Central Iowa Aquatics

September 3, 2009 will be the first day of practice for the Fall Season. To provide assistance with registration, CIA will have a registration table September 3-4 (Thursday and Friday) at Urbandale and/or Central Campus.

Swim Groups

Central Iowa Aquatics (CIA) is a USA year-around competitive swim team designed to improve the level of competitive swimming in the central Iowa area. CIA offers five different practice groups as well as a masters swim program. For a description of each swim group please see the CIA web site at www.centralowaaquatics.org

2009-2010 Swim Year

The swimming year is divided into four seasons as outlined below. The practice schedules for each swim group are posted on the CIA website at www.centraliowaaquatics.org. Practices are subject to change. Practice cancellations due to weather, pool closures, or other conditions will not be rescheduled. See www.centraliowaaquatics.org for complete schedule or call the CIA Hotline at 515-480-2651 for the latest updates.

Competitive Team (Age Group, Senior Group, High School) / Intro Team and Masters Team
Spring
Summer
Fall
Winter / ·  April 6 – May 31
·  June 1 – August 6
·  September 1 – November 30
·  December 1 – March 11 / ·  April and May
·  June and July
·  September, October, and November
·  December, January, and February

Payment Options

·  Annual: This option is available only in April, with payment due by April 30, 2009. Annual fees are discounted 5%.

·  Seasonal: Paying the seasonal fee requires a commitment to swim the entire season. Payment is due at the beginning of each season during which a swimmer participates.

·  Monthly: Monthly fees are for those swimmers who cannot commit to an entire season or who prefer a monthly payment. The monthly fee is due the first day of each month that a swimmer participates. Payments are not collected in March or August.

·  USA registration fee is due at registration. All Age Group, Senior Group, and High School swimmers must pay this fee, even if they do not swim in USAS meets. The registration fee is not required for the Intro or Masters swim groups, unless they swim in USAS meets.

·  During the summer season, the City of Des Moines charges CIA $70 per swimmer for the use of Ashworth Pool. This $70 fee is included in the annual and summer season fees, but not in the monthly fees. Monthly payers for June and/or July will be required to pay this $70 fee in addition to their regular monthly fees.

·  The following table reflects the current rates:

Payment Options / £Annually / £Seasonal / £ Monthly

Intro (1 hr practice, 3/week)

/ N/A / N/A / $70**
Age Group
(1.5 hr practice, 6/week) / $1,350
Spring / $270 / $135
Summer / $340 / $135**
Fall / $405 / $135
Winter / $405 / $135
Senior
(2 hr practice, 6/week) / $1,640
Spring / $330 / $165
Summer / $400 / $165**
Fall / $495 / $165
Winter / $495 / $165
High School
(2 hr practice, 6/week) / $1,360 Girls
$1,260 Boys / Same as Senior above / Same as Senior above*
Masters
(1.5 hr practice, 3/week; 5/week in summer season) / $690 / N/A
Spring / $65
Summer / $65**
Fall / $65
Winter / $65
High School Stroke Session (1 hr practice, 1/week, during boys or girls HS season) / Included in annual fee / $100 for entire HS season / $100 for entire HS season
New Swimmer Discount!!
50% off 1st two months
(months must be consecutive)
3rd and Additional
Swimmer 50% Discount
USA Registration / $58

*HS Boys who pay either the seasonal fee for Fall or the monthly fee for November are entitled to swim the month of February after their high school season finishes.

** Monthly summer swimmers pay a $70 City of Des Moines surcharge for the use of Ashworth Pool, in addition to their monthly fees. This surcharge is included in the annual and summer seasonal fees.

New Swimmer Discount

CIA offers a discount for swimmers new to the club. These swimmers receive 50% off the monthly rate for the first two consecutive months that they practice with CIA. In order to qualify for this discount the swimmer must not have swum with CIA at any time in the past. This discount can only be used once. If a swimmer participates for one month and then quits, he/she does not qualify for an additional discounted month at a later date.

High School Stroke Session

High school swimmers have the option to practice with Coach Dave during their high school season. These sessions are held once weekly at Central Campus, following the end of late practice. The fee is $100 for any high school swimmer who has not paid an annual fee. High school swimmers who practice and/or compete with CIA during their high school season must have approval from their high school coach and/or athletic department.

Payment Policy

·  CIA registration fees must be paid prior to participation in CIA activities.

·  Swimmers without a signed and paid USA Swimming registration are prohibited from entering the water for insurance purposes. This must be done on a yearly basis. (Intro and Masters swimmers are exempt from this policy unless they compete in USAS meets).

·  All payments are due on the first of the month. A 15-day grace period is provided. A $5 late fee is assessed after the 15th. After 30 days, the swimmer will not be able to participate in CIA activities until all past fees are paid plus $25.

·  Mail registration, payment, and payment voucher to Central Iowa Aquatics, c/o Barb Beatty,

13850 Lake Shore Dr., Clive, IA 50325.

Financial Assistance

The CIA parent board tries to assist families with financial needs. However, limited funds are available. For additional details, please contact the head coach, Dave Joensen, or the business manager, Bill Colville.

Family Discount

Families with three or more swimmers receive a discount. The registration fee for the third swimmer and additional swimmers beyond three is reduced by 50%. This reduction applies to the lowest registration fees.

Refund of CIA Registration Fees

·  USAS registration is not refundable.

·  Monthly fees are not refundable.

·  Refunds of the annual registration fee and seasonal fee will be prorated based on the monthly rate.

