Stroke and Skill Development Program

FALL SWIM STROKE AND SKILL DEVELOPMENT PROGRAM WITH SERGE VICTOR AND STAFF

Fall 2012

Serge Victor New Wave Aquatics P. O. Box 33 Clayton, CA 94517 FALL STROKE IMPROVEMENT PROGRAM DESCRIPTION Training Group Move-up Criteria Program Objectives: Any child who has 3 or more County Teach participants the basics of swimming as well as qualifying standards may choose to move up Fall 2012 Program Schedule advanced swimming skills and concepts. Educate student one age group level. In such cases, appropriate on techniques of four competitive strokes, starts, turns, training group fee will be applied. relay exchanges, racing strategies, and mental Sept. 13 – Parent Meeting at Oakhurst 5:30-6:30 pm Sept. 15 – Program Begins for 9&older swimmers preparation. Every practice and training set will be PARTICIPATION FEES conducted with the goal of stroke technique development. Sep. 17 - Program Begins for 8&under swimmers Every participant will receive detail personal attention 3-DAY Sept. 22 (Sat. only) – Meet, East Bay Dolphins, Hercules (Any 3 days on M, T, W, TH – PM) and is guaranteed in-depth stroke and skill analysis. Oct. 6 & 7 – Meet Alameda C/B/A+ 7-8 Age Group: Oct. 20 & 21 – Meet Orinda C/B/A+ 1st child - $370; 2nd-$250, 3rd-$100; 4th-Free Location: Oakhurst Country Club, 1001 Peacock Creek Nov. 3 & 4 – Meet Pleasanton Seahawks C/B/A+ 9-10-11 Age Group: Nov. 16, 17, 18 – Walnut Creek Aquabears B/A+ Drive, Clayton, CA 94517 st nd rd th 1 child-$420; 2 -$250; 3 -$100, 4 –Free Nov. 20&21 – Thanksgiving Morning Schedule 12 & Up Age Group: Nov. 22 – Thanksgiving – No Practice Facility: 6-lane comfortably heated pool (min. of st nd rd th 1 child-$450; 2 -$250; 3 -$100; 4 – Free Nov. 29 – Last Day of Practices 82F) Nov. 30, Dec. 1,2– Age Group Championships 2012, 4 DAY Morgan Hill, CA Qualification: Any 7 and older swimmer who have had (Any 4 days on M, T, W, TH – PM and SAT-AM) previous swim team experience. Any 6 & younger 7-8 Age Group: swimmers may join the program if their 100 IM time is 1st child - $420; 2nd-$250, 3rd-$100; 4th-Free *Please make a note that we will have no Saturday practices 2:00.00 or faster, or accumulative time of 4x25 in all four 9-10-11 Age Group: on the days of swim meets. strokes is 1:40.00 or faster. Any returning to Serge’s 1st child-$460; 2nd - $250; 3rd-$100; 4th – Free programs 6&unders are automatically accepted. 12 & Up Age Group: 1st child-$490; 2nd-$250; 3rd-$100; 4th – Free Dates: September 15 – December 2 (Mon, Tue, Wed, Thu – PM, Fri-AM, Sat-AM) 5-DAY 9&ups begin on Saturday 9/15 and 8&un on Monday (All M, T, W, TH-PM, and SAT-AM) Swim Meets are not mandatory, and strictly optional. You 9/17 will be required to purchase seasonal USS Team 7-8 Age Group: (Not Offered) Membership if you are planning on attending any meets. 9-10 Age Group: Weekday PM Practice Times: Mon, Tue, Wed, Thu 1st child-$490; 2nd -$250; 3rd-$100; 4th- Free 3:30 pm – 4:15 pm 7-8 Age Group We will use swim meet experience as a tool of stroke and 12 & Up Age Group : 4:15 pm – 5:30 pm 9-10-11 Age Group racing skill development. Every swimmer will be required 1st child-$520; 2nd-$250; 3rd-$100; 4th – Free 5:30 pm – 7:00 pm 12 & Older Age Group to check-in with Serge and other coaches after all races for an in-depth analysis and discussion Friday Morning Complimentary – Endurance Practices (11 & up only): Please note: There is complimentary 5:20 am – 7:00 am Friday AM practices for ALL registered 11 & older swimmers. Saturday Practice: st 6:45am – 8:30 am 12 & Older Older training group fee for 1 child will 8:30 am – 10:00 am 9-10-11 Group apply in case of multiple children participating in different age groups. There are NO Saturday practices on days of swim meets (9/22; 10/6; 10/20; 11/3; 11/17) Oakhurst Members will receive $40 discount from TOTAL fee. Head Coach, Program Director Print a copy of this page for your records. Serge Victor has been coaching, teaching, and PLEASE FILL OUT THE MEDICAL RELEASE managing aquatic programs for nearly thirty years. He FALL PROGRAM 2012 SIGN-UP FORM FORM BELOW has coached swimmers ranging in ability from novice New Wave Swim Team level to Olympians and U.S. National Team members. Participation Permission During his coaching tenure with USC, Villanova, and 3-Day Program Medical release and Identification UC Berkeley he has coached NCAA Champions and 4-Day Program I/We the undersigned, certify that I/we am/are the parents/guardians numerous NCAA All Americans. In addition, Serge has of the above named child(ren), that he/she is in good physical developed many County Champions, current Record condition, and I/we give my/our permission for him/her to participate holders and qualifiers with Dana Hills, Las Trampas, 5-Day Program in swim team. Forest Hills, and East County