Arnprior BlueFish Swim Club
Competitive Registration Checklist for Parents
❏ Registration Form
❏ Swim Practice Cancellation form
❏ Code of Conduct
❏ Photo Release
❏ PIPEDA Consent (Privacy Protection Form)
❏ Copy of Birth Certificate (not necessary for returning Swimmers)
❏ Copy of Health Card (not necessary for returning Swimmers)
❏ Cheque(s) made out to ABSC for Competitive program fees - $1,000 per swimmer (see Competitive Program Fees for payment options and schedules)
❏ Cheque made out to ABSC for Swim Ontario/Canada Registrant fees dated September 1, 2017 (see Competitive Program, Swim Ontario/Canada Registrant and Volunteer Fees ) - fees are listed by swim level
❏ Cheque made out to ABSC for Volunteer fees dated September 1, 2017 - $100.00 per family (Competitive)
Note: as a non-profit sports organization, the Arnprior Bluefish Swim Club (ABSC) relies on parent/guardian volunteers and fundraising efforts. The club will be expecting all families to participate in fundraising efforts, such as our annual Swim-a-thon, throughout the swim season. Fundraising helps ensure the continued success of our club, keeps program fees reasonable, builds leadership and teamworking skills.
If your family completes all required volunteer points and fundraising for 2017-2018, your volunteer fee will be returned to you in June.
*Note: ABSC will not consider a swimmer’s registration complete until they have received each item on the above
checklist.
Arnprior Bluefish Swim Club 2017-2018 Competitive Registration Form
Welcome to all new and returning competitive swim families! The 2017-2018 swim season will run from October 2017 to June 2018.
Competitive practices: Monday - Thursday 3:30 p.m. - 5:20 p.m., and Sunday 7:30 a.m. - 9:00 a.m. NEW for 2017-2018!! Early morning independent practices: Tuesday and Thursday 6:30 a.m - 7:50 a.m.* *Note: Independent practice times available for additional training (not mandatory ). Swimmers will need to confirm with coaches ability to practice independently to access this swim time. Additional information to be provided.
Swimmer Information: Last Name: ________________________________________ First Name: _______________________
Street: ___________________________________________ City/Province: ____________________
Postal Code: _______________ Home Phone #: _______________________ DOB: ______________
Gender: ▢ Male ▢ Female
Parent/Guardian Information: Mother: ________________________________ Father: _________________________________ Address: (if different from swimmer) Address: (if different from swimmer) ___________________________________________ __________________________________________ ___________________________________________ __________________________________________
Home Phone#: __________________________ Home Phone#:___________________________ Work Phone#: ___________________________ Work Phone #:___________________________ Cell Phone #: ____________________________ Cell Phone #: ____________________________ Email address: ___________________________ Email address: ___________________________ Email address for Swim Ontario registration process: ________________________________
Refund Policy If your child wishes to withdraw from Arnprior Bluefish Swim Club, you may receive a refund, less the fee for 1 month. After Oct 31, 2017 fees are non-refundable . Your ABSC competitive program fees do not include the mandatory registration payment made on your behalf to Swim Ontario. This fee is to be paid by the swimmer and is determined on a yearly basis by Swim Ontario and is calculated based the age of the swimmer and level of competition. The fee paid to Swim Ontario is non-refundable.
Competitive Program, Swim Ontario/Canada Registrant and Volunteer Fees The 2017-18 Arnprior Bluefish Swim Club competitive program fees are $1,000.00 . In addition, there is a Swim Ontario/Canada Registrant fee (see fees outline below by swim level), and a Competitive volunteer fee of $100.00 per family.
Competitive Program Fees Schedule 1 - Monthly Payment Plan (Cheques to be made out to ABSC .) Date Amount Chq #
September 1, 2017 $100
October 1, 2017 $100
November 1, 2017 $100
December 1, 2017 $100
January 1, 2018 $100
February 1, 2018 $100
March 1, 2018 $100
April 1, 2018 $100
May 1, 2018 $100
June 1, 2018 $100
Competitive Program Fees Schedule 2 - Term Payment Plan (Cheques to be made out to ABSC .)
Date Amount Chq #
September 15, 2017 $250
December 15, 2017 $250
March 15, 2018 $250
May 15, 2018 $250
Competitive Program Fees Schedule 3 - Full Payment (Cheque to be made out to ABSC .)
Date Amount Chq #
September 15, 2017 $1,000
Note: The swim schedule is subject to change based upon registration numbers, an adjustment to fees would occur at that time if it was necessary.
Swim Ontario/Canada Registrant Fees (Separate cheque to be made out to ABSC dated September 1, 2017.)
