Free Collegiate.pub - Southport Skating Club

Southport Skating Club
2016—2017 Membership Application
T-SHIRT SIZE: ADULT
Enjoy your FREE 4‐Year SSC Collegiate Membership XS
S
M
L
Membership Effective July 1, 2016—June 30, 2020
XL
~ 5 DAYS REQUIRED FOR PROCESSING ~
APPLICANT NAME:
LAST
FIRST
YEAR IN COLLEGE YOU ARE ENTERING THIS FALL
ADDRESS:
STREET
CITY
STATE
ZIP
PARENT/GUARDIAN
BIRTHDATE:
SEX: M F
E-MAIL:
MM/DD/YY
CURRENT E-MAIL ADDRESS FOR IMPORTANT NOTIFICATIONS & NEWSLETTER DELIVERY
PARENT/GUARDIAN NAME:
PRIMARY COACH NAME:____________________________
(REQUIRED IF APPLICABLE)
PHONE: (
)
(
)
HOME
(
)
(
CELL
)
WORK
FAX
PLEASE CHECK THIS BOX IF YOU DO NOT WANT YOUR CONTACT INFORMATION PUBLISHED IN THE CLUB DIRECTORY
PLEASE USE ONE FORM FOR EACH MEMBERSHIP
BRIDGE TO SSC (JR.) MEMBERSHIP No Service Hours
Learn to Skate USA # (REQUIRED) ______________ $25.00
Entitles member to limited SSC membership benefits PLUS $25 off of one (1) SSC Learn to Skate USA competition. Benefits include: $25 Discount on 1st event entry fee at either SSC Spring OR Summer Classic Learn to
Skate USA Competition, SSC T-Shirt, Reduced-Fee for Club Seminars, Eligibility to Participate in Skater Mentor
Program & Social Events, SSC Newsletter, Directory, email Notifications & Invitation to the SSC Annual Awards
Banquet (Fee Required)
Non-Renewable: This is a 1-time SSC-Only (supplemental) membership for current Learn to Skate USA Members.
INTRODUCTORY MEMBERSHIP (1st FAMILY) TO SSC/US Figure Skating 3.5 Service Hours Learn to Skate USA # ___________ $35.00
SUBSEQUENT-INTRODUCTORY MEMBERSHIP 3.5 Service Hours
$35.00
1st Member Name _____________________________________
(REQUIRED)
Entitles member to all rights & privileges of US Figure Skating membership + expanded SSC benefits (Home Club)
Benefits include: All benefits of Full Membership as noted below except: 2 Reduced-Fee Admissions to the SSC Annual Awards Banquet.
Non-Renewable Membership: Available once to those applying for US Figure Skating membership for the 1st time. Learn to Skate USA # __________
FULL MEMBERSHIP (1ST FAMILY) 7 Service Hours US Figure Skating # _____________________
$50.00
(Previous Members of US Figure Skating)
Entitles member to all rights & privileges of US Figure Skating/SSC Membership (Home Club)
Benefits include: US Figure Skating Membership, 1-yr subscription to Skating magazine & SSC Newsletters, Eligibility to Test /Compete at US
Figure Skating-Sanctioned Events, Test Patches/Certificates/Milestone Awards, Sport Accident Insurance, SSC T-Shirt, Opportunity to Apply for
SSC Scholarship & Qualifying Competition Entry Fee Reimbursement (rules apply), 1st Priority Testing & SSC Seminar/Clinic Registration,
“Members-Only” Pricing for Club Jacket & Events (when applicable), Priority Lessons w/SSC-Sponsored Guest Professionals, Voting Privileges/
Representation at Governing Council, Periodic E-Mail Reminders/Updates, Club Directory & 2 Complimentary Admissions to Awards Banquet.
SUBSEQUENT-FULL MEMBERSHIP 7 Service Hours
$50.00
US Figure Skating # ____________________ (Previous Members Only)
Entitles member to all rights & privileges of US Figure Skating/SSC Membership (Home Club) 1st Member Name ________________________
Benefits include: All benefits of Full Membership as noted above. Only 1 subscription of Skating Magazine per household.
