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Page 1 of 1 <br />Indian River County Recreation. insurance. Indian River County Recreation further <br />acknowledges that by participating in the following programs, participants shall not be <br />considered USA Swimming members and shall not be covered by USA Swimming insurance. <br />Program Promotion. Delivery & Scheduling <br />The program will be a Indian River County Recreation program and will utilize the Indian River <br />County Recreation learn -to -swim curriculum. In addition, Indian River County Recreation will <br />provide training, risk management counseling, and ongoing supervision of the Indian River <br />County Recreation aquatic staff. <br />The program will be conducted as part of the Indian River County Recreation lesson program <br />with the equivalent of no less than four (4) hours in -water instruction for each participant; this <br />equates to eight (8) half-hour swimming lessons. <br />Disbursement and Use of Funds <br />The USA Swimming Foundation has agreed to pay Indian River County Recreation $3000 to <br />fund this program. Funds will be disbursed to Local Partner in one payment of $3000 upon <br />receipt of this signed letter of agreement, a completedW-9/tax status form by USA Swimming, <br />and verification of USA Swimming Foundation Make a Splash mark and link placement on the <br />Indian River County Recreation website. The grant is unconditional. However, reporting <br />requirements provide data that is critical to the success of the program. <br />Reporting Requirements <br />Indian River County Recreation agrees to provide enrollment reports to the USA Swimming <br />Foundation. The report shall include a detailed accounting of all activities and expenditures. <br />These reports shall follow the schedule below: <br />16' Enrollment Report: Deadline: June 1, 2017 <br />2"d Enrollment Report: Deadline: September 1, 2017 <br />31d Enrollment Report: Deadline: January 1, 2018 <br />Each report should provide the following financial and program information for the most recent <br />quarter. <br />Financial Report <br />A standard financial report outlining all expenditures related to the grant monies for the period. <br />Learn -to -Swim Participant Data <br />1. Total number of participants enrolled in the lessons program for the quarter. <br />2. Number of participants served by the grant monies from the USA Swimming Foundation. <br />3. Number of participants served by grant monies from the Local Partner program or local <br />funders. <br />4. Breakout of the ages of the participants according to the following age groups: Ages 6-8, <br />Ages. 9-11, Ages 12 & Older. <br />5. Breakout of the ethnicity of the participants according to the following options: African <br />American, Asian, Caucasian, Hispanic, American Indian & Alaska Native, Native Hawaiian <br />& Other Pacific Islander, and Other. <br />6. Breakout of the participants by gender. <br />7. A listing of the number of participants reaching each of five (generic 1-5) achievement <br />https://app.hellosign.com/attachment/view?snapshot_guid=6cc057ec94ae46d55d26f8666c311 f6a3a74b7e8&p... 5/3/2017 <br />P115 <br />