must be completed prior to beginning regular practices. An original birth certificate or valid passport must also be presented at the first day of practice. WITHDRAWAL NOTIFICATION REQUIREMENTS: All requests for extended absences or inactivity require that the notice be given in writing via email and submitted with the Termination/Withdrawal Form. The Team Admin must receive this by the 20th day of the month prior to the "effective date". NO REFUNDS WILL BE GRANTED. LEAVE OF ABSENCE (High School Swimming): If your swimmer intends on taking a leave of absence for the High School swimming season, you must fill out the

Withdrawal Form. If your swimmer is gone less than 4 months and returns by May 1st you will be guaranteed a spot on the team and you will not be billed the $100.00 registration fee. You are still responsible for the service hours. Any high school swimmer returning after May 15TH will be subject to the $100 team registration and space availability. 6) LEAVE OF ABSENCE (Vacation, other sports, etc.): If you go inactive for any other reason than High School swimming, you must submit notice (Withdrawal Form) via email to our Team Admin by the 20th day of the month prior to the "effective date". NO REFUNDS WILL BE GRANTED. All Leave of Absence returning members must reenroll and pay the $100 team membership fee again. 7) LEAVE OF ABSENCE (Medical): You must inform the Team Admin of medical condition in a timely manner. Dues will be waived for any illness or injury if the swimmer is absent for one or more full calendar month. Physician written verification required. Waived fees will be used as a credit for the next billing period (when swimmer returns). By acknowledging this form, you are authorizing San Clemente Aquatics to automatically bill your credit card/debit card/ach on the 1st of each month. All information is confidential and on a secured network. ** Your athlete will be placed in the appropriate group based on his/her performance levels at the time of his/her returning to the team. This may not necessarily be the group that the athlete was in when he/she left. I HAVE READ AND UNDERSTAND THE TERMS AND CONDITIONS CONTAINED IN THIS AGREEMENT.

Groups 1st Swimmer 2nd Swimmer 3rd Swimmer Mini-Triton $95 $85 $70 FREE 4th Swimmer Bronze Group $90 $80 $65 FREE Silver 10 & Under $110 $96 $78 FREE Silver 11 & Over $110 $96 $78 FREE Gold $165 $144 $126 FREE JO $175 $150 $132 FREE HS Prep $150 $140 $125 FREE Senior I $175 $156 $138 FREE Senior II $210 $186 $168 FREE Sectional $270 $258 $240 FREE National $300 $288 $270 FREE Team Registration $100 $0 $0 $0 Annual Swimmer Fee* SCS Annual Fee $40 $40 $40 $40 $66 $66 $66 $66 You can view your account balance 24/7 through our website at www.scatwim.org. Once you have signed in, if you click on "my invoices/ payments" you can view what charges have been made and the amount that will be charged to your credit card. revisedjuly2017

San Clemente Aquatics Service Hour Policy SCA depends heavily on volunteers to run the team successfully. A swim team simply cannot function without the support of swim parents. Our expectation is that each family will make every effort to support our team with their time, talents, and energy. Parental support and involvement is vital to the success and growth of our team. The minimal obligations of all SCA families include the following: Required Hours: All SCA families with swimmers in the below groups must participate in our service hour program and each family is required to complete a minimum of 18 service hours per swim year. Families joining the team during the year will have their hours prorated at 1.5 hours per month for each month their swimmer participates. New members joining on or after March 1st are not required to serve any volunteer hours for the current year; they will begin serving upon the new swim calendar year. National / Sectional / Senior II / Senior 1 / JO / Gold / Silver There are two (2) mandatory meets that each family is required to work, regardless of whether or not you have met your service hour requirement. Families not fulfilling this requirement will be billed $50 per meet. Requirement: *Three (3) hours at all SCS hosted swim meets, two (2) per year *Food donations may only satisfy one (1) hour of your required volunteer hours per meet. If donating food, your remaining two (2) hours must be worked on deck to fulfill the mandatory three (3) hour requirement. On Deck Hours: Timing Coordinator: A timing coordinator will be responsible for coordinating all timing chairs at an away meet (or SCA hosted meet), ensuring that timer information is correct (i.e. timer name, swimmer and/or number of service hours), and transmitting this information to the service hours coordinator. The timing coordinator will earn up to two (2) hours based upon the number of timing chairs SCA is assigned. This position will be posted on the SCA website prior to the meet. SCA Hosted Meets: SCA will host intra-squad meets and USA Swimming meets every year. SCA will post these events and positions on the SCA website approximately 1-2 weeks prior to the meet and these hours are included in the required service hours. Off Deck Hours: Service hours can be earned by supporting SCA social events, chairing committees or events, group parents, fundraisers and transportation of equipment. Some of these will have guidelines to receive hours. Booster Club meetings will no longer be eligible to earn service hours. Revised July 2017

