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Council Rock Swimming & Diving Club Registration Packet 2021-22

Swimmers & Divers 8th Grade & younger August 2021

Dear Swimmers, Divers, and Parents: Welcome to the start of the 2021-22 season of the Council Rock Swimming and Diving Club (CRSC). In this packet you will find information regarding registration, screening for returning swimmers, tryouts for new members, required pre-participation physicals, season expectations for parents and athletes, the practice schedule, and pricing. Please read carefully. As we have all learned over the last 17 months, it is difficult to plan into the future. We are committed to providing a safe, fun, and successful swimming and diving season. Policies and procedures may change during the season, but we will do our best to keep you informed as information is received by the school district, league, and USA swimming. We appreciate your patience. When registering for the team, we expect that all swimmers and divers will attend a minimum number of practices each week and be available to participate in 3 of the 4 divisional dual meets in November and December. Also, parents will volunteer to help work at the meets and with the many volunteer positions that are needed. If your family does not feel that they can commit to these expectations, please do not take a space away from another family that is prepared for the level of commitment that we are requiring. I have posted this years’ coaching staff on the website under the coaches and board directory tab. We are still finalizing the staff and expect to add additional coaches. I will update the website as coaches are hired and each of their roles are confirmed. If you have any questions please email me at bjohnson@crsd.org. We are all looking forward to getting the program restarted and having a great year. Thank you, Brian Johnson Aquatics Director Council Rock School District

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REGISTRATION PROCEDURES Returning Members 8th grade and younger

1. Please go to www.crsd.org/aquatics for all necessary paperwork.

2. ON-LINE REGISTRATION: All returning swimmers and divers must register on-line at www.crsd.org/aquatics by Thursday, September 2, 2021 before 11:59pm. NO LATE REGISTRATIONS WILL BE ACCEPTED. If your child plans to swim and dive please register for both on-line. This year we are using the Active Network for the initial registration. Please go to www.crsd.org/aquatics and click on the Council Rock Swimming and Diving Club registration link. Next click on the 8th grade and younger registration and go to the Active Network link provided on the webpage. Please follow all the directions that are included. Once you have completed the on-line registration you should receive an email from Active. Please save that as a receipt that you completed the process.

3. SCREENING/ DEPOSIT: All returning swimmers must attend a group screening on Friday, September

9 or Friday, September 10, 2021. At this time we will be collecting a $100.00 NON-REFUNDABLE deposit by check made payable to Council Rock School District to reserve their space on the team. This $100.00 will be deducted from your future season fees due later in the season. Returning divers do not need to be screened, but need to drop off their deposit on one of these two nights between 5-7pm to reserve your space on the team.

Thursday, September 9 or Friday, September 10 5:00-6:00pm: Ages 10 & unders 6:00-7:00pm: Ages 11 and up

4. PHYSICAL/ CONCUSSION: All swimmers and divers must have a physical & concussion education

form turned into the aquatics office no later than Monday, September 20, 2021. These forms are included in this packet and are the only form approved to be used for this purpose. Returning members should include them with their deposit check.

5. GROUP ASSIGNMENTS: Swimming and diving team group assignments for returning members will be emailed on Friday, September 17 by noon. Swimming and diving practices begin the week of September 20, 2021. Please check the on-line calendar on our website for your specific groups assigned times.

6. PARENTS MEETING: A mandatory swimming parent’s orientation will take place on Monday,

September 20 or Tuesday, September 21, 2021 from 6:00-7:00pm in lecture room 4 at Council Rock High School- North. This meeting will go over important information about the upcoming season. A diving parents meeting will occur on a date and time to be determined. A swimming parent must attend one of these two nights.

7. FINAL REGISTRATION: Will take place on Monday, Monday, October 4 or Tuesday, October 5, 2021 between 5:00-6:45pm in the West Cafeteria at Council Rock North. Swimmers and divers must pay their final team fees at this time. During these evenings swim suit try-on will take place in the west gymnasium lobby area (by the pool balcony entrance).

USA Swimming Information: We will be reaching out to any returning members that are currently USA

registered with the process to sign up for the early fall USA meets. Any returning member that wants to join USA Swimming for this season, please follow the directions on the last page of this packet. Early registration

for USA swimming is very important so we can get into the early USA meets in the fall/ early winter.

