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Registration Packet Fall 2020/Winter 2021

Aloha Pau Hana swimmers and families,

Who would have thought 6 months ago we would be where we are now. Dealing with a pandemic that seems to not want to go away and having to adapt every day to the unknown. Obviously we are resilient, strong and willing to go the extra to be to-gether. We all know how important OHANA is and how we are stronger together. So thank you for believing and supporting our TEAM.

The road we have had to travel this summer to train hasn’t always been easy but has been rewarding and brought us closer together. The current situation with re-gards to our Fall/Winter season has been even tougher, frustrating at times, but worth it. You are worth it and I have appreciated all of your support, information and efforts to find pool space as well as fundraising to offset the many costs to continue on.

We are Pau Hana and do not give up until our “work is completed”. Our founder, Jill Griesse, would be very proud of our tenacity and perseverance.

We will be starting our season Monday Sept 21st until the end of October or 1st week in November training at the Moundbuilders Country Club. This 5 lane 25 yard outdoor heated pool will be our home for the start of the season until we secure a warehouse for our customized above ground pool.

All groups will start the week of Sept 21st with Koa 1 & Koa 2 starting in No-vember. Each family will be asked to contribute/fundraise to offset the additional costs associated with this unusual covid season. The different ways to contribute is by buying/soliciting hole sponsorships (3), donating to the team via our Gofundme or during the registration process. I will need EVERYONE to do their part to make this happen. It cannot be the same people doing it all. Each of you have a responsi-bility to help/contribute to be a part of the team. I am not trying to be mean just honest with where we are in today’s world.

Here’s to all of us having a great season together. Taking care of each other and making a difference for our kids. And here’s to 2021 being a new year with NEW opportunities.

May you all feel special and enjoy your time with your Pau Hana Ohana.

Mahalo,

Teresa

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For our 2020-2021 swimming season we will be following the guidelines available through the CDC, current state/local gov-

ernment and USA swimming that we followed over the summer.

You will be expected to follow this specific information as it worked well over the summer and we will update accordingly. These protocols are in place to make sure we do everything to the best of our ability to stay safe and healthy. I am relying on everyone doing their part and communicating to coaches if there are any health issues. When in doubt stay home.

Pau Hana Member SAFETY EXPECTATIONS:

• Swimmers will only be permitted to enter the facility once a coach arrives. If they arrive early, they must wait in their car until the appropriate time to enter the facility.

• Coaches will ask each athlete at every practice if they feel ill in any way, specifically listing certain covid symptoms and send home immediately if they are feeling ill or experiencing any symptoms (mild to severe respiratory illness with fever, cough, difficulty breathing, or other CDC symptoms).

• DO NOT COME TO PRACTICE if YOU or a MEMBER of your HOUSE-HOLD DOES NOT FEEL WELL

• Anyone coughing/sneezing needs to move away from others until it stops • Swimmers must leave our facilities immediately at the completion of any

practice. • Parents/spectators will not be allowed in the facility at any time and are

expected to practice social distancing when waiting for their swimmer. • Swimmers should be prepared to arrive and depart in their suits. • Wash your hands with a disinfectant soap and water for 20 seconds or use

a hand sanitizer before going into the pool • Restroom breaks will be limited to one person at a time. There can be no

showers at any time. • No swimmers should be using the locker rooms for changing. • Upon arrival to the pool swimmers will leave their personal belongings in

an assigned place close to their lane to ensure social distancing on the deck and will await instructions from their coach.

• Swimmers should bring their own water bottles (already filled). Use of the water fountains at the facility will be prohibited.

• Swimmers must take their equipment home after each practice. • Swimmers are required to wear PPE masks on deck until they are ready to

get in the pool.

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• Coaches will wear PPE masks while on deck with the swimmers and also whenever they are less than 6 feet from anyone.

• All will be reminded to stay at least 6 feet apart from others, not to make any physical contact with others, avoid touching their face and to not share food drinks or towels.