Non-SCA Hosted Away Meet Timing Requirements: All families who have swimmers participating in an away meet (any meet not hosted by SCA) are required to time at those meets without exception. However, timing at away meets is not included in the required service hours. A timing shift will be defined by the length of the meet and predicated on the number of chairs SCA is assigned and number of families attending the meet. If you sign up for or are assigned to an away meet timing assignment and do not show up for your shift or have not made arrangements for a replacement to fulfill your shift, you will be assessed a penalty fee of $25 for each shift you missed. For those families who have older swimmers that drive themselves to meets, you are still responsible for away meet timing. It is your responsibility to fulfill your timing obligation either by your swimmer or another family member. Parents of swimmers in the long distance events (400 IM, 400/500 Free, 800/1000 Free or 1500/1650 Free) are responsible for timing 3 heats of those events in addition to your regular away meet timing obligation. If your swimmer makes it back for a Finals session, you are responsible for timing at least 3 heats during the Finals session. All families must check in with the timing coordinator before the start of the meet. Any family that decides not to time will be charged $25. A capable person at least 12 years of age other than a parent may satisfy your service obligation, as long as the substitute can competently perform the volunteer task. Swimmers who are inactive for more than 90 consecutive days during the summer will be credited 1.5 hours per month. An email must be sent to the SCA team administrator giving notification of intent to be inactive for 90 days or more, stating beginning and ending dates by the 20th of the month prior. Service hours are not suspended for inactive swimmers while participating in their high school season. The Above and Beyond Club: All families who double their requirement (36 hours) each year will be recognized in the form of a swim team award (t-shirt, towel, hat, etc.). This award will be distributed at the end of the swim year after total hours are tallied. Non-compliance: SCA families will be subject to a Non Compliance Fee (NCF) of up to $450.00 per family if the 18 hour requirement is not met. For each hour worked, the NCF will be reduced by $25. Families who volunteer at least 18 hours will not be assessed the NCF. Families who have volunteered less than 18 hours will be billed $25 for each hour less than 18. Late fees will be assessed on any unpaid balance due. Half the minimum hour amount your family is responsible for (9 hours) must be satisfied by February 15th. Hours not worked will be billed to the families on March 1st. If all service hours are completed by July 31, the fees will be removed. The final service hour balance for the season will be invoiced on the August 1 billing. The intent of this policy is not to raise money, but to emphasize how important it is that we all work together to maintain the high SCA standards and to help more evenly share the volunteer effort required to provide well run meets and activities for our children. We cannot run a meet without adequate parental support. This policy is intended to provide flexibility for families throughout the year to fulfill the minimum 18 hour obligation. Many of our families volunteer extra hours during the year. Those families not doing their fair share during SCA hosted events, critically jeopardize the management and operation of these events and also subject the club to increased membership fees. SCA appreciates your support and involvement. Revised July 2017