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REGISTRATION PROCEDURES New Members 8th grade and younger

1. Please go to www.crsd.org/aquatics for all necessary paperwork.

2. ON-LINE REGISTRATION: All new swimmers and divers must register on-line at www.crsd.org/aquatics by Thursday, September 2, 2021 before 11:59pm. NO LATE REGISTRATIONS WILL BE ACCEPTED. If your child plans to swim and dive, please register for both on-line. We are using the Active Network for the initial registration. Please go to www.crsd.org/aquatics and click on the Council Rock Swimming and Diving Club registration link. Next click on the 8th grade and younger registration and go to the Active Network link provided on the webpage. Please follow all the directions that are included. Once you have completed the on-line registration you should receive an email from Active. Please save that as a receipt that you completed the process and bring this to tryouts.

3. TRYOUTS: Returning members must complete an in the water skills evaluation before becoming a member. At tryouts, swimmers will be asked to demonstrate their ability to swim freestyle, backstroke, breaststroke, and butterfly. The swimming coaches will be using this criteria to determine how many new swimmers we can have join the team. Divers will be evaluated on their basic swimming safety, their willingness to learn dives, and prior knowledge. New swimmers and divers only need to register on-line prior to the skills evaluation. No payment is necessary and new members only need to attend one of the two nights. No one will be accepted at tryouts that has not pre-registered to sign up for the team. This year the tryout dates will be…

Swimmers Tryouts 2021 Diving Tryouts 2021 September 13 or 14, 2021 September 13 or 14, 2021 Council Rock High School-North Council Rock High School- North 5:00-6:00pm ages 10 and under 7:00-8:00pm all ages 6:00-7:30 pm ages 11 and up

4. PHYSICAL/ CONCUSSION FORM: All swimmers and divers must have a physical & concussion education form turned into the aquatics office. New members should bring the forms to tryouts with them on September 13 or 14. These forms are included in this packet and are the only forms approved to be used for this purpose.

5. GROUP ASSIGNMENTS: Coaches will be contacting the swimmers or divers regarding their status on the team by Friday, September 17, 2021 at noon. At this time swimming group assignments will be emailed to the team members.

6. RELEASE: New members to Council Rock who were members of another SAL club during the 2019-20 season must complete a release from their former club to become a member. Failure to do a release leads to a fine by the league. Please email Mr. Johnson at bjohnson@crsd.org to indicate that you need a release.

7. PARENTS MEETING: A mandatory swimming parent’s orientation will take place on Monday or Tuesday, September 20 or 21, 2021 from 6:00-7:00pm in lecture room 4 at Council Rock High School- North. This meeting will go over important information about the upcoming season. A diving parents meeting will occur on a date and time to be determined. A swimming parent must attend one of these two nights.

8. FINAL REGISTRATION: Will take place on Monday, October 4 or Tuesday, October 5, 2021 between 5:00-6:30pm in the West Cafeteria at Council Rock North. Swimmers and divers must pay their final team fees at this time. During these evenings swim suit try-on will take place in the west gymnasium lobby area (by the pool balcony entrance).

USA Swimming Information: Any new members that want to join USA Swimming should follow the directions located on

the USA page of our website at Click Here. If you were a member of USA Swimming for another club you will need a release. Please complete the release form posted on our website and mail the form to Middle Atlantic. This is handled by

the swimmers and Middle Atlantic. Early registration for USA swimming is very important so we can get into the early USA meets in the fall/ early winter.

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COUNCIL ROCK SWIMMING AND DIVING CLUB 2021-22 Season

GENERAL INFORMATION

Council Rock Swimming & Diving Club (CRSC) is a part of the Council Rock Community Aquatics Program. It is an age-group swimming & diving team that emphasizes a balance of competitive swim/ dive training and having fun. The main

focus of our program is to achieve perfect technique, while the swimmers & divers learn sportsmanship and teamwork. We compete in the Suburban Aquatic League and are a member of USA Swimming. The season runs from

September until February (after championships).

MISSION STATEMENT The goal of the Council Rock Swimming and Diving Club is to instruct, nurture, and encourage our athletes to high levels

in the sport of swimming and diving. The coaches will provide the athletes a challenging and rewarding experience promoting hard work and commitment. Our coaches’ will provide leadership that builds teamwork and self-confidence.

The objective of the Council Rock Swimming and Diving Club is to develop well-rounded swimmers and divers in an atmosphere of good sportsmanship and team spirit.

FACILITIES

The CRSDC practices at Council Rock High School- North off of Swamp Road in Newtown, Pa. The North swimming pool was renovated in 2008. Its features include a 7 lane, 25-yard competition pool; Omega timing system with 7 lane

scoreboard; 2 Duraflex diving boards; desert air ventilation system and filtration equipment including ultraviolet technology.