Stingrays. Serge is Level I/We agree to assume full responsibility for any injuries incurred by him/her in connection with such participation, regardless of the Five, highest possible, American Swimming Coaches Participant A:______negligence of the club, team coaches, agents, employees or its’ Association certified. DOB: ______instructors; furthermore, I/We agree to indemnify, hold harmless and Communication Systems Home Address:______defend the Team, it’s team coaches, agents, employees and contractors from any claims, suits or liabilities for personal injury or For additional information or to set-up an individual City:______ZIP:______property damage, regardless of the negligence of the team, its’ team orientation meeting in regards of the program, please Home Phone:______Work:______coaches, agents, employees or contractors. I/We further authorize call Serge Victor at (925) 672-9737 Ext. 207. You may Cell:______New Wave Aquatics Swim Team Coaches, Serge Victor, to call our also e-mail Serge at [email protected]. Email:______family physician listed below in case of an emergency, and request that I/We be contacted. If I/We am/are unable to be reached, I/we Availability Swim Team:______How many years_____ hereby authorize the hospital, or physician to whom my child is taken, Space is limited and will be based on a productive Please circle one: 3-Day Practices to perform all medical/emergency services, or to have such medical coach to swimmer ratio. Your registration and payment 4-Day Practices services performed which, in the opinion of the physician or hospital, 5-Day Practices are necessary to the care of my/our minor child. will be returned if received after the training group Authorization to Consent To Treatment Of Minor. I/We, the reaches the limit in numbers. undersigned parents/guardians of ______a minor, do Refund Policy Participant B:______hereby authorize Doctor______or Team Coaches No refunds, except for a definite medical reason, and DOB: ______As agent(s) for the undersigned, to consent to Home Address:______any x-ray exam, anesthetic, medical or surgical diagnosis, or not being able to continue. In case of such a medical treatment and hospital care to be rendered to the above named minor, problem, your refund will be pro-rated and a $50 City:______ZIP:______under the general or special supervision, and upon the advice of a processing fee will be applied. Home Phone:______Work:______physician and/or surgeon licensed under the provisions of surgical Registration Cell:______diagnosis or treatment, and hospital care be rendered to the above Email:______named minor by a dentist licensed under the provisions of the Dental Your registration will be completed upon receiving the Practice Act. It is understood that this authorization is given in registration form, medical release form, and full Swim Team:______How many years_____ advance of any specific diagnosis, treatment or hospital care being payment. Space is limited. Registration and payment Please circle one: 3-Day Practices required, but is given to provide authority and power on the part of our aforesaid agent(s) to give specific consent to any and all such will be returned if received after group is closed. 4-Day Practices 5-Day Practices diagnosis treatment, and hospital care which aforementioned Swim Equipment physician in the exercise of his/her best judgment may deem Participant C:______Upon joining the program the participants may choose advisable. This authorization is given pursuant to the provisions of DOB:______to purchase a silicone team cap(s) for $6.00 each and Section 6910 of the Family Code Of California. Please circle one: 3-Day Practices I/We hereby authorize any hospital, which has provided treatment of team T-shirt for $8.00. Any NW swimmers attending 4-Day Practices the above named minor, pursuant to the provisions of section 6910 of team swim meet(s) will receive one free team cap. the Family Code of California, to surrender physical custody of such 5-Day Practices minor to my/our above named agents upon the Medical Practice Act, Below, please submit your cap and (or) T-shirt order: or to consent to an x-ray exam, anesthetic, dental or completion of Participation Total: $______treatment. This authorization is given pursuant to Section 1283 of the Team Cap ($6.00): $______Health and Safety Code of California. Team cap(s)______($6.00) Team T-shirt ($8.00): $______Team T-shirt_____ ($8.00) Size(s)______Mother______Phone:______Grand Total: $______Father______Phone:______Legal Guardian______Phone:______Please make checks payable to SERGE VICTOR. Family Doctor______Phone:______Medical Insurance Co:______Mail this form with your payment to: Serge Victor, Medication______Allergies______New Wave Fall Registration, P.O. Box 33, Clayton, Signed______Date:______CA 94517.