NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

APPENDIX

Forms and information provided in the appendix should be considered ORIGINALS. Please make copies before using them.

Rules of Ethical Conduct A1

Competitive Checklist A2a,b

Membership Application A3

Club Record Sheet A4

Meet Bid Form A5

Coach Sign-In Sheet A6

Certificate of Insurance Request Form A7a,b,c,d

USA Gymnastics Sanction Request Form A8

USA Gymnastics Sanction Report Form A9

USA Gymnastics Competition Entry Form A10

USA Gymnastics Score Inquiry Form A11

Competition Budget Statement (Zone and Sectional) A12

Competition Budget Statement (State) A13

Competition Financial Statement (Zone and Sectional) A14

Competition Financial Statement (State) A15

William. E. Glover Scholarship Description A16

James Wallace Memorial Award Description A17

Holly Balber-Kemp Memorial Award Description A18

Zone Representative Job Description A19

How to Get Judges A20

Request for Judges A21a,b,c,d

Injury Petition A22

Gymnast Change of Club Form A23

Meet Result Form A24

Team Meet Result Form A25

NorCal Map Directory Form A26

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

NOR-CAL COMPETITIVE CHECKLIST

See NOR-CAL Roster for names and addresses of NOR-CAL/USA Gymnastics Officials listed.

TO REGISTER GYMNASTS (August 1st through August 31st)

q Register all your competitive gymnasts with the USA Gymnastics Athlete Membership Program (Call 1- 800-345-4719 for forms & info.).

q LEVEL 5 q LEVEL 6 q LEVEL 7 q LEVEL 8 q LEVEL 9 q LEVEL 10 q ELITE

q Mail a Club Record Sheet to your Zone Representative for each level in which your club is competing. List all names and USA Gymnastics numbers. Send a check made out to NOR-CAL for the amount of $5.00 multiplied by the number of athletes you are registering. This also is to be sent to the Zone Representative. This covers the second portion of your club's membership fee.

q LEVEL 5 q LEVEL 6 q LEVEL 7 q LEVEL 8 q LEVEL 9 q LEVEL 10 q ELITE

TO REGISTER A CLUB (Due August 31st)

q Fill out a NOR-CAL Club Registration Form and mail with check to: NOR-CAL REASURER

Bill Strom

300 Piedmont Ave. Ste. 604

San Bruno, CA 94066-3906

WHEN HOSTING MEETS

q Mail in a USA Gymnastics SANCTION REQUEST FORM (one for each meet), with $15.00 per meet sanction (or apply under a "Blanket Sanction of up to 10 meets for $60.00)--at least 30 days before the meet. Send this to:

USA Gymnastics Sanctions

P.O. Box 5516

Indianapolis, IN 46225-5516

q Mail copy of SANCTION FORM to:

q Zone Representative and q Zone Judging Director

q Fill out MEET DIRECTOR'S CONTRACT (ZONE level and above), and mail with Judges Finders fee, with Sanction Request copy, to:

Below State level: LOCAL NAWGJ JUDGING ASSIGNER

State level: STATE JUDGING DIRECTOR & USA Gymnastics/WC STATE CHAIRMAN

Toni Cupal Fran Earles

210 Alta Vista Ave. 2029 Seascape Blvd

Los Altos, CA 94022 Aptos, CA 95003

q Fill out MEET ENTRY FORM, and mail to participating clubs, NOR-CAL CHAIRMAN AND USA Gymnastics/WC STATE CHAIRMAN.

A2a

q Mail Entry Form (ZONE Level and above) to:

Robert Shawler Fran Earles

4883 Davenport Place 2029 Seascape Blvd.

Fremont, CA 94538 Aptos, CA 95003

q Order Awards (for Zone Championship through State)

NOR-CAL Awards Chairman

Dominique "Dinko" Pajita

3309 Tanbrook Drive, Sacramento, CA 95864

Home: (916) 979-0151 Work: (916) 383-1778

q Verify Judging assignments with Zone Judging Director.

q Have USA Gymnastics SANCTION REPORT FORM and OFFICIAL NOR-CAL MEET RESULT FORM(S) signed by every judge immediately following the meet.

q Have USA Gymnastics COACH SIGN-IN FORM signed by every coach at every coaches meeting.