REGISTRATION/ SCREENING/ TRYOUTS

Registration for new and returning swimmers and divers is different. For information on:

Returning members: please go to page 2 of this packet.

New Members: please go to page 3 of this packet.

WHY TRYOUTS?

Tryouts are conducted for two reasons.

First, the coaching staff wants to be sure that the swimmers and divers are team ready. For the divers, they must have

basic swimming ability to be safe in and around the pool. They must have the willingness to try the dives and take direction from the diving coaches. For the swim team members, the minimum requirement is for the athlete to swim

Freestyle and Backstroke the length of the pool (25 yards) with correct breathing and arm stroke. Specifically, they should not lift their head when they breathe when swimming Freestyle.

Second, due to limited spaces in the swimming and diving meets and to properly provide a safe and effective training program, we must limit the amount of swimmers and divers we are keeping on the team. We do not have a specific

number that we are keeping each season. We are looking at the overall numbers, genders, age-groups, etc. to try to keep the most swimmers and divers as possible.

It is recommended that if you are interested in being a swimmer or diver that you come to tryouts and we will steer you in

the correct direction.

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COUNCIL ROCK SWIM CLUB—GROUP DESCRIPTIONS

8th grade & younger

Swimmers will be assigned to the appropriate group by the swimming coaches. Swimmers must attend the group practice time that is assigned. Swimming group assignments will be emailed by Friday, September 17 by noon. New swimmers

will be assigned a group after try-outs are completed. Reevaluations will occur throughout the season.

White Group: The white group will be made up of beginner competitive swimmers. The basic requirement of the white group includes swimming freestyle and backstroke 25 yards with correct breathing and arm stroke. Practices will focus on

enhancing the freestyle and backstroke while introducing the breaststroke and butterfly. Practice sessions will focus on stroke technique, how to use the pace clock, and beginning interval training. The group practices 3 days per week,

except when a varsity meet is held. In those cases, there will only be 2 practices. White group members are required to attend a minimum of 1 practice per week to be eligible for the swim meets.

Blue Group: The blue practice group will be made up of swimmers that have strong skills in all four competitive swimming

strokes. These swimmers have prior swim team experience, either with a summer team or another year-around club. The blue group will continue to re-enforce good stroke technique, while focusing on building the endurance of the athlete

through increased interval training. The blue group practices 4 days per week except when a varsity meet is held. All blue group members must complete 5x 50 Free on 1:15 to be placed in this training group. Blue group members are

required to attend a minimum of 2 practices per week to be eligible for the swim meets.

Dark Blue: After tryouts, swimmers will be assigned to white, blue, or sliver groups. The dark blue group will be a break off group from the blue group and will be determined by the coaches after the first practice week of the season.

Silver Group: The silver practice group will be made up of swimmers that are proficient in all four competitive strokes. The silver group focuses primarily on increased training to build strength and endurance. Continued work on technique will be included within the training to reinforce proper stroke mechanics. The silver group practices 5 days per week. All silver group members must complete 10x 100 Free on 1:45 in order to be placed in this training group. Silver group members

are required to attend 3 practices per week to be eligible for the swim meets.

COUNCIL ROCK DIVING CLUB

The Council Rock Diving Club members are offered two practices a week. The diving coaches will email the diving team members with specific diving team practice information by Friday, September 17, 2021 by noon.

PRACTICE SCHEDULE 2021-22

Practice Schedule (September 20, 2021-November 18, 2021)

Monday Tuesday Wednesday Thursday Friday

White Group OFF 5:15-6:00 5:15-6:15 5:15-6:00 OFF

Blue Group 5:15-6:45 6:00-7:00 OFF 6:00-7:00 5:15-6:30 Dark Blue Group 6:45-8:15 7:00-8:00 5:15-7:00 7:00-8:00 OFF

Silver Group-Dryland 6:15-7:00 No Dryland 6:15-7:00 No Dryland No Dryland Silver Group-Swim 7:00-8:25 7:00-8:25** 7:00-8:25 7:00-8:25** 6:30-8:00

Diving 6:45-8:25 No Practice 6:45-8:25 No Practice No Practice

** Practice ends at 8:25 until the fall lifeguarding class is completed. The end time will then move to 8:30.

Practice Schedule (November 19-February)