SCA Termination Form Swimmer(s) Name: Termination Request Date: Reason for termination of SCA membership: Parent(s) Name: Date of submission: Swimmers may terminate their membership with San Clemente Aquatics (SCA) at any time by submitting this form to the SCA address below. The termination must be acknowledged with a return email from the Team Administrator to be formally accepted. Terminations tendered and accepted by the Team Administrator after the 20th of the month will not take effect until the following month (for example, a termination notice received January 21st will result in billing for swimming during the month of February). All account balances are payable before the swimmer can be released from the team roster. Be aware that transfers to another USA swimming team are subject to release from a swimmer s current team affiliation, and releases will not be processed unless all balances are paid in full. If you decide to withdraw your swimmer from the team before the service hour deadlines, any amount not earned and credited at the time of the withdrawal will be due at the time we receive your Termination Form and will be charged to the card you have on your SCA account. SCA families with active swimmers on our team can only earn service hours. Once you withdraw your swimmer, you are no longer eligible to earn service hours towards your requirement. Submit this form by email to SCA Team Administrator at kymsabins@gmail.com.

Workout Schedule for Age Group/Senior Groups beginning August 14, 2017 Group Monday Tuesday Wednesday Thursday Friday Saturday** Silver 10&Under MWFS 3:30 4:30pm OFF 3:30 4:30pm OFF 3:30 4:30pm 9 10am Silver 10&Under TTHFS OFF 3:30 4:30pm OFF 3:30 4:30pm 3:30 4:30pm 9 10am Silver 11&Older MWFS 4:30 5:30 pm OFF 4:30 5:30pm OFF 4:30 5:30pm 10 11am Silver 11&Older TTHFS OFF 4:30 5:30pm OFF 4:30 5:30 pm 4:30 5:30 pm 10 11am GOLD 5:30 7pm 5:30 7pm 5:30 7pm 5:30 7pm 4 5:30pm 9 10:30am JO 5:30 7pm 5:30 7pm 5:30 7pm 5:30 7pm 4 5:30pm 9 10:30am Senior I 5:45 7pm 5:45 7pm 5:45 7pm 5:45 7pm OFF 9 10am Senior II 3:30 5:30pm 3:30 5:30pm 3:30 5:30pm 3:30 5:30pm 3:30 5:30pm 9 11am Dryland 5:45 6:45 pm 5:45 6:45 pm 8 9 am Morning* TBD TBD TBD TBD Sectional/Nat'l 3:30 5:30 pm 3:30 5:30 pm 3:30 5:30 pm 3:30 5:30 pm 3:30 5:30 pm 9 11 am Dryland 5:45 6:45 pm 5:45 6:45 pm 8 9 am Morning* TBD TBD TBD TBD HS Prep 5:45 7pm 5:45 7pm 5:45 7pm 5:45 7pm OFF OFF *Senior Group Morning workouts are seasonal (check with your coach) **There will be no Saturday workout on Sept 16, Oct 14, Nov 11, Dec 2,

Workout Schedule for NOVICE PROGRAM (2017-2018) Mini-Triton (Ages 5-8) Workout Schedule Monday/Wednesday Program Tuesday/Thursday Program 4:00-4:30 pm Mini Tritons #1 4:00-4:30 pm Mini Tritons #2 4:30-5:00 pm Mini Tritons #3 4:30-5:00 pm Mini Tritons #4 5:00-5:30 pm Mini Tritons #5 5:00-5:30 pm Mini Tritons #6 5:30-6:00 pm Mini Tritons #7 5300-6:00 pm Mini Tritons #8 Stroke Group (Ages 6-10) Vista Hermosa Workout Schedule Monday/Wednesday/Friday Program MW 3:30-4:15 pm Stroke Group #1; F 3:30-4:15 pm MW 4:15-5:00 pm Stroke Group #3; F 3:30-4:15 pm MW 5:00-5:45 pm Stroke Group #5; F 3:30-4:15 pm MW 5:45-6:30 pm Stroke Group #7; F 3:30-4:15 pm Tuesday/Thursday/Friday Program TTH 3:30-4:15 pm Stroke Group #2; F 4:15-5:00 pm TTH 4:15-5:00 pm Stroke Group #4; F 4:15-5:00 pm TTH 5:00-5:45 pm Stroke Group #6; F 4:15-5:00 pm TTH 5:45-6:30 pm Stroke Group #8; F 4:15-5:00 pm Stroke Group (Ages 6-12) Ole Hanson Beach Club Workout Schedule Monday/Wednesday/Thursday Program 3:30-4:15 pm Stroke Group (OH)

