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Learn to Swim Welcome Packet
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Gold Medal Swim Club Registration
Form filled out Date and time
Welcome to the Gold Medal Swim Club
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. GMSC swimmers compete in meets which are held Locally, Regionally, Nationally and Internationally. Team information including policies and procedures, schedule, pool locations, and coaches' information can be found on the GMSC
Team Unify
.
GMSC Training Groups
Gold Medal Swim Club Training groups are organized by swimmers age, speed, and commitment level. Swimmers are assigned groups at the coaches' discretion.
GMSS Registration
Please use the form below to register your swimmer(s) with 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. An additional registration via the GMSC
Team Unify
is required for team communication and meet entries.
GMSC Policies
At GMSC, 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.
Athletes' Code of Conduct
Coaches' Code of Conduct
Parents' Code of Conduct
Pool Deck Policy
Electronic Communication Policy
Grievance Procedure
Meet Entry Procedure
Travel Code of Conduct for Athletes
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
Policies and Procedures
MONTHLY MEMBERSHIP FEES:
GMSC families make an annual commitment (swimming year-round) to maintain their position on the team.
Monthly membership fees are billed on the third of every month using the credit card on file with the Gold Medal Swim School. Monthly membership fees are based on your swimmer's enrolled group. GMSC Monthly membership fees do not include tax when applicable. For information on scholarships, including sibling discounts, please send an email request to the GMSC admin
Here
USA SWIMMING REGISTRATION:
To be a member of GMSC, every swimmer must be a USA Swimming registered swimmer. This membership covers the swimmer with liability insurance while at practice, organized events, and swim meets.
The Team collects this fee when a swimmer joins or with the November 1st billing each year for returning swimmers. This annual fee is currently $78.00 for the 2021-2022 season. The USA Swimming annual fee is non-refundable.
ANNUAL REGISTRATION FEE:
The GMSC annual registration fee is automatically charged yearly on August 1st for continuing athletes or upon registration for new or returning athletes. The annual registration fee is currently $150.00 per family for the 2021-2022 season. The annual registration fee is non-refundable.
MEET FEES:
Meet fees are automatically deducted from swimmer's Team Unify account after each meet attended. For USA Swimming sanctioned meets, there is 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 and will be charged on your Team Unify account.
Coaches will have expenses related to travel, food, and potential accommodations paid for at every 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 Gold Medal Swim School to the swim meet driven at $0.56 per mile. Meals are calculated as follows: $45.00 for the day; $11.00 for breakfast, $12.00 for lunch, and $22.00 for dinner.
CANCELLATION:
A thirty-day notice and a meeting with the swimmer’s coach is required to withdraw from Gold Medal Swim Club. Extended breaks in enrollment must be approved in advance by GMSC coaching staff. Cancellations are accepted through 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 Information
First Name
*
Last Name
*
Email Address
*
Phone
*
Street Address
*
City
*
State
*
Arizona
Alabama
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
*
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Would you like to add another student?
Yes
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-shirt size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Would you like to add another student?
Yes
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-shirt size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Medical Information
Insurance Company Name
*
Subscriber's Name
*
Policy Number
*
Group Number
*
Primary Care Physician's Name
*
Primary Care Physician's Phone
*
Medical conditions or allergies Gold Medal Swim Club's staff should be aware of?
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)
Credit Card Information
Gold Medal Swim Club charges monthly fees to the credit card on file. Monthly tuition will vary according to the swimmer's level and practice schedule. If you would like to provide your credit card information at this time, please enter the card number, expiration date, and CVV code below. Otherwise, please contact Gold Medal Swim School to submit your credit card information over the phone.
NOTE:
Cancellation of automatic billing requires a thirty-day advanced notice and must be made through the Gold Medal Swim School Cancellation Request form.
Credit Card
Expiration Date
CVV
Thank you for your interest in the Gold Medal Swim Club.
Please click SUBMIT below to complete your submission.
We look forward to seeing you around the pool!
Form filled out Date and time
Welcome to the Gold Medal Swim Club
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. GMSC swimmers compete in meets which are held Locally, Regionally, Nationally and Internationally. Team information including policies and procedures, schedule, pool locations, and coaches' information can be found on the GMSC
Team Unify
.
GMSC Training Groups
Gold Medal Swim Club Training groups are organized by swimmers age, speed, and commitment level. Swimmers are assigned groups at the coaches' discretion.