Monday Tuesday Wednesday Thursday Friday

White Group 5:30-6:15 OFF 5:30-6:15 OFF 5:30-6:30

Blue Group 6:15-7:00 5:50-7:00 6:15-7:00 5:50-7:00 OFF Dark Blue Group 7:00-7:45 7:00-8:15 OFF 7:00-8:10 6:30-7:15

Silver Group-Dryland 6:30-7:00 No Dryland 6:30-7:00 No Dryland No Dryland Silver Group-Swim 7:00-8:30 7:00-8:30 7:00-8:30 7:00-8:30 6:30-8:00

Diving 6:45-8:30 No Practice 6:45-8:30 No Practice No Practice

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SUBURBAN AQUATIC LEAGUE

www.suburbanaquatic.org CRSDC is a member of the Suburban Aquatic League, which is comprised of twenty-four teams divided into four

divisions, East, Central, North, and South. We compete in the East division along with Centennial, Dolphins, Lower Moreland, Penn Aquatics, and Core (Neshaminy). All dual meets are held on Saturdays with the boys and girls

competing against the same team, but at opposite locations. The swimming age groups are based on the child’s age as of October 31. The age groups for swimming are 8 & under, 10 & under, 12 & under, 14 & under, 15 & over. The age

groups for diving are 11 & under, 12-14, and 15 & Over. At the conclusion of the season, championship meets are held. In order to be eligible for the championships, swimmers must compete in 40% of the 5 dual meets in the East

division.

USA Swimming http://www.maswim.org/

The Council Rock Swim Club is a member of USA swimming in the Middle Atlantic local swim committee. This program is an optional part of the swimming season. Swimmers that are interested in representing Council Rock at USA swimming meets need speak with one of the coaches to determine if it is right for them. Membership in the USA Swimming group requires additional fees including registration with Middle Atlantic Swimming and additional fees to the school district for

pool usage and coaching salaries through March. Early registration is necessary for new members. Please indicate your interest in USA swimming during the on-line registration process.

Important Dates 2021-22

Mon, Aug 2 to Thurs, Sept 2, 2021 Registration open on-line.

Thurs, Sept 2, 2021 Deadline to register for 2021-22 season

Thurs/ Fri, September 9 & 10, 2021 Swim Screening Returning Members

Mon/ Tues, September 13 & 14, 2021 Swim Tryouts New Members

Friday, September 17, 2021 Team announced by noon

Mon, September 20, 2021 Practices begin… See team calendar (deadline: Physical/ concussion forms)

Mon/ Tues, September 20 & 21, 2021 6pm swim parents meeting – Lecture room 4

Mon/ Tues, October 4 & 5, 2021 Final Registration – West Cafeteria/ Team Suit Sale – West Gym Lobby

Tuesday, Oct 19, 2021 Girls Time Trial Meet 5:15 warm-up/ 5:30 start (white, blue, silver groups)

Tuesday, Oct 26, 2021 Boys Time Trial Meet 5:15 warm-up/ 5:30 start (white, blue, silver groups)

Thurs, Oct 28, 2021 Halloween Party (white, blue, & sliver swim group)

Sat, November 6, 2021 Dual Meet #1 (location, etc. TBA)

Sat, November 13, 2021 Dual Meet #2 (location, etc. TBA)

Fri, November 19, 2021 High School season begins -- Practice times modified for remainder of season

Sat, November 20, 2021 Dual Meet #3 (location, etc. TBA)

Thurs/ Fri, November 25 & 26, 2021 Thanksgiving – No practices

Fri, December 3, 2021 No practice – High school relay carnival

Sat, December 4, 2021 Dual Meet #4 (location, etc. TBA)

Sat, December 11, 2021 Dual Meet #5 (location, etc. TBA)

Wed, December 15, 2021 Holiday Party (white, blue, & silver swim groups)

Thurs, December 23 to Sun, Jan 2 Winter Break: Modified practice schedule

Wed, January 6, 2022 Parents Meeting: SAL Championships Information 6pm

Sat, January 8, 2022 Dual Meet #7 (location, etc. TBA)

Sat, January 15. 2022 Dual Meet #8 (location, etc. TBA)

Fri, January 28, 2022 Last Day of Season

** The dates above are subject to change. Does not include SAL Dual meet specifics, SAL Invitationals, and USA Swimming Invitationals. The SAL information will be announced in late September when we receive the information from the league. Please consult the team calendar on the website for updated information.

