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: Penndale MS School Name: School Address: 400 Penn St Lansdale, PA 19446-2896 School Number: 3324 School Enrollment Data Grade Boys Girls Total 7th 218 215 433 8th 253 247 500 462 9th 250 212 10th 0 0 0 11th 0 0 0 12th 0 0 0 Total 721 674 1395 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) 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: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Level Total Number of Competitions Played Per Season Boys/Girls Team History 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 15 15 2.67% 0.00% 0.00% 0.00% Basketball Boys Freshman 16 16 2.85% 0.00% 0.00% 0.00% Bowling Boys Freshman 0 0 0 0.00% 0.00% 0.00% 0.00% Cross Country Boys Freshman 0 0 0 0.00% 0.00% 0.00% 0.00% Football Boys Freshman 5.87% 0.00% 0.00% 0.00% Golf Boys Freshman 0 0 0 0.00% 0.00% 0.00% 0.00% Lacrosse Boys Freshman 0 0 0 0.00% 0.00% 0.00% 0.00% Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (As Of The Day Of The First Scheduled Team Competition) Boys 33 Girls TOTAL 33 Season(s) Team Competes F W S Yes Yes Yes (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement F W 1996 S 13 1995 15 1995 7 1 of 6 Total F W 13 13 15 7 S 14 7 Total Head Full Time Assistant Part Time 13 1 14 1 7 1 Full Time Trainer 1 Part Time 2 Trainer 2 Trainer 3 100.00% 0.00% 0.00% Trainer 4 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season Level Total Number of Competitions Played Per Season Boys/Girls Team History Rifle Boys Freshman Soccer Boys Freshman 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 11 11 Basketball Boys 8th Grade 12 12 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 Boys 8th Grade 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 16 16 Baseball Boys 7th Grade 11 11 Basketball Boys 7th Grade 12 12 Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (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 16 16 37 13 33 37 2 15 Total F W S 0 Yes 1996 Yes Yes 11 1996 11 1995 Yes 10 1995 Yes Yes Yes 10 1996 8 1995 Yes Yes 10 8 1996 1995 10 2 of 6 10 10 6 10 Full Time Trainer 1 Part Time 8 8 7 10 1 1 1 10 1 1 Trainer 2 Trainer 3 Trainer 4 100.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.85% 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% 1.96% 0.00% 0.00% 0.00% 2.14% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 6.58% 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0.00% 0 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.31% 0.00% 0.00% 0.00% 10 7 10 Assistant Part Time 10 6 8 8 7 9 11 6 Head Full Time 0 9 10 6 1995 33 11 Total PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM 8 1 1 1 2 1 1 8 1 1 7 1 1 10 1 1 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 5.87% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.85% 0.00% 0.00% 0.00% 1.96% 0.00% 0.00% 0.00% 2.14% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season Level Total Number of Competitions Played Per Season Boys/Girls Team History 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 Rifle Boys 7th Grade 0 0 0 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 Boys 7th Grade Girls Varsity 0 0 Girls Varsity 0 0 Girls Varsity 0 Girls Varsity Girls Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (As Of The Day Of The First Scheduled Team Competition) Boys Girls 25 13 20 TOTAL 25 7 20 Season(s) Team Competes F W S Yes (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement 1995 Yes Yes W S 6 1995 20 F Total 6 7 7 1996 8 F W S 6 Total 6 7 7 8 8 8 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 Full Time Trainer 1 Part Time 2 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% 4.45% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.31% 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% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.78% 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% 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% 10 10 Yes 1995 8 3 of 6 8 8 8 1 1 Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Level Total Number of Competitions Played Per Season Boys/Girls Team History 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 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% Basketball Girls Freshman 2.14% 0.00% 0.00% 0.00% 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 0 0 0 Soccer Girls Freshman 0 0 0 