FREE
4-YEAR COLLEGIATE MEMBERSHIP No Service Hours
US Figure Skating # _________________ Enrollment Term: FALL SPRING
$120.00
Entitles member to all rights & privileges of US Figure Skating/SSC Membership (Home Club) COLLEGE_______________________________
Benefits include: All benefits of Full Membership as noted above including Four-year subscription to Skating Magazine. Full-Time enrollment in University or Community College is required. This is a one-time, four-year membership option available to eligible student athletes.
Non-Renewable Membership. This membership cannot be combined with any other membership category. Exempt from MSH.
PROFESSIONAL MEMBERSHIP No Service Hours
US Figure Skating # ____________________
(REQUIRED)
PSA # _______________________
$45.00
(RECOMMENDED)
FREE MEMBERSHIP WITH 5 SSC HOME-CLUB MEMBER PRIMARY STUDENTS (Excluding Collegiate Members)
PSA RATING(S) /OTHER CERTIFICATIONS _________________________________ ____________________________________________________ CER Level __________
Coach Compliance is mandatory per US Figure Skating rules ~ Valid US Figure Skating compliance card must be provided (see back page)
Entitles member to all rights & privileges of US Figure Skating/SSC Membership (Home Club)
Benefits include: All benefits of Full Membership (above) PLUS annual Coach Appreciation Gift & Bio posted on club website (if provided)
This membership cannot be combined with any other membership category. Exempt from Mandatory Service Hours.
BOARD OF DIRECTORS MEMBERSHIP
Elected Board Members Only
US Figure Skating # _______________________
$50.00
(REQUIRED)
Entitles member to all rights & privileges of US Figure Skating/SSC Membership (Home Club)
Benefits include: All benefits of Full Membership as noted above. Only 1 subscription of Skating Magazine per household.
This membership cannot be combined with any other membership category
~ OVER ~
Rev. 06/16
ASSOCIATE MEMBERSHIP No Service Hours
US Figure Skating # __________________ IF PRO: PSA # ____________________________
$55.00
PSA RATING(S) /OTHER CERTIFICATIONS ______________________________________________________________________________________ CER Level _________
(
Applicant may register as an Associate Member only after designating another US Figure Skating club as their “Home Club”.
Does NOT include US Figure Skating Membership. NAME OF HOME CLUB: _____________________________________________________________________________
Benefits include: 2nd Priority & partially-reduced fees at SSC sponsored Clinics, 2nd Priority SSC Test Session Registration, exempt from
mandatory service hours, no voting privileges. Professionals - Partially reduced-fees at SSC sponsored Clinics/Seminars.
PRIMARY ACTIVITY (Choose one):
US Figure Skating Official/Officer
Competitive Skater
Parent/Guardian
Coach
Recreational Skater
Club Board Member/Volunteer
Other
Competitive Skater
US Figure Skating Official/Officer
Club Board Member/Volunteer
CHECK ANY OTHERS (excluding primary) THAT APPLY:
Collegiate
Parent/Guardian
Coach
Adult Skater
Synchro
Recreational Skater
ELIGIBILITY STATUS (Choose one):
USA CITIZEN:
Yes
No
(See eligibility rules)
Eligible
Restricted
Ineligible
HAVE YOU EVER HELD A US Figure Skating MEMBERSHIP?
Yes
No
IF YES, NAME OF HOME CLUB: _______________________________ DATES OF MEMBERSHIP: ______________
IF SKATER, NAME OF PRIMARY COACH (required): ____________________________________________________
IF COACH, HAVE YOU FULFILLED YOUR COACH COMPLIANCE REQUIREMENTS FOR 2016-17?
Yes
No
If yes, please attach a copy of valid Coach Compliance card issued by US Figure Skating or email to: [email protected]
For complete details on U.S. Figure Skating Coach Compliance Requirements visit www.usfsa.org
MEMBERSHIP AGREEMENT
I have received and read the General/Skater/Parent/Coach Code of Conduct and will adhere to the
expectations set forth to ensure a safe and positive environment for our skating community.
