VALLEY FIGURE SKATING CLUB
2009-2010 SEASON
The Board of Directors of the Valley Figure Skating Club (VFSC) welcomes you to another season of skating. We hope this packet of information will be helpful to you as you register for the coming year. If you have any questions, please call Carol Swannell, Membership Chairperson at 920-720-7920
The following forms must be returned by June 19, 2009 to begin or continue your membership with Valley Figure Skating Club.
_____1. SKATER INFORMATION SHEET: Please fill out all information requested on the form. This information is necessary for a complete record. PLEASE NOTE: phone numbers and email addresses that are provided are for VFSC use only.
_____2. SKATER EMERGENCY FORM: This form is very important and must be filled out completely and accurately. A copy of this form is kept at both rinks in the case of an emergency. Both parent/guardian(s) must sign this form.
____3. AMATEUR ATHLETIC WAIVER AND RELEASE OF LIABILITY: Please read carefully, complete and return with registration material. Please fill out one form for each skater in the family.
____4. VOLUNTEER COMMITMENT/ADVERTISING SALES/MUSIC MONITOR/FUNDRAISING
COMMITMENT: All members will be required to contribute
volunteer hours per calendar year. The calendar year is July 1, 2009-June 30, 2010. There will be many volunteer opportunities
throughout the year. Volunteers are
needed for music monitor, help with the competition, test sessions and the ice
show. There are also many other
opportunities to help out, just ask a Board Member for some suggestions. It is the responsibility of the club
member to seek and arrange volunteer hours with the volunteer coordinator. The volunteer coordinator is Kendra Weindling
- (920) 731-2246. The
form included in this packet needs to be signed in all areas (volunteer, fund
raising, music and advertising sales) to be complete.
____5. SKATER’S RULES AND PROCEDURES: Please go over these rules with the
skater. The skater and the
parent/guardian must sign this form.
____6. MEMBERSHIP DUES: When you return the ice registration materials, remember to include your club dues for the 2009-2010 season. These dues include club membership and USFS membership (including “Skating Magazine” from USFS). Keeping your dues and your ice contracts and walk-on sessions up to date will allow you to skate, test, and compete as a VFSC member and to be in the ice show. If these are not kept up to date, your forms for these events will not be signed. If you have any questions or problems concerning your bill, please call the Billing Chairperson, Sandra Lenz 920-757-5232..
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DUES FOR July 1, 2009-June 30, 2010: 1. $100.00 1st skater. 2. $40.00 Each additional skater in the Family. 3. $50.00 Associate membership 4. $35.00 Coaching Member 5. $50.00 Limited Synchro Member 6. $80.00 Collegiate Member |
PLEASE MAIL YOUR REGISTRATION MATERIALS TO:
VFSC
c/o Carol Swannell
2446
VFSC is registering everyone online with USFS.
If there are any questions, concerns or problems with any part of this
registration, please do not hesitate to contact Carol Swannell at 920-720-7920.
Valley Figure Skating Club
Memberships
Calendar Year runs July 1 – June 30th
Full
Membership to VFSC
$100.00
– 1st skater
$40.00 – Each additional skater in
the family
- Includes
membership into the USFS, includes “Skating Magazine”
§
Full access to
VFSC ice time as a contracted skater or a walk on skater
- Allows
skater to compete in USFS competitions
- Skater
is eligible to test thru the USFS
- Club
events such as the Annual Ice Show, Club Parties & Back to Skate
Night
- 25
hours of Volunteer time required per
family-
- 5 hrs
must be completed at the January test/competition
- Mandatory
Fundraising Commitment of $125.00 per
family
- Business
Size Ad required (in either the Ice Show Program or the Competition
Program)
- MUST BE
BASIC 5 LEVEL TO JOIN VFSC
Limited
Synchro Membership
$50.00 –
junior membership to VFSC
- Includes
membership into the USFS, includes “Skating Magazine”
- Full
access to VFSC ice time as a walk on skater
- Club events
such as the Annual Ice Show, Club Parties & Back to Skate Night
- 10
hours of Volunteer time required per
family
- Skater
can compete in Basic Skills competitions
- Skater
is not eligible to test thru the USFS
- Business
Size Ad required (in either the Ice Show Program or the Competition
Program)
- MUST BE
BASIC 5 LEVEL TO JOIN VFSC
Associate
Member
$50.00 –
membership to VFSC
- Must
hold a USFS Home Club registration thru another club other than VFSC
- Club
events such as the Annual Ice Show, Club Parties & Back to Skate
Night
- 10
hours of Volunteer time required per
family
Coaching
Member
$35.00 – membership to VFSC (fee waived for current year if coach
has attended a majority (4 out of 6) of the coaches meetings during the
previous membership year)
- Includes
membership to USFS if not already enrolled thru another club.