• Swimmers will swim with a specific number per lane according to the USA Swimming Social Distancing best practice. They may start from opposite ends of the pool and also staggered along the lanes.The plan is to have the same swimmers swim in each lane during this time frame to make it easier to track in the event someone tests positive.

• Any swimmer or staff experiencing any symptoms of a fever (100.4°F or higher), recent cough, unusual fatigue, headache or has had any exposure to someone who has any symptoms, (which includes family and friends) should remain at home and seek medical treatment.

• If any swimmer or staff does have a fever or symptoms of illnesses, they may not attend a practice until 14 days after the fever or symptoms has ceased and you must see a physician and be cleared for training after being diagnosed or suspected to have COIVD-19.

• For us all to stay healthy and be able to keep swimming, we ask our swimmers to please practice responsible social distancing when they are away from the pool as well.

• Swimmers and families who travel by air, or to an area deemed high risk by the staff, will need to self-isolate for 14 days before returning to practice and/or let the coaches know what contacts you had during this time.

• Before we start back I want to make sure all of our swim families know about our guidelines we have put in place and that you agree to follow them.

• It will also be the families responsibility to inform us of any risk factors that should be considered before participating (autoimmune, diabetes, asthma, cardiovascular etc)

• Positive test procedure: Should someone test positive in our member-ship the following measures will take place:

• 1. The individual should let us know immediately and keep us in-formed as to test results

• 2. The individual or individuals swimming on either side of that ath-lete will be informed and may want to self-quarantine for 14 day and/or receive a negative COVID-19 Test [we will be assigning lanes for practices so we are clear what athletes may be impacted by this].

• 3. The facility will be shut down for no less than 24 hours to deep clean.

Thank you for your cooperation and respecting each other and our guidelines.

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Pau Hana Mission StatementThe Pau Hana Swim Team is a member of United States Swimming. Our program offers high quality coaching and technique instruction for swimmers who desire to excel to their own unique potential. The goal of our program is to offer an environment that positively challenges each swimmer in a manner that benefits them physically, emotionally, and mentally.

Important Pre-Season DatesRegistration for Returning Swimmers opens: September 12, 2020Registration for New Swimmers opens: September 16, 2020First Practice: September 21, 2020First Session Ends: October 31, 2020Second Session Begins: November 2, 2020Season Ends: March 19, 2021

Registration InformationRegistration is completed online on our team website, www.pauhanaswimteam.com, by clicking “Online Registration” to begin the process and following the onscreen prompts after that. Re-turning swimmers, please be sure to update all of your information including email, address, ect. NEW THIS SEASON - THIS PAPERWORK WILL BE INCLUDED WITH ONLINE REGISTRA-TION. YOU MUST AGREE/INITIAL ONLINE DURING THE REGISTRATION PROCESS. NO PAPERWORK NEEDS TO BE TURNED IN TO YOUR COACHES. COPIES ARE INCLUDED IN THIS PACKET FOR YOUR REVIEW.

1. Emergency Medical Form, all swimmers please update, page 112. Concussion Form, pages 12-143. Code of Conduct, all swimmers & parents must sign), page 154. Lindsay’s Law Form, page 165. Covid Release Form, page 17

If you have questions on registration, please contact Staci Stought @ skstought@gmail.com

Team Vendor & ApparelThe Pau Hana Swim Team is a SPEEDO sponsored program. They are the official supplier of our swim equipment, suits, and warm-ups. Their support allows our members to receive dis-counts on Speedo products. In return for their support we are expected to support SPEEDO and their products. So you are asked to wear all SPEEDO suits and attire when they are re-quired TEAM Apparel.

All swimmers will be required to wear our team uniform to all competitions. No exceptions. team uniform will consist of:

• Speedo Team Suit

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• PHST Cap • PHST  T-Shirts - 3 shirts required (Orange Pau Hana shirt, New 2020-2021 shirt

and either a white or blue Pau Hana shirt)• PHST Warm-ups

Our team vendor is Aquatic Outfitters of Ohio. Team suits, sweats, bags, parka’s, etc. can be purchased through them and a team fitting will be scheduled and announced soon. Aquatic Outfitters can be found by clicking on their logo on the left hand side of our website (this takes you to our team page) or at aquaticoutfittersofohio.com or 330-498-9179. More information will be coming soon on our team fitting.

