1. sports
2. swimming

Greenaway Outdoor Pool, Cloverdale, B.C
Summer Swim Club Registration (2015)
We will be having a Registration Night on March 22nd, 5:30pm – 7:00pm. Please print off and bring your completed
registration packages and cheques to help speed up your registration process. Take advantage of our Early Bird
Registration, register before April 15th and pay only $410 after April 15th $460. Our first day at Greenaway is May 19th.
1. BCSSA Registration Form 2015
2. Emergency Contact Information
3. Media Release Waiver
4. S & O Signoff Sheet
ALL SWIMMERS MUST BE ABLE TO SWIM 25 METERS UNASSISTED IN ORDER TO BE ABLE TO PARTICIPATE IN THE PROGRAM.
If registering for the first time you will need a copy of your child’s birth certificate or care card to show proof of age, which is
mandatory as per BCSSA.
Fees:
Regular Season - Early Bird Registration
Regular Season
Alumni Program
Developmental Program
3RD CHILD IN FAMILY RECEIVES 25% OFF
$410
$460
$300
$190
4TH CHILD IN FAMILY RECEIVES 50% OFF
*Registration Forms & Full payment is required before any swimmer may enter the pool*
CANCELLATION/REFUND POLICY:
All refund requests are to be submitted in writing to the Executive and decided upon at the first Executive Meeting in
September. Refunds will be administered in September.
1. Any individuals registered have 1 week from May 19, 2015 to submit a request to the Executive and will receive
a refund less $56 ($36 BCSSA fee plus $20 administration fee) of their total fee paid.
2. NO REFUNDS will be given after the 1 week period unless a valid medical reason is submitted to the Executive
and subject to review at the first Executive Meeting in September (a pro-rated rate will be considered)
If you are unable to get your registration forms in on March 22, please email Tami Hummel at
[email protected] and other arrangements can be made.
SWIMMERS NAME: ___________________________________________
PARENTS SIGNATURE: ___________________________________________
For Office Use Only
S & O Form
Media Waiver
BCSSA registered
Program
Emergency Contact Info
Entered Team Manager
1 T-Shirt per child that Registers
Payment Received
Cheque #
Payment Received
Cheque #
Youth or Adult
(No XS in Adult)
$400 Fundraising & Parent Participation Cheque
XS
S
M
L
XL
PO Box #34210 17790 #10 Highway,
Surrey, BC, V3S 8C4
[email protected] | www.cloverdaletritons.ca
Proud member of the BC Summer Swimming Association
Greenaway Outdoor Pool, Cloverdale, B.C
Swimmer Membership includes:
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Monday to Friday practices May to mid-August
Becoming a better swimmer by building character and discipline through vigorous training, personal challenges
and competition
Coaching on strokes, turns, starts, training and competition
Swim meet registration fees - up to eight weekend meets from May to August, plus Regionals and Provincials
Championships in mid-August for swimmers who qualify
Professional coaches possessing or attaining their certification through the National Coaching Certification
Program with excellent training programs in place
A fun, challenging, group atmosphere with lots of fun social activities
A positive, encouraging and enjoyable family environment
Swim meets (rain or shine) with parent involvement at all levels
A Club t-shirt to show support for our team!
Note: Alumni and Developmental Registrants pay separately for swim meets.
Alumni Swimmer - member of Tritons for 3 years and be 14 years of age by December 31st of same year. Fee includes
max 4 training sessions/week. Payment of entry fees up front for each meet entered. Cost is $300.00
DEVELOPMENT PROGRAM - Introduction to competitive swim - Is intended to introduce basic swimmers to
competitive swim. This program is for kids that are able to propel themselves through the water, float and jump in on
their own. The program will run for four weeks, staring June 8th at Greenaway pool. At the completion of the
development program, if the coach feels your child has excelled and is ready to graduate from the development
program, they will have an opportunity to continue the current season at a pro-rated rate.
This group has a maximum of ten participants. Don’t wait and miss out! Cost is $190.00. Included in your registration
fees are 1 Development Meet plus attendance at our Cloverdale meet. If a Development swimmer is unable to attend
the Richmond Developmental Meet (July 8th), they are encouraged to attend another Developmental meet in lieu of
Richmond meet in order to have a chance to be involved in a meet. In this case, please discuss with the Coach which
meet would best. Swimmers that graduate the development program and wish to continue in the season will have
additional opportunities to attend swim meets.
