2014-2015
REGISTRATION
COMPETITIVE
Tuesdays and Thursdays, September 2 – April 30, 6:00-8:30pm (pool)
Saturdays, September 6 – May 2, 9:00am - 12:15pm (pool)
Wednesdays and Fridays, September 3 – May 1, 6:00-7:30am (dryland)
(3 swim practices + 2 conditioning/dryland sessions per week)
This program is for those who want to participate in synchronized swimming competitions. The
swimmers and coaches begin by focusing on required figures, physical fitness, and selecting music
for their routines in preparation for competitions. These competitions normally include The Wild
Rose Qualifier, Wild Rose Classic and the Christmas and spring year-end local watershows put off
by our club. Participants must have passed Red Cross Level 5 OR be able to swim 50 meters and be
comfortable swimming in deep water. Swimmers will focus on being part of a team routine and
may also have an opportunity to participate in other routine options such as solos and duets at the
discretion of the coaches.
NOTE: A minimum of 4 participants are necessary to run the program.
COST:
$1,250.00*
$1,225.00 + $25.00 non-refundable registration fee payable to the Grande Prairie Synquatics.
Works out to approximately $14.00 a practice!
Dryland practices require a multi-plex membership or punch pass card
*Payment options are available. Please contact Toni, our club Treasurer, at 780-228-1247 for details.
CLOTHING REQUIREMENTS:
Jacket, black yoga pants or shorts, a black one-piece swimsuit for practices and figures competition,
plus one other swimsuit for team routine chosen at Just Beachy with teammates and coach (store
discount available to club members). NOTE: bring in own pants or shorts; embroidery available.
Some additional items may be required for competitions such as a yoga deck jacket and/or swim
duffle bag. A T-shirt will be provided by the club.
APPROXIMATE COST: $190.00
FUNDRAISING DEPOSIT:
Fundraising provides money for pool costs, coaching costs, and equipment needs. If you contribute
to the fundraising efforts that the club organizes, your cheques will be returned to you. If you do not
participate in the events your cheque will be deposited.
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1 cheque dated Oct 1, 2014 for $125.00 (Swim-the-Dream)
1 cheque dated Mar 1, 2015 for $150.00 (Dinner-with-a-Pro-Athlete)
1 cheque dated Apr 1, 2015 for $125.00 (Bottle Drive)
1 cheque dated Apr 1, 2015 for $100.00 (County Cleanup)
2014-2015
REGISTRATION
Swimmer's Name:
Full Mailing Address:
E-mail Address:
Swimmer’s Home Phone #:
Star Level Completed:
Swimmer’s Date of Birth:
Number of previous years in Synchro:
Parents/Legal Guardians’ Information:
Name
Relationship
Work Phone #
Cell Phone #
Emergency Contact Information (other than Parent/Legal Guardian if possible):
Name
Relationship
Work Phone #
Cell Phone #
Payment Details:
SYNQUATICS PROGRAMS
 Trial Period: After trial period, full payment for any other program is due.
 Intro-to-Synchro: $150.00
 Pre-Competitive 1: $600.00
 Pre-Competitive 2: $850.00
 Competitive: $1,250.00
 Masters: $600.00
Payment options are available. Please contact Toni, our Club Treasurer, for details, 780-228-1247
FUND RAISING: $400.00 deposit as follows ($500.00 for competitive)
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Cheque #’s
1 cheque dated Oct 1, 2014 for $125.00 (Swim-the-Dream)
1 cheque dated Mar 1, 2015 for $150.00 (Dinner-with-a-Pro-Athlete)
1 cheque dated Apr 1, 2015 for $125.00 (Bottle Drive)
1 cheque dated Apr 1, 2015 for $100.00 (County Cleanup) COMPETITIVE ONLY
Swimmer Medical Information
Does the swimmer have any medical condition we should be aware of? If so, please Explain:
________________________
______________________________________________________
I,
(parent or legal guardian of above noted swimmer) does hereby
authorize any coach or Chaperone at swimming practices or competitions to exercise their discretion in providing first
aid needs and/or to consent to medical treatment which may in the opinion of a qualified practitioner may be necessary.