POST-MEET

q Mail Meet Results at end of meet to each Participating Club (within -3- days if preliminary)

q Mail USA Gymnastics/WC SANCTION REPORT FORM-within 24 hours to:

USA Gymnastics Sanctions USA Gymnastics STATE DIRECTOR

Pan American Plaza Fran Earles

201 S. Capitol, Ste. 300 2029 Seascape Blvd

Indianapolis, IN 46225 Aptos, CA 95003

q Mail Meet Results - with Sanction Report copy to:

q YOUR ZONE REPRESENTATIVE

q ZONE REPRESENTATIVES FOR OTHER CLUBS FROM OTHER ZONE(S)

q USA Gymnastics/WC STATE CHAIRMAN

Fran Earles

2029 Seascape Blvd

Aptos, CA 95003

q Mail FINANCIAL STATEMENT (not required if preliminary) to:

NOR-CAL CHAIRMAN NOR-CAL TREASURER USA GYMNASTICS STATE CHAIRMAN

Robert Shawler Bill Strom Fran Earles

4883 Davenport Place 300 Piedmont Ave, Ste. 604 2029 Seascape Blvd.

Fremont, CA 94538 San Bruno, CA 94066-3906 Fremont, CA 94538

AND YOUR ZONE REPRESENTATIVE (Zone Championship only)

q Mail a check for the awards, within 10 days, to:

NOR-CAL AWARDS CHAIRMAN

Dominique Pajita

3309 Tanbrook

Sacramento, CA 95864

A2b

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

MEMBERSHIP APPLICATION

1998-99

FULL VOTING MEMBERSHIP (competing club membership)

q $100.00 if paid on or before August 31. In addition to the $100.00 per club fee a $5.00 per competitive gymnast fee is mailed to the Zone Representative before the gymnast begins competition.

Add a $25.00 late fee if paid after August 31 (not applicable for new members)

NON-VOTING APPRENTICE MEMBERSHIP

q $50.00 for new clubs with ten or fewer competitors. No voting rights. (can be upgraded to a FULL VOTING MEMBERSHIP by a $50.00 payment within the same fiscal year plus $5.00 per competitive athlete. This privilege is for new members only)

NON-VOTING ASSOCIATE MEMBERSHIP

q $30.00 (can be upgraded to a FULL VOTING MEMBERSHIP by a $70.00 payment within the same fiscal year plus $5.00 per competitive athlete. This privilege is for new members only)

PLEASE TYPE OR PRINT ALL INFORMATION CLEARLY.

NAME OF INDIVIDUAL: _________________________________________ TITLE: ____________________

CLUB NAME OR AFFILIATION: _____________________________________________________________

MAILING ADDRESS: ___________________________________________________ ZONE: _____________

(This address will be used for NCWGA mailings and printed in the Roster)

CITY: _____________________________________________ STATE: _______ ZIP: ____________________

COUNTY: ________________________ WORK PHONE (e.g. gym phone): (_____)_____________________

HOME PHONE: (_____)______________________ FAX NUMBER: (_____)___________________________

E-MAIL ADDRESS: __________________________ WEB SITE URL: ________________________________

GYM ADDRESS (if different): ____________________________________________________________

CITY: _________________________________________ STATE: ________ ZIP: _______________________

Only one set of mailings will be sent per membership. Assistant coaches and/or parent club members wishing their own copy of NCWGA material are encouraged to become an ASSOCIATE MEMBER.

I will abide by the rules in the NOR-CAL Handbook and the rules adopted by the membership.

______________________________________ _________________________________

Signature of Applicant Print Name

$__________ Amount enclosed. Make the check payable to: NOR-CAL, attach this application, and mail it to :

NCWGA Treasurer

Bill Strom

c/o Gymtowne Gymnastics

300 Piedmont Avenue, Suite 604

San Bruno, CA 94066-3906

PLEASE ESTIMATE YOUR NUMBER OF COMPETITORS FOR THIS YEAR SO WE CAN PLAN FOR THE UPCOMING COMPETITION SEASON.