SCA Save the Date! AUGUST/SEPTEMBER 2017: Team Gear Fitting: Monday, August 28, 4-7 pm Team Photo Day: Tuesday, September 19, 4 pm Team Gear Fitting: Tuesday, September 19, 4-7 pm OCTOBER/NOVEMBER 2017: SCA Annual Halloween Party: Friday, Oct 27, 4 pm DECEMBER 2017/JANUARY 2018: SCA Holiday Party: Wednesday, Dec 13 (tentative date) FEBRUARY/MARCH 2018: SCA Awards Banquet: Wednesday, March 28 (tentative date) APRIL/MAY 2018: SCA-A-THON: TBD JUNE/JULY 2018: NO SWIM PRACTICE (Determined by the City of San Clemente): Monday, September 4 (Labor Day) Tuesday, October 31 (Halloween) (Gold, JO & Seniors will swim) Friday, November 10 (Veteran s Day)- City hasn t decided if pool will be open or closed. Thursday/Friday, November 23-24 (Thanksgiving) Monday, December 25 (Christmas) Monday, January 1 (New Years Day) Monday, February 19 (President s Day) Monday, January 15 (MLK Jr. Day) Monday, May 28 (Memorial Day) Wednesday, July 4

SCA Swim Meet Schedule September 2017-December 2017 September 16-17 BRW Meet@ EAST Open to MT, Bronze, Age Groups & Senior Groups. Deadline to sign-up is Monday, September 4, 2017. October 14-15 BRW Meet@ SCA (MANDATORY MEET for Age Group/Seniors) Open to MT, Bronze, Age Groups & Senior Groups. Deadline to sign-up is Monday, October 2, 2017. October 28-29 BRW Pumpkin Meet@ GWSC Open to MT, Bronze & Age Groups. Deadline to sign-up is Monday, October 16, 2017. November 3-5 Kevin Perry Meet@ FAST Open to any swimmer that qualifies. Deadline to sign-up is Monday, October 23, 2017. November 11-12 BRW Meet@ TBD Open to MT, Bronze, Age Groups & Senior Groups. Deadline to sign-up is Monday, October 30, 2017. December 1-3 BRW Meet@ TBD Open to MT, Bronze, Age Groups & Senior Groups. Deadline to sign-up is Monday, November 20, 2017. December 6-9 Speedo Jr. Nationals@ Univ. of Iowa Open to any swimmer that qualifies. Deadline to sign-up is Monday, November 27, 2017. Travel Meet December 8-10 Winter Age Group Champs (WAG)@TBD Open to any swimmer that qualifies. Deadline to sign-up is Monday, November 27, 2017. Travel Meet (maybe?) December 15-18 CA-NV Sectionals Meet@TBD Open to any swimmer that qualifies. Deadline to sign-up is Monday, December 4, 2017. Notes: No entries accepted after midnight of the deadline date. No meet entry refunds for any reason after the deadline date. No Saturday practice for Age Groups/Senior I, II on Sept 16, Oct 14, Nov 11, Dec 2

MTL2 Swim cap for girls Goggles Other equipment provided Bronze Group Swim cap for girls Goggles Mesh gear bag Fins (Tritan Swim Fins #BT04) Other equipment provided Silver Groups Swim cap for girls Goggles Mesh gear bag Fins (Tritan Swim Fins #BT04) GROUP SWIM EQUIPMENT LIST Gold/JO Groups Swim cap for girls (available in the office) Goggles Mesh gear bag Fins (Crossblade Training Fins Style # LFCROSS) Snorkel Hand Paddles (ask coach for size) Team warm-ups SENIOR I & HS Prep Swim cap for girls Goggles Mesh gear bag Fins Snorkel Hand Paddles (ask coach for size) SENIOR I & II Swim cap for girls Goggles Mesh gear bag Fins Snorkel Hand Paddles (ask coach for size) **WRITE YOUR NAME ON ALL EQUIPMENT** (REVISED JULY 2017)