·  There will be no refund of fees for swimmers participating in the new swimmer discount.


Central Iowa Aquatics

Registration Form

Complete this registration form for each swimmer. This only needs to be completed once a year (April to March). Send registration form, payment, payment voucher and waver/release of liability. It is your responsibility for making the remaining payments. You will not be billed. Please use payment voucher for the remaining payments.

Send to: Central Iowa Aquatics, c/o Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325

£New Member (1/2 fee trial) £Intro £Age Group £Senior £High School £Masters

Swimmer: ______

Last First Middle Preferred

Date of Birth: ______Age: ______Sex: £Male £Female

Address: ______

City: ______Zip: ______

Home Phone: ______

Parent Email: ______

Parent Occupation: ______

Parent/Guardian: ______

Name Alternate Phone

Parent/Guardian: ______

Name Alternate Phone

Participation Agreement and Waiver/Release of Liability

Please read carefully before signing. This is both a participation agreement and a release of liability and waiver of certain legal rights.

The enrolled participant and the parent/guardian of the participant agree and understand that swimming is a hazardous activity. I recognize that there are risks inherent in the sport of swimming, included but not limited to, paralyzing injuries and death.

The participant hereby agrees to indemnify and hold harmless CIA, its coaches, officers, directors, agents, and employees against any liability resulting from any injury that may occur to the participant while participating in any of the swim programs offered by CIA. The participant also agrees to indemnify CIA for any damages incurred arising from any claims, demand, action or cause of action by the participant.

The participant authorizes any representative of CIA to have the participant treated in any medical emergency during their participation in any of the swim programs offered by CIA. Further, the participant and/or parent/guardian agree to pay all costs associated with medical care and transportation for the participant.

I have noted on the back of this form and notified the head coach of any medical/health problems of which the staff should be aware of.

CIA registration fees must be paid prior to participation in CIA activities. All payments are due on the first of the month. A 15 day grace period is provided. A $5 late fee is assessed after the 15th. After 30 days, the swimmer will not be able to participate in CIA activities until all past fees are paid plus $25.

Swimmers without a signed and paid USA Swimming registration are prohibited from entering the water for insurance purposes. This must be done on a yearly basis. (Intro Group and Masters swimmers are exempt from this policy except for USAS meets).

New members may have a two month new swimmer discount. After that time period, regular CIA fees are due, either monthly or seasonally.

I grant permission for my child to participate in the Central Iowa Aquatics activities. I agree to CIA policies as stated in the CIA handbook and registration information

I have carefully read the above participation agreement and liability release and sign it with full knowledge of its contents and significance.

I will allow CIA to take a picture of my child for identification purposes.

E______

Signature of Athlete (if 18 and older), Parent/Guardian (if athlete is under 18)

Fee Calculation Form

Please select payment options from the following list and turn in with registration form:

Payment Options / £Annually / £Seasonal / £ Monthly / Amount

Intro

/ N/A / N/A / $70
Age Group / $1,350
Spring / $270 / $135
Summer / $340 / $135
Fall / $405 / $135
Winter / $405 / $135
Senior / $1,640
Spring / $330 / $165
Summer / $400 / $165
Fall / $495 / $165
Winter / $495 / $165
High School / $1,360 Girls
$1,260 Boys
Spring / $330 / $165
Summer / $400 / $165
Fall / $495 / $165
Winter / $495 / $165
Masters / $690 / N/A
Spring / $65
Summer / $65
Fall / $65
Winter / $65
High School Stroke Session / Included in annual fee / $100 for entire HS season / $100 for entire HS season
New Swimmer Discount!!
50% off 1st two months
(months must be consecutive) / -
USA Registration (annual) / $58 / +
Summer City of Des Moines surcharge (monthly payers only) / $70 / +
Less: 3rd and Additional
Swimmer Discount / -
Donation / +
Total Due / /
Total Due
/ =
April CIA Registration Payment Voucher
(Due April 15, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ City of DM summer surcharge $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches. / May CIA Registration Payment Voucher
(Due May 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ City of DM summer surcharge $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches.
June CIA Registration Payment Voucher
(Due June 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ City of DM summer surcharge $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches. / July CIA Registration Payment Voucher
(Due July 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ City of DM summer surcharge $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches.

Mail registration, payment, and payment voucher to Central Iowa Aquatics, c/o Barb Beatty, 13850 Lakeshore Dr, Clive, IA 50325.

September CIA Registration Payment Voucher
(Due September 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches. / October CIA Registration Payment Voucher
(Due October 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches.
November CIA Registration Payment Voucher
(Due November 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches. / December CIA Registration Payment Voucher
(Due December 1, 2009)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
*Include 2010 USAS Payment (Separate Form Required for
Registration)
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches.
January CIA Registration Payment Voucher
(Due January 1, 2010)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg. $______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches. / February CIA Registration Payment Voucher
(Due February 1, 2010)
Swimmer(s):______
Amount Included:
¨ Annual $______¨ Seasonal $______
¨ Monthly $______¨ USAS Reg.$______
¨ Past Due $______¨ Donation $______
¨ Other $______Explain______
Make checks payable to Central Iowa Aquatics. Remit payment and voucher to Central Iowa Aquatics, % Barb Beatty, 13850 Lakeshore Drive, Clive, IA 50325. Do not give payments or registration forms to the coaches.

Mail registration, payment, and payment voucher to Central Iowa Aquatics, c/o Barb Beatty, 13850 Lakeshore Dr, Clive, IA 50325.