INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 1 - Section 1: General Information Ver 5.1 LEA & School Information North Penn SD LEA Name: 401 E Hancock St Lansdale, PA 19446 LEA Address: 123465702 LEA AUN: Pennbrook MS School Name: School Address: 1201 East Walnut Street North Wales, PA 19454-2331 School Number: 3322 School Enrollment Data Grade Boys Girls Total 7th 125 145 270 8th 144 141 285 267 9th 138 129 10th 0 0 0 11th 0 0 0 12th 0 0 0 Total 407 415 822 Contact Information Name of LEAs Title IX Compliance Officer: Telephone Number: Extension: Email Address: Name of Individual Completing This Form: Telephone Number: Extension: Email Address: Interscholastic Team Sponsorship Does This School Sponsor Any Interscholastic Athletic Teams? (Yes or No) YES If Your Answer To The Above Question Is No, Stop! If You Have Athletes Playing For Another School, Please Explain On Page 4. Otherwise, You Do Not Need To Complete The Remainder Of The Survey For This School. Please Submit Per The Instructions Provided. Athletic Disclosure Form 1 of 1 Page 1 - General Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM Level NUMBER OF COACHES PER TEAM Boys/Girls Team History Total Number of Competitions Played Per Season 100.00% 0.00% 0.00% 0.00% Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Wrestling Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Wrestling Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Boys Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Baseball Boys Freshman 18 18 3.56% 0.00% 0.00% 0.00% Basketball Boys Freshman 17 17 Bowling Boys Freshman 0 0 0 Cross Country Boys Freshman 0 0 0 Football Boys Freshman Golf Boys Freshman 0 0 0 Lacrosse Boys Freshman 0 0 0 Rifle Boys Freshman 0 0 0 Soccer Boys Freshman Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS Total Number of Competitions Scheduled Per Season (As Of The Day Of The First Scheduled Team Competition) Boys Girls 19 11 TOTAL 19 7 18 Season(s) Team Competes F W S Yes Yes Yes Yes (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement F W 1996 S 14 1995 15 1995 8 1995 11 1 of 5 Total F W 14 13 15 15 8 11 S 6 10 Total Head Full Time Assistant Part Time 13 1 15 1 6 10 1 1 Full Time Trainer 1 Part Time 2 Trainer 2 Trainer 3 Trainer 4 3.37% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.76% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.56% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Boys/Girls Level Team History Total Number of Competitions Played Per Season Swimming and Diving Boys Freshman 0 0 0 Tennis Boys Freshman 0 0 0 Track & Field (Indoor) Boys Freshman 0 0 0 Track & Field (Outdoor) Boys Freshman 0 0 0 Volleyball Boys Freshman 0 0 0 Water Polo Boys Freshman 0 0 0 Wrestling Boys Freshman 0 0 0 Baseball Boys 8th Grade 17 17 Basketball Boys 8th Grade 16 16 Bowling Boys 8th Grade 0 0 0 Cross Country Boys 8th Grade 0 0 0 Football Golf Lacrosse Boys 8th Grade Boys 8th Grade 0 0 0 Boys 8th Grade 0 0 0 Rifle Boys 8th Grade 0 0 0 Soccer Boys 8th Grade Swimming and Diving Boys 8th Grade 0 0 0 Tennis Boys 8th Grade 0 0 0 Track & Field (Indoor) Boys 8th Grade 0 0 0 Track & Field (Outdoor) Boys 8th Grade Volleyball Boys 8th Grade 0 0 0 Water Polo Boys 8th Grade 0 0 0 Wrestling Boys 8th Grade 5 5 Baseball Boys 7th Grade 16 16 Basketball Boys 7th Grade 14 14 Bowling Boys 7th Grade 0 0 0 Cross Country Boys 7th Grade 0 0 0 Football Boys 7th Grade Golf Boys 7th Grade 0 0 0 Lacrosse Boys 7th Grade 0 0 0 Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS Total Number of Competitions Scheduled Per Season (As Of The Day Of The First Scheduled Team Competition) Boys Girls 10 11 22 16 TOTAL 10 8 19 Season(s) Team Competes F W Yes Yes Year of Demotion Year of Elimination Year of Reinstatement Yes Yes S 10 10 1996 8 8 1996 1995 6 2 of 5 W 10 6 9 7 4 4 10 6 PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Head Full Time Assistant Part Time Full Time Trainer 1 Part Time 10 1 1 10 1 1 9 8 10 Total 6 8 6 S 10 8 4 10 F 10 6 10 1995 Total 10 6 1995 Yes W 10 1995 Yes F 1996 1995 Yes Yes Year Established 1 1995 Yes 22 16 S (Format =YYYY, e.g. 1955) 8 1 1 1 2 1 1 7 1 1 4 1 1 10 1 1 6 1 2 Trainer 2 Trainer 3 Trainer 4 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.27% 0.00% 0.00% 0.00% 2.97% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.59% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.83% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.56% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.99% 0.00% 0.00% 0.00% 3.26% 0.00% 0.00% 0.00% 2.97% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.57% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Boys/Girls Level Team History Total Number of Competitions Played Per Season Rifle Boys 7th Grade Soccer Boys 7th Grade Swimming and Diving Boys 7th Grade 0 0 0 Tennis Boys 7th Grade 0 0 0 Track & Field (Indoor) Boys 7th Grade 0 0 0 Track & Field (Outdoor) Boys 7th Grade Volleyball Boys 7th Grade 0 0 0 Water Polo Boys 7th Grade 0 0 0 Wrestling Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Boys 7th Grade Girls Varsity 0 0 0 Girls Varsity 0 0 Girls Varsity 0 Girls Varsity Girls Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS Total Number of Competitions Scheduled Per Season (As Of The Day Of The First Scheduled Team Competition) Boys Girls TOTAL Season(s) Team Competes F W S (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement F W S 0 8 10 18 Total F W S 0 Yes 1995 7 7 Total PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Head Full Time Assistant Part Time Full Time Trainer 1 Part Time 0 7 7 1 1 Trainer 2 Trainer 3 Trainer 4 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.83% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.55% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.99% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0.00% 0 0 0.00% 0.00% 0.00% 0.00% 0 0 0 0.00% 0.00% 0.00% 0.00% Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% Girls Jr Varsity 0 0 0 0.00% 0.00% 0.00% 0.00% 24 5 24 5 Yes Yes 1996 8 1995 8 3 of 5 8 8 8 7 8 7 1 1 1 1 Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Level Girls Jr Varsity Girls Jr Varsity Basketball Girls Freshman Bowling Girls Freshman 0 0 0 Competitive Spirit Girls Freshman 0 0 0 Cross Country Girls Freshman 0 0 0 Field Hockey Girls Freshman Golf Girls Freshman 0 0 0 Gymnastics Girls Freshman 0 0 0 Lacrosse Girls Freshman Rifle Girls Freshman Soccer Girls Freshman 0 0 Yes 1996 0 0 0 0 0 Softball, Fast Pitch Girls Freshman 15 15 Yes 1996 9 9 8 8 1 Swimming and Diving Girls Freshman 0 0 0 Tennis Girls Freshman 0 0 0 Track & Field (Indoor) Girls Freshman 0 0 0 Track & Field (Outdoor) Girls Freshman 0 0 0 Volleyball Girls Freshman 0 0 0 Water Polo Girls Freshman 0 0 0 Basketball Girls 8th Grade Bowling Girls 8th Grade 0 0 0 Competitive Spirit Girls 8th Grade 0 0 0 Cross Country Girls 8th Grade 0 0 0 Field Hockey Girls 8th Grade Golf Girls 8th Grade 0 0 0 Gymnastics Girls 8th Grade 0 0 0 Lacrosse Girls 8th Grade Rifle Girls 8th Grade 0 0 0 Soccer Girls 8th Grade 0 0 0 Softball, Fast Pitch Girls 8th Grade (As Of The Day Of The First Scheduled Team Competition) Boys Girls TOTAL Season(s) Team Competes F W S (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement F W S 0 15 26 Yes 1995 Yes 14 19 1995 26 Yes 13 13 1996 9 19 15 19 15 Yes 1995 Yes 10 1995 9 11 11 9 9 Yes Yes 1995 10 9 1996 10 4 of 5 9 10 Full Time Part Time Full Time Trainer 1 Part Time 9 1 1 1 0 10 10 Total Assistant 0 9 0 15 19 S Head 0 14 0 15 W 0 14 15 F 0 0 14 Total PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Boys/Girls Team History Total Number of Competitions Played Per Season Volleyball Water Polo Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS Total Number of Competitions Scheduled Per Season 10 10 10 10 9 9 9 9 1 1 1 1 1 1 1 1 Trainer 2 Trainer 3 Trainer 4 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.77% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.97% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.13% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.02% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.68% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.56% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.86% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.83% 0.00% 0.00% 0.00% 3.37% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Boys/Girls Level Team History Total Number of Competitions Played Per Season Swimming and Diving Girls 8th Grade 0 0 0 Tennis Girls 8th Grade 0 0 0 Track & Field (Indoor) Girls 8th Grade 0 0 0 Track & Field (Outdoor) Girls 8th Grade Volleyball Girls 8th Grade 0 0 0 Water Polo Girls 8th Grade 0 0 0 Basketball Girls 7th Grade Bowling Girls 7th Grade 0 0 0 Competitive Spirit Girls 7th Grade 0 0 0 Cross Country Girls 7th Grade 0 0 0 Field Hockey Girls 7th Grade Golf Girls 7th Grade 0 0 0 Gymnastics Girls 7th Grade 0 0 0 Lacrosse Girls 7th Grade Rifle Girls 7th Grade 0 0 0 Soccer