Sign Up Now for the Long Course Season!

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1 Sign Up Now for the Long Course Season! March 30 July 31, 2015 All-Year Competitive Swimming Your Way! Whether your child is just learning to swim or is looking beyond summer swimming, Penguin Swimming has a group that fit's your child's needs. Focus on proper stroke technique and development for younger swimmers, with a gradual progression towards elite level training and competition. Swim groups available based on age, ability and competitive experience. Train in Beeghly Natatorium, at Youngstown State University - one of Northeast Ohio's premier eight lane Olympic- size swimming facilities; No lane overcrowding, great workouts! Experienced and successful professional coaching staff; Average Coach to Swimmer ratio: 1:15 Swim short course yards in winter; long course meters in summer. Swimmer meet participation OPTIONAL, not required. YOU pick the meets! Variety is good! Meets within a 65 mile radius of Youngstown, held several times a month. Have a favorite stroke? YOU pick your event. YOU pick the distance. Do you participate in other sports or activities? Practice as much as you like..from 1-8 times per week. Affordable & economical swimming... Flexible dues and installment payment plan options available. Financial Assistance available also...no family turned away for financial reasons! SUCCESS + DEDICATION = NATIONAL RECOGNITION Achieved Level 1 of the USA Swimming Club Recognition Program, based on business and organizational success. Recognized as a Bronze Level Club in the USA Swimming Club Excellence Program, based on competitive performance of Penguin Swimmers. Penguin Swimming is ranked in the top 200 USA Swimming Teams! Want to know more about us?

2 Instructions for completion of Penguin Swimming Long Course Registration Packet All of your registration materials are included in this packet. Please print out/copy and complete all of the documents. ALL Documents due by March 30, 2015: Swimmers will not be allowed to begin practice until all registration documents are received. Dues & Fee Calculation Worksheet (1 per family) USA Swimming Athlete Registration Form ( new swimmers ONLY, 1 per swimmer if not a previously registered USA Swimmer) USA Swimming Transfer Form (New swimmers ONLY, 1 per swimmer if previously registered as a USA swimmer competing on another USA Swimming team) Supplement to USA Registration Form (1 per swimmer, new swimmers ONLY) Parent Code of Conduct Agreement (1 per family, new swim families ONLY) Swim Meet Contract (1 per family, new swim families ONLY) Emergency Medical Release Form (1 per swimmer, new swimmers ONLY) Copy of Birth Certificate or Driver s License ( all new swimmers ONLY) Payment All Checks made payable to Penguin Swimming All payments for new and returning swimmers registering for the long course season must be received by Monday, March 30. Swimmers will not be allowed to swim unless all fees, dues and pa- perwork are received by March 30. Turn in or Mail Registration forms and payment. All Checks made payable to Penguin Swimming Mail payment to Penguin Swimming c/o Jill Bogen, 424 Greenmont Drive, Canfield, OH 44406

3 March 2015 To new and prospective Penguin swimmers: Thank you for your interest in Penguin Swimming. Penguin Swimming offers a year round swimming program of instruction, training and competition for swimmers ages 5-22 years old. We are affiliated with USA swimming, the national governing body for swimming. We are committed and dedicated to providing a healthy environment for our swimmers that allows them the freedom to fully develop their competitive swimming potential, as well as helping them to grow socially and emotionally. In recent years, Penguin Swimming has established itself as a successful swim team, both in and out of the pool. Penguin Swimming recently achieved Level 1 Status in the USA Swimming Club Recognition Program, based upon its business and organizational success. Penguin swimmers have gone on to compete in the Ohio State High School Championships, the NCAA Swimming Championships, the Central Zone Meet, USA Nationals and Junior Nationals, the World University Games, the US Open and the Olympic Trials. The list of honors and accomplishments of Penguins swimmers is quickly growing and our team is earning respect and recognition on the local and national swimming stage. We are happy and proud of our successes, but are looking forward to being a better team in the coming year. We hope you are interested in joining our quest for excellence. Our team website ( includes a great deal of information on the team s structure, coaches, and philosophies. If Penguin Swimming is a good fit for your interests in swimming, please register today. We are now currently accepting registration for the 2015 spring and summer long course season. We hope to see you on the pool deck! Best Regards, The Penguin Swimming Board & Coaches