Swim Level Amount Chq #
Competitive 8 & U $91.80
Competitive 9-10 $111.80
Competitive 11-14 $131.80
Competitive 15 & O $151.80
ABSC Policy on Swim Practice Cancellations
The ABSC President will provide the Pool Manager with the names of the Head Coach, assistant coaches and their contact information. The ABSC will provide all coaching staff with a list of all swimmers and parents’ contact information.
In the event of an EXPECTED practice cancellation the following should occur:
1) The Pool Manager will inform the Head Coach as soon as possible. 2) The Head Coach will inform the coaching staff and Vice President by email and phone. 3) The Head Coach will then send an email to every swimmer/parent and the Webmaster to post on the ABSC
website. 4) The Head Coach will send a follow up email to let executive, swimmers and parents know when practice will
resume.
In the event of an UNEXPECTED practice cancellation the following should occur:
1) The Pool Manager will contact the Head Coach. 2) The Head Coach will contact the other coaching staff and Vice President by phone (call or text). 3) The Head Coach will then call/text the numbers provided on the ABSC Emergency Contact list starting with
the youngest swimmers. 4) The Head Coach will attend the pool as per regular practice time to ensure any swimmers not aware of the
cancellation are caught. The coach will remain at the pool until all swimmers have been accounted for or there has been parent contact.
5) If the Head Coach is unable to do so, he/she must delegate this responsibility to another coach.
PARENTS MUST PROVIDE EMERGENCY CONTACT NUMBERS AND SIGN THIS POLICY BEFORE SWIMMERS BEGIN SWIMMING WITH BLUEFISH
--------------------------------------------------------------------------------------------------------------------------------------- Swimmer name: _________________________ Age____ Comp____ Pre-Comp____ Non-Comp ____ Contact name and number #1._______________________________________________________________________ Contact name and number #2________________________________________________________________________ Contact name and number #3. _______________________________________________________________________ Allergies? ___________________________________ Does this swimmer carry an Epipen? _______________ If so, where is it kept during swim practice? _____________________________________________________________ Does your child have any medical conditions that EMS should know about in the event of an emergency? __________________________________________________________________________________________ ___________________________________________________________________________________________ It is the responsibility of each parent to email the ABSC Registrar at [email protected] with any changes to the above information in a timely manner so our emergency list can be up to date for swimmer safety. Parent/Guardian Signature _________________________________ Date ________________________
Consent and Photo Release Arnprior Bluefish Swim Club
2017-2018
Swimmer’s Full Name: _________________________________________________________
I hereby grant the Arnprior Bluefish Swim Club permission to take photographs of the above- named swimmer and
consent to authorize the use and reproduction of such photographs for all legitimate purposes, such as
advertising, display and exhibition purposes.
______________________________________
Parent / Guardian Name (please print)
______________________________________
Parent/ Guardian Signature
______________________________________
Date
Arnprior Bluefish Swim Club
Code of Conduct
All swimmers and parents will be required to review and sign the following code of conduct each year upon
registration. The goal of ABSC is to encourage, nurture and teach the sport of swimming; as well as, to provide
opportunities for our members to accomplish their peak performance based on their natural abilities. Our goal is
to encourage personal growth, friendship and sportsmanlike behavior.
The code of conduct is proposed to allow swimmers to achieve their highest potential and to ensure an enjoyable,
safe and secure experience. It applies to all Bluefish swimmers and parents at all practises and events. Coaches
abide by the Canadian Swimming Coaches and Teachers Association (CSCTA) Professional Code of Conduct. A copy
is available at csca.org
Swimmers and parents will:
● Act in a sportsmanlike manner and treat fellow athletes, coaches, officials, pool staff and members of the
publics with courtesy and respect.
● Treat team members with care and respect.
● Be inclusive, supportive and encouraging.
● Show good manners.
● Respect other’s personal belongings.
● Express their ideas and opinions respectfully.
● Refrain from engaging or listening to criticism about others.
● Show courteous and respectful behaviour within change facilities while at regular practise and events.
In Addition:
● Parents are responsible for their child’s actions and welfare while the child is attending meets.
● Swimmer’s will perform good quality workouts to improve his/her swimming abilities.
● Coaches reserve the right to ask disruptive swimmers to leave the pool deck and will follow a “three
strikes, you’re out” policy should a swimmer’s disruptive behaviour continue.
● All disciplinary issues with swimmers will be reviewed by the ABSC President and the parents of the
swimmer to resolve the issues.
I/we ____________________________________________ , have read and understand the Arnprior Bluefish Code
of Conduct and agree to follow Policies within it.
Parent/Guardian Signature: _______________________________ Date:_________________________________