San Clemente Aquatics: Swimmer Code of Conduct As a swimmers and members of the SCA Swim Team, I will abide by the following Code of Conduct: SWIMMER: 1. Conduct myself with dignity and respect for others and for the property of others. 2. Be on time for practice, training sessions, and meets. 3. Comply with all team rules. 4. As a matter of team pride & courtesy to meet hosts, pool facility operators, & janitorial staff members, swimmers are expected to leave the SCA team area in a neat & clean condition at the conclusion of each meet or practice session. This also applies to pool locker/ restrooms, bleacher areas, pool decks, etc. 5. Practice and teach good sportsmanship. 6. Promote positive team spirit and morale. 7. Offer congratulations and encouragement to his/her opponents. 8. Support his/her teammates at practice and at competition. Working together as a unit will benefit each team member and is an important part of SCA spirit. 9. Follow verbal directions of the coaching staff. At no time will disrespectful attitudes by any swimmer be tolerated. 10. Respect the rights and space requirements of other groups using the swimming facility. 11. Follow the SCA Code of Conduct at home, as well as out of town events and at any event SCA is represented. Prohibited Behavior: At no times will the following be accepted: 1. Use or possession of any illegal substance (i.e., alcohol, drugs, tobacco). 2. Destructive behavior, including abusive, profane language. 3. Inappropriate or unruly behavior, including fighting or striking another athlete 4. Stealing and vandalism. 5. Bullying, harassment, hazing or isolating another swimmer. 6. Interference with the progress of another swimmer during practice or at any other time. Consequences for Violation of the Code of Conduct: This code shall be in force for all San Clemente Aquatic swimmers during practice, during swim meets, and at events sponsored by or in which SCA Swim Team represents. Disciplinary actions can range from, but are not limited to; reprimands, being sent home from practice or meets at the parents expense, expulsion from the team, being barred from competition, or receiving any other disciplinary action that the Board and Head Coach deems necessary if a member fails to adhere to the Code in part of in whole. Swimmer Signature Date Updated June 2015

San Clemente Aquatics: Parent Code of Conduct and Responsibilities As a parent/guardian, I understand the important growth and developmental support that my child s participation fosters. I also understand that it is essential to provide the coaching staff with respect and the authority to coach the team. PARENT: As a Parent of the SCA Swim Team, I will abide by the following Code of Conduct: 1. Practice teamwork with all parents, swimmers & coaches by supporting the values of Discipline, Loyalty, Commitment, and Hard Work. 2. As a parent, I will NOT coach, or instruct the team or any swimmer at a practice or meets (from the stands or any other area) or interfere with the coaches on the pool deck. 3. Demonstrate good sportsmanship by conducting myself in a manner that earns the respect of my child, other swimmers, parents, officials & the coaches at meets & practices. 4. Maintain self-control at all times & know my role. Swimmers - swim, Coaches - coach, Officials - officiate, Parents - parent! 5. Enjoy involvement with the SCA Swim Team by supporting the swimmers, coaches & other parents with positive communications & actions. 6. During a competition, questions or concerns regarding decisions made by meet officials are directed to a member of our coaching staff only. 7. I will direct my concerns first to my son s/ daughter s coach; then, if not satisfied, to the appropriate supervisor/ Head Coach. If still not satisfied, contacting the Board of Directors is appropriate. 8. As a parent, I understand that criticizing, name-calling, use of abusive language or gestures directed toward the coaches, officials, parents &/or any participating swimmer will not be permitted or tolerated. 9. Member email addresses are for swim communication only and not to be used for any other purposes. PARENT RESPONSIBILITIES: Parental cooperation is necessary for our club to function. Help is always needed in fundraising, running our home meets, working on committees, supplying food for our concessions, etc. Please volunteer your time willingly! Some specific responsibilities are: 1. Each family must volunteer their time to help run the home swim meet(s) based on the SCA Service Hour Program. 2. All families swimming at away meets must fill a timing chair (this does not count towards service hours). 3. Get Involved! I understand and agree to the above terms and conditions of the San Clemente Aquatics Swim Team in exchange for the opportunity for my child(ren), registered with this form, to participate in the activities and swimming program of the San Clemente Aquatics Swim Team. I understand the above expectations and that my failure to adhere to them may result in disciplinary action. Parent Signature Date Parent Signature Date NOTE: Swimmer Code of Conduct can be found on the backside of this form. Signatures are required for both Parent/ Guardian and Swimmer. Updated June 2015