We will also have a team apparel sale that same evening where you may purchase various t-shirts, sweats and other apparel (other than Speedo apparel that can be purchased from our team vendor). More information on the apparel sale will be coming soon as well but please be prepared to pay separately for Aquatic Outfitters and team apparel (and please, only cash or checks payable to Pau Hana Swim Team for team apparel. AO will accept credit cards).

Equipment RequirementsEquipment can be purchased through our vendor, Aquatic Outfitters, or by using the SwimOutlet Store tab on our team’s website. Please be sure to either click on the link from our website or type in the full address www.swimoutlet.com/pauhanaswimteam. Purchasing through this web-site or by clicking on the link on our website, allows our team to earn cash back as a fundraiser for us!Fins (all Groups)

Snorkle (Kamehameha/Alani/Akala) ** NEW**

Paddles (all but Hui Poni & Koa)(Polu and Akala should get small)

Kickboard (all Groups)

Pull Bouy (all but Hui Poni & Koa)

Mesh Bags (all Groups)

Water Bottle (all Groups)

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Team Fees and ExpensesTeam Fees are outlined by practice group on pages 8 & 9 below. Your payment options to pay team fees- you may pay by check or credit card in monthly installments. As mentioned under the credit card information, the processing fees charged by Mastercard, Visa & Discover, will be added to each meet fee billed. Our team will also be participating in fundraisers over the course of the season to help offset the costs associated with the covid restrictions and guidelines we are incurring. These fundraisers offset the cost for our training facilities & portable pool. Each family is responsible for raising $300. This can be accomplished by selling 3 hole sponsorships/donating to the golf outing or gofundme. We will also have other fundraisers that you can offset this fee (which means you will be billed this fee ini-tially but will be credited once you reach the $300 amount). Otherwise if you choose not to participate in any of our team fundraisers you may opt out and pay $300.

Registration fee: A non-refundable $25 registration fee per family is required with registration

Travel fee: $150 for Kamehameha, Alani, Akala, $125 Polu & Poni and $75 Koa & Koa 2 which will be used to cover coaches travel expenses for meets. No travel fees will be charged until meets resume.

USA Registration Fee: $77

Monthly Dues: Your account will be charged on the 1st of each month and will be considered past due on the 15th of each month. Delinquent accounts will be automatically charged a $15 service charge and the credit card on file will be charged.

Credit Card ProcessingYour registration and meet fees can be automatically charged to your credit card (or bank ac-count via ACH) each month - no more worries about having money in your escrow account and constant monitoring of your balance. This can be set up during the registration process or af-terward in your account - please note that a credit card transaction fee will be added to your monthly total to offset the fees charged by Mastercard/Visa/Discover. If you prefer to pay by check, please pay your monthly payment prior to the 1st of the following month (a check can be given to your coach at practice). Please contact Jen Bunstine with payment/credit card ques-tions at bunstine@columbus.rr.com.

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Practice GroupsThe Pau Hana Swim Team offers progressive training and practice groups from the novice swimmer to the elite swimmer. It is the goal of the Pau Hana Swim Team to offer age specific training for all of our athletes geared towards challenging each individual and developing each individual to the best of THEIR ability. Swimmers are assigned to practice groups by the coach-ing staff. They are continually evaluated and moved up as deemed ready. Any new swimmers must be evaluated prior to registration (please contact the Head Coach, Teresa Fightmaster, to schedule).

Kamehameha 1 & 2 (The One Set Apart) $280 MonthlyThis group is made up of swimmers 13 and older who have increased their level of commitment to and focus on swimming and want to get the most out of their training every practice. Training emphasis is on fine tuning stroke mechanics, increased physical conditioning, and improved racing strategies. Goals for this group are to compete and score at USA JO’s and Zones, the High School District & State meets, as well as the USA Sectionals and Junior National meets. They are expected to compete at the highest level meet they qualify for during the season with the team.