Softball, Fast Pitch Girls Freshman 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 Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (As Of The Day Of The First Scheduled Team Competition) Boys Girls 12 12 21 16 10 TOTAL Season(s) Team Competes F 12 12 W Yes Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement Yes Yes Yes W S 12 1995 16 F 1995 Yes 21 10 S (Format =YYYY, e.g. 1955) 12 1996 9 1996 9 10 4 of 6 F 12 12 1995 Total W 11 Total 11 9 9 9 8 9 10 S 9 10 8 9 10 Head Full Time Assistant Part Time Full Time Trainer 1 Part Time 1 1 1 1 1 1 Trainer 2 Trainer 3 100.00% 0.00% 0.00% Trainer 4 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% 2.14% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 3.74% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 2.85% 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% 1.78% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season Level Total Number of Competitions Played Per Season Boys/Girls Team History 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 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 Sport Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (As Of The Day Of The First Scheduled Team Competition) Boys Girls 25 24 12 35 10 25 17 16 TOTAL 25 Season(s) Team Competes F W Yes Yes 12 Yes 35 Yes 10 17 16 Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement 1995 24 25 S (Format =YYYY, e.g. 1955) Yes F 9 1996 11 1996 8 10 Yes 8 5 of 6 W 9 11 8 8 Total 9 11 7 S 9 9 7 7 1995 F 8 10 7 1996 Total 10 1996 1995 Yes S 10 1995 Yes W 10 9 11 8 10 7 7 7 8 7 8 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 1 1 1 Full Time Trainer 1 Part Time 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% 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% 4.27% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.36% 0.00% 0.00% 0.00% 2.14% 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% 6.23% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.78% 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% 3.02% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 1.20% 0.00% 0.00% 0.00% 2.85% 0.00% 0.00% 0.00% Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year School: Penndale MS - 3324 LEA: North Penn SD - 123465702 Page 2 - Section 1: Team Information TEAM MEMBERSHIP Total Number of Competitions Scheduled Per Season Level Total Number of Competitions Played Per Season Boys/Girls Team History 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 Sport 1 Athletic Disclosure Form Total Number of Participants COACHES & TRAINERS (As Of The Day Of The First Scheduled Team Competition) Boys Girls 25 TOTAL 25 Season(s) Team Competes F W S Yes (Format =YYYY, e.g. 1955) Year Established 1 Year of Demotion Year of Elimination Year of Reinstatement 1996 F W S 8 Total 8 F W S 8 Total 8 PERCENTAGE OF TIME SPENT BY EACH ATHLETIC TRAINER WITH EACH TEAM NUMBER OF COACHES PER TEAM Head Full Time Assistant Part Time 1 Full Time Trainer 1 Part Time 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% 0 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% 0 0 0 0.00% 0.00% 0.00% 0.00% 0 0 0 0.00% 0.00% 0.00% 0.00% For initial submission and for interscholastic athletic teams that were newly established. 6 of 6 Page 2 - Team Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 $16,109.68 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 $416.78 $4,298.05 $9,117.65 $0.00 $15,879.14 1 of 6 $42,936.63 $26,265.59 $45,410.02 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 $16,109.68 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 $7,761.78 $440.20 $1,672.13 $0.00 $576.00 $5,073.45 $0.00 $0.00 Boys Freshman $5,248.56 $0.00 $169.39 $0.00 $785.00 $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $0.00 $0.00 $0.00 Boys Freshman $15,310.63 $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 $4,626.56 $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 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 $6,256.58 $0.00 $0.00 Boys 8th Grade $4,308.74 Boys 8th Grade $0.00 Boys 8th Grade $0.00 Boys 8th Grade $9,506.79 Boys 8th Grade Boys 8th Grade 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 $416.78 $4,298.05 $0.00 $0.00 $837.72 $9,117.65 $113.96 $1,712.58 $633.43 $0.00 $0.00 $0.00 $0.00 $3.60 $15,879.14 $1,624.04 $377.00 $42,936.63 $26,265.59 $4,294.17 $45,410.02 $13,572.63 $2,536.98 $562.00 $4,223.43 $339.50 $3,965.64 $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 8th Grade $0.00 $0.00 $0.00 Boys 8th Grade $3,124.84 $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 $5,025.66 $0.00 $0.00 $538.06 $65.00 $124.59 $774.19 $209.11 $167.80 $0.00 $0.00 $0.00 $1,872.27 $293.00 $394.18 2 of 6 $7,096.46 $2,557.73 $3,564.90 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 $16,109.68 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 $5,232.04 $0.00 $0.00 Boys 7th Grade $6,256.58 $0.00 $0.00 Boys 7th Grade $4,308.74 $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 $6,426.52 $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 $3,125.74 $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 $3,045.86 $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 $3,270.03 $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 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 Girls Varsity $0.00 $0.00 $0.00 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 $416.78 $133.34 $4,298.05 $9,117.65 $200.00 $0.00 $740.46 $837.72 $633.43 $0.00 $562.00 $3.60 $0.00 $339.50 $65.00 $83.34 $15,879.14 $215.88 $363.56 $75.51 $0.00 $469.20 $134.92 $209.11 $101.70 $125.00 $0.00 $0.00 $0.00 $0.00 $1,265.06 $293.90 $42,936.63 $26,265.59 $3,942.36 $4,223.43 $3,965.64 $4,797.90 $2,557.73 $238.90 $462.80 3 of 6 $45,410.02 $2,160.55 $2,463.97 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 $16,109.68 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 $4,234.16 $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 $2,223.77 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $0.00 $0.00 $0.00 Girls Freshman $4,705.86 $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 $416.78 $0.00 $0.00 $0.00 $4,298.05 $0.00 $0.00 $44.99 $9,117.65 $153.39 $120.91 $72.39 $0.00 $0.00 $0.00 $0.00 $15,879.14 $42,936.63 $540.50 $208.50 $540.50 4 of 6 $26,265.59 $45,410.02 $3,540.27 $1,894.36 $4,047.98 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 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 Athletic Disclosure Form $416.78 $4,298.05 $9,117.65 $0.00 $15,879.14 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 $42,936.63 Winter $26,265.59 Spring $45,410.02 Total Compensation For All Athletic Trainers Per Academic Year $16,109.68 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 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 $2,470.32 $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 $3,436.33 $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 $4,241.75 $0.00 $0.00 Girls 8th Grade $0.00 $0.00 $0.00 Girls 8th Grade Girls Girls Freshman $0.00 Girls Freshman $2,680.56 Girls Freshman Girls Freshman Girls $0.00 $0.00 $0.00 $0.00 $265.51 $0.00 $0.00 $225.00 $69.55 $62.53 $208.45 $0.00 $0.00 $1,981.60 $354.00 $297.75 $0.00 $328.43 $0.00 $317.27 $480.89 $10.00 $32.17 $0.00 $45.22 8th Grade $4,020.80 $2.36 $192.86 $0.00 $394.39 Girls 8th Grade Girls 8th Grade Girls $2,046.77 $3,076.05 $3,596.05 $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 $4,105.72 $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 $2,470.32 $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 $3,436.33 $0.00 $0.00 Girls 7th Grade $0.00 $0.00 $0.00 $0.00 $56.71 $157.21 $69.55 $0.00 $0.00 $62.53 $0.00 $0.00 $0.00 $393.50 $3,431.19 $400.37 $3,491.43 $354.00 $297.75 5 of 6 $2,046.77 $3,076.05 Page 3 - Financial Information INTERSCHOLASTIC ATHLETIC OPPORTUNITIES DISCLOSURE FORM 5.1 2012 - 2013 School Year Page 3 - Section 1: Financial Information School: Penndale MS - 3324 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 $3,004.58 Girls 7th Grade $0.00 Girls 7th Grade Girls Girls $4,298.05 $0.00 $9,117.65 $0.00 $15,879.14 $0.00 $232.64 $0.00 $224.73 $1,683.10 $35.00 $112.60 $0.00 $158.26 7th Grade $5,361.07 $3.15 $257.14 $0.00 $525.86 7th Grade $0.00 Girls 7th Grade Girls $42,936.63 Winter $26,265.59 Spring $45,410.02 $2,547.21 Total Compensation For All Athletic Trainers Per Academic Year $16,109.68 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 $2,932.65 $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 $40.50 $112.29 $0.00 $285.98 $1,377.24 $4,574.92 $2,493.88 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 $416.78 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: Penndale MS - 3324 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