Violations of the Code of Conduct As part of the SCA commitment to the Code of conduct, the following procedures are in place to resolve grievances regarding the conduct of swimmers and coaches. The procedures are intended to: 1. Place primary responsibility with the SCA coaches to resolve disputes between swimmers and take necessary disciplinary action regarding any violations of the Code. 2. Provide timely and equitable procedures for the review of the coaches disciplinary decisions and for addressing issues regarding coaches conduct. Coaches Responsibility The coaches have the initial responsibility to discipline swimmers for inappropriate conduct. It is expected that the coaches will use their reasonable discretion when posing appropriate discipline and that any disciplinary action will take into account (1) the nature and severity of the conduct, (2) any prior disciplinary actions regarding the swimmer, (3) the adverse effect of the conduct on other swimmers, and (4) the application of the code of Conduct. Examples of disciplinary action include verbal warning, removal from a practice, notification to the swimmers parents, suspension from some or all SCA activities, up to and including expulsion from SCA. These examples are not exclusive, and it is expected that the coaches will exercise their discretion to fashion an appropriate disciplinary action, including consultation with both the Head Coach and affected parents in the case of extraordinary disciplinary action. However, the coaches will take any immediate action that is both necessary and appropriate under the circumstances to insure the safety of swimmers. It is expected that any violations or perceived violations of the Code of Conduct will be reported immediately to the San Clemente Aquatics Swim Club coaches. Updated June 2015

San Clemente Aquatics Concussion Information Sheet Dear Parent/Guardian and Swimmers, This information sheet is provided to assist you and your child in recognizing the signs and symptoms of a concussion. Every child is different and responds to a brain injury differently, so seek medical attention if you suspect your child has a concussion. Once a concussion occurs, it is very important your child return to normal activities slowly, so he/she does not do more damage to his/her brain. What is a Concussion? A concussion is an injury to the brain that may be caused by a blow, bump, or jolt to the head. Concussions may also happen after a fall or hit that jars the brain. A blow elsewhere on the body can cause a concussion even if an athlete does not hit his/her head directly. Concussions can range from mild to severe. Signs and Symptoms of a Concussion Children do not have to be knocked out to have a concussion. In fact, less than 1 out of 10 concussions result in loss of consciousness. Concussion symptoms can develop right away or up to 48 hours after the injury. Ignoring any signs or symptoms of a concussion puts your child s health at risk! Signs Observed by Coaches, Parents or Guardians Appears dazed, stunned or confused Unsure about event, location of name of meet Moves clumsily Answers questions slowly Loses consciousness (even briefly) Shows behavior or personality changes irritability, sadness, nervousness, emotional Can t recall events before or after incident Symptoms Reported by Swimmer Any headache or pressure in head - how badly it hurts does not matter Nausea or vomiting Balance problems or dizziness Double or blurry vision Sensitivity to light and/or noise Feeling sluggish, hazy, foggy or groggy Concentration or memory problems Confusion Does not feel right Trouble falling asleep Sleeping more or less than usual Concussion Information Sheet/ Acknowledgement, updated May 2016