- Must
submit a resume to VFSC Board prior to coaching on club ice.
- Must
have personal liability insurance to be able to coach on club ice.
- Allowed
6 sessions coaching on club ice as a visiting coach before membership is
required
- Must have a current PSA membership.
- Must
complete a background check thru PSA
- Must
complete PSA & USFS continuing education credits as deemed by USFS
& PSA
(Note: this goes into effect 7/1/2010, but you may start earning
credits 7/1/08)
- Must
participate in club events as deemed necessary by the VFSC Board
Collegiate
Membership to VFSC
$80.00
– 1st year
$10.00 – Each additional year (up to
3 years)
- Must be
enrolled in a college or technical college.
- Includes
membership into the USFS, includes “Skating Magazine”
§
Full access to
VFSC ice time as a contracted skater or a walk on skater
- Allows
skater to compete in USFS competitions
- Skater
is eligible to test thru the USFS
- Club
events such as Club Parties & Back to Skate Night
- 5 hours
of Volunteer time required per year
VALLEY
FIGURE SKATING CLUB
SKATER
INFORMATION SHEET
Please
complete the information below for each skating member of the family
SKATER #1
Name:
___________________________ Birthday:
__________________
Address: ___________________________ USFSA #: __________________
___________________________ MIF Level**: __________________
Phone: ___________________________ Freestyle Level**: __________________
Cell
Phone:
___________________________ Dance
Level**: __________________
Email: ___________________________
Parent
name(s): ___________________________ Primary
Coach: __________________
Associate
Clubs?__________________________ Secondary
Coach?:__________________
Associate
Member, please list __________________
Home
Club: ___________________________ **as of 6/01/09
SKATER #2
Name:
___________________________ Birthday:
__________________
Address: ___________________________ USFSA #: __________________
___________________________ MIF Level**: __________________
Phone: ___________________________ Freestyle Level**: __________________
Cell
Phone:
___________________________ Dance
Level**: __________________
Email:
___________________________
Parent
name(s): ___________________________ Primary
Coach: __________________
Associate
Clubs?__________________________ Secondary
Coach?:__________________
Associate
Member, please list __________________
Home
Club: ___________________________ **as of 6/01/09
SKATER #3
Name:
___________________________ Birthday:
__________________
Address: ___________________________ USFSA #: __________________
___________________________ MIF Level**: __________________
Phone: ___________________________ Freestyle Level**: __________________
Cell
Phone:
___________________________ Dance
Level**: __________________
Email:
___________________________
Parent
name(s): ___________________________ Primary
Coach: __________________
Associate
Clubs?__________________________ Secondary
Coach?:__________________
Associate
Member, please list __________________
Home
Club: ___________________________ **as of 6/01/09
VFSC
has a Membership Directory. This
directory will be given to members only, and will be used for skating purposes
ONLY.
If
you do not want your address and phone number listed, please X here ___________.
Checking
this line, only your name will be listed in the directory.
05/29/09
VALLEY FIGURE SKATING CLUB
SKATER EMERGENCY FORM
This form must be filled out completely and returned with membership packet. Both parent/guardian(s) must sign this emergency form.