All Home-Club memberships offered by SSC (excluding Collegiate & Professional) require MANDATORY
SERVICE HOURS (for each membership held) which must be fulfilled by an adult or member, 16 years of
age or older, at the SSC-hosted competition designated in the chart below:
MANDATORY SERVICE HOURS
INITIALS OF APPLICANT OR INTRO/INTRO SUBSEQUENT
PARENT/GUARDIAN FULL/SUBSEQUENT
(IF APPLICANT IS COLLEGIATE/PROFESSIONAL
UNDER 18) 2017 SOUTHPORT SUMMER CLASSIC
June 15‐17, 2017
3.5 HRS
7 HRS
EXEMPT
BRIDGE TO SSC MEMBERS ARE ENCOURAGED TO VOLUNTEER AT ALL COMPETITIONS INCLUDING THE 6TH ANNUAL SOUTHPORT SPRING CLASSIC APRIL 9, 2017 @ RINK SIDE ICE ARENA
I have read the information above & understand my responsibility to the club. I agree to fulfill the
mandatory service hours associated with my selected membership type at the SSC-hosted competition
designated above. If, for any reason, I am unable/unwilling to fulfill all or only a portion of my service
hours, I reserve the right to pay the assessed Opt-Out Fee of $20.00/hr which must be received no later
than 5 business days after the event, to remain a member in good-standing of SSC & U.S. Figure Skating.
Total Opt-Out Fees (per membership):
Full/Subsequent-Full: $140.00
Introductory/Subsequent-Introductory: $70.00
I acknowledge that all club and/or US Figure Skating privileges may be suspended for violation of club or U.S.
Figure Skating rules; if financial obligations to the club are not timely paid (per the current U.S. Figure Skating Official Rulebook); and that I shall pay $25.00 for any check returned “NSF”.
As a (parent/guardian) of a member of the club, I agree to hold harmless SSC, its Officers, Directors &
representatives from liability for loss, damage and/or injury of any manner arising while participating (or while my
child participates) in club activities. I also, hereby, grant the club permission to publish the aforementioned
member’s name and/or likeness in/on the club’s newsletters, membership directory, club website, social media
pages, press releases, award plaques & bulletin boards.
Submission of this membership application & required fees constitutes full-acceptance of Membership Agreement
APPLICANT SIGNATURE
PARENT OR GUARDIAN SIGNATURE (IF UNDER 18)
DATE
DATE
Make checks payable to SSC ~ Mail with appropriate fees to:
SOUTHPORT SKATING CLUB P.O. BOX 8792 GURNEE, IL 60031
PLEASE RETAIN FOR YOUR RECORDS All Home‐Club memberships offered by Southport Skating Club (excluding Collegiate & Professional) require MANDATORY SERVICE HOURS for each membership held which must be fulfilled by an adult or member, 16 years of age or older, at the Southport Skating Club –hosted competition designated below: MANDATORY SERVICE HOURS
2017 SOUTHPORT SUMMER CLASSIC
June 15‐17, 2017
INTRO/INTRO SUBSEQUENT
3.5 HRS
FULL/SUBSEQUENT
7 HRS
COLLEGIATE/PROFESSIONAL
EXEMPT
BRIDGE TO SSC MEMBERS ARE ENCOURAGED TO VOLUNTEER AT ALL COMPETITIONS INCLUDING THE 6TH ANNUAL SOUTHPORT SPRING CLASSIC APRIL 9, 2017 @ RINK SIDE ICE ARENA
If, for any reason, I am unable/unwilling to fulfill all or only a portion of my service hours, I reserve the right to pay the assessed Opt‐Out Fee of $20.00 per hour which must be received no later than 5 business days after the event, to remain a member in good‐standing of Southport Skating Club and U.S. Figure Skating. Full/Subsequent‐Full: $140.00 Introductory/Subsequent‐Introductory: $70.00 __________________________________________________________ The following Code of Conduct applies to all U.S. Figure Skating Members. The following pages are the code of Conduct for skaters, parents and coaches for all Home Club, Junior (Bridge to SSC) and Associate Members. U.S. Figure Skating Member Code of Conduct GR 1.02 Code of Conduct The following code of conduct applies to all participants in activities hosted, supported, sponsored or engaged in by U.S. Figure Skating including but not limited to competitions, exhibitions and training camps: I recognize that my participation in all activities hosted, supported, sponsored or engaged in by U.S. Figure Skating, Including but not limited to competitions, exhibitions and training camps, is an honor and privilege that carries certain responsibilities. I agree to fully abide by the rules and guidelines set for the by U.S. Figure Skating or its properly designated agents. As a precondition to participation in activities hosted, supported, sponsored or engaged in by U.S. Figure Skating, I will adhere to the following tenets in good faith: A. I will exhibit the highest standards of fairness, ethical behavior and genuine good sportsmanship in all of my relations with others. B. I will not damage public or private property. I understand that I may be held financially responsible for dam‐
