Gold Medal Swim Club

10 and under

Four practices a week minimum
Additional dryland
Achieved AZ Junior Olympic qualifying times
Attend all scheduled meets
Able to complete the following sets: 5x100 free on 2:00, 5x100 IM on 2:30, and 300 kick under 7:30

11-12

Five practices a week minimum
Additional Dryland 2-3 times per week
Achieved a minimum A Standard -AZ Junior Olympic qualifying times
Attend all scheduled meets
10x100 free on 1:45, 5x200 IM on 3:30, and 300 kick under 6:00

13 and older

Six practices a week minimum
Additional dryland 2-3 times per week
Achieve times that would place top eight at the Arizona Junior Olympics
Attend all scheduled meets
Show the potential through technique and work ethic to achieve Arizona State time standards
10x100 free on 1:30, 5x200 IM on 3:15, and 300 kick under 5:30

Gold Medal Swim Club New

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Form filled out Date and time

Acknowledgement of Minimum Requirements(Required)

I have read and understand the minimum requirements necessary for GMSC.

My child meets the minimum time standard requirements for their age group.

Parent/Guardian

First Name(Required)

Last Name(Required)

Email Address(Required)

Phone(Required)

Street Address(Required)

City(Required)

State(Required)

Zip Code(Required)

Swimmer

First Name(Required)

Last Name(Required)

Gender(Required)

Age(Required)

Has your swimmer ever been enrolled in lessons at the Gold Medal Swim School?(Required)

Is your swimmer currently a registered USA Swimming member?(Required)

Is your swimmer passionate about high-level swimming and willing to commit to 5-6 days of practice per week?(Required)

May we contact your swimmer's current/former coach?(Required)

Current/Former Club Team Name(Required)

Coach's Name and Contact Information(Required)

Reason for Leaving Current/Former Club(Required)

Please give a brief explanation of the circumstances that precipitated this decision to change clubs and what conditions would best serve your swimmer.

Swimmer's Best Times and Events(Required)

Please list your swimmer's best times and events, indicating whether they are long course meters (LCM) or short course yards (SCY) times. "LCM" is competition in a 50 meter, Olympic distance pool. "SCY" is competition in a 25 yard pool, typical of summer leagues, pre-competitive competition, and high school swimming.

Swimmer's Best Times and Events(Required)

Thank you for your interest in Gold Medal Swim Club! Please click Submit below to forward your contact and swimmer(s) information to a Gold Medal Swim School staff member who will contact you to determine your swimmer's level and discuss training times and options with you. We look forward to seeing you around the pool!

Thank you for your interest in Gold Medal Swim Club! We encourage swimmers who are younger than age 9 to enroll in one of Gold Medal Swim School's Swim Teams. These Swim Teams will meet either one, two, three, or four times per week depending on the swimmer's ability and commitment level. Our pre-competitive swim programs offer a continuation of our Learn To Swim Core Values in a positive environment while increasing intensity, endurance capacity, and focus on racing FAST, helping to prepare young swimmers for the transition to club swimming.

Please click Submit below to forward your contact and swimmer(s) information to a Gold Medal Swim School staff member who will contact you to determine your swimmer's optimal level and discuss training times and options with you. We look forward to seeing you around the pool!

Great! We strongly encourage swimmers to deepen their love of swimming and better assess their level of commitment by first enrolling in one of Gold Medal Swim School's Pre-Competitive Swim Teams. These Swim Teams meet up to four times per week, depending on the swimmer's ability and commitment level. Our pre-competitive swim programs offer a continuation of our Learn To Swim Core Values in a positive environment while increasing the intensity, endurance capacity, and focus on racing FAST, helping to prepare young swimmers for the transition to club swimming.

Please click Submit below to forward your contact and swimmer(s) information to a Gold Medal Swim School staff member who will contact you to determine your swimmer's optimal level and discuss training times and options with you. We look forward to seeing you around the pool.

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Swimmer's Best Times and Events(Required)

If your swimmer is 9 and older please list your swimmer's best times and events, indicating whether they are long course meters or short course yards times, if they wish to be considered for Gold Medal Swim Club.