You must also be committed to your workouts and training to the best of your ability each prac-tice. You are also highly encouraged to submit a goals/expectation sheet to Teresa the first week of the season.

Hui Alani (Team Orange) $255.00 MonthlyThis group is for high school swimmers, 14 and over, who are interested in increasing their conditioning level as well as working on proper stroke mechanics. Workouts will consist of train-ing all 4 strokes, drill work as well as instruction on race strategy. The goal for this group is to build a great stroke and conditioning base to be better prepared for high school swim season. They should also be willing to compete at the USA Senior meet championships at season’s end.

Hui Akala (Team Pink) $255.00 MonthlyThis group is for the more experienced and committed 11-14 year old swimmers who are seri-ous about their goals and training. Training emphasis is on advanced stroke technique work, increased physical conditioning, and improving racing strategies. The goal for this group is to qualify for Junior Olympics. They should be willing to compete at the highest level meet that they qualify for during the season with the team.

Hui Polu (Team Blue) $220.00 MonthlyThis group is for the 9-14 year old swimmers who are increasing their commitment to the sport of swimming. Training emphasis is on proper stroke mechanics, increasing their conditioning level, and intensity of workouts. The goal for this group is to progress to qualifying for and partic-ipating at the Junior Olympics.

Hui Poni (Poh’nee) (Team Purple) $200.00 MontlyThis group is made up of 8 - 12  year old swimmers. Training focuses on learning proper stroke mechanics for all four competitive strokes, working on starts and turns, and increased condition-ing. The goals for this group are to have fun, learn while being challenged to compete at their own unique ability levels and competing at the USA Regional meet.

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Koa Kids (Warrior)Designed for young athletes who enjoy swimming and want to compete and develop over the winter. Focuses on technique and stroke development in a fun and rewarding environment. This year the group will be split into two groups, but will have a combined practice on Sundays. Both groups will have the opportunity to compete in 2-4 meets during the season.

More information for Koa 1 & 2 will be coming soon, including fees and start dates.

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Practice Schedule Sept 9th - Oct 27th, 2019

Pau Hana Swim Team Schedule (Sept 21- Oct 31, 2020)9.10.20

Groups Monday Tuesday Wednesday Thursday Friday Saturday Sunday

Kamehameha 1 5:30-7am 3:30-5pm 5:30-7:30pm 3:30-5:30pm 5:30-7am OFF 7-8:30am

Kamehameha 2 3:30-5pm 5:30-7am 3:30-5:30pm 5:30-7am 3:30-5pm OFF 8:30-10:30am

Alani 7:30-9pm OFF 5:30-7am 7-8:30pm OFF 7-8:30am 10:30-12 noon

Akala 5-6:30pm 5-6:30pm 7:30-9pm OFF 5-6:30pm 8:30-10am OFF

Polu 6:30-7:30pm 7:30-9pm OFF OFF 6:30-8pm 10-11:30am OFF

Poni OFF 6:30-7:30pm OFF 5:30-7pm OFF 11:30-1pm 12-1pm

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EMERGENCY MEDICAL RELEASE FORM (One Form Per Swimmer)

!This form must be completed before your swimmer begins swimming with the Pau Hana Swim Team. The information will be held in the swimmer’s file for use only in the event of an emergency.

Swimmer Name: ___________________________ Date of Birth:___________________

*Parent (Guardian) Name: ! Home Phone: ____________________

Work Phone:______________________________________ Cell Phone: ______________________

*Parent(Guardian) Name: ! Home Phone:_____________________

Work Phone: _______________________________ Cell Phone: ______________________

***IN THE EVENT OF AN EMERGENCY NOTIFY:

Name: ___________________________________ Phone: _________________________

Insurance Information & Policy #: _______________________________________________

Insurance Phone #:_____________________

PHYSICIAN: __________________________ Phone: _________________________

Address: __________________________________

HEALTH HISTORY (Please Circle All That Apply)

Hearing Impaired / Visually Impaired / Contact Lenses / Diabetes / Asthma /Epilepsy/ Seizures