age deemed to be wantonly or willfully executed on my part, and that I may be subject to disciplinary action by U.S. Figure Skating. C. I will not use or possess illegal drugs, and I will not engage in criminal activity. I understand that, if I am found to use or possess illegal drugs, or if I am found to engage in any criminal activity during any activity hosted, supported , sponsored or engage in by U.S. Figure Skating, I may be subject to criminal penalties as well as penalties imposed by U.S. Figure Skating. D. I will adhere to the rules of U.S. Figure Skating and the host organization at all activities hosted, supported, sponsored or engage in by U.S. Figure Skating. E. I will comply with all applicable anti‐doping rules including, but not limited to, ISU and USADA anti‐doping rules. F. I will conduct myself in a manner not detrimental to the welfare of figure skating. I understand that my actions reflect on U.S. Figure Skating and the sport of figure skating both positively and negatively. I understand that if my acts, statement, or conduct are considered detrimental to the welfare of figure skating by the appropriate authority, I may be subject to penalties imposed by U.S. Figure Skating pursuant to GR 1.04. U.S. Figure Skating Member Code of Conduct – cont.
G. I understand that the penalties that may be imposed may include, but are not limited to, loss of future international selections, loss of financial support from U.S. Figure Skating and its Memorial Fund, and loss of participation in activities hosted, supported, sponsored or engaged in by U.S. Figure Skating. H. I understand that all disciplinary proceedings will be conducted pursuant to Article XXV, Section 3, of the U.S. Figure Skating bylaws, and that my rights and remedies are derived there from. Southport Skating Club ‐ Skater Code of Conduct As a member of SOUTHPORT SKATING CLUB, all skaters must adhere to this Code of Conduct at all times. General Guidelines: The Southport Skating Club is committed to creating a safe and positive environment for members’ physical, emotional and social development and ensuring that it promotes an environment free of misconduct. This Skater Code of Conduct has been established to ensure the safety of all members using our ice to ensure quality practice time for all home club, associate, non‐members and guests who purchase ice from the club and who participate in all club‐related activities. 1. All skaters, regardless of whether they hold home club, associate, non‐member or guest status must follow and up‐
hold the tenets in this Skater Code of Conduct regarding behavior on and off the ice. All club members are expected to exhibit good sportsmanship and be courteous toward their fellow skaters, coaches, parents of skaters, U.S .Figure Skat‐
ing officials and guests. 2. Our club is committed to promoting a positive and friendly environment for all skaters .Remember ‘The Golden Rule’ —treat other people like you want to be treated—with respect. Ice Etiquette and Safety: 1. While in lesson or practice, it is the skater’s responsibility to always be conscientious and aware of other skaters around them. 2. Skaters must skate with the flow of other skaters and familiarize themselves with the most commonly used areas for jumps and spins. 3. The only time a skater has the SOLE right of way is when they are skating their program to music. When you hear another skater’s music, please extend that person the courtesy and move out of their path momentarily. This only takes a moment and you will enjoy the same courtesy while you are performing your program. 4. Advanced skaters are expected to exhibit patience toward beginner skaters. Remember, you were an inexperienced skater once, and it takes time for our future generation to advance to the point where they are completely comfortable skating with all levels of skaters. Unsafe or Discourteous Behavior: Unsafe or discourteous behavior of any kind will not be tolerated. Southport Skating Club/ U.S. Figure Skating ‐ Parent Code of Conduct SOUTHPORT SKATING CLUB is committed to creating a safe and positive environment for members’ physical, emotional and social development and ensuring that it promotes an environment free of misconduct. Preamble: The essential elements of character‐building and ethics in sports are embodied in the concept of sportsman‐
ship and six core principles: respect, responsibility, fairness, caring, trustworthiness and good citizenship. The highest potential of sports is achieved when competition reflects these “six pillars of character” (Arizona Sports Summit Accord). PLEASE RETAIN FOR YOUR RECORDS
Southport Skating Club/ U.S. Figure Skating ‐ Parent Code of Conduct ‐ cont. 1. I will encourage good sportsmanship by my actions, demonstrating positive support for all skaters, coaches, and officials at every practice, competition and test session.