LEVEL 5:____ LEVEL 6 ____ LEVEL 7:____ LEVEL 8:____ LEVEL 9:____ LEVEL 10:____ ELITE:___

DATE RECEIVED: ____________________

MEET DIRECTOR'S CONTRACT

NCAWGJ

NAME OF THE MEET:

TYPE OF MEET (circle): Level 5 Level 6 Level 7 Level 8 Level 9 Level 10

DATE(S) OF MEET: _________________ REPORTING TIME(S): _______ MEET TIME(S): _______

NUMBER OF DAY(S): ______ NUMBER OF SESSION(S) PER DAY: ______ NO. OF GYMNAST ______

LOCATION (ADDRESS) OF THE MEET AND DIRECTIONS:

NUMBER OF JUDGES: _______ JUDGING FEE PER SESSION: ELITE $____ LEVEL 10 $____

LEVEL 9 $____ LEVEL 8 $____ COMPULSORY ONLY $____ MEET REFEREE: ACTING YES / NO

ARRANGEMENTS FOR LODGING AND MEALS:

TRAVEL SHALL BE COMPENSATED AT $.31 PER MILE PER VEHICLE. IN CASES

WHERE AIRFARE AND/OR RENTAL CARS ARE INVOLVED, REIMBURSEMENT OF THE

ACTUAL COST SHALL OCCUR.

AIRPORT TRANSPORTATION:

COMMENTS:

JUDGES TRANSPORTATION DURING THE MEET:

WHERE AND TO WHOM SHOULD THEY REPORT?

JUDGES MEETINGS:

OTHER RELATED EVENTS JUDGES SHOULD ATTEND:

MISCELLANEOUS:

MEET DIRECTOR: ________________________ ASSIGNING OFFICIAL ______________________

ADDRESS: _______________________________ ADDRESS: _________________________________

PHONE: work ___________________________ PHONE: work ___________________________

home ___________________________ home ___________________________

BEST TIMES TO CALL:

I understand that this information will be used in filling out NCAWGJ judges contracts and I hereby guarantee that, barring unforeseen circumstances beyond my control, judges for the ______________________ meet will be receiving the above mentioned fees and services.

___________________________________

(meet director)

MAIL ONE COPY TO THE ASSIGNING OFFICIAL FOR ALL COMPETITIONS 30 DAYS PRIOR TO THE COMPETION. A5

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

ZONE AND SECTIONAL MEET BUDGET STATEMENT

HOST CLUB: _________________________________ MEET DATE(S): ___________________________

COMPETITION SITE: ___________________________________________________________________

LEVEL(S): _________ ZONE(S):__________ MEET NAME: ______________________

Participants by age group:

CH ____ JR ____ SR ____ TOTAL PARTICIPANTS _____ # OF TEAMS ____

EXPENSES

Facility (own = $200/day, Outside facility = actual--approval req'd if over $500/day) $_______

Meet Director's Honor. ($1.50/gymn. Min: $75.) $_______

Judging Fees and expenses (Budget $450.00 per session): $_______

Judges Finder's Fee ($3.00 per judge) $_______

USA Gymnastics Sanction Fee $15.00

State Subsidy ($2.00 X Total Participants - Send to USA Gymnastics State Chairman) $_______

State Teams Subsidy ($2.00 X Total Participants - Send to Nor Cal Treasurer) $_______

Operations (max $200) $_______

Awards (individual)(Call Nor Cal Awards Chairman for an estimate) $_______

Awards (team).......$_______ (accounted separately--see below)

Pre-approved expenses (list): $_______

(must be approved by USA Gymnastics & Nor Cal Chairman) $_______

TOTAL EXPENSES $_______

CALCULATION OF INDIVIDUAL ENTRY FEE

(TOTAL EXPENSES $_______ / TOTAL PARTICIPANTS _____) = $_______ + $2.00 = $________

CALCULATION OF TEAM ENTRY FEE

TEAM AWARDS EXPENSE $_______ / # OF TEAMS _______ = $________

PLEASE NOTE THAT T-SHIRTS, PARTICIPANT RIBBONS, DECORATIONS, BANNERS,

FLOWERS FOR OFFICIALS, GYMNASTS, ETC. ARE NOT AN ALLOWABLE EXPENSE.

Telephone, Announcer, Postage, Computer, Custodial, and Supplies are now covered

under the "Operational Expense" line item

For future evaluation, please list on the back of this report, items you feel should be an

allowable expense. Thank you.

Signature of Meet Director ________________________Phone (____)________

Mail a copy of this report NO LATER THAN ONE MONTH AFTER RECEIVING THE MEET BID to:

the NOR-CAL CHAIRMAN, the USAG STATE CHAIRMAN, the NOR-CAL TREASURER, and your

ZONE REPRESENTATIVE (Zone Rep. for Zone Championship only)

Date mailed:_____________ Date received:_____________

A12

WILLIAM E. GLOVER MEMORIAL SCHOLARSHIP FUND

The Northern California Women's Gymnastics Association will offer up to two scholarships totaling $600 each year to graduating high school or full time college students. Application and awarding of the scholarships will be governed by the following:

1. Proposed recipients must be active, competing gymnasts enrolled as a regular member of Voting Member Clubs of the NCWGA for at least two years. Recipients must actively participate in regularly scheduled NCWGA meets at either the Level 5, 6, 7, 8, 9, 10, or Elite levels. Gymnasts do not have to remain in their club if going away to college to be eligible.