FUNDRAISING & PARENT PARTICIPATION FEE: $400.00
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This fee will be cashed if you do not fulfill your fundraising and parent participation requirements. Please speak
directly to anyone on the Fundraising Committee if you have any questions.
Please see additional hand out from the Fundraising Committee.
PO Box #34210 17790 #10 Highway,
Surrey, BC, V3S 8C4
[email protected] | www.cloverdaletritons.ca
Proud member of the BC Summer Swimming Association
Greenaway Outdoor Pool, Cloverdale, B.C
Swimsuit orders and Bathing Caps
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Our Equipment Managers are Tara C., and Christine S. Please contact them for Team Gear orders; they can be
contacted at [email protected]
Payment Options
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We have flexible payment options - you can pay all at once or with 2 post-dated cheques. Fees must be paid in
full or by post-dated cheques (Dated April 15th and May 15th) on the date of registration in order to be registered
and reserve your spot.
Talk to the registrar if you have any questions or concerns about options.
Swim Meet Participation
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Cloverdale Tritons along with the Surrey Sea Lions host our annual swim meet at the Bear Creek pool on July 25th
&26th. We require ALL families to be available for this weekend and participate, as this is key for the success and
future of our club. There will be sign-up sheets posted closer to the Swim Meet.
LOOKING FORWARD TO ANOTHER SUCCESSFUL SWIM SEASON!
PO Box #34210 17790 #10 Highway,
Surrey, BC, V3S 8C4
[email protected] | www.cloverdaletritons.ca
Proud member of the BC Summer Swimming Association
Greenaway Outdoor Pool, Cloverdale, B.C
CLOVERDALE TRITONS SWIM CLUB
PARENT PARTICIPATION AND FUNDRAISING REQUIREMENTS
Parent participation is mandatory aspect of enrolling your child(ren) in the Cloverdale Tritons Swim Club. Parent
participation is vital to the success of Cloverdale Tritons Swim Club as, without the support of the parent volunteers, our
club would not be able to succeed.
Cloverdale Tritons Swim Club is a fully non‐profit swim club and all non‐coaching activities require the support of
volunteers. The Club requires the efforts of all parent(s) and guardian(s) to volunteer throughout the year, working
together to create a fun and competitive environment for its swimmers. Funds raised via our fundraising initiatives,
greatly reduce the fees that would be otherwise passed on to our swimming families.
Parent Participation is broken down in to three areas:
1) Cloverdale Tritons Swim Meet (July 25/26 2015).
Every family is required to commit to a mandatory minimum of 8 hours towards this event.
Please note: This event is our biggest fundraiser of the season (+/- $3000 annually).
2) Weekend Swim Meets and Mid-Week Development Meets
Each meet requires participating clubs to provide parents for on-deck support.
Please note: This generally means approx. 2 hours per family of deck time per meet.
3) Parent Participation and Fundraising
In addition to (1) and (2) above:
Every family is required to commit to a mandatory minimum of 10 hours per season.
Participation and Fundraising opportunities will be outlined on an attached document.
Volunteer tracking is required by BC Gaming Policy and Enforcement Branch in order to be considered for grant
applications.
Please note: Families who do not complete and report their required number of volunteer hours will have their
volunteer cheques cashed on August 15, 2015.
We cannot stress enough the importance of parent participation within the Cloverdale Tritons Swim Club. With that in
mind, we do recognize that some families have circumstances that prevent them from being able to commit to
participating in any volunteering and fundraising. If you know in advance that your family is unable to commit to #3
above (the mandatory minimum of 10 hours of Parent Participation and Fundraising), we do provide an “opt out” option
in the amount of $400.00, to be cashed at the beginning of the season, along with registration cheques.
Thank you,
Cloverdale Tritons
Fundraising Team
March 2015
PO Box #34210 17790 #10 Highway,
Surrey, BC, V3S 8C4
[email protected] | www.cloverdaletritons.ca
Proud member of the BC Summer Swimming Association
BCSSA Athlete Registration 2015
Club Initials:
CLO
BCSSA Number:
Region: Fraser South
Athlete Information: Please Print Clearly
First Name:
Last Name:
Preferred Name:
(if different than first name)
Proof: Care Card
BirthDate:
Birth Certificate
Other
Gender: M / F
Witnessed
Initials Mandatory
DD/Month/YY (spell out month)
Father's Last Name:
Father's First Name:
Mother's Last Name:
Mother's First Name:
Mailing Address:
City:
Home Phone:
Postal Code:
Father: Office #
Cell #
Email
Mother: Office #
Cell #
Email
Check Primary Email
Is a secondary mailing address necessary? If yes, circle and please print information on the back of this form. YES / NO
Medical Condition pertinent to Registration:
Medication:
Has the Athlete been registered with BCSSA before ? Yes / No
If yes & BCSSA number not printed above: Club
(Circle)
Region:
Aquatic Activity:
Circle Answer
Status: ALL of the following questions must be completed to register
In the past 3 years has the athlete achieved a Senior National Qualifying Time in any
Swimming
non-BCSSA Meet ?