Other: (list) ______________________________________________________________

Does Swimmer Take Medication? NO / YES

Please list: dosage/frequency: __________________________________________________

Does Swimmer have allergies? NO /YES

Please list: _______________________________________________________________

Does Swimmer have other medical conditions? NO / YES

Please list: _______________________________________________________________

MEDICAL AUTHORIZATION:

I, (Parent/Guardian) in the event of an accident, injury or serious illness to the above swimmer, do voluntarily consent to and authorize the Pau Hana Swim Team to secure medical aid (which may include routine diagnostic procedures, medical and/or surgical treatment including injection, anesthesia, or transportation to a medical facility.) I understand that an effort will be made to contact myself or any of the individuals listed above before any action is taken. I understand that the Pau Hana Swim Team does not guarantee the results of any medical treatment and will have any or all examinations/treatments done by authorized persons or facilities.

BY MY SIGNATURE, I AUTHORIZE AND GIVE MY PERMISSION FOR MEDICAL TREATMENT OF MY SWIMMER.

! PARENT/GUARDIAN SIGNATURE: ______________________________ DATE: ____________

Ohio Department of Health Concussion Information Sheet For Youth Sports Organizations

Dear Parent/Guardian and Athletes, This information sheet is provided to assist you and your child in recognizing the signs and symptoms of a concussion. Every athlete is different and responds to a brain injury differently, so seek medical attention if you suspect your child has a concus-sion. Once a concussion occurs, it is very important your athlete return to normal activities slowly, so he/she does not do more damage to his/her brain.

What is a Concussion?

A concussion is an injury to the brain that may be caused by a blow, bump, or jolt to the head. Concussions may also happen after a fall or hit that jars the brain. A blow elsewhere on the body can cause a concussion even if an athlete does not hit his/her head directly. Concussions can range from mild to severe, and athletes can get a concussion even if they are wearing a helmet. Signs and Symptoms of a Concussion

Athletes do not have to be “knocked out” to have a concussion. In fact, less than 1 out of 10 concussions result in loss of consciousness. Concussion symptoms can develop right away or up to 48 hours after the injury. Ignoring any signs or symptoms of a concussion puts your child’s health at risk! Signs Observed by Parents of Guardians i� Appears dazed or stunned. i� Is confused about assignment or position. i� Forgets plays. i� Is unsure of game, score or opponent. i� Moves clumsily. i� Answers questions slowly. i� Loses consciousness (even briefly). i� Shows behavior or personality changes (irritability,

sadness, nervousness, feeling more emotional). i� Can’t recall events before or after hit or fall. Symptoms Reported by Athlete i� Any headache or “pressure” in head. (How badly it hurts

does not matter.) i� Nausea or vomiting. i� Balance problems or dizziness. i� Double or blurry vision. i� Sensitivity to light and/or noise i� Feeling sluggish, hazy, foggy or groggy. i� Concentration or memory problems. i� Confusion. i� Does not “feel right.” i� Trouble falling asleep. i� Sleeping more or less than usual. Be Honest

Encourage your athlete to be honest with you, his/her coach and your health care provider about his/her symptoms. Many young athletes get caught up in the moment and/or feel pressured to return to sports before they are ready. It is better to miss one game than the entire season… or risk permanent damage!

Seek Medical Attention Right Away

Seeking medical attention is an important first step if you suspect or are told your child has a concussion. A qualified health care professional will be able to determine how serious the concussion is and when it is safe for your child to return to sports and other daily activities.

i� No athlete should return to activity on the same day he/she gets a concussion.

i� Athletes should NEVER return to practices/games if they still have ANY symptoms.

i� Parents and coaches should never pressure any athlete to return to play.

The Dangers of Returning Too Soon

Returning to play too early may cause Second Impact Syndrome (SIS) or Post-Concussion Syndrome (PCS). SIS occurs when a second blow to the head happens before an athlete has completely recovered from a concussion. This second impact causes the brain to swell, possibly resulting in brain damage, paralysis, and even death. PCS can occur after a second impact. PCS can result in permanent, long-term concussion symptoms. The risk of SIS and PCS is the reason why no athlete should be allowed to participate in any physical activity before they are cleared by a qualified health care professional.

