File - Del Sol Cheer

Name: ____________________________ Student Number: ______________ Current Grade Level: __________
Del Sol Cheer
2015-2016 Tryout Application Packet
Checklist
DUE TO COACH SAGGIO (ROOM 824) or COACH DIAZ-TORRES (ROOM 818)
NO LATER THAN WEDNESDAY, APRIL 22, 2015!
#
Required Paperwork
1
Cheerleader Info Card
2
Current Photograph of the Applicant
3
Student/Parent Agreement
4
Personal Response Questions
5
Try-Out Application Card
6
Copy of Third Quarter Report Card
7
Constitution Agreement Signed
8
Completed Athletic Packet $25 – turned in
to Athletics Office. Must receive Initial when turned in!
Check When
Completed
Initial: ______________
Date: ______________
For more detailed information regarding the items listed above,
Please see the Applicant Information Packet.
DEL SOL 2015-2016 CHEERLEADER INFO CARD
Please print clearly.
First Name ___________________________________
Last Name _________________________________
Address _____________________________________
Birth Date _________________________________
City _____________________________________
Student Cell # ______________________________
State _____________ Zip ___________________
Home Phone _______________________________
Parent E-mail _________________________________________________________________________________
Student E-mail ________________________________________________________________________________
Current High/Middle School _______________________________
School ID # ______________________________
Current Grade Level __________
Overall G.P.A. _______________
Parent/Legal Guardian Name ___________________________________ Parent Cell # ______________________
Parent/Legal Guardian Name ___________________________________ Parent Cell # ______________________
Please initial all that are applicable (indicate JV/Varsity). If you would like to try out for both JV and Varsity, please indicate that by
initialing both JV and Varsity cheer. If you are interested in being considered for the competitive team, please indicate so below.
Parent /Student
_______ /_______ Junior Varsity Cheer (Grades 9-11)
_______ /_______ Varsity Cheer (Grades 9-12)
_______ /_______ Elite Competition Cheer (Grades 9-12; must be a member of Varsity or JV)
**Note: If you qualify for a team and the box is not checked, you will not be offered a position on that team. **
* Do you have any pre-existing illness or injuries that may prevent you from being able to run 1-mile nonstop on a daily or weekly basis? (We will do this often.)
Yes No
If yes, please describe. __________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
High School, Middle School, All-Star - Cheer & Dance Experience
School/Gym/Studio ____________________________ Years ________________ Varsity JV
School/Gym/Studio ____________________________ Years ________________ Varsity JV
School/Gym/Studio ____________________________ Years ________________ Varsity JV
CONTINUES ON BACK
Stunt Position

Base
# Years Experience ________________
Backspot
# Years Experience ________________
Flyer
# Years Experience ________________
Not Sure
Cheerleading/Leadership Experience
List all of your cheerleading, tumbling, honors and teaching or leadership experience.
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Cheer Skill Inventory
Tumbling (Check all you can perform safely & consistently without a spot on grass)

Cartwheel
Round-off
Cartwheel Splits
Round-off Splits
Cartwheel Toe-Touch
Round-off Toe-Touch
Standing Back Handspring
Round-off Back Handspring
Standing Back Tuck
Round-off Back Tuck
Toe-Touch Back Handspring
Round-off Back Handspring Layout
Toe-Touch Back Tuck
Round-off Back Handspring Full Twisting Layout
Cartwheel Tuck
Other: ________________________________________
Stunts (Check all that you can perform safely & consistently as a base)
(Circle all that you can perform safely & consistently as a flyer)
Prep bump-down
Straight-up Extension
Extension Full-down
Prep cradle
Straight-up Liberty
Liberty Full-down
Prep full-down
Straight-up Stretch
Stretch Full-down
Show-n-go
Straight-up Trophy
Butterfly Flip
Straight ride basket toss
Yo-Yo
Arabesque
Basket toss
Straight-up Scorpion
Scorpion
List any Stunting Skills you are working on: ________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Del Sol Academy Cheer
Student and Parent Agreement
My child, _________________________, has permission to participate in clinics and tryouts and
to be a cheerleader at Del Sol Academy.
I understand the tryout process, and that all decisions are final.
I understand that by the very nature of the activity, cheerleading carries a risk of physical injury. No
matter how careful the participant and coach are, how many spotters are used, or what landing
surface is used, the risk cannot be eliminated. The risk of injury includes minor injuries such as
muscle pulls, dislocation, and broken bones. The risk also includes catastrophic injuries such as
permanent paralysis, or even death, from landing or falls on the back, neck, or head. I understand
these risks and will not hold Del Sol Academy or any of its personnel including, coaching staff and
students, responsible in the case of accident or injury at any time.
I shall not use profanity, abusive language or actions toward any coach, official, parent, cheerleader,
advisor, or any other person present: before, during or after any practice, game or DSA function. I
will not coach from the sidelines, nor incite or taunt the coaches or anyone acting in an official
capacity. I will not harass, ridicule, abuse, use profane actions to said coaches, advisors and
administrators, nor “second guess” their decisions. If I have a suggestion for improvement, I will
review this with a coach or administrator at an appropriate time.
I agree to support the program as stated in the constitution, and understand that all possible
situations that may arise during the year cannot be covered in the Del Sol Academy Cheer
constitution and that the coach(es) will make final decisions on any and all situations that may
come up. I recognize that coaches have invested a great deal of time and energy to ensure my child
will have a successful season. I understand that coaches will make decisions for the good of the
entire program.
I fully understand the time and financial commitment involved in being a cheerleader and that my
son/daughter must abide by all rules and regulations as stated in the constitution.
Parent/Legal Guardian Signature: __________________________ Date: __________________
Print name: ___________________________________________
Student Signature: ______________________________________ Date: __________________
Print name: ___________________________________________
Personal Response Questions
Please answer the two questions to your best ability and in complete sentences. These will be used in your interview
with the coaches prior to formal tryouts 
1. What can you bring to the squad that no one else can?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
2. Why do you want to be a cheerleader?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Cheerleader Tryout Application
Name: __________________________________ Student Number: ____________Grade Level: ______
**You must also attach a copy of your 3RD Quarter Report Card**
CLASS
TEACHER
CURRENT
GRADE
CITIZENSHIP
TEACHER
STAMP
1
2
3
4
5
6
*************TO BE FILLED OUT BY THE DEANS’ OFFICE************
__________________________________________________________________________________________
Dean’s Office Signature
Date
*****************TO BE FILLED OUT BY THE BANKER****************
Is not required for Middle School Applicants
Athletic Fines Owed: ___________________________________ No Athletic Fines:
_____________________________________________________________________________________________
Counselor’s Signature
Date
*************TO BE FILLED OUT BY THE COUNSELOR’S OFFICE************
_____________________________________________________________________________________________
Counselor’s Signature
Date
***If you have excessive absences and/or referrals, you must submit a letter with your application
explaining your situation. It should also include a plan of action so it doesn’t happen in the future.
Cheerleader Constitution Agreement
I, ________________________________, have read the