2. I will place the emotional and physical well‐being of my child and others ahead of my desire to win. 3. I will encourage my child to skate in a safe and healthy environment by maintaining a respectful and courteous attitude to others. 4. I will promptly inform my child’s coach of any physical/ mental disability or challenge affecting my child that may affect the safety of my child or others. 5. I will teach my child that doing his/her best is more important than winning. 6. I will do my best not to ridicule, bully, blame, or yell at my child or other skaters, coaches, officials or volunteers in response to a poor performance or for any other reason. 7. I will do my best to make skating fun at all times and will remember that my child participates in sports for his/her own enjoyment and satisfaction. 8. I will teach my child to treat other skaters, coaches, fans, volunteers, officials, and rink staff with respect, regardless of race, creed, color, sexual orientation or ability. I will also take action and report any acts of bullying, harassment or abuse to the appropriate authorities. 9. I will applaud any effort in both victory and defeat emphasizing positive accomplishments and learning from mistakes. 10. I will teach my child to resolve conflicts calmly and peacefully without resorting to hostility or violence. 11. I will be a positive role model for my child and others. 12. I will demand a figure skating environment for my child that is free of drug or alcohol abuse and agree that I will not use or provide to a third‐party any illegal drug prohibited by applicable federal, state, or municipal law. 13. I will not assist or condone any athlete’s use of a banned substance as described by the International Olympic Committee, International Skating Union, United States Olympic Committee, or U.S. Figure Skating, or, in case of athletes, to use such drugs or refuse to submit to properly conducted drug tests administered by one of these organizations. 14. I will expect my child’s coach to be in compliance with all requirements of U.S. Figure Skating and the Professional Skaters Association, to continue their education and training through programs offered by U.S. Figure Skating, the Professional Skaters Association and other accredited organizations. 15. I will respect my child’s coach and refrain from “side line” coaching my child or other skaters. 16. I agree to educate myself regarding the proper procedures to follow when establishing or terminating the coach‐
ing relationship and refrain from third‐party solicitation as outlined on the PSA website. 17. I will respect the decisions of officials, their authority and decisions during competitions and test sessions and teach my child to do the same. 18. I will show appreciation and recognize the importance of volunteers and club officials. 19. I have a responsibility to fulfill any/all mandatory service hours associated with membership in SOUTHPORT SKATING CLUB at the annual summer club competition and I will be prepared to help with other special projects that may require paid/unpaid volunteering. PLEASE RETAIN FOR YOUR RECORDS
Southport Skating Club/ U.S. Figure Skating ‐ Parent Code of Conduct ‐ cont. 20. I will become familiar with the rules of the U.S. Figure Skating and teach my child accordingly. 21. I will support and respect all skaters and their right to participate. SOUTHPORT SKATING CLUB ‐ COACHES CODE OF CONDUCT Purpose: THE SOUTHPORT SKATING CLUB is committed to creating a safe and positive environment for members’ physical, emotional and social development and ensuring that it promotes an environment free of misconduct. This information is intended to provide both the general principles and the decision rules to cover most situations encountered by coaches and instructors. It has, as its primary goal, the welfare and protection of the individuals and groups with whom coaches work. It is the individual responsibility of each coach to aspire to the highest possible standards of conduct. Above all, coaches of young people can have great influence on developing athletes who are reliant on these coaches for the basic instruction and guidance necessary to reach the top levels. Coaches can have tremendous power over these athletes in their quest to the top. This power must not be abused. Therefore, we have set forth these codes of ethics and conduct to guide our coaches and protect our athletes for the mutual benefit of all concerned. General Principles: • Competence: Coaches must strive to maintain high standards of excellence in their work. They should recognize the boundaries of their particular competencies and the limitations of their expertise. They should provide only those services and use only those techniques for which they are qualified by education, training and/ or experience. In those areas, where recognized professional standards do not yet exist, coaches must exercise careful judgment and take appropriate precautions to protect the welfare of those with whom they work. They shall maintain knowledge of relevant scientific and professional information related to the services they render, and they must recognize the need for ongoing education. Coaches should make appropriate use of scientific, professional, technical and administrative resources. • Integrity: Coaches should seek to