Would you like to add another student?

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Would you like to add another student?

Yes

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Student

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Last Name(Required)

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Gender(Required)

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Swimmer's Best Times and Events(Required)

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Form filled out Date and time
WELCOME TO THE GOLD MEDAL SWIM CLUB

The Gold Medal Swim Club (GMSC) is a year-round, competitive swim team offering a professional, multi-leveled, and tailored swim program to meet the needs of each and every swimmer. We emphasize fundamental skills, physical conditioning, productive work habits, character growth, healthy competition, and most of all - enjoyment. Training Groups are organized by swimmers' age, speed, and commitment level. Swimmers are assigned groups at the coaches' discretion. GMSC swimmers compete in meets held Locally, Regionally, Nationally, and Internationally. Team information including policies and procedures, schedule, pool locations, and coaches' information can be found year-round on the Gold Medal Swim Club Team Unify website.

Gold Medal Swim Club Registration

NEW! Registration for the Gold Medal Swim Club is now a three-step process. First, you'll need to register your swimmer with USA swimming. This step is required to proceed with the form. Next, you'll create/confirm your account through the GMSC Team Unify. Lastly, you'll complete this registration form for the Gold Medal Swim Club via the Gold Medal Swim School.

STEP ONE: REGISTER WITH USA SWIMMING. Starting September 1st, 2022, USA Swimming is requiring all families to register/renew their USA Swimming membership online through their website. Membership fees will be collected by USA Swimming at the time of registration. If you have questions regarding how to register or renew your membership, please refer to USA Swimming's Navigating Online Membership Registration page. If you are transferring from a different USA Swimming registered club, you'll need to complete the Club Transfer form with Arizona Swimming. Under Online Services, click Athlete Transfer. Follow the prompts and pay the transfer fee. The GMSC club code is GM.
Swimmer's Legal Name*
USA Swimming Member ID*
- Add a Swimmer
Swimmer's Legal Name*
USA Swimming Member ID*
- Add a Swimmer
Swimmer's Legal Name*
USA Swimming Member ID*
- Add a Swimmer
Swimmer's Legal Name*
USA Swimming Member ID*
*
- I have completed the USA Swimming Registration/Renewal for my swimmer(s) and, if applicable, the club transfer form.

STEP TWO: REGISTER WITH GMSC TEAM UNIFY. Creating/Confirming your account via the Gold Medal Swim Club Team Unify is required for team communication and meet entries for ALL existing members and new members. Your Team Unify account allows you to declare for swim meets, sign-up for jobs, see your swimmer's swim times history, maintain your own contact information, and more.
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- I have created/confirmed my GMSC account via the Gold Medal Swim Club Team Unify website.

STEP THREE: REGISTER WITH GOLD MEDAL SWIM CLUB. Please continue with this form to register your swimmer(s) with the Gold Medal Swim Club via the Gold Medal Swim School. All enrollment, billing, and cancellation is processed through the Gold Medal Swim School. All information entered below is secure and will be used to process registrations and payment through the Gold Medal Swim School's secure billing system. A GMSC Registration is required upon enrollment and at each registration renewal.

Gold Medal Swim Club Policies

At the Gold Medal Swim Club, we believe that clear communication of our policies and procedures allows us to best protect athletes and ensure they are able to achieve their goals. In order to serve our community of athletes, parents, and coaches, as well as align with the rules and guidelines of USA Swimming, we have created numerous policies. Please read through each policy and electronically sign below before completing your GMSC registration. Your acknowledgement of your receipt of these documents, your responsibility to read these documents, and your consent to comply with the terms and conditions contained therein are required to move forward with club registration.
Please check each box upon reading its corresponding Gold Medal Swim Club Policy.*

Athletes' Code of Conduct
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Coaches' Code of Conduct
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Parents' Code of Conduct
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Pool Deck Policy
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Electronic Communication Policy
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Grievance Procedure
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Meet Entry Procedure
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Travel Code of Conduct for Athletes
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Travel Code of Conduct for Chaperones
*
Weightlifting Policy
*
Photo Release
Parent/Guardian Consent