Girls 7th Grade 0 0 0 Softball, Fast Pitch Girls 7th Grade Swimming and Diving Girls 7th Grade 0 0 0 Tennis Girls 7th Grade 0 0 0 Track & Field (Indoor) Girls 7th Grade 0 0 0 Track & Field (Outdoor) Girls 7th Grade Volleyball Girls 7th Grade 0 0 0 Water Polo Enter Additional Team(s) Below: Girls 7th Grade 0 0 0 0 0 0 0 0 Sport 1 Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS Total Number of Competitions Scheduled Per Season (As Of The Day Of The First Scheduled Team Competition) Boys Girls 26 12 27 20 19 24 TOTAL Season(s) Team Competes F W 26 Yes 12 27 20 19 S Yes (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement F 1996 10 1995 Yes Yes S 8 1995 Yes W 7 W 8 7 6 1996 F 6 7 S 8 10 7 1996 Total 10 Total 8 10 7 7 6 7 6 7 PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Head Full Time Assistant Part Time 1 1 1 1 1 Full Time Trainer 1 Part Time 1 1 1 1 1 Trainer 2 Trainer 3 Trainer 4 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.45% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.67% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.55% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.86% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.84% 0.00% 0.00% 0.00% 3.36% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 4.45% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0.00% 0 0 0.00% 0.00% 0.00% 0.00% 0 0 0 0.00% 0.00% 0.00% 0.00% 0 0 0 0.00% 0.00% 0.00% 0.00% 24 Yes 1996 8 8 8 8 1 1 For initial submission and for interscholastic athletic teams that were newly established. 5 of 5 Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Athletic Disclosure Form NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Winter Spring Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Totals Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Wrestling Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM $0.00 $1,941.16 $15,553.44 $0.00 $11,305.91 1 of 6 $48,192.11 $18,169.69 $48,974.66 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Winter Spring Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Jr Varsity $0.00 $0.00 $0.00 Boys Freshman $5,303.75 $254.70 $427.95 $837.00 $0.00 $0.00 Boys Freshman $5,566.82 $0.00 $343.36 $926.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $14,625.70 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $2,999.41 Boys Freshman Boys Boys Totals Athletic Disclosure Form NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Water Polo Wrestling Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Wrestling Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM $0.00 $1,941.16 $0.00 $15,553.44 $0.00 $0.00 $11,305.91 $1,334.60 $48,192.11 $18,169.69 $48,974.66 $3,784.10 $4,297.46 $13,291.10 $0.00 $0.00 $0.00 $0.00 $0.00 Freshman $0.00 $0.00 $0.00 Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys 8th Grade $5,140.19 $0.00 $0.00 Boys 8th Grade $1,905.46 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $5,593.96 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $1,732.98 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $4,547.11 $0.00 $0.00 $178.92 $0.00 $202.58 $542.31 $528.74 $376.58 $0.00 $5.85 $125.87 $0.00 $0.00 $95.70 $601.60 $0.00 $681.93 $0.00 $0.00 $0.00 $679.29 $72.86 $98.28 2 of 6 $2,617.91 $3,692.56 $1,773.74 $4,313.07 $1,660.12 $3,671.20 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Winter Spring Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $6,399.05 $0.00 $0.00 Boys 7th Grade $4,837.81 $510.41 $497.64 $354.42 $0.00 $0.00 Boys 7th Grade $1,667.27 $0.00 $5.12 $110.13 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $8,948.55 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $2,382.85 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $4,960.50 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $0.00 $0.00 $0.00 Boys 7th Grade $6,399.05 Girls Varsity Girls Girls Totals Athletic Disclosure Form NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Volleyball Water Polo Wrestling Baseball Basketball Bowling Cross Country Football Golf Lacrosse Rifle Soccer Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Wrestling Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM $0.00 $1,941.16 $15,553.44 $4,116.84 $0.00 $0.00 $104.40 $960.76 $0.00 $743.93 $0.00 $0.00 $0.00 $0.00 $11,305.91 $48,192.11 $362.83 $1,086.87 $100.19 $18,169.69 $48,974.66 $1,919.38 $3,475.34 $1,552.02 $6,900.92 $2,282.66 $107.22 $4,004.95 $0.00 $0.00 $0.00 $0.00 $0.00 Varsity $0.00 $0.00 $0.00 Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 $4,116.84 $362.83 3 of 6 $1,919.38 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Winter Spring Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Jr Varsity $0.00 $0.00 $0.00 Girls Freshman $5,123.61 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $5,243.40 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $5,271.42 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Totals Athletic Disclosure Form NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM $0.00 $1,941.16 $0.00 $0.00 $44.99 $15,553.44 $24.53 $218.50 $244.49 $0.00 $11,305.91 $48,192.11 $541.00 $469.50 $423.00 4 of 6 $18,169.69 $48,974.66 $4,558.08 $4,555.40 $4,558.94 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Winter Spring Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls 8th Grade $1,866.96 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $3,299.58 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $4,402.70 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade Girls Totals Athletic Disclosure Form NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Basketball Bowling Competitive Spirit Cross Country Field Hockey Golf NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM $0.00 $1,941.16 $15,553.44 Girls Freshman $1,908.73 $0.00 $113.86 Girls Freshman $3,109.62 $213.20 $265.51 Girls Freshman Girls $0.00 $0.00 $377.93 $95.09 $0.00 $0.00 $11,305.91 $48,192.11 $128.92 $1,665.95 $18,169.69 $300.00 $0.00 $0.00 $2,330.91 $295.00 $243.49 $0.00 $273.34 $0.00 $264.05 $1,732.98 $0.00 $0.00 $0.00 $72.86 8th Grade $4,231.94 $77.40 $2.44 $0.00 $129.71 Girls 8th Grade Girls 8th Grade Girls $48,974.66 $1,194.03 $2,961.00 $3,865.31 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $3,427.15 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 7th Grade $1,493.94 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 Girls 7th Grade $4,689.86 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $302.34 $135.13 $0.00 $0.00 $0.00 $1,660.12 $4,022.39 $96.46 $3,330.69 $236.00 $346.01 5 of 6 $955.60 $4,208.72 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Pennbrook MS - 3322 LEA: North Penn SD - 123465702 Total Annual Team Expenditures Level Team Boys/Girls ATHLETIC EXPENDITURES Travel 1 Uniforms 2 Supplies and Equipment 3 Facilities 4 Other Gymnastics Lacrosse Rifle Soccer Softball, Fast Pitch Swimming and Diving Tennis Track & Field (Indoor) Track & Field (Outdoor) Volleyball Water Polo Enter Additional Team(s) Below: 1 Girls 7th Grade $0.00 Girls 7th Grade $4,634.43 Girls 7th Grade $0.00 Girls 7th Grade Girls Girls $1,941.16 $15,553.44 $0.00 $11,305.91 $0.00 $287.72 $0.00 $277.95 $2,166.22 $0.00 $0.00 $0.00 $91.08 7th Grade $5,360.45 $98.05 $3.08 $0.00 $164.29 7th Grade $0.00 Girls 7th Grade Girls $48,192.11 Winter $18,169.69 Spring $48,974.66 $4,068.76 Total Compensation For All Athletic Trainers Per Academic Year $16,478.66 List total value of contributions per team 5 List total value of purchases per team (Non-School funding is not reportable until 2014 (2013-2014 School Year)) $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 7th Grade $0.00 $0.00 $0.00 Girls 7th Grade $3,163.52 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $89.04 $2,075.14 $5,095.03 $3,074.48 Travel (transportation, housing furnished during travel & per diem dining allowances). 2 Purchase and/or Replacement of Athletic Uniforms (clothing for practice & competition). 3 Purchase and/or Replacement of Equipment and Supplies. 4 $0.00 NON-SCHOOL) CONTRIBUTIONS & PURCHASES Coaching Staff Compensation per Sport per Season Fall Totals NON-SCHOOL (BOOSTER CLUBS, ALUMNI & OTHER SCHOOL'S ANNUAL EXPENDITURES FOR EACH TEAM Expenditures for Construction, Renovation, Maintenance, Rental, Expansion and Repair of Athletic Facilities. Note: For a facility shared by multiple teams, calculate per team cost by dividing total facility expenditures by number of teams using facility or by using the percentage of time used by each team. 5 Non-school funding will be reportable in 2014 (2013 - 2014 school year). Athletic Disclosure Form 6 of 6 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Pennbrook MS - 3322 Page 4 - Section 1: Comments LEA: North Penn SD - 123465702 Please Provide All Applicable Comments Below For Best Results, Compose In A Word Processor, Copy And Paste To The Formula Bar Above, Then Press Enter. Input Is Limited To 100 Characters Athletic Disclosure Form 1 of 1 Page 4 - Comments