DATE: ____________________ GRADE: __________________
SKATER’S NAME: ______________________________ DATE OF BIRTH: __________
ADDRESS: _________________________________________________________________________
Address (City) (zip)
TELEPHONE NUMBER: _____________________ CELL NUMBER: ___________
EMAIL ADDRESS: ___________________________________________________________________
FATHER’S PLACE OF EMPLOYMENT: ________________ PHONE: __________________
MOTHER’S PLACE OF EMPLOYMENT: _______________ PHONE: __________________
IF PARENT CANNOT BE
REACHED, NAME OF RELATIVE OR FRIEND WHO WILL ASSUME TEMPORARY CARE OF YOUR
CHILD:
#1
NAME: _______________________________ RELATIONSHIP: _________________________
ADDRESS: _____________________________________________ PHONE: __________________
#2
NAME: _______________________________ RELATIONSHIP: _________________________
ADDRESS: _____________________________________________ PHONE: __________________
HEATH INFORMATION:
Please list any serious illnesses, severe allergies, or chronic conditions: __________________________
Any medications? ____________________________________________________________________
INSURANCE INFORMATION
MEDICAL INSURANCE: ________________________ INSURANCE #: _____________________
DENTAL INSURANCE: ________________________ INSURANCE #: _____________________
HOSPITAL PREFERENCE: ______________________________________________________________
DOCTOR: _____________________________________ OFFICE PHONE: ____________________
DENTIST: _____________________________________ OFFICE PHONE: ____________________
I/We,
the undersigned, do hereby authorize Valley Figure Skating Club to call an
emergency ambulance in case of accident or acute illness and to arrange for
necessary emergency medical and surgical care in case I/We am not immediately
available. Any qualified physician
called by Valley Figure Skating Club may treat and do whatever is necessary for
the health and well being of my child.
It
is understood that a conscientious effort will be made to notify me/us
(parent/guardian(s)) before such action will be taken. In the event that I/We cannot be contacted,
Valley Figure Skating Club Board Members are hereby authorized to take whatever
action is deemed necessary in their judgment for the health and well being of
my/our child.
I/We
will not hold Valley Figure Skating Club financially responsible for the
emergency care and/or transportation of said child.
______________________________ ________________________________ _________________________
Parent/Guardian Parent/Guardian Date 05/29.09
AMATEUR ATHLETIC WAIVER AND
RELEASE OF LIABILITY(Required)
Skater’s Name: _________________________________________
(Please Print)
In consideration of
being allowed to participate in the Tri-County Ice Arena/Appleton Family Ice
Center/Valley Figure Skating Club program, related events and activities,
including, but not limited to programs at the Arena and Off-site, the
undersigned acknowledges, appreciates and agrees that:
1.
The risk of
injury from the activities involved in this program is significant, including,
but not limited to, the potential for permanent paralysis and death and while
particular rules, equipment, and personal discipline may reduce this risk, the
risk of serious injury does exist; and,
2.
I KNOWINGLY
AND FREELY ASSUME ALL SUCH RISKS, both known and unknown and assume full
responsibility for my participation; and
3.
I willingly
comply with the stated and customary terms and conditions for
participation. If, however, I observe,
or in the case of a minor, the parent(s) or legal guardians(s) observe, any
unusual significant hazard during my presence or participation, I will remove
myself from participation and bring such to the attention of the nearest
official immediately; and
4.
I, for myself,
and on behalf of my heirs, assigns, personal representatives and next of kin,
HEREBY RELEASE, WAIVE AND HOLD HARMLESS, TRI-COUNTY RECREATION ASSOCIATION,
TRI-COUNTY ICE ARENA, APPLETON FAMILY ICE CENTER, THE TOWN OF MENASHA,
WINNEBAGO COUNTY, OUTAGAMIE COUNTY AND THE VALLEY FIGURE SKATING CLUB, their
representative administrators, members, directors, agents, coaches, officials,
other participants, sponsors, advertisers, and, if applicable, owners and
lessors of the premises used to conduct the event, including, but not limited
to, at the Arena, in transit to or from the Arena, hereinafter referred to as
“releases”, from any and all liability to each of the undersigned, and any and
all claims, demands, losses or damages on account of INJURY, DISABILITY, OR
DEATH, or loss or damage to property.
5.