I have read the above documents with my swimmer(s). On behalf of myself and my minor children, my printed name below acknowledges our responsibility to comply with the policies contained therein.
Parent/Guardian's Name Signed Below is Required to Proceed
Parent/Guardian's Name Signed Below is Required to Proceed

Gold Medal Swim Club Policies and Procedures
MONTHLY MEMBERSHIP FEES: Gold Medal Swim Club families make an annual commitment (swimming year-round) to maintain their position on the team. Monthly membership fees are based on your swimmer's enrolled group and do not include tax, when applicable. Monthly membership fees are billed on the third of each month using the card on file with the Gold Medal Swim School. If you need to update your card on file for any reason, please contact the Gold Medal Swim School at (480) 961-SWIM (7946). For information on scholarships, please email the GMSC admin HERE.

USA SWIMMING REGISTRATION: To obtain and maintain membership with GMSC, each swimmer must have an active membership with USA Swimming. This membership covers the swimmer with liability insurance while at practice, organized events, and swim meets.

ANNUAL REGISTRATION FEE: The GMSC annual registration fee is automatically charged yearly on August 3rd (September 3rd for the 2022-2023 season) for continuing athletes or upon registration for new or returning athletes. The annual registration fee is currently $150.00 per family for the 2022-2023 season. The annual registration fee is non-refundable.

MEET FEES: Meet fees will be charged to the card on file with the Gold Medal Swim School after each meet attended. A detailed breakdown of charges will be sent to the email address on file at the Gold Medal Swim School in efforts to give as much notice as possible prior to billing. Please allow us extra time to process out-of-state meet charges as they can take longer to finalize in comparison to in-state meet charges.

USA Swimming sanctioned meets will charge an individual event fee plus a LSC surcharge per swimmer. Individual event fees range from $3.00 to $7.50 per event depending on the type of meet (non-time standard, A-B-C meet, or championship meets). The current AZ Swimming LSC fee is $8.00 per swimmer. All relay fees are paid by the swimmers participating in the relays.

Coaches' expenses related to travel, food, and any accommodations will be paid for at each meet GMSC attends. Each swimmer attending the meet will be billed a pro-rated amount of the total overall coaching expenses. Coaches are reimbursed for mileage, daily per diem, and accommodations. Mileage is calculated from distance driven from Gold Medal Swim School to the swim meet at $0.56 per mile. Meals are calculated as follows: $45.00 for each day; $11.00 for breakfast, $12.00 for lunch, and $22.00 for dinner.

CANCELLATION: A mandatory thirty-day notice and a meeting with the swimmer’s coach is required to withdraw from the Gold Medal Swim Club. Extended breaks in enrollment must be approved in advance by GMSC coaching staff. Cancellation must be submitted through the CANCELLATION REQUEST form via the Gold Medal Swim School. Enrollment with GMSC cannot be ceased without the completion of the Cancellation Request form.
Parent/Guardian Acknowledgement

Gold Medal Swim Club's monthly fees, registration fees, meet fees, and cancellation policies have been explained to me. My printed name below acknowledges my responsibility to pay all applicable fees and, in the event of cancellation, give appropriate notice.
Parent/Guardian's Name Signed Below is Required to Proceed
Parent/Guardian's Name Signed Below is Required to Proceed

Parent/Guardian Information
First Name*
Last Name*
Phone*
Please do not enter a country code of "+1"
Uh-oh! Please remove the country code from your phone number.
Email Address*
An automatic reply will be sent to this email.
Street Address*
Please include a unit number, if applicable.
City*
State*
Zip Code*
Student Information
First Name*
Last Name*
Preferred Name (optional)
Gender*
Date of Birth*
Team Selection*
T-Shirt Size*
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HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
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HIDDEN Is your swimmer currently a registered USA Swimming club member?
Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*
Please describe here.
Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*
Please describe here.
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Would you like to add another student?
- Yes
Student Information
First Name*
Last Name*
Preferred Name (optional)
Gender*
Date of Birth*
Team Selection*
T-Shirt Size*
Hidden
HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
Hidden
HIDDEN Is your swimmer currently a registered USA Swimming club member?
Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*
Please describe here.
Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*
Please describe here.
Hidden
Would you like to add another student?
- Yes
Student Information
First Name*
Last Name*
Preferred Name (optional)
Gender*
Date of Birth*
Team Selection*
T-Shirt Size*
Hidden
HIDDEN Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
Hidden
HIDDEN Is your swimmer currently a registered USA Swimming club member?
Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*
Please describe here.
Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*
Please describe here.
Student Information
First Name*
Last Name*
Preferred Name (optional)
Gender*
Date of Birth*
Team Selection*
T-Shirt Size*
Allergies the GMSC staff should be aware of? (i.e. food, seasonal, medications, etc?)*
Please describe here.
Medical condition(s)/medication(s) (i.e. inhaler) the GMSC staff should be aware of?*
Please describe here.

Health Insurance Information
Insurance Company Name*
Subscriber's Name*
Policy Number*
Group Number*
Primary Care Physician Information
Primary Care Physician's Name*
Primary Care Physician's Practice*
Primary Care Physician's Phone*
Emergency Contact Information

Please designate an Emergency Contact IN THE EVENT YOU CANNOT BE REACHED.
This contact must be an adult 18 years of age or older and cannot be the contact listed on the previous page.
Emergency Contact Name*
Relationship to Swimmer(s)*
Phone Number*
Parent/Guardian Medical Release

I hereby give my permission for any and all medical attention to be administered to my child, in the event of an accident, injury, or sickness under the direction of the person listed below until such time as I may be contacted. This release is effective until revoked by me. I also hereby assume the responsibility for payment of any such medical treatment. In case I cannot be reached, any of the following are designated to approve such treatment: Any Member of the Gold Medal Swim Club Coaching Staff or person designated by the Coaching Staff.
Parent/Guardian's Name (Required)
Parent/Guardian's Name (Required)
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HIDDEN Medical conditions or allergies Gold Medal Swim Club's staff should be aware of?

Credit Card Information

Gold Medal Swim Club charges registration, monthly, and meet fees to the debit or credit card on file (VISA or Mastercard). The annual registration fee is currently $150.00 per family for the 2022-2023 season. The annual registration fee is non-refundable. Monthly tuition will vary according to the swimmer's level and practice schedule. Meet fees will vary, as well, but a breakdown of charges will be emailed to the email address on file in order to provide as much advanced notice as possible. USA Swimming membership fees are now collected through USA Swimming.

If you currently have a valid card on file at the Gold Medal Swim School, please proceed with submission of this form.

If you would like to provide your credit card information at this time, please enter the card information below for either a VISA or Mastercard. Otherwise, please contact Gold Medal Swim School promptly to submit your credit card information over the phone at (480) 961-7946 (SWIM) or in person at Gold Medal Swim School, located at 6909 West Ray Road #27, Chandler, AZ 85226. NOTE: Cancellation of automatic billing requires a thirty-day advanced notice and must be made through the Gold Medal Swim School Cancellation Request form.
Card Type
Cardholder Name
Credit Card Number
Expiration Date
CVV
ZIP Code
Please click SUBMIT below to complete your Gold Medal Swim Club Registration.

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(480) 961-7946 (SWIM)

Gold Medal Swim School
6909 West Ray Road #27,
Chandler, AZ 85226

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Hours

Monday – Thursday
8:30 AM – 9:00 PM
Friday
8:30 AM – 8:15 PM
Saturday
6:15 AM – 3:30 PM
Sunday
8:30 AM – 8:00 PM

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Gold Medal Swim Club

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WELCOME TO THE GOLD MEDAL SWIM CLUB

Gold Medal Swim Club Registration

Gold Medal Swim Club Policies

Parent/Guardian Consent

Gold Medal Swim Club Policies and Procedures

Parent/Guardian Acknowledgement

Parent/Guardian Information

Student Information

Student Information

Student Information

Student Information

Health Insurance Information

Primary Care Physician Information

Emergency Contact Information

Parent/Guardian Medical Release

Credit Card Information

Location

(480) 961-7946 (SWIM)

Hours

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