Dynamo Swim Club

Be The Best You Can Be!

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#27 - 10340 156 Street
North Surrey V3R 4L8
British Columbia
Canada
Tel 778-866-6604
Fax 604-636-3785
Email Us

DYNAMO SWIM CLUB REGISTRATION

 

 

 
   

SWIMMING   FOR

EVERYBODY

AT  

DYNAMO SWIM CLUB

LEARN TO SWIM

SUMMER AND YEAR ROUND

PROGRAMS

778-866-6604

 

THE DYNAMO SWIM CLUB PHILOSOPHY

The Dynamo program is characterized philosophically by the principles of self-image psychology. This discipline is concerned with guiding and directing individuals toward maximum development of their talents and abilities.

Similarly, the Dynamo coaching staff endeavors to teach, train, and motivate young people to achieve their ultimate potential in swimming in the belief that this experience will prove valuable to them as they grow and develop.

The Dynamo program strives to instill in young swimmers an understanding of and appreciation for such concepts as high self-esteem, personal accountability, self-discipline, goal setting, and goal achievement as these ideas relate to their success in training and in competition. It is our belief that the process of achieving is as significant as realizing the achievement itself.

At each level of the Dynamo program, swimmers are instructed to strive for excellence. Excellence in this sense represents the achievement of that level at which you know that you have done your utmost to become the best you are capable of becoming.

This philosophy is consistent throughout the program, and every Dynamo, novice to Olympian, is encouraged to:

 

"BE THE BEST YOU CAN

BE"

 

Board Walk Bingo in Middle gate Mall, Burnaby is now sponsoring our swim club. Your patronage supports both our community and us as well.

REGISTRATION,  13 SEPTEMBER,2008 AT BONSOR POOL 5:00-7:00PM

ONGOING

CALL:  778-866-6604

SCHEDULE OF PRACTICES

BONSOR

MONDAY:  3:15-4:30PM

WEDNESDAY: 3:15-4:30 PM

FRIDAY: 3:15-4:30 PM

C G BROWN

TUESDAY: 3:15-4:30 PM

THURSDAY: 3:15-4:30 PM

FRIDAY: 3:30-5:00 PM

SIMON FRASER UNIVERSITY

MONDAY: 7:00-9:00 PM

THURSDAY: 7:00-9:00 PM

FRIDAY:7:00-9:00PM

SATURDAY: 11:00AM-13:00 PM

 

SPECIAL PROMOTION

TOONIE SWIMLESSONS

LIMITED TIME OFFER FOR UP TO A WEEK SWIMMING LESSONS WITH REGISTRATION

STROKE CLINIC FOREVERYBODY

$15.00/SESSION

 

 

BE THE BEST YOU CAN BE IN SWIMMING AND LIFE!

 

 

 

 

 DYNAMO REGISTRATION FORM

 2008-2009 SEASON

 

 

 

FAMILY NAME:

(swimmers last name)

Home Phone:                           cell#                      

e-mail:

 

Mother’s name and occupation

Work Phone:                            cell#                        

e-mail:

 

Father’s name and occupation

Work Phone:                            cell#                         

e-mail:

 

Address

Alternative Phone:

 

City

Province: 

Postal Code

 

Emergency Contact:

Telephone:

 

 

START DATE:                                                                                            END DATE:                     

 

# OF PRACTICES PER WEEK:      1     2    3    4    5    6    7   8

                                                       [   ]  [  ]  [  ]  [  ]  [  ]  [  ]  [  ]  [  ] 

 

Pool where you will be practicing: SFU __; Bonsor  __; CGB: __.CGP  __

 

 

 

FIRST NAME:

 

NICKNAME:

 

BIRTH DATE:

 

MEDICAL NUMBER:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Parent or guardian if participant(s) is under 19___________________________________SIGNATURE

 

 

                   

 

 

                               

STATEMENT OF RELEASE AND CONSENT

 

 

I, THE PARENT / GUARDIAN OF THE SWIMMER NAMED ABOVE, AGREE BOTH TO ALLOW HIM / HER TO PARTICIPATE IN ANY MEETS OR PRACTICES SPONSORED BY DYNAMO SWIM CLUB AND THAT HE / SHE WILL ABIDE BY THE RULES OF THE CLUB AND OF SWIM BC, RECOGNIZING THE POTENTIAL FOR PHYSICAL INJURY ASSOCIATED WITH SWIMMING. I HEREBY RELEASE, DISCHARGE, AND / OR INDEMNIFY DYNAMO FROM ANY CLAIM BY OR ON BEHALF OF THE ATHLETE AS A RESULT OF HIS / HER PARTICIPATION IN CLUB PRACTICES AND / OR SWIM BC AND SNC SANCTIONED SWIM MEETS. 

 

IN ADDITION, I GIVE CONSENT FOR EMERGENCY MEDICAL CARE PRESCRIBED BY A FULY LICENSED DOCTOR OR DENTIST WHICH MAY BE NECESSARY TO PRESERVE THE LIFE, LIMB OR WELL-BEING OF MY DEPENDENT.

 

Consent for published Information

_____     I GIVE permission for the Dynamo swim team to publish my child’s photo on the Dynamo’s Website.

_____      I DO NOT GIVE permission for the Dynamo swim team to publish my child’s photo on the Dynamo’s Website.

 

 

SIGNATURE OF PARENT:                                                                                       DATE:

 

EMERGENCY INFORMATION

 

PERSON TO CONTACT IN CASE OF AN EMERGENCY:  (IF PARENT IS UNAVAILABLE)

 

NAME:

 

RELATIONSHIP TO SWIMMER:

 

PHONE NUMBER (S):

NOTABLE CONDITIONS OF SWIMMER:

 

 

 

 

 

 

SIGNATURE:

 

DATE:

                                                                                   

 

 

 

DYNAMO SWIM CLUB

 

#27-10340-156 STREET, NORTH SURREY,BC, V3R 4L8.Tel:604 636-3785,Fax:604 636-3785

 

                                                     MEDICAL HISTORY

 

NAME: _______________________

 

SEX: __________________BIRTHDATE___________________

 

ADRESS: ___________________________________________________________________________

 

CARE CARD NUMBER: ______________________________________________

 

PARENTS/GUARDIAN: ______________________________________________

PHONE NUMBER: (HOME) ____________________

MOTHER (WORK) __________________

FATHER (WORK) __________________

 

FAMILY DOCTOR: ______________________________

PHONE NUMBER: ________________________

 

ALTERNATE CONTACT (IN CASE OF EMERGENCY)

 

NAME: __________________________RELATION: _________________

PHONE NUMBER__________________

 

RECORD OF ILLNESS: (CHECK THE FOLLOWING)

 

Asthma _______Diabetes ________ Blackouts_____ Chest Pain ____ Seizures _______

Heart ________ Disease________ Headaches ____ Surgery _____ Serious illness ____

Injuries ______ Allergies ___ Contact lenses _______

 

If you checked any of the above, please explain: 

______________________________________________________________________

 

DATE OF THE LAST TETANUS SHOT: ____________________________________

 

TO WHOM IT MAY CONCERN:

 

In the event that I could not be contacted after an emergency involving my child, ____________________________,

I hereby authorize the official chaperone or the coach of the club to authorize whatever medical aid the attending physician deems necessary.

I will approve these authorizations and do not hold anyone responsible.                                                                                                          

Signature of parent or legal guardian___________________________  Date_________

 

 

COMPLETE THE REGISTRATION FORM, MEDICAL FORM, CONSENT RELEASE OR STATEMENT AND RETURN TO DYNAMO SWIM CLUB;

MAILING ADRESS:

#27-156 Street, North Surrey, BC, V3R 4L8, Canada

E-mail: lidia@shaw.ca

COSTS

Monthly fees are established at the minimum amount necessary to cover coaching salaries, pool rental and equipment, swim meet expenses, and other pool-related expenses.  Fees are payable on the first of each month.   Bills are distributed to members at the beginning of each month or upon request at any time.  Fees do not include SWIM BC registration, membership, fundraising, insurance, goggles, caps, bathing suit, and team apparel and meet fees.  Team apparel can be purchased through our in-house vendor.  The training fee structure is summarized below:

THE MORE YOU SWIM, THE LESS YOU PAY!

E- SEASONAL -for swimmers in seasonal programs; are not permitted to compete in any sanctioned swim meets, must be registered with Swim BC at the beginning of each session and I Can Swim Program. One session 16 weeks

  $18.00

PC- Novice- pre-competitive/introductory sanctioned swim meet;; pass/novice/progressive or home club time trial swim meet only. No minimum age requirement/maximum age 17 as of  registration   

  $39.00

T-10 and Under (competition) 

  $83.00

M- Minimum training- limited to 4hours of water training a week. Eligible to swim in a maximum of 4 Sanction Swim BC swim Meets .  

   $58.00

P PROVINCIAL (competitive swimmer, 11 and older as of September 1, and have not achieved Youth Championship, Junior National - West, or Senior National time.   

  $126.00

N NATIONAL Swimmer who has achieve Youth, Junior, Senior National time 

  $168.00

U- University- Sept 1st-March 31st.Swimmer may represent either the university or the home club at any meet other than SNC- designated meet. To compete at Nationals swimmer must register N

  $54.00

MONTHLY TRAINING FEE SCHEDULE AND CALCILATION:

PROGRAMS

#OF PRACTICES/WEEK

TRAINNING FEES

Trainning Days

TOTAL

,CHEQUE#;

SNC/SWIM BC

ICS,NATIONAL,PROVINCIAL

 

 

 

 

MEMBERSHIP

 

 

 

$100.00

 

MEET ENTRY FEES

10 and Under

,REGIONAL,PROVINCIAL

 

 

$150.00

 

1. Summer Swimmer Program 

1- practices/week

$70.00

Sat or Sun

 

 

2. I Can Swim Program

 4-7years old

             2-Practices/week

 $90.00

Mo, Tue, We,Thu,Sat,Sun

 

 

3. Swimming is a Skill for Life 11 and Over,

Stroke Improuvement &Fitness

2-Practices/week

3-Practices/week

4-Practices/week

5-Practices/week

 

$100.00

$120.00

$140.00

$160.00

 

Mo, Tue, We,Thu,Sat,Sun

 

 

4. I Can Swim Fast ;8-10 years old

4-Practices/week

$130.00

Mo, Tue, We,Thu,Sat,Sun

 

 

5.Age Group 1 Regional one A TIMES

5-Practices/week

$160.00

Mo, Tue, We,Thu,Sat,Sun

 

 

6. Age Group 2  Regional Championship, one AA TIME

6-Practices/week

 $180.00

Mo, Tue, We,Thu,Sat,Sun

 

 

7. Provincial Age Group  one AAA TIME

             7-practies/weel

$195/00

Mo, Tue, We,Thu,Sat,Sun

 

 

5. Junior National/National

8-Practices/week

$200.00

 

 

 

6. Masters, Triathletes, Open water ,Stroke Clinic

$15 / practice

 

 

Or $80.00/month

 

Communication Fee

 

 

 

                     $30.00

 

Fund Raising FEES

 $500.00/season/family

 

 

                                               

 

Last Year`s Balance

 

 

 

 

 

TOTAL 

 

 

 

 

 

PLEASE NOTE THAT ALL CHEQUES MUST BE PRESENTED AT THE REGISTRATION FOR SWIMMER TO BE ALLOWED IN THE WATER.

Please make post dated cheques for regular monthly fees payable to “Dynamo Swim Club” dated SEP.19st through July 1st.

FAMILY REGISTRATION FEE : This is a non-refundable fee, which is required for the first registered swimmer in each family. This fee is used to cover the operating costs for the running of the swim club. $100.00 for the 2007-2008 season.

Communication Fee $30 / family (one time, newsletter, info line)

Newsletters and INFO LINE at:  604 878-8817

 

Swim Meet Entry Fees & Travel (This fee will be charged every time a swimmer swims in a meet, and the adjustment will be shown on the member's monthly statement) There is a minimum 3 meets a swimmer should be competing /season; 3x$50.00=  $150 /season/swimmer

Swim meet. Postdated cheques for October, February, April.

Fundraising Fees; 4 Postdated cheques of $125.00 for November 15th , February 15th , March 15th, June 15th .

Dynamo offers a Family participation Program to earn same funds back. Further details will be available at the registration.

DYNAMO Special Events

DYNAMO Awards Night & Social

§          This event will take place early in the fall and will allow us to recognize the great efforts of our swimmers.

DYNAMO Parent’s Christmas Party

§          This is a nice relaxing opportunity for parents to get together away from the pool and enjoy some socializing with one another and the DYNAMO Leadership Team.

 

DYNAMO Officials

DYNAMO prides itself on the level of contribution we make at swim meets as an organization.  Our members continue to develop as new officials to work the deck at meets.  There are opportunities to attend clinics hosted by other clubs.  DYNAMO supplies officials to every meet that our swimmers attend.  Our Officials Chair STEVE MENZIES will be able to provide you with training information.

 

We Need Your Help?

The DYNAMO needs volunteer help in order to run efficiently.  There are many roles for which families can volunteer.  The official Club Coordinators may need assistance throughout the competitive season.

Please check two (or more) areas where you would be willing to help as the need arises:

 

Phoning

needed to help call small groups of families to arrange volunteers for events, food for competitions, etc.

Social

assists in arranging one or more social events (picnics, banquets, award ceremonies etc.).

Fundraising

assists in one or more fundraising events (Progressive orders, Pub Night prizes, etc.).

Chaperone

assists athletes and coaches on out-of-town trips.

Public Relations

assists with  DYNAMO publicity.

Food Hospitality

assists to arrange food and servers for competitions and social events.

Grant Applications

researches grants and helps to write grant applications which  DYNAMO can apply for.

Officiating

willing to train as an on deck official so I can volunteer to officiate at meets.

Other area of interest (please specify) __________________________________

 

 

__________________________                                            __________________________                          ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­________________________

Print Name                                                                                            Phone Number             Signature of Parent