I also
understand and accept the fact that by the terms of the ice rental contract
between Tri-County Recreation Association, Appleton Family Ice Center and the
Valley Figure Skating Club, the Tri-County Recreations Association, Inc., the
Tri-County Arena, the Town of Menasha, Winnebago County, Outagamie County, and
the officers, directors, supervisors and employees of the above entities are
not responsible for any property damage or loss suffered by me which occurs in
the locker rooms or any other area wherein property of mine or the skating club
is kept or stored, either permanently or temporarily.
6.
This waiver
and release is understood to supercede and take precedence over any other
agreement or representation, whether written or oral, which contradicts the
terms of this waiver.
I HAVE READ THIS
RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT AND FULLY UNDERSTAND ITS
TERMS. I FURTHER UNDERSTAND THAT I HAVE
GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING THIS FORM, AND HEREBY SIGN IT FREELY, VOLUNTARILY
AND WITHOUT ANY INDUCEMENT.
__________________________________ _____________________________ ____________
Participant’s
Signature Participant’s
PRINTED Name Date
__________________________________ ______________________________
Emergency Contact
Person Emergency
Phone Number
__________________________________________________________________
Participant’s Address
MINOR PARTICIPANT
(Under the age of 18
at the time of registration)
This is to certify
that I, as a parent/guardian with legal responsibility for this participant, do
consent and agree to his/her release as provided above of all Releases from any
and all liabilities to my minor child’s involvement or participation in these
programs as provided above.
__________________________________________ ____________
Parent/Guardian
Signature
Date
VOLUNTEER COMMITMENT (Required)
I
have been informed of and understand Valley Figure Skating Club’s policy
requiring each family to
perform twenty-five (25) volunteer hours, 5 of which must be completed during
the January Test/Competition weekend. (NOTE:
Limited Synchro Membership and Associate Members are required to perform
10 volunteer hours for the VFSC). I know that volunteer opportunity
information will be available on the bulletin boards at the ice arenas, or
online at our club website (www.vfsclub.com),
and/or by contacting the VFSC Volunteer Coordinator, Board Members, and/or
Committee Chairs (names and phone numbers to be posted at the ice arenas and/or
on the club website). It is MY
responsibility to contact the Volunteer Coordinator, Board Members and/or
Committee Chairs to arrange my (or members of my family) volunteer hours.
The VFSC
2009-10 Volunteer Coordinator is Kendra Weindling – (920) 731-2246.
Twenty-five (25) hours of
volunteer time must be fulfilled before June 30, 2010, 5 of which must be
completed during the January Test/Competition weekend. I understand that unfulfilled volunteer hours
will be charged to my account at a rate of $10.00 per hour and I (or members of
my family) will not be considered Members
in Good Standing unless and until any such charges are paid.
A
Member in Good Standing is required
status for participation in all USFS sanctioned competitions, testing, ice show
participation and synchronized participation.
__________________________ _________________________________ ___________
Print Skater’s Name Signature of Skater (parent or
guardian if under 18) Date
COMPETITION/ICE
SHOW ADVERTISING SALES (Required)
I
have been informed of and understand Valley Figure Skating Club’s policy
requiring each member to sell a minimum of one (1) business card size ad for
EITHER the VFSC Competition Program OR the VFSC Ice Show Program. Information about the cost and size of ads
will be provided for me at a later date through the competition registration
forms. I understand that if I do not
submit an ad for either event, I will be billed $25.00.
__________________________ _________________________________ ___________
Print Skater’s Name Signature of Skater (parent or
guardian if under 18) Date
FUND RAISING COMMITMENT(Required)
This is MANDATORY FOR ALL FULL VFSC members. Each family will be required to:
o
Fundraise $125 per year (July 1 to June 30)
o
Sell one
business ad in the ice show (as noted above) or competition program OR $25 in
additional fundraising.
o
All
fundraisers will be included. Amount of
monies to be applied against your $125 commitment will be determined by the
specific fundraiser and will equal the PROFIT that VFSC receives from the
organization. Therefore, this is NOT
based on sales – it is based on PROFIT to VFSC.
o
No prizes will
be given for fundraisers except for Hanson’s (which they supply).
o
Fundraising
above $125 can be used toward your ad commitment or towards your volunteer
hours commitment.
- No carryover of volunteer hours
or Fundraising credit will be allowed
If you have any questions
regarding the amount that you have fundraised, please contact our Fundraising
Coordinator, Kathy McCord at 920-216-1254 or kjm1@new.rr.com
I have been informed of and understand Valley Figure Skating Club’s policy regarding Mandatory Fundraising and if I do not raise the above amount, I understand that I will be liable to pay the remaining portion in order to remain in good standing with VFSC and USFS as noted above in the Volunteer Commitment Section.
__________________________ _________________________________ ___________
Print Skater’s Name Signature of Skater (parent or
guardian if under 18) Date
MUSIC
MONITORING (Required)
Every
member who is using club ice, either contracted or as a walk-on, will be
required to play music a specified number of times during each contract
period. The number of required hours
will be determined by the number of hours in each contract and the number of
skaters using the ice.
EXCEPTION:
Members
who never use club ice, even as a walk-on, will not be required to play music,
but they can if they would like to use it as a way to earn some volunteer
hours. HOWEVER, if a skater’s family
does not sign up to play music, and their skater does use club ice even one
time, they will be required to play music during the next contract period, even
if they are not planning on using club ice during that contract.
Prior to the beginning of each contract period, the volunteer coordinator will contact all club members via e-mail to let them know how many hours they are required to sign up for during the upcoming contract period. You may sign up for more hours than required if you want to use this as a way to get your volunteer hours. Members will be given the opportunity to sign up for the hours they prefer on a “first come, first served” basis. After all members have been given an opportunity to sign up, those who have not signed up will be filled in randomly to complete the schedule. The volunteer coordinator does not have the contracts when doing this, so there is no way to guarantee that members will be assigned to sessions that their skater is skating. The volunteer coordinator will make every effort to schedule members as evenly as possible so that one family does not have more of a burden than any other family. Frequently, the number of hours needed and the number of skaters using club ice will not be exactly even, but the volunteer coordinator will try to even it out as much as possible throughout the year. Each family will be expected to play music equally to all other families, regardless of how many skaters they have in their family or how often their skaters use club ice.
POLICY REGARDING “NO SHOWS” for
Music Monitoring:
1. If a parent doesn't show up for their
assigned session AND if their skater is on the ice, the skater will be asked to
leave the ice by a board member, in order to act as music monitor for that
assigned session. If the skater is not familiar with playing music, one of the
board members on site, will educate the skater. For contracted skaters, this
missed session CAN NOT be made up.
2. If a parent
doesn't show up for their assigned session AND the skater is NOT on the ice,
the member will be billed $20.00 for not showing up. The member will be
responsible for paying this fee in full or they will not remain in good
standing with the VFSC. A member not in "good standing" has unpaid,
past due bills and is not allowed to walk-on or contract ice until their bill
is paid in full.
3. Notification:
Kathy McCord will be the Board Member responsible for contacting the assigned
family to notify them of the situation. She will contact the family either via
email and/or phone. If you have any questions, please contact Kathy via phone
at 920-216-1254 or email kjm1@new.rr.com
Please contact the volunteer
coordinator with any questions you have regarding this requirement.
__________________________________ _________________________________
Print Skater’s Name Signature
of Skater (parent or guardian if under 18)
__________________
Date
PHOTO / VIDEO RELEASE
(Discretionary)
I
hereby give permission for skating related photographs and/or video images of
myself, captured during any Valley Figure Skating Club (VFSC) activities or
events, to be used for the purpose of Valley Figure Skating Club promotional
materials, including but not exclusive to bulletin board postings, VFSClub.com
website postings, and/or publicity flyers, and waive any rights to compensation
for, or ownership of, such materials.
_____________________________
___________________________________
__________
Print Skater’s Name Signature of Skater (parent or guardian
if under 18) Date
VALLEY FIGURE SKATING CLUB RULES AND PROCEDURES (Required)
The following rules and
procedures were adopted by the VFSC Board of Directors to promote and
atmosphere conducive to training as well as allow for the safety of each
skater. The rules must be followed by
both skaters and pros in order to be effective:
1. All music
monitors and pros are authorized to determine admission, monitor conduct on the
ice and enforce rules.
2. Skaters must
sign-in BEFORE they get on the ice
and between contiguous sessions. If a
skater is not checked in within ten (10) minutes after the session begins,
their slot may be resold to another skater.
3. Admission to
be determined in the following order: 1) Contracted skaters who have signed
in. 2) Club members on a first come,
first served basis. 3) All other skaters
on a first come, first served basis.
(Note: for example – if a member
skater forgets to sign into the black book, and there are more than 22 skaters
on the ice. The skater that did not sign
into the book will be asked to get off the ice, regardless of whether or not
they are contracted – SKATERS MUST
REMEMBER TO SIGN IN. For skaters not
contracted, they must record the time
that they arrive at the rink upon signing in.
4. Skaters may be
removed from the ice for any of the following:
1) intentionally damaging the surface of the ice. 2) Consistent lack of consideration for other
skaters. 3) Offensive, abusive or
profane language. 4) Wild or rough
skating. 5) Disrespectful actions
towards pros, ice monitors, other skaters or arena personnel.
5. Consumption of
food/snacks/beverages on ice or near boards is prohibited; the only exception
is water bottles and must be kept back in the hockey boxes away from the ice
surface. Keep all personal items such as
tissue boxes, notebooks, music, apparel clear of ice surfaces and/or access
areas for safety of all and remove them after each session.
6. Be considerate
in the use of the ice: consideration for
‘right of way’ on the ice as follows: 1) skaters doing their program to music
(wear blaze orange vest), 2) skaters
having lessons, 3) skaters in the harness.
Practicing a program is critical to skating development; therefore, all
pros and skaters should be aware of who has the right of way. Anyone, including pros, who ignore these
rules and procedures will first receive a warning and then be suspended from
the session.
7. The club will assign a music monitor for each session
where music is played. Program CDs will be
played by the music monitor. The skate
order is the order is in which skaters arrive out on the ice and put their CD
in line. If a
skater skips their turn when called, the CD will be placed at the end of the
line. Pro-Call Policy:
One pro-call per coach per session for either dance or freestyle music, not both, until all CDs have been played
once. Only one pro-call can bump any
tape in line. A pro-call cannot bump a
skater in a lesson. The skater’s CD(s) from
the pro-call go to the end of the line.
Dance Partner for test session practices may have up to 2 pro calls for
each student but will forfeit their freestyle music turn for that session. Any
abuse of Music Monitors will be cause for skater to lose their turn in line.
8.
A skater must wear the blaze orange vest when their CD is being
played. The skater whose music is being
played has the right-of-way, although safety is the first priority. The skater on deck may warm-up with the blaze
orange vest on. We have a NO VEST…NO
MUSIC policy, so if do not have the blaze orange vest on and your music is
playing, your music may be stopped and you will forfeit your turn in line for
music being played. NO EXCEPTIONS!!!
9. Avoid
congregating on the ice during ice time; this is a hazard to all skaters; step
off the ice for discussion of instruction, re-tying of skates, chatting etc.
10. Pros should
instruct from the board area. Exception
is teaching a new program or demonstrating elements.
11. All
video-taping must be done from the boards.
12. Skaters who
are not current with their fees will not be allowed on the ice as per VFSC
Bylaws.
13. Skaters who
have not signed the liability waiver will not be allowed on the ice.
14. Skaters who
are not current USFS members will not be allowed on the ice during “VFSC time”.
15. Please leave
the ice promptly when the Zamboni doors open for resurfacing, and/or buzzer
sounds.
16. Ice Monitor /
Admission concerns should be addressed to a VFSC Board Member for resolution.
17. Any grievances
should be brought to the VFSC Board of Directors.
______________________________ _________________________________
Print Skater’s Name Signature
of parent or guardian (if under 18)
____________________________________ __________________
Skater’s Signature (Date) 05/29/09