2. Recipients must be enrolled, or have applied to a college, University, or Community College as a full time student.

3. Any coach interested in submitting gymnast's name for consideration must submit a resume outlining her competitive experience with the club, any special contributions she has made to her club and the sport, her scholastic record (average Junior and Senior year, or college scholastic average and latest Grade Point Average), and a statement concerning her character traits.

4. Resumes may include, in addition to the coach's evaluation, statements or letters from teachers, parents, other coaches, etc. The resumes should also include a written statement from the proposed recipient indicating her plans for higher education and future involvement in gymnastics.

5. The official nominating letter for each nominee must be sent to each member, the complete resume must be sent to each Zone Representative and members are encouraged to contact their Zone Representative for more information.

6. All resumes must be submitted by March 1 to the NOR-CAL Chairman.

7. The NOR-CAL Executive Board will review the nominations and resumes and a recipient will be determined who shall be awarded a plaque, flowers, and a $600.00 scholarship. In the case of a tie, the financial scholarship award would be divided evenly by the recipients.

8. Each year at the Level 10 State Championships, the recipient(s) will receive the scholarship monies, plus a decorative plaque engraved "William E. Glover Memorial Scholarship...Presented this day (date and year)...To (recipient's name)...By the Northern California Women's Gymnastics Association." The parents of Mr. Glover will be notified yearly by the NCWGA Chairman, after the awarding of the scholarship(s).

A16

JAMES WALLACE MEMORIAL AWARD

The Northern California Women's Gymnastics Association will offer the James Wallace Memorial Award for outstanding contributions to the sport of gymnastics through goodwill and the support of others. This award will be governed by the following:

1. Proposed recipients must be active coach of one of the Voting Member Clubs of the NCWGA. Recipients must have been a member of NCWGA clubs for no less than three (3) years, and must have actively coached in regularly scheduled NCWGA meets at either the Level 5, 6, 7, 8, 9, 10, or Elite levels.

2. Nominations should be in a letter form and should contain the coach's contributions to his or her club and the sport of gymnastics. Also included in this letter should be statements concerning the character traits relating to: sportsmanship, helpfulness--goodwill toward others, positively, and a genuine concern for others.

3. The nominator shall also secure two additional letters of recommendation from other members of the gymnastics community (e.g. coaches, judges, parents, athletes, etc.)

4. All nominations must be received by the NOR-CAL Chairman no later than May 1.

5. The NOR-CAL Executive Board will review all nominations, will review all background information and will then select the best candidate for each award.

6. A plaque will be presented at the June Awards Luncheon each year to the recipient of the James Wallace Memorial Award. The plaque will be engraved:

James Wallace Memorial Award

Presented This Day (Date and Year)

To (recipient's name)

By The Northern California Women's Gymnastics Association

For Your Outstanding Contribution To The Sport Of Gymnastics

Through Goodwill And The Support Of Others

A17

HOLLY BALBER-KEMP MEMORIAL AWARD

1. The Holly Balber-Kemp Memorial Award is presented each year to an athlete who was outstanding during the current season both in performance and sportsmanship (performance can be rated by either improvement or achievement). The athlete does NOT have to be a high school senior.

2. Proposed recipients must be active, competing gymnasts enrolled as a regular member of one of the Voting Member Clubs of the NCWGA. Recipients must have been a member of their particular club for no less than two (2) years, and actively participate in regularly scheduled NCWGA meets at either Level 9, 10, or Elite.

3. Any coach interested in submitting a gymnast for consideration must submit a resume outlining her competitive experience with the club, any special contributions she has made to her club and the sport, and a statement concerning her character traits inclusive of: sportsmanship, attitude, dedication, perseverance, concern for others, and goodwill toward teammates and other gymnasts.

4. The nominator shall also secure two additional letters of recommendation from other members of the gymnastics community (e.g. coaches, judges, parents, athletes, etc.)

5. All nominations must be received by the NOR-CAL Chairman no later than March 1st.

6. The NOR-CAL Executive Board will review all nominations, will review all background information and will then select the best candidate for each award.

7. A plaque will be presented at the respective state meet during the awards ceremony. The plaque will be engraved:

Holly Balber-Kemp Memorial Award

Presented This Day (Date and Year)

To (recipients name)

By The Northern California Women's Gymnastics Association

For Your Outstanding Contributions To The Sport Of Gymnastics

Through Goodwill And The Support Of Others

A18

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

ZONE REPRESENTATIVE - JOB DESCRIPTION

The Zone Representative is a member of the NOR-CAL Executive Board, elected at the spring general meeting each year by the members of a particular zone. The term of office is one year beginning on July 1st of the current year. The Zone Representative is paid $150.00 per year as a token payment to cover phone calls, mailing, etc.

DUTIES:

1. To represent their Zone on the Executive Board

a. to attend all Executive Board Meetings/conference calls

b. to function as a liaison between the NOR-CAL Chairman and the Clubs within the Zone

c. to relay pertinent information to and from Zone Members and the Executive Board

d. to handle the internal affairs of the Zone

e. to keep an accurate record of scores and to determine qualifiers for all gymnasts competing in preliminary competitions in Levels 5 through 10 (notify Clubs, the NOR- CAL Vice Chairman and the USA Gymnastics/WC State Chairman of the qualifiers at each level from your Zone)

2. To monitor Zone competitions

a to inspect competition sites for safety and monitor competitions to see that USA Gymnastics and NOR-CAL rules are followed

b. to make recommendations to the NOR-CAL Chairman for changes and improvements to the competition rules

c. to see that awards are properly ordered from the NOR-CAL Awards Chairman for all Zone level competitions

3. To function as an advisor to Clubs within the Zone

a. advise Clubs how to properly conduct competitions

b. advise Clubs how to find specific information

c. advise Clubs how to establish particular competitive levels

d. advise Clubs how to use the NOR-CAL Handbook

4. To collect bids for Zone level competitions and determine the Host Club(s)

5. To work with the Judging Assigners

a. to communicate who the Host Clubs are for each Zone Level competition

b. to help establish ways to train new judges

c. to help coordinate workshops or clinics for the members of NOR-CAL as they relate to judging

6. To be actively involved in all NOR-CAL sponsored events

7. To communicate with the members of the Zone as needed

8. To collect the $5.00 per gymnast portion of the NOR-CAL membership fee from each NOR-CAL Member Club in the Zone and forward the fees collected to the NOR-CAL Treasurer

A19

NORTHERN CALIFORNIA WOMEN'S GYMNASTICS ASSOCIATION

GYMNAST CHANGE OF CLUB FORM

DATE: ___________________

ATHLETE'S NAME: __________________________________ AGE: __________ LEVEL:

NEW ADDRESS OF ATHLETE (if applicable):

CITY: __________________________________________ STATE: _________ ZIP:

LEVEL ATHLETE WILL BE COMPETING WITH NEW CLUB:

CURRENT USA Gymnastics ATHLETE #: __________________________ BIRTHDATE:

PREVIOUS CLUB:

(address)

NEW CLUB:

(address)

DATE OF DROP FROM PREVIOUS CLUB:

DATE OF ENROLLMENT WITH NEW CLUB:

HAVE ALL FINANCIAL OBLIGATIONS TO THE OLD CLUB BEEN MET? ____YES ____NO

CONFIRMED BY PREVIOUS CLUB:

_____ BY PHONE, CONTACT:________________ DATE:_________

(or)

_____ BY MAIL, DATE:_________

ALL OF THE ABOVE INFORMATION REGARDING THIS CHANGE OF CLUBS IS TRUE AND

VERIFIED.

COACH OF NEW CLUB (signature):

ATHLETE (signature):

PARENT OR GUARDIAN (signature):

MAIL COPIES OF THIS COMPLETED FORM TO: THE PREVIOUS CLUB, THE NEW ZONE REPRESENTATIVE, THE OLD ZONE REPRESENTATIVE (if applicable), THE NOR-CAL CHAIRMAN, THE USA Gymnastics/WC STATE CHAIRMAN, AND THE USA Gymnastics MEMBER SERVICES.

NOR-CAL CHAIRMAN USA Gymnastics State Chairman USAG MEMBER SERVICES

Robert Shawler Fran Earles P.O. Box 5365

4883 Davenport Place 2029 Seascape Blvd Indianapolis, IN 46255

Fremont, CA 94538 Aptos, CA 95003

DATE RECEIVED: ___________ A23