4 Penguin Swimming 2015 Long Course Groups & Dues The Penguin Swimming spring and summer long course program runs from March 30 through July 31, As part of Penguin Swimming s commitment to year round swimming, new members are welcome to join our team at the beginning of Long Course Season. PLEASE NOTE: Penguin Swimming defines a new swimmer as any swimmer that did not previously register with the team for the short course portion of the swim year. All new long course season swimmers are required to be registered with USA Swimming. If you have not registered as a USA Swimmer, you must complete the USA Swimming Registration form. All swimmers previously registered with another USA swimming team, must compete the Lake Erie Swimming Transfer form to compete as Unattached Penguin Swimming or Penguin Swimming with USA Swimming during the long course season. The fees for new members joining for long course are as follows: The head coach determines each swimmer s placement in the following groups. If there are any questions concerning placement, please ask your coach. Advanced Developmental: This group focuses on reinforcing proper stroke technique with some light conditioning for swimmers with some competitive swimming experience. This program offers practices two (2) days a week (Monday & Wednesday) for one (1) hour. This group will only practice from March 30 to May 27, **We need at least 6 swimmers to sign up to run this group** Returning Penguin Swimmer Long Course Add-on Fee: $125 New Swimmer fee: $160 Junior: This group is for swimmers with year round swimming experience. This group will spend time working on stroke maintenance and also on aerobic conditioning. This program offers practice five (5) days a week for one and one-half (1 1/2) hours. There are two options for this group. March 30-May 29 or March 30-July 31. Returning Penguin Swimmer Part Long Course Add on fee: $150 New Swimmer Part Long Course fee: $200 Returning Penguin Swimmer Full Long Course Add on fee: $275 New Swimmer Full Long Course fee: $350 Senior: This group is for swimmers who have many years of swimming experience or who are swimming at the top of their group. This group reinforces proper stroke technique and aerobic conditioning. This program offers practice five (5) days a week for two (2) hours. Swimmers will also have an opportunity to do morning workouts during the long course season. Returning Penguin Swimmer Long Course Add on fee: $275 New Swimmer Fee: $400

5 Penguin Swimming recognizes the financial investment involved in keeping your swimmer in a formal training program year round. Therefore, installment payment plan options are available. *** Penguin Swimming Administration Fee: $35.00 (ONE TIME ONLY FOR NEW PENGUIN SWIMMERS) New members joining for the long course program must complete all necessary forms on the checklist and must make full payment of all fees prior to entering the pool. This is for insurance purposes. This information can be downloaded from our website. If you have any questions please Brian Stahl: brianswim21@aol.com or Jill Bogen; mrsdocglb@zoominternet.net. Please deliver or send payments to: Penguin Swimming C/O Jill Bogen 424 Greenmont Drive Canfield, OH 44406

6 2015 Long Course Dues & Fees Calculation Worksheet Family Name: A. Team Fees (March 30 through July 31, 2015) ADVANCED DEVELOPMENTAL (ADV): Tues & Thurs; 1 hour practice until May 28 ONLY New Penguin Swimmer (Mar. 30 May 27) $ Returning Penguin Swimmer: (Mar. 30 May 27 long course add-on) $125 JUNIOR (JR): Mon -Friday, 1.5 hour practice New Penguin Swimmer Part (Mar. 30-May 30) $ Returning Penguin Swimmer: (Mar. 30-May 29) $150 New Penguin Swimmer Full (Mar. 30-July 31) $ Returning Penguin Swimmer: (Mar. 30 July 1 long course add-on) $275 SENIOR (SR): Mon-Fri, 2 hour practice New Penguin Swimmer: $ Returning Penguin Swimmer: (April July long course add-on) $275 SWIMMER NAME: GROUP _FEE: $_ SWIMMER NAME: GROUP _FEE: $_ SWIMMER NAME: GROUP _FEE: $_ (A) TOTAL: $ B. New Swimmer Fee: One- time administrative fee for swimmers new to Penguin Swimming ONLY $35 Number of Swimmers _ x $35 = (B) TOTAL Fee $_ Make all checks payable to Penguin Swimming TOTAL (A) + (B) $_