GMSS Registration
Please use the form below to register your swimmer(s) with 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. An additional registration via the GMSC
Team Unify
is required for team communication and meet entries.
GMSC Policies
At GMSC, 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.
Athletes' Code of Conduct
Coaches' Code of Conduct
Parents' Code of Conduct
Pool Deck Policy
Electronic Communication Policy
Grievance Procedure
Meet Entry Procedure
Travel Code of Conduct for Athletes
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
Policies and Procedures
MONTHLY MEMBERSHIP FEES:
GMSC families make an annual commitment (swimming year-round) to maintain their position on the team.
Monthly membership fees are billed on the third of every month using the credit card on file with the Gold Medal Swim School. Monthly membership fees are based on your swimmer's enrolled group. GMSC Monthly membership fees do not include tax when applicable. For information on scholarships, including sibling discounts, please send an email request to the GMSC admin
Here
USA SWIMMING REGISTRATION:
To be a member of GMSC, every swimmer must be a USA Swimming registered swimmer. This membership covers the swimmer with liability insurance while at practice, organized events, and swim meets.
The Team collects this fee when a swimmer joins or with the November 1st billing each year for returning swimmers. This annual fee is currently $78.00 for the 2021-2022 season. The USA Swimming annual fee is non-refundable.
ANNUAL REGISTRATION FEE:
The GMSC annual registration fee is automatically charged yearly on August 1st for continuing athletes or upon registration for new or returning athletes. The annual registration fee is currently $150.00 per family for the 2021-2022 season. The annual registration fee is non-refundable.
MEET FEES:
Meet fees are automatically deducted from swimmer's Team Unify account after each meet attended. For USA Swimming sanctioned meets, there is 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 and will be charged on your Team Unify account.
Coaches will have expenses related to travel, food, and potential accommodations paid for at every 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 Gold Medal Swim School to the swim meet driven at $0.56 per mile. Meals are calculated as follows: $45.00 for the day; $11.00 for breakfast, $12.00 for lunch, and $22.00 for dinner.
CANCELLATION:
A thirty-day notice and a meeting with the swimmer’s coach is required to withdraw from Gold Medal Swim Club. Extended breaks in enrollment must be approved in advance by GMSC coaching staff. Cancellations are accepted through 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 Information
First Name
*
Last Name
*
Email Address
*
Phone
*
Street Address
*
City
*
State
*
Arizona
Alabama
Alaska
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
Zip Code
*
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-Shirt Size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Would you like to add another student?
Yes
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-shirt size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Would you like to add another student?
Yes
Student Information
First Name
*
Last Name
*
Gender
*
Please Select
Female
Male
Date of Birth
*
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Year
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Registration Group
*
Please Select
Age Group One - for age group: 11-14
Age Group Two - for age group: 9-12
Blue - for age group: 11-14
Senior One - for age group: 14-18
Senior Two - for age group: 14-18
Senior Three - for age group: 14-18
Registration Group descriptions
Has your swimmer or other family member, currently or previously, enrolled in lessons at the Gold Medal Swim School?
*
Please Select
Yes
No
Is your swimmer currently a registered USA Swimming club member?
*
Please Select
Yes
No
T-shirt size
Please Select
Youth Small
Youth Medium
Youth Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large
Medical Information
Insurance Company Name
*
Subscriber's Name
*
Policy Number
*
Group Number
*
Primary Care Physician's Name
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Primary Care Physician's Phone
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Medical conditions or allergies Gold Medal Swim Club's staff should be aware of?
Emergency Contact Name
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Relationship to Swimmer(s)
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Phone Number
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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)
Credit Card Information
Gold Medal Swim Club charges monthly fees to the credit card on file. Monthly tuition will vary according to the swimmer's level and practice schedule. If you would like to provide your credit card information at this time, please enter the card number, expiration date, and CVV code below. Otherwise, please contact Gold Medal Swim School to submit your credit card information over the phone.
NOTE:
Cancellation of automatic billing requires a thirty-day advanced notice and must be made through the Gold Medal Swim School Cancellation Request form.
Credit Card
Expiration Date
CVV
Thank you for your interest in the Gold Medal Swim Club.
Please click SUBMIT below to complete your submission.
We look forward to seeing you around the pool!
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Coaching Staff
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