YES
NO
Water Polo
Has the athlete participated in any Water Polo Activity listed in the current BCSSA 'Player
Eligibility' section of the rule book ?
YES
NO
Synchronized
Swimming
Has the athlete been registered as an A, NS, PS or M amateur athlete from Syncro BC ?
YES
NO
Has the athlete attained an Age Group National Standard within their current DPC age group
within the past two years?
YES
NO
1. Did he/she train or compete for more than two (2) hours in any week in an organized swimming activity ?
YES
NO
2. Did he/she train or compete for more than two 1/2 (2.5) hours in any week in an organized syncro activity ?
YES
NO
3. Did he/she train or compete for more than four (4) hours in total in any week in all aquatic activity(s) ?
If yes to any question #1-3 please explain:
YES
NO
4. Did he/she compete in any swim meet between Oct 1 and April 30 (excluding school related meets
between Oct 1 and Nov 30)?
YES
NO
Diving
Since October 1 of last year has the athlete participated in any of the following:
If yes to #4 provide Meet:
Date:
Registering for: (circle each)
Swim
Coach (if applicable):
Paid
Water Polo
Volunteer
Synchro Swim
Dive
Aquatic
This box to be completed
by Club Registrar
STATUS (circle one)
S
The Cloverdale Tritons collects, uses and discloses your personal information for the purposes of verifying identity, registering swimmers,
distributing BCSSA information, and fulfilling administrative and competitive functions of the aquatic programs within the BCSSA and its Member Clubs. It is a
requirement of registration that the information be provided and, that it will only be used for the purposes indicated or purposes reasonably related. By your
signature of this form you signify your consent to the collection, use and disclosure of your personal information to BCSSA and its Member Clubs in accordance
with BCSSA’s Privacy Policy.
I certify that the above information is correct to the best of my knowledge:
(A parent or legal guardian must sign if the applicant is under 19 years of age. By your signature, you accept the responsibility of your child in this association.)
Applicant or Parent/Guardian:
Signed:
Date:
Printed Name:
Registration Not Valid Unless All Questions Answered and Form Signed
O
Greenaway Outdoor Pool, Cloverdale, B.C
Emergency Contact Information
Swimmers Name:
Parent Names:
Home Phone:
Cell Phone:
Alternate Emergency Contact:
Relationship to the Swimmer:
Home Phone:
Any Medical Conditions or Allergies:
Any Medication Swimmer is taking:
Care Card Number:
In case the Family and Emergency contact is not available, please fill out the following to allow the Head Coach
or an Executive member to access emergency medical care.
I _________________________________________, give permission for the Head Coach or an Executive
member to obtain emergency medical treatment for my child, ________________________________ .
If I cannot be reached or if a delay in reaching my child would be dangerous for him/her.
Signed this ______________day of _______________________, 2014 at Surrey, British Columbia.
Signature of Parent or Guardian: _____________________________________________
We realize that the above information is personal and private and all information will be held in the strictest
confidence and will only be shared if and when it is absolutely necessary for the best interest of the child.
Cloverdale Tritons Executive 2015
PO Box #34210 17790 #10 Highway,
Surrey, BC, V3S 8C4
[email protected] | www.cloverdaletritons.ca
Proud member of the BC Summer Swimming Association
Media Release and Waiver Form
I hereby grant permission to the BC Summer Swimming Association to:
Permission
granted?
Yes
No
•
Take and use photographs, videos, or interviews of me to be
published in print, or electronically reproduced for the BC Summer
Swimming Association website or for print material for the BC
Summer Swimming Association.
Yes
No
•
Use of the first names with photographs, videos, or interviews.
Yes
No
•
Take and livestream video recording footage of me in the BC
Summer Swimming Associations’ annual Provincial Championships,
should I be a participant therein.