Recovery

A concussion can affect school, work, and sports. Along with coaches and teachers, the school nurse, athletic trainer, employer, and other school administrators should be aware of the athlete’s injury and their roles in helping the child recover.

During the recovery time after a concussion, physical and mental rest are required. A concussion upsets the way the brain normally works and causes it to work longer and harder to complete even simple tasks. Activities that require concentration and focus may make symptoms worse and cause the brain to heal slower. Studies show that children’s brains take several weeks to heal following a concussion.

www.healthyohioprogram. /concussion Rev. 02.13

Returning to Daily Activities

1. Be sure your child gets plenty of rest and enough sleep at night – no late nights. Keep the same bedtime weekdays and weekends.

2. Encourage daytime naps or rest breaks when your child feels tired or worn-out.

3. Limit your child’s activities that require a lot of thinking or concentration (including social activities, homework, video games, texting, computer, driving, job-­‐related activities, movies, parties). These activities can slow the brain’s recovery.

4. Limit your child’s physical activity, especially those activities where another injury or blow to the head may occur.

5. Have your qualified health care professional check your child’s symptoms at different times to help guide recovery.

Returning to School

1. Your athlete may need to initially return to school on a limited basis, for example for only half-days, at first. This should be done under the supervision of a qualified health care professional.

2. Inform teacher(s), school counselor or administrator(s) about the injury and symptoms. School personnel should be instructed to watch for:

a. Increased problems paying attention. b. Increased problems remembering or learning new information. c. Longer time needed to complete tasks or assignments. d. Greater irritability and decreased ability to cope with stress. e. Symptoms worsen (headache, tiredness) when doing schoolwork.

3. Be sure your child takes multiple breaks during study time and watch for worsening of symptoms.

4. If your child is still having concussion symptoms, he/she may need extra help with school-­‐related activities. As the symptoms decrease during recovery, the extra help or supports can be removed gradually.

Returning to Play

1. Returning to play is specific for each person, depending on the sport. Starting 4/26/13, Ohio law requires written permission from a health care provider before an athlete can return to play. Follow instructions and guidance provided by a health care professional. It is important that you, your child and your child’s coach follow these instructions carefully.

2. Your child should NEVER return to play if he/she still has ANY symptoms. (Be sure that your child does not have any symptoms at rest and while doing any physical activity and/or activities that require a lot of thinking or concentration).

3. Be sure that the athletic trainer, coach and physical education teacher are aware of your child’s injury and symptoms.

4. Your athlete should complete a step-by-step exercise-based progression, under the direction of a qualified healthcare professional.

5. A sample activity progression is listed below. Generally, each step should take no less than 24 hours so that your child’s full recovery would take about one week once they have no symptoms at rest and with moderate exercise.*

Sample Activity Progression*

Step 1: Low levels of non-contact physical activity, provided NO SYMPTOMS return during or after activity. (Examples: walking, light jogging, and easy stationary biking for 20-­‐30 minutes). Step 2: Moderate, non-contact physical activity, provided NO SYMPTOMS return during or after activity. (Examples: moderate jogging, brief sprint running, moderate stationary biking, light calisthenics, and sport-­‐specific drills without contact or collisions for 30-­‐45 minutes). Step 3: Heavy, non-­‐contact physical activity, provided NO SYMPTOMS return during or after activity. (Examples: extensive sprint running, high intensity stationary biking, resistance exercise with machines and free weights, more intense non-­‐contact sports specific drills, agility training and jumping drills for 45-­‐60 minutes). Step 4: Full contact in controlled practice or scrimmage. Step 5: Full contact in game play. *If any symptoms occur, the athlete should drop back to the previous step and try to progress again after a 24 hour rest period.

www.healthyohioprogram. /concussion

Resources

ODH Violence and Injury Prevention Program www.healthyohioprogram.org/vipp/injury.aspx

Centers for Disease Control and Prevention www.cdc.gov/Concussion

National Federation of State High School Associations www.nfhs.org

Brain Injury Association of America www.biausa.org/

Ohio  Department  of  Health Violence  and  Injury  Preven on  Program

246  North  High  Street,  8th  Floor Columbus,  OH  43215

(614)  466-2144

Rev. 02.13

!CONCUSSION INFORMATION FOR YOUTH SPORTS !!

