OZAUKEE AQUATICS, Inc.                                                            Pool Mailbox

REGISTRATION AGREEMENT                                             Cedarburg___  Mequon___

 

I.                   REGISTRATION INFORMATION

 

FAMILY NAME: __________________________________________________________________________________

                                    Last                                                      Mother                                      Father

ADDRESS: _______________________________________________________________________________________

Street

_________________________________________________________________________________________________

  City                                                    State                 Zip                        E-mail Address

 

PHONE: __________________________________________________________________________________________

(10-Digit#)  Home                        Father's Work                            Mother's Work                           Cell Phone

 

SWIMMER #1

NAME_____________________________________________________________________________

Last                                                      First                                         Middle

            NICKNAME:  ______________________

 

            BIRTHDAY_____/____/_____           AGE:______________            Returning_________    New _______                                                                                                                                        (please check one)

Transfer?_____  Previous Team:_______________________  Last Swim Meet Date:_________

 

 

 

 


SWIMMER #2

NAME_____________________________________________________________________________

Last                                                      First                                         Middle

            NICKNAME:  ______________________

 

            BIRTHDAY_____/____/_____           AGE:______________            Returning_________    New _______

                                                                                                                                        (please check one)

Transfer?_____  Previous Team:_______________________  Last Swim Meet Date:_________

 

 

 

 


SWIMMER #3

NAME_____________________________________________________________________________

Last                                                      First                                         Middle

            NICKNAME:  ______________________

 

            BIRTHDAY_____/____/_____           AGE:______________            Returning_________    New _______

                                                                                                                                        (please check one)

Transfer?_____  Previous Team:_______________________  Last Swim Meet Date:_________

Swimmer #3 Team Assignment:       Novice       Silver       Age Group       Junior         Senior

 
 

 

 

 

 

II.                AGREEMENT

 

The undersigned parent and Ozaukee Aquatics, Inc. (OZ) agree as follows:

 

1.         Dues

 (a)       In consideration of the participation of the swimmer(s) in OZ’s competitive swim program, the Parent agrees to pay the dues for the Swimmer’s practice level that are set forth on the attached Program Fees Schedule. Payment is due at the start of each session.  Monthly payment of dues if elected are due and payable on the first day of each month, September - July.  Annual dues may be prepaid in full to receive a 10% discount.

(b)                If the Swimmer is transferred to a different practice level by the coaching staff, the difference in dues for the two practice levels shall be prorated for the remainder of the swim year.

(c)                High School Swimmers entering and leaving mid-session for HS swim seasons will be prorated on a case by case basis.

(d)                If the Swimmer quits the swim program or is unable to continue participation in the program prior to June 1, the swimmer is obligated to pay the dues installment for the month in which the Swimmer withdraws from the program.   If the swimmer withdraws after June 1st, no dues will be refunded.

(e)                A late fee of $10.00 is assessed for all payments not made by the 10th of the month.

(f)                 If registration is not completed in person on the designated date(s), a late registration fee of $20 will be assessed.

 

2.         Suspension

(a)        If any invoiced dues payment is not received in full by the last day of the month, a notice of delinquency will be mailed.  If Parent shall fail to pay any delinquent dues or assessment, including late fees, within 14 days from the date of written notice of delinquency, the Swimmer shall be suspended from further participation in all OZ activities, including, but not limited to, practices and meets.

(b)        If Parent becomes delinquent in payment of dues or assessments because of financial hardship, he/she may apply to the Treasurer for a waiver of late fees and suspension.  A waiver may be granted by OZ if satisfactory arrangements are made for payment of the delinquent amounts.

 

3.         Meet Fees

(a)        Parent will make payments to the Swimmer’s account for Meet Fees as required by OZ from time to time.  Parent shall pay the required amount within 30 days from the date of the notice from OZ.

(b)        If Parent shall fail to make a required Meet Fee payment within 30 days from the date of the notice from OZ, Swimmer shall not be entered thereafter in any meets until the required amount is paid in full.

(c)        There will be no fees assessed for OZ Dual Meets.

 

 4.        Team Assignments:  The assignment of the Swimmer(s) to a practice team level shall be the decision of the coaching staff.  An assignment may be modified during the swim year if the coaching staff believes a different practice team would be more appropriate for the Swimmer.

 

5.         Release of Liability:  Parent hereby releases OZ, its employees, officers, directors and volunteers, and any facility used by OZ from any liability arising out of any injury to the Swimmer(s) which may occur while the Swimmer(s) is/are participating in the OZ swim program, including, but not limited to, practices, meets, travel trips, and other team activities, or while the Swimmer(s) is/are using facilities owned, leased or used by OZ.

 

7.                  Fundraising Projects/Swim Meets: Revenue from fund raising and swim meets constitutes a significant part of the OZ operating budget and helps reduce members’ dues.  In any fund raising project or swim meet designated by the Board of Directors as one in which participation is mandatory, Parent agrees that at least one adult family member shall participate as a volunteer.  If an adult family member does not participate in the project, parent will pay to OZ the amount of any non-participation assessment set by the Board of Directors.  Payment must be made within 30 days from the date of written notice of assessment.  If payment is not made within the 30-day period, a late fee of $15 will be added to the assessment, and a notice of delinquency will be sent to the Parent.  We encourage all our families to volunteer at these and all other meets to enjoy watching and supporting swimming and young athletes at their best.

 

                        The specific fundraising requirements for 2007-2008 are detailed as follows:

 

A.         Participation requirement – to be fulfilled regardless of whether your swimmer is competing in this meet or not.

1.       Each family must provide one adult volunteer for at least two sessions at the OZ Fall Classic Swim Meet, to be held at the Homestead High School Pool on October 19, 20, & 21, 2007.  Any family not fulfilling this requirement will be assessed a $50 fee per session missed no later than November 1, 2007.

2.       Each family must also provide one adult volunteer for at least two sessions at the OZ Regional Swim Meet, to be held at the Homestead High School Pool in February 15, 16, & 17, 2008.  Any family not fulfilling this requirement will be assessed a $50 fee per session missed no later than March 1, 2008.

 

B.      Fundraising – The Board of Directors has designated all other Fundraising projects as wholly voluntary for 2007-2008.  Families will have an opportunity to directly reduce their swimming expenses while helping the club raise monies to continue and improve upon our programs.  Members will receive a credit to their OZ account in the amount of 25% of the total amount they raise in fundraising activities sanctioned by the Board.  Currently scheduled projects include:

1.       Sales of Advertising to be placed in heat sheets at the OZ Fall Classic Meet and the OZ Regional Meet.

2.       Cookie Dough Sale (November)

3.       Spring Flower Sale (February thru March Sales, Delivery early May)

4.       Concession Donations: value of commercially packaged items contributed for concession sales at swim meets (May be items you have solicited as donations from local businesses).

5.       Additional Fundraising opportunities will be announced.

 

 


MEDICAL INFORMATION & EMERGENCY RELEASE

(ONE PER SWIMMER)

 

Swimmer’s Name ___________________________________________________________________________________

 

Parents’ Names: ____________________________________________________________________________________

 

Home Phone: ___________________ Parent’s Work Phone:______________________ Cell Phone: _________________

 

1.                   In the space provided below, list any pertinent health or medical information and instructions or special problems (allergies, tetanus booster dates, drug allergies, asthma, prescriptions, etc.)

_________________________________________________________________________________________

_________________________________________________________________________________________

_________________________________________________________________________________________

 

2.                   Aside from yourselves (the parents of the Swimmer), please indicate (in order), those individuals that you would like the coaches to contact should there be an emergency involving your child:

____________________________________________________________________________________________________________________________________________________________________________________

 

3.                   Swimmer’s Doctor:_________________________________          Phone_________________________

 

4.                   Swimmer’s Dentist:_________________________________          Phone_________________________

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I (we) hereby give our permission for _______________________________________________

to participate in practice and travel with the Ozaukee Aquatics, Inc. to local and out-of-town meets throughout the current swim season.  Although I expect all reasonable safety procedures to be followed, I will not hold the coaches of OZ nor any chaperone or volunteer working with or traveling with the group personally liable for any accident which may occur.

 

In case of a minor emergency (cuts, scratches, etc.), I (we) give permission to the coaches or chaperones to provide first aid as necessary.  In the event of a more serious emergency, I give permission for it to be handled in the best manner as determined by the chaperones or coaches of OZ until I am able to be contacted.

 

TO THE ATTENDING PHYSICIAN OR HOSPITAL:

Permission is hereby granted for you at the discretion of the coaches or chaperons of OZ to perform whatever care is necessary for the welfare of my child until such time as you are able to reach me personally.

 

INSURANCE INFORMATION (must be complete)

 

Subscriber’s Name (parent):_____________________________________________

 

Insurance Company:___________________________________________________

 

ID # ________________________________________________________________

 

Group # _____________________________________________________________

 

Insurance Coverage (i.e. medical, dental):___________________________________

 

Insurance authorization phone number:_____________________________________

 

Preferred local hospital: _________________________________________________