(NB: It is a mandatory requirement for athlete to consent to livestreaming in
order to compete in the Provincial Championships. There shall be no
exception).
These names, photos, videos, or interviews may be reproduced in newspapers,
magazines, television, brochures, posters, promotional material, websites, or may be
used in any other way, without liability on the part of the BC Summer Swimming
Association, their facilities, agents and employees or on the part of the media in which
the photographs, videos, or interviews may appear to be used at any time in the future. I
waive and rights of compensation and ownership for these photos, videos, or interviews.
(Please Print)
Name of Athlete: ____________________________
Signature of athlete (if over 18): __________________________
Signature of parent or guardian (if athlete not over 18): __________________________
Date: __________________
OFFICE USE ONLY
PUBLICATION: _____________________________________________
27462.121738.MSJ.11193847.1
BCSSA Swimmer’s Declaration of ‘S’ or ‘O’ Status
BCSSA values integrity and honesty in all aspects of its organization. We encourage all members of
our family: athletes, coaches, parents and/or volunteers, to respect these values and reflect them in their
involvement with our organization. The following section of our rulebook is an important part of what makes
BCSSA special. We ask everyone to read it, understand the intent of the rule, and properly identify the
swimmer’s status below.
A. SWIMMING
1.
st
th
All swimmers must declare all aquatic participation between October 1 of the previous year through April 30 of the current year.
All participation must be declared on the swimmers registration form.
Swimmers who misrepresent their aquatic participation may be disqualified from all BCSSA competition within the
current season. A disqualification shall take effect immediately and be in effect for twelve (12) months from the date of
the disqualification.
2.
3.
4.
All swimmers must compete in their designated competitor categories.
An ‘S’ swimmer is an individual who trains and competes with BCSSA for an unrestricted number of hours between May 1st and
September 30th of each year. From October 1st to April 30th an ‘S’ swimmer may:
a) Participate in speed swimming training and/or swim meets*, provided the activity(ies) does/do not exceed a total of two (2)
hours within a calendar week. A calendar week is Sunday through Saturday. A swim meet counts as one hour per day.
b) Train and compete in diving, water polo, synchronized swimming with no restrictions.
c) Engage in accredited and certified water safety and learn to swim programs delivered by a recreation program or school.
th
d) Between October 1st and November 30 in any year, engage in swimming activities for the specific purpose of competing
in any swim meet which is recognized in the official program schedule of the annual swimming championships organized
by any secondary school athlete association. Training for the meet must be carried out by or under the direction and/or
supervision of the ‘S’ swimmer’s school.
e) Non-high school swimmers, between November 1st and February 28th, may in any year, engage in swimming activities to
a maximum of two (2) hours per week with their school sanctioned swim team, plus any school swim meets. These
activities may be in addition to other permitted swimming activities and must be under the direction and/or supervision of
the ‘S’ swimmer’s school.
An ‘O’ Swimmer is an individual who:
•
Participated in organized aquatic activity during the winter season October 1st to April 30th prior to registration, if any
activity was in excess of the provisions in point 3 stated above.
•
Achieved a CASA/SNC Senior National Qualifying Time in a non-BCSSA approved meet within the last 3 years.
* A Winter Swim Meet is a swim meet held during the non-competitive season of BCSSA. It is defined as a swimming competition
involving two or more clubs with officials appointed for the express purpose of judging the correctness of each stroke and disqualifying
swimmers who violate infractions observed. Correctness shall be determined by any set of rules that are defined by a recognized
swimming organization including BCSSA, SNC and corresponding organizations in other countries.
4.
5.
6.
A swimmer may be registered as an ‘S’ swimmer following an ‘O’ membership on one (1) occasion only, except as in 4 (b).
Any exemption requests must be brought to the BCSSA Board of Directors at the Fall Board Meeting.
All ‘S’ and ‘O’ swimmers shall be treated equally.
The swimmer, or the club, may exercise the right to appeal any decision under these rules to the Appeals Committee of the
BCSSA whose adjudication and decision shall be final.
I/we, ______________________________________ , have read the previous statements and understand the
intent of the S&O rule in swimming. I am verifying that _____________________________ , is an:
(swimmer’s name)
“S” swimmer
“O” swimmer
(Please circle appropriate category)
Signature of parent(s)/guardian(s), or swimmer if over the age of 18 _______________________________
BCSSA
Swimmers S or O Declaration