7 USA SWIMMING 2015 SEASONAL ATHLETE REGISTRATION APPLICATION LSC: REG. DATE / OFFICE USE ONLY CHECK APPROPRIATE SEASONAL PERIOD: SEASON 1 SEASON 2 INDIVIDUAL SEASON THIS MEMBERSHIP IS ONLY FOR MEETS BELOW ZONE, SECTIONAL AND NATIONAL LEVELS. PLEASE PRINT LEGIBLY COMPLETE ALL INFORMATION: LAST NAME LEGAL FIRST NAME MIDDLE NAME PREFERRED NAME DATE OF BIRTH (MO./DAY/YR.) SEX (M/F) AGE CLUB CODE NAME OF CLUB YOU REPRESENT IF UNATTACHED ENTER UN FATHER/GUARDIAN LAST NAME FATHER/GUARDIAN FIRST NAME MOTHER/GUARDIAN LAST NAME MOTHER/GUARDIAN FIRST NAME MAILING ADDRESS CITY STATE ZIP CODE U.S. CITIZEN: YES NO ARE YOU A MEMBER OF ANOTHER FINA FEDERATION? YES NO AREA CODE TELEPHONE NO. FAMILY/HOUSEHOLD ADDRESS IF YES, WHICH FEDERATION: MAKE CHECK PAYABLE TO: DISABILITY: RACE AND ETHNICITY (You may A. Legally Blind or Visually Impaired make up to two choices if appropriate): Penguin Swimming B. Deaf or Hard of Hearing Q. Black or African American C. Physical Disability such as R. Asian MAIL APPLICATION & PAYMENT TO: amputation, cerebral palsy, S. White Penguin Swimming dwarfism, spinal injury, T. Hispanic or Latino mobility impairment U. American Indian & Alaska Native c/o Jason Paris V. Some Other Race 489 Millbrook St severe learning disorder, W. Native Hawaiian & Other Pacific Canfield, OH autism Islander D. Cognitive Disability such as YEAR LAST REGISTERED:. IF YOU REGISTERED WITH A DIFFERENT USA SWIMMING CLUB IN 2011, ENTER THAT CLUB CODE: LSC CODE: AND THE DATE OF YOUR LAST COMPETITION REPRESENTING THAT CLUB:. HIGH SCHOOL STUDENTS Year of high school graduation: SIGN HERE x SIGNATURE OF ATHLETE, PARENT OR GUARDIAN HAVE YOU REPRESENTED THAT FEDERATION AT INTERNATIONAL COMPETITION? YES NO USA Swimming occasionally makes its membership list available to its marketing partners. Please notify USA Swimming s Member Services Dept. at 719/ if you do not wish to receive these mailings. Check if you would like to learn more about the USA Swimming Foundation s initiatives Check if you would like to receive the electronic USA Swimming Newsletter (must be 13 years of age or older)

8 USA SWIMMING TRANSFER REQUEST FORM CURRENT REGISTRATION INFORMATION: Last Name First Name Middle Name Address City State Zip - Home Phone USA Swimming ID Number: Date of Birth / / Sex Age Preferred Name MO / DAY / YR M/F Billy, Bob, Beth, Liz Previous Club: LSC Code: Club Code: Club Name: Last date of competition representing this club: Name of meet City State New Club: LSC Code: Club Code: Club Name: This will confirm that the above information is correct. I understand that the above athlete will remain Unattached for 120 consecutive days from the date of last open sanctioned competition in accordance with USA Swimming Rules and Regulations Signature of Athlete, Parent or Guardian Date Each LSC may charge a transfer processing fee. LSC Transfer Fee: No Fee The Registrar of the LSC into which the athlete is transferring will notify the old club that this transfer has occurred. The old club has the responsibility to notify the LSC Registrar within sixty (60) days if the club has obtained a court judgment in accordance with USA Swimming Rules and Regulation If there is a court judgment, the swimmer will be Unattached until such time as the judgment has been satisfied.

9 Penguin Swimming PS Supplement To USA Registration Section 1: Member Information (Additional To USA Registration Form) Swimmer s Name Address Alt Address T-Shirt Size Address: Penguin Swimming utilizes as one of our main sources of distributing information, providing updates, and passing along information to our membership. It is for this reason that we are requesting your address. Please Note: Your provided address is for the exclusive records and use of Penguin Swimming and will NOT be passed along to any third party source for use. In addition, addresses will not be posted online or made available through the website to ensure that our mailing list is NOT obtained through any malicious activity. Section 2: Photography Release Agreement 1. I hereby give the Penguin Swim Club the right to use photographs of the listed swimmer. 2. I agree that the photographs will be the property of the club and I waive all rights including the right to inspect and/or approve copy that may be used in conjunction with the uses to which they may be applied. 3. The pictures may be used by the Penguin Swim Club on its website or newsletter and for any other lawful purpose. 4. The release is valid while the child is a member of Penguin Swimming. Upon receipt of written notification, this release will be rescinded. I / we give permission for our swimmer to be photographed Authorized Signature Date: I / we do not give permission for our swimmer to be photographed Authorized Signature Date:

10 Mother / Guardian s name Address Home phone Cell phone Place of employment Work phone Emergency Medical Release Form 2015 Long Course Season Please print clearly; Complete for each swimmer Swimmer s Name: (first, middle, last) Date of Birth: (month/day/year) Grade: Name of School: Father / Guardian s name Address Home phone Cell phone Place of employment Work phone List any medical concerns that your coach should be aware of (ex: diabetes, asthma, etc.): List all current medications: Parental Consent This medical release form must be signed by a parent or legal guardian for EACH swimmer of Penguin Swimming (PS). If the swimmer is 18 years of age or older, the swimmer must also sign this form. MEDICAL RELEASE I CERTIFY THAT, TO THE BEST OF MY KNOWLEDGE AND BELIEF, (NAME OF THE SWIMMER) IS IN GOOD PHYSICAL CONDITION AND HAS NO CONDITION WHICH WOULD IMPAIR PARTICIPATION IN THE PROGRAM. IN CASE OF INJURY, I HEREBY GIVE PENGUIN SWIMMING (PS) AND IT S COACHING STAFF PERMISSION TO ACT ON MY BEHALF IN SEEKING MEDICAL TREATMENT FROM ANY LICENSED PHYSICIAN, HOSPITAL OR CLINIC FOR MY CHILD IN THE EVENT THAT SUCH TREATMENT IS DEEMED NECESSARY. I GIVE PERMISSION TO THOSE ADMINISTERING MEDICAL TREATMENT TO DO SO USING METHODS DEEMED NECESSARY. I ABSOLVE PENGUIN SWIMMING AND IT S COACHING STAFF FROM ALL LIABILITY WHILE ACTING ON MY BEHALF IN THIS REGARD. I hereby release PENGUIN SWIMMING, its employees, executive officers, Board, and volunteers and any facility used by Penguin Swimming from any liability arising out of any injury to the Swimmer(s) which may occur while the Swimmer(s) is/are participating in the Penguin Swimming swim program, including, but not limited to, practices, meets, travel trips, and other team activities, or while the Swimmer(s) is/are using facilities leased or used by Penguin Swimming.

11 Penguin Swimming Parent Code Of Conduct Agreement Penguin Swimming was formed with the objective of helping young swimmers develop physical fitness, selfconfidence, self-discipline, proficiency in competitive swimming strokes, and good sportsmanship. The essential elements of character building and ethics in sports are embodied in the concept of sportsmanship and six core principles: trustworthiness, respect, responsibility, fairness, caring, and good citizenship. The highest potential of sports is achieved when competition reflects these six pillars of character. The expectation of PS is that both swimmers and parents will exhibit the highest standards of sportsmanship at all times while participating in all swimming events. Parents have a key role in developing a positive team and family environment. In doing so, parents hereby agree to comply with and support the following rules that constitute the PS Code of Conduct. As a parent: I will demonstrate good sportsmanship by conducting myself in a manner that earns the respect of my child, other swimmers, parents, officials and the coaches at meets and practices. I will not coach or instruct the team or any swimmer at a practice or meets (from the stands or other areas) or interfere with coaches on the pool deck. I will ensure punctuality of my child at practices and at meets. I will praise my child for trying hard, and will never ridicule or yell at my child or other participant for making a mistake or losing a competition. I will maintain self-control at all times. I understand that my role is that of a parent, not a coach, official or swimmer. I understand that criticizing, name-calling, degrading personal comments, use of abusive language or gestures directed toward coaches, officials, parents, spectators and/or any participating swimmer will not be permitted or tolerated. I will support the swimmers, coaches, and other parents with positive communication and actions and not participate in idle gossip. I will abide by an official s decision and direct questions or concerns regarding such decisions to a member of our coaching staff. I will address officials via coaching staff only. I will share the burden among parents by volunteering to time or assume other volunteer positions at meets at which our children are swimmers. If I am not performing an official USA or PS function, I understand I will not be allowed on deck at any meet or practice. I will promise to uphold the image of the PS and to project an image that the team can be proud of. Should I conduct myself in such a way that brings discredit or discord to the PS, or USA Swimming, I voluntarily subject myself to disciplinary action. PS reserves the right to terminate any member with/without cause in the interest of the vision, mission and objectives of PS. By signing below, I hereby certify that I have read and agree to abide by the PS Code of Conduct. Date Parent Signature Swimmer(s) Name(s)

12 Penguin Swimming Swim Meet Contract The following conditions are part of your agreement to be a member of the Penguin Swim Club: It is the intent of the Penguin Swim Club to host three meets annually with one of the three meets being a championship meet. The Penguin Swim Club hosted meets are listed on the schedule. Please mark them on your calendar. These meets are fundraisers for the club to help cover the cost of operations throughout the year. They are an important part of our annual budget. All families are expected to work a minimum of three sessions over the course of the season in support of the meets hosted by Penguin Swim Club. In general, these meets fall in March, May and July. Please take note that you may not have a swimmer competing in the meet, but are still required to work these meets The meet sign-up forms will be posted on the bulletin board and on the Penguin web site. They will go up one month to the day prior to the start of the upcoming meet. They will remain up for 2 weeks, and then will be taken down. EACH FAMILY IS REQUIRED TO WORK A MINIMUM OF THREE SESSIONS IN TOTAL FOR THE SEASON IN SUPPORT OF THESE MEETS. The number of sessions available for each meet will be listed on the sign-up sheets posted on the bulletin board outside of the pool lobby and the web site. At each meet there will be a registration table for you to "sign in" when you arrive at the pool. This table is generally located in the lobby of the Natatorium. It is your responsibility to make sure that you have signed in properly. There will also be a head person at your station that should check you in. If you are not able to work the required sessions, it is YOUR responsibility to find someone to work for you or pay the fine. You will be assessed a $50.00 fine per session that is not worked. If you sign up to work a session and fail to show up to work that session, you will be assessed $ per session. We do not want your money; we need your help during the meets! Fines will need to be paid within 1 week after the incident or the board may take disciplinary action that could include suspension of the swimmer from practices and meets Anyone working the meet to satisfy a work session must be in 9th grade or older. US Swimming regulations do not allow non-swimmers on deck at the meets. Please plan for childcare for your non-swimmers. High School parents are not excluded from any of these expectations. IF YOU HAVE QUESTIONS ABOUT OUR MEET POLICY CONTACT ONE OF THE PENGUIN BOARD MEMBERS RIGHT AWAY. Printed Name of Parent or Guardian: Date: Signature of Parent or Guardian:

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