Be Honest Encourage your child to be honest with you, his/her coach and your health care provider about his/her symptoms. Many young children get caught up in the moment and/or feel pressured to return to sports before they are ready. It is better to miss practice or meets than the entire season or risk permanent damage! Seek Medical Attention Right Away Seeking medical attention on the day of the event is an important first step if you suspect or are told your swimmer has a concussion. A qualified health care professional will be able to determine how serious the concussion is and when it is safe for your child to return to sports and other daily activities: No swimmer should return to activity on the same day he/she gets a concussion No swimmer may return to training, regardless of sport, until he/she is cleared by a heath care professional with a note specifying clearance. Athletes should NEVER return to the pool if they still have ANY symptoms. in case a swimmer returns with a note and then during the practice complains of a headache or other symptoms Parents and coaches should never pressure any swimmer to return to play The Dangers of Returning Too Soon Returning to the pool too early may cause Second Impact Syndrome (SIS) or Post-Concussion Syndrome (PCS). SIS occurs when a second blow to the head happens before a child has completely recovered from a concussion. This second impact causes the brain to swell, possibly resulting in brain damage, paralysis, and even death. PCS can occur after a second impact. PCS can result in permanent, long-term concussion symptoms. The risk of SIS and PCS is the reason why no swimmer should be allowed to participate in any physical activity before they are cleared by a qualified health care professional. Recovery A concussion can affect school, work, and sports. Along with coaches and teachers, the school nurse, athletic trainer, employer, and other school administrators should be aware of the child s injury and their roles in helping the child recover. During the recovery time after a concussion, physical and mental rest is required. A concussion upsets the way the brain normally works and causes it to work longer and harder to complete even simple tasks. Activities that require concentration and focus may make symptoms worse and cause the brain to heal slower. Studies show that children s brains take several weeks to heal following a concussion. Returning to Daily Activities 1. Be sure your child gets plenty of rest and enough sleep at night no late nights. Keep the same bedtime weekdays and weekends. 2. Encourage daytime naps or rest breaks when your child feels tired or worn-out. 3. Limit your child s activities that require a lot of thinking or concentration (including social activities, homework, video games, texting, computer, driving, job-related activities, movies, parties). These activities can slow the brain s recovery. 4. Limit your child s physical activity, especially those activities where another injury or blow to the head may occur. 5. Have your qualified health care professional check your child s symptoms at different times to help guide recovery. Concussion Information Sheet/ Acknowledgement, updated May 2016

Returning to School 1. Your child may need to initially return to school on a limited basis, for example for only half-days, at first. This should be done under the supervision of a qualified health care professional. 2. Inform teacher(s), school counselor or administrator(s) about the injury and symptoms. School personnel should be instructed to watch for: a. Increased problems paying attention. b. Increased problems remembering or learning new information. c. Longer time needed to complete tasks or assignments. d. Greater irritability and decreased ability to cope with stress. e. Symptoms worsen (headache, tiredness) when doing schoolwork. 3. Be sure your child takes multiple breaks during study time and watch for worsening of symptoms. 4. If your child is still having concussion symptoms, he/she may need extra help with school-related activities. As the symptoms decrease during recovery, the extra help can be removed gradually. Returning to the Pool 1. Returning to the pool is specific for each person. As an example, California law requires written permission from a health care provider before an athlete can return to play. Follow instructions and guidance provided by a health care professional. It is important that you, your child and your child s coach follow these instructions carefully. 2. Your child should NEVER be on deck, practice, or participate in competition if he/she still has ANY symptoms. (Be sure that your child does not have any symptoms at rest and while doing any physical activity and/or activities that require a lot of thinking or concentration). 3. Be sure that the athletic trainer, coach and physical education teacher are aware of your child s injury and symptoms. 4. Your swimmer should complete a step-by-step exercise-based progression, under the direction of a qualified healthcare professional. Resources: Centers for Disease Control and Prevention - www.cdc.gov/concussion Zurich Concussion Conference (2012) - Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Zurich, November 2012. http://bjsm.bmj.com/ content/47/5/250.full ODH Violence and Injury Prevention Program - www.healthyohioprogram.org/concusion National Federation of State High School Associations - www.nfhs.org Index concussions and see A parent s guide to concussion in sports. Parent & Swimmer Acknowledgement Form I acknowledge that I have received a copy of the Concussion Information Sheet, which describes important information regarding identifying a concussion, recovery/ treatment, and protocol for returning to an activity and risks associated with returning to activity too soon. Parent Name, Swimmer name Parent Signature (if swimmer < 18) Concussion Information Sheet/ Acknowledgement, updated May 2016