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COUNCIL ROCK SWIMMING AND DIVING CLUB

PRICE GUIDE 2021-22

Group Description: Price: # of Swimmers:

Total:

High School Prep- Divers (Grades 9-12) $90.00 X

High School Prep- Swimmers (Grades 9-12) $200.00 X

High School Prep-Swimmer/Diver Marching Band or HS Fall Sport

(Grades 9-12)

$70.00 X

Grand Total (Checks made payable to Council Rock School District):

White Group Swimming (2-3 nights per week): $265.00 X

Blue Group Swimming (3-4 nights per week): $340.00 X

Silver Group Swimming (5 nights per week): $415.00 X

Diving Group: $315.00 X

USA Swimming Membership: USA information is included on the last page of this packet.

Subtract Returning Member Deposit: (for returning members that paid a deposit before

August 28, 2019)

$100.00 X

Subtract $25.00 for additional family members: $25.00 X

Grand Total (Checks made payable to Council Rock School District):

Club Fee Swimming (Required of all Members 8th grade and younger):

$65.00 X

Club Fee Diving (Required of all members 8th grade and younger):

$80.00 X

Grand Total (Checks made payable to Council Rock Swim Club):

(Paid at Final Registration October 4 & 5, 2021)

TOTAL AMOUNT

** This year we are recommending all swimmers in the blue and silver groups buy fins and a mesh bag to help with training during the season. In the white training group the fins will be optional. Information on this will be provided after the teams are set on September 17. IMPORTANT: All fees are final and are not refundable. Please consider family commitments & team commitment before joining and paying.

PARENT VOLUNTEER RESPONSIBILITIES

For our team to efficiently operate, it requires parent volunteers. We need volunteers on the club parent board, committee positions, and at our meets. The list of volunteer positions are included on our website at https://www.crsd.org/Page/1233. Background Clearances: In order to ensure the safety of our swimmers and divers, we are asking the parents apply for clearances. The information for applying is posted on the school district website at this address: https://www.crsd.org/Page/55920

Once you have turned in the required papers to the Chancellor Center, I will receive a message clearing you to volunteer with the team. If you already have done this to volunteer in our schools, the work is finished.

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COUNCIL ROCK SCHOOL DISTRICT

HEALTH AND PHYSICAL EXAMINATION RECORD

IMPORTANT: High School Swimmers & Divers 9th grade & up, should NOT use this form.

The PIAA form is required. Not required for lifeguarding classes.

The completion of this form is required for admission to the Council Rock School District swimming program.

This activity requires that the applicant be physically fit as determined through examination by a registered

physician.

Health History (To be completed by the applicant) (Please Print)

Last name _________________________________ First ___________________________ Sex M or F

Address __________________________________________________ Birthdate ____/____/____

Phone No. (____) __________________ Weight lbs. ________ Height ft. _____ in. _____

Are you subject to headaches? ________ Fainting spells ________ Rheumatism ________

Do you have any of the following conditions or diseases? Epilepsy ________ Deafness ________

Hernia ________ Heart trouble ________ Skin Disease ________ Lung trouble ________

Ear, sinus trouble ________ Poor eyesight ________

Have you in the past or do you have at the present, any physical disorder that would prevent you from taking

part in aquatic exercise? Yes or No If the answer is yes, explain _____________________________________

_________________________________________________________________________________________

__________________________________ _________________________________________

Signature of Adult Applicant Signature of Parent for Child Applicant

Physician Certification (To be completed by the examining physician)

I hereby certify that I have examined ______________________________________________ and find that (he

or she) is physically capable of strenuous aquatic exercise without harm to (himself or herself) and further find

(him or her) to be completely free of any infectious disease or conditions which might be transmitted to other

persons using the same swimming pool.

Date: _______________________ _________________________________________

Signature of Examining Physician

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WAIVER AND RELEASE OF LIABILITY AND INDEMNIFICATION IN FAVOR OF COUNCIL ROCK SCHOOL DISTRICT I, ____________________________________________ (please print name), hereby release, and agree to indemnify, defend and hold harmless, COUNCIL ROCK SCHOOL DISTRICT and its directors, officers, employees, agents, representatives, and successors (collectively referred to hereinafter as the “COUNCIL ROCK INDEMNITEES”), and assume full and complete responsibility and risk, financial and otherwise, for any and all damages, injuries, liabilities, obligations, claims, litigation, expenses (including, but not limited to attorneys’ fees and costs), judgments and proceedings whatsoever, whether for any injuries to me or any person or property, including damages to person, damages to realty or any injuries or damages suffered by any person whatsoever, which may at any time be imposed upon, incurred by or asserted or awarded against COUNCIL ROCK INDEMNITEES arising out of or in connection with my participation in the aquatics program.

I am fully aware that I am assuming all associated risk and responsibility for my safety by participating in the aquatics program, which risk includes the knowledge that there is no guarantee as to the condition or quality of the premises or the equipment utilized therein. Thus, if any damages are sustained, including any injury or losses to my person or property, I release and will hold harmless the COUNCIL ROCK INDEMNITEES of all responsibility and liability for any such related injury or damage and will defend and indemnify them from and against such injuries or loss. I certify that I am in good physical condition and, to the best of my knowledge and belief, I do not have any communicable illnesses or diseases, skin rashes or sores, bandaged or otherwise, and that I will immediately inform the aquatics program if that certification is no longer true. I understand that I will participate in the aquatics program at my own risk. I HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY. Signature of Parent: ________________________________________________ Date: ____________________ Print Name of Parent: ______________________________________________ Refund/ Credit Policy:

After payment there are NO REFUNDS of fees.

If the Community Aquatics Program cancels the class due to lack of enrollment, a full refund of fees will be provided.

Injury or illness: Written documentation from a physician will be required. Once approved a future program credit will be issued.

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Council Rock School District Participation Waiver for Communicable Diseases Including COVID-19

The COVID-19 pandemic has presented athletics across the world with a myriad of challenges concerning this highly contagious illness that primarily attacks the upper respiratory system. Some severe outcomes have been reported in children, and a child with a mild or even asymptomatic case of COVID-19 can spread the infection to others who may be far more vulnerable.

While it is not possible to eliminate all risk of furthering the spread of COVID-19, Council Rock School District will take necessary precautions and comply with guidelines from the federal, state, and local governments, CDC, PA DOH, PA DOE, as well as the NFHS and PIAA, to reduce the risks to students, adults, and their families. As knowledge regarding COVID-19 is constantly changing, CRSD reserves the right to adjust and implement precautionary methods as necessary to decrease the risk of exposure for our staff, students, and spectators. Some precautionary methods in the Council Rock School District Athletics Health & Safety Plan 2020 include but may not be limited to:

1. Health screenings prior to any practice, event, or team meeting with participation in the activities being limited and/or prohibited where an individual displays positive responses or symptoms.

2. Encourage social distancing and promote healthy hygiene practices such as hand washing, using hand sanitizer, etc.

3. Intensify cleaning, disinfection, in all facilities when use is permitted. 4. Educate Students, parents, Adults, and Staff on health and safety protocols. 5. Require Students and Adults to provide their own water bottle for hydration.

By signing this form, the undersigned voluntarily agree to the following waiver and release of liability. The undersigned agree to release and discharge all claims for ourselves, our heirs, and as a parent or legal guardian for the student named below, against CRSD, its Board of Directors, successors, assigns, officers, agents, employees, and volunteers and will hold them harmless from any and all liability or demands for personal injury, psychological injury, sickness, death, or claims resulting from personal injury or property damage, of any nature whatsoever which may be incurred by the student or the undersigned relating to or as a result of the student’s participation in athletic programs, events, and activities during the COVID-19 pandemic.

The undersigned acknowledge that participating in athletic programs, events, and activities may include a possible exposure to a communicable disease including but not limited to MRSA, influenza, and COVID-19. The undersigned further acknowledge that they are aware of the risks associated with COVID-19 and that certain vulnerable individuals may have greater health risks associated with exposure to COVID-19, including individuals with serious underlying health conditions such as, but not limited to: high blood pressure, chronic lung disease, diabetes, asthma, and those whose immune systems that are compromised by chemotherapy for cancer, and other conditions requiring such therapy. While particular recommendations and personal discipline may reduce the risks associated with participating in athletics during the COVID-19 pandemic, the risk of serious illness, medical complications and possible death does exist.

We knowingly and freely assume all such risks, both known and unknown, even if arising from the negligence of others, and assume full responsibility for student’s participation in athletics during the COVID-19 pandemic. We willingly agree to comply with the stated recommendations put forth by CRSD to limit the exposure and spread of COVID-19 and other communicable diseases. We certify that Student is in good physical condition or believe Student to be in good

physical condition and allow participation in this sport at our own risk.

Signature of Parent/Guardian: _____________________________________Date: ___________

Signature of Student Student: _____________________________________Date: ___________

*Parents/Guardians may request a full copy of Council Rock School District Athletics Health & Safety Plan 2020. Contact Charles J. Lambert, Ph.D., Director of Special Services