promote integrity in their coaching profession. Coaches should always be honest, fair and respectful of others. They must not make representations about their qualifications, services, products, or fees that are false, misleading or deceptive. Coaches should strive to be aware of their own belief systems, values, needs and limitations and the effect of these on their work. To the extent feasible, they should attempt to clarify for relevant parties, the roles they are performing and to function appropriately in accordance with those roles. Coaches must avoid conflicts of interest. • Professional Responsibility: Coaches must uphold professional standards of conduct, clarify their professional roles and obligations, accept appropriate responsibility for their behavior, and adapt their methods to the needs of different athletes. Coaches should consult with, refer to, or cooperate with other professionals and institutions to the extent needed to serve the best interest of their athletes, or other recipients of their services. Coaches should be concerned about the ethical compliance of their colleagues’ conduct. When appropriate, they should consult with their colleagues in order to prevent or avoid unethical conduct. • Respect for Participants and Dignity: Coaches shall respect the fundamental rights, dignity and worth of all participants. Coaches must be aware of cultural, individual and role differences, including those due to age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language and socioeconomic status .Coaches must eliminate the effect on their work of biases based on those factors, and they do not knowingly participate in or condone unfair discriminatory practices. • Concern for Others Welfare: In their actions, coaches must consider the welfare and rights of their athletes and other participants. When conflicts occur among coaches’ obligations or concerns, they should attempt to resolve these conflicts and to perform their roles in a responsible fashion that avoids or minimizes harm. Coaches shall be sensitive PLEASE RETAIN FOR YOUR RECORDS
SOUTHPORT SKATING CLUB ‐ COACHES CODE OF CONDUCT ‐ cont. to differences in power between themselves and others, and should not exploit nor mislead other people during or after their relationship. • Responsible Coaching: Coaches must be aware of their ethical responsibility to the community and the society in which they work and live .Coaches must comply with the law and encourage the development of law and policies that serve the interest of sport or activity. The coach shall e rules. The coach shall strive to keep the concepts of winning and losing in proper perspective .The coach shall strive to enforce policies and rules with fairness, consistency and an appreciation for individual differences. Ethical Standards: • Compliance with Rule Requirements: All coaches must complete all annual coaching member requirements set forth by U.S .Figure Skating Rules and the PSA that apply to them by the appropriate deadlines. • Competence: Coaches should not undertake these duties until they have first obtained the proper training, study and advice that they are competent to do so. • Maintaining Expertise: Coaches should maintain a level of expertise through continued education and experience and shall strive to acquire additional education and experience through sources available to them. • Respecting Others: Coaches shall respect the rights of other’s values, opinions and beliefs even if they differ from their own. • Nondiscrimination: Coaches must not engage in discrimination based upon age, gender, race, ethnicity, national origin, religion, sexual orientation, disability, language, socioeconomic status, or any other basis as proscribed by law. • Sexual Harassment: Coaches must not, under any circumstances, engage in sexual harassment which includes solicitation, physical advances, verbal or non‐verbal conduct which is sexual in nature and will respond to complaints of such a nature to respondents with dignity and respect. • Personal Problems or Conflicts: Coaches should have a responsibility to be aware if there are personal problems or conflicts which may affect their ability to work with athletes. They should also be able to identify problems affecting their athletes, which could potentially create situations that place their athletes in harm or danger of injury, and take the appropriate steps to remove the athlete from this environment. Further, any person who makes groundless allegations or complaints of abuse or harassment may be subject to disci‐
plinary action per Article XXV, Section 3B, of the U.S .Figure Skating bylaws. Coaches Code of Conduct: • Must obey and abide by all U.S. Figure Skating published rules, regulations and procedures. • Shall maintain exemplary standards of personal conduct. • Must obey all state, national and international laws. • Must not use alcohol, illegal drugs or substances, which could impair ability or judgment as a coach. • Must refrain from using any profane or abusive language. • Must not engage in sexual harassment or sexual misconduct with any athlete • Must teach and support the athletes fairly and equitably. • Never discriminate against any athlete *Also refer to the PSA Code of Ethics and Tenets of Professionalism for more information. PLEASE RETAIN FOR YOUR RECORDS