Western Zone Championship – Team Hawaii 2011 CHAPERONES APPLICATION August 6 - 15, 2011 Application must be postmarked by June 3, 2011 Chaperones selected to accompany Team Hawaii to the 2011 Western Zone Swimming Championship will be provided airfare, ground transportation, lodging accommodations, food, and required team uniforms. All other expenses such as personal purchases and USA Swimming registration are the responsibility of the individual chaperones. Name Team ___ Address City Zip Phone: _______________ Cell Phone: _______________ E-mail: ________________________ Do you have a swimmer going to the 2011 Western Zone Championship? yes Swimmer’s name(s) no Check all qualifications that apply: Hawaii Driver’s license and over 25 years of age Experience driving a 7 passenger van (applicable if drivers required) USA Swimming Registered CPR Certification First Aid Certification Professional Medical Background: Chaperones must be: Able to travel with Team Hawaii from August 6 – 15, 2011. Willing to room with swimmers. Responsible for assignments such as food coordination, team uniforms, extra-curricular activities, etc. Able to adjust to changes and accommodate additional responsibilities as needed due to unexpected changes and schedule conflicts. Chaperone Experience: List any previous experiences you believe will be helpful to you in preparing to be a Team Hawaii chaperone (Write on back or attach another sheet if necessary) Team Hawaii Chaperone uniform package will include T-Shirts(5), Aloha Shirt(1), Shorts(2). Please circle the sizes below for each item. T-Shirts (adult sizes) S M L XL XXL Aloha Shirt S M L XL XXL Shorts (elastic waist) S M L XL XXL Mail application to: TEAM HAWAII c/o Adele Wada 46-055 Heeia Street Kaneohe, HI 96744 Questions: email@example.com or phone: (808) 235-2296 (Oahu) Western Zone Championship – Team Hawaii 2011 Additional Team Hawaii Items Order Form Application must be postmarked by June 3, 2011 Name Team Team Hawaii Accessories (Embroidered with Team Hawaii Logo) Speedo Backpack (Black) Qty:_____ x $59.00 = _____ Speedo Jacket (adult sizes) XS S M L XL Qty:_____ x $50.00 = _____ Team Apparel Set (5 T-shirts - adult sizes) T-Shirt S M L XL XXL Qty:______ x $90.00 = _____ Team Apparel Separates (adult sizes) T-Shirt S M L XL XXL Qty:______ x $20.00 = _____ Aloha Shirt S M L XL XXL Qty:______ x $22.00 = _____ Shorts (elastic waist) Men S M L XL XXL Women S M L XL Qty:______ x $18.00 = _____ Team Picture (taken at Western Zones) Qty:______ x $20.00 = _____ Western Zone Souvenir Shirt & Cap (order form on Team Hawaii page) Total Cost $_______ Mail to: TEAM HAWAII c/o Adele Wada 46-055 Heeia Street Kaneohe, HI 96744 Email: firstname.lastname@example.org or phone (808) 235-2296 Make check payable to: Hawaiian Swimming Western Zone Championship – Team Hawaii 2011 Chaperone Guidelines 1) Chaperones attending the Western Zone Championship will be there to support the swimmers and coaches with the goal for a successful championship meet. Chaperones will be involved with: Informing swimmers of the transportation schedules to and from the pool during pre- meet practice sessions and during the championship meet. Schedule and coordinate meals for the swimmers. Enforce curfew times, lights out time, and wake-up times. Complete a roster check for all departure 2) 10 and under swimmers will have an adult chaperone in their room. 3) 11 years and older swimmers may or may not have an adult chaperone in the room. 4) All rooms will have designated team leaders to assist the coaches and chaperones. These swimmers selected will be based on good leadership skills, responsibility, previous zone experience, and the ability to gain support from the other swimmers. 5) Head Coach and Head Chaperone will determine the team curfew. ALL swimmers will be required to be in their assigned rooms by curfew time. Only Coaches and Chaperones may be permitted in the swimmers' rooms after curfew. 6) Chaperones are to remind all swimmers they are expected to represent Team Hawaii and be on their best behavior at all times. No wrestling, horseplay or rough play will be tolerated. 7) Team captain(s), (assigned by the Head Chaperone) will assist the coaches and chaperones, support their teammates, provide guidance to first time zone participants, boost the overall Team Hawaii morale, lead cheers, and will be a team spokesperson. 8) Chaperones will assist Head Chaperone and coaches with any swimmers requiring a special diet due to food allergy, cultural requirements, restricted diets, etc. 9) Chaperones will assist the Head Chaperone and coaches with swimmers with medical conditions (i.e.-asthma). They will alert the Head Chaperone or Head Coach of any situations requiring medical attention. 10) Chaperones will assist communication of any changes to the schedule might happen due to unexpected events and/or schedule changes. 11) Chaperones will assist swimmer not returning with Team Hawaii and also assist Neighbor Island swimmers joining or leaving Team Hawaii.