(Signature of Parent/Guardian/Masters Swimmer)
All cheques are to be made payable to the “Grande Prairie Synquatics Club”
2014-2015
REGISTRATION
CONSENT FOR USE OF
PERSONAL INFORMATION
2014-2015
REGISTRATION
LIABILITY RELEASE FOR UNDER 18 YEARS OF AGE
2014-2015
REGISTRATION
ATHLETE’S CODE OF CONDUCT
Athletes: (PLEASE READ CAREFULLY AND SIGN)
PREAMBLE: The Grande Prairie Synquatics Synchronized Swim Club is dedicated to providing
an athlete centered sport environment in which all individuals are treated with respect. As an athlete
representing Grande Prairie Synquatics, you are expected to conduct yourselves in a manner
consistent with these ideals and values. This Code of Conduct identifies the standards of behavior
that are expected of all athletes of the Grande Prairie Synquatics. You are responsible and
accountable for your behavior and appearance at all times.
Specifically, I agree to the following:
1. Use of alcohol, cigarettes or illegal drugs will not be tolerated. Check all medications to ensure
they are not on the list of banned substances. Random drug testing may occur at any event. If in
doubt, check with your coach.
2. Good sportsmanship at all times is required.
3. Coarse language or rude behavior will not be tolerated at any time.
4. No angry outbursts or disorderly behavior at practices or meets.
5. Be courteous to your fellow athletes/swimmers and other patrons of hotels, restaurants and
public places.
6. Refrain from any and all negative discussion regarding the performance and behavior of all
athletes, coaches and officials at all times.
7. No form of abuse (physical, mental or verbal) of athletes, coaches, parents, and officials will be
tolerated at any time.
8. Appropriate clothing will be worn at all times while at the pool during competitions.
9. Directions from coaches and team parents are to be followed in a prompt and quiet manner.
10. Hotel/motel rooms will be kept neat and in such condition that will not impede the capability of
the housekeeping staff to perform their duties.
11. Be aware of the CASSA anti-harassment policy and CASSA disciplinary policy. Copies
of these policies can be found at Synchro Canada’s Website. http://www.synchro.ca.
Swimmers Name (please print):
Swimmers Signature:
Coach’s Name (please print):
Coach’s Signature:
Date:
Date:
Please Note- Violation of this Code of Conduct will result in appropriate disciplinary action by the Grande Prairie
Synquatics Executive.
2014-2015
REGISTRATION
PARENTS CODE OF CONDUCT
Parents: (PLEASE READ CAREFULLY AND SIGN)
PREAMBLE: The Grande Prairie Synquatics Synchronized swim club is dedicated to providing an
athlete centered sport environment in which all individuals are treated with respect. This Code of
Conduct identifies the standards of behavior that is expected of all Parents of the Grande Prairie
Synquatics while performing duties of a designated Team Parent.
After reading the Rules of Synchro Alberta Members Code of Conduct, We agree to comply with
them.
Specifically, I/we also agree to the following:
1.
Abstain from the use of illegal drugs.
2.
Abstain from the use of alcohol and cigarettes while in the presence of the athletes for
the duration of the trip. In all cases, abstain from the abusive use of alcohol where abuse
means a level of consumption which impairs the individual’s ability to speak, walk, or
drive; causes the individual to behave in a disruptive manner, or interferes with the
individual’s ability to perform effectively and safely.
3.
Refrain from any and all negative discussion regarding the performance and behavior of
all athletes, coaches and officials at all times.
4.
No profanity.
5.
No form of abuse (physical, mental or verbal) of athletes, coaches, parents, and officials
will be tolerated at any time.
6.
Maintain confidentiality at ALL TIMES unless it threatens the health and well-being of
the athlete.
7.
Be calm, be friendly but be authoritative and discrete. Be sensitive to the emotional
needs of ALL of the swimmers.
8.
Be aware of the CASSA anti-harassment policy and CASSA disciplinary policy. Copies
of these policies can be found at Synchro Canada’s Website. http://www.synchro.ca
Name (please print):
Signature:
Date:
Please Note- Violation of this Code of Conduct will result in appropriate disciplinary action by the Grande Prairie
Synquatics Executive.