I have read the Ohio Department of Health’s Concussion Information for Youth Sports sheet (found at healthyohioprogram.org/concussion) and understand that I have a responsibility to report my/my child’s symptoms to coaches, administrators and health care providers. I also understand that I/my child must have no symptoms before return to play can occur. !!!________________________________________________________Signature of Participant(s) (if 18 years of age or older) or Parent/Guardian Date

Pau Hana Swim Team Code of Conduct

This Code of Conduct MUST be read and signed BEFORE any swimmer will be allowed to take part in training and competition. By signing below, an acknowledgement of the contents of this

Code of Conduct is made and that the swimmer agrees to abide by the same.

CODE OF CONDUCT

I, the undersigned athlete, participating in training and competitions with the Pau Hana Swim Team, understand and agree to comply with the below-listed guidelines as set forth by the Pau Hana Swim Team. Any additional guidelines as needed may be established by the Head Coach.

General Behavior 1. The transportation, possession or use of alcohol, tobacco products, or illegal drugs by any Pau Hana team member is prohibited. 2. Pau Hana swimmers will display proper respect and sportsmanship toward coaches, offi-cials, administrators, competitors, teammates and the public to include both their person and their property. 3. Illegal or inappropriate behavior that will reflect negatively on the Pau Hana Swim Team or be detrimental to performance objectives and will not be tolerated. 4. Bullying will not be tolerated.

Travel Behavior 1. No athlete will travel when any illness is evident to the parents or coaching staff. 2. Unless otherwise excused or instructed by a coach, participants in a team trip will attend all team functions (on time), to include meetings, practices and any other team sanctioned event. 3. There will be no male athletes in female athletes’ rooms and no female athletes in male athletes’ rooms. 4. Athletes should not ride in a coach’s vehicle without another adult present who is the same gender as the athlete, unless prior parental permission is obtained. 5. Any additional guidelines will come from the staff as needed.

IMPLEMENTATION

1. Failure to comply with these guidelines will subject the swimmer to discipline, up to and in-cluding suspension and/or dismissal from the Pau Hana Swim Team. 2. If any failure to comply with these guidelines occurs during a travel trip, the swimmer may be sent home at the swimmer’s expense.

________________________________________________________________ Participant’s Signature Date

FOR ATHLETES OF MINORITY AGE (under the age of 18): This is to certify that I, as the parent/guardian of this participant, have explained to my son/daughter the aforementioned conditions and their consequences.

________________________________________________________________ Parent/Guardian’s Signature Date

Sudden Cardiac Arrest and Lindsay’s Law Parent/Athlete Signature Form

Department of Health

Department of Education

What is Lindsay’s Law? Lindsay’s Law is about Sudden Cardiac Arrest (SCA) in youth athletes. It covers all athletes 19 years or younger who practice for or compete in athletic activities. Activities may be organized by a school or youth sports organization.

Which youth athletic activities are included in Lindsay’s law? • Athletics at all schools in Ohio (public and non-public)

• Any athletic contest or competition sponsored by or associated with a school

• All interscholastic athletics, including all practices, interschool practices and scrimmages

• All youth sports organizations

• All cheerleading and club sports, including noncompetitive cheerleading

What is SCA? SCA is when the heart stops beating suddenly and unexpectedly. This cuts off blood flow to the brain and other vital organs. People with SCA will die if not treated immediately. SCA can be caused by 1) a structural issue with the heart, OR 2) a heart electrical problem which controls the heartbeat, OR 3) a situation such as a person who is hit in the chest or a gets a heart infection.

What is a warning sign for SCA? If a family member died suddenly before age 50, or a family member has cardiomyopathy, long QT syndrome, Marfan syndrome or other rhythm problems of the heart.

What symptoms are a warning sign of SCA? A young athlete may have these things with exercise:

• Chest pain/discomfort

• Unexplained fainting/near fainting or dizziness

• Unexplained tiredness, shortness of breath or difficulty breathing

• Unusually fast or racing heart beats

What happens if an athlete experiences syncope or fainting before, during or after a practice, scrimmage, or competitive play? The coach MUST remove the youth athlete from activity immediately. The youth athlete MUST be seen and cleared by a health care provider before returning to activity. This written clearance must be shared with a school or sports official.

What happens if an athlete experiences any other warning signs of SCA? The youth athlete should be seen by a health care professional.

Who can evaluate and clear youth athletes? A physician (MD or DO), a certified nurse practitioner, a clinical nurse specialist, certified nurse midwife. For school athletes, a physician’s assistant or licensed athletic trainer may also clear a student. That person may refer the youth to another health care provider for further evaluation.

What is needed for the youth athlete to return to the activity? There must be clearance from the health care provider in writing. This must be given to the coach and school or sports official before return to activity.

All youth athletes and their parents/guardians must view the Ohio Department of Health (ODH) video about Sudden Cardiac Arrest, review the ODH SCA handout and then sign and return this form.

_____________________________________ ___________________________________ Parent/Guardian Signature Student Signature

______________________________________ ____________________________________ Parent/Guardian Name (Print) Student Name (Print) ______________________________________ _______________________________________ Date Date

WAIVER AND RELEASE As a condition to participating in any and all events and activities associated with the Pau Hana Swim Team (“Pau Hana”), including, without limitation, swim practices, swim competitions, sponsored events and transportation to or from any such activities (collectively, “Activities”), the undersigned, acknowledges that the Activities are subject to inherent risks, including, without limitation, the risk of personal injury (or even death) resulting from physical activity, drowning or the contraction of communicable diseases (e.g., COVID-19), and agrees to voluntarily assume any and all such risks. The undersigned believes himself or herself to be fit and capable of participating in the Activities. To the maximum extent permitted by applicable law, the undersigned, on behalf of him or herself and his or her heirs, administrators and estate, hereby voluntarily, irrevocably and forever: (1) releases Pau Hana, its affiliates and its and their current and former coaches, employees, agents, representatives, contractors and anyone else acting on their behalf (collectively, "Released Parties") from any and all liability whatsoever (including, without limitation, for personal injury or death) with respect to the Activities, including, without limitation, any such liability based on whole or in part on the negligence of any Released Party; (2) waives his or her right to sue or make any claim whatsoever against any Released Party for any damages or losses arising out of or in connection with the Activities; (3) agrees never to sue or make any claim against any Released Party for damages or losses suffered in connection with the Activities; and (4) agrees to indemnify and hold each Released Party harmless from any and all claims, demands, suits, damages, expenses, costs, liabilities, judgments, settlements and losses of any and every kind suffered or incurred by any Released Party and arising, directly or indirectly, out of or in connection with the breach of any agreement of the undersigned in clause (1), (2) or (3) of this paragraph. The undersigned acknowledges and agrees that he or she has been advised to seek the approval of his or her personal physician before participating in the Activities, and the undersigned has obtained such approval, has voluntarily decided to ignore his or her physician's advice or has neglected to seek such approval. The undersigned grants Pau Hana all rights to any photographic images and video or audio recordings made by or for Pau Hana during the undersigned’s participation in the Activities, including, without limitation, for the purpose of publishing on the Pau Hana website and social media platforms. If the participant is under the age of 18, this document must be signed on his or her behalf by his or her parent or legal guardian.

WARNING: BY SIGNING THE DOCUMENT, YOU ARE WAIVING YOUR RIGHTS TO SUE OR SEEK DAMAGES FROM PAU HANA AND THE OTHER RELEASED PARTIES IN THE EVENT YOU ARE INJURED WHILE PARTICIPATING IN THE ACTIVITIES.

Name of Participant: Age:

Name of Parent or Guardian:

Street Address:

City, State and Zip Code:

(Please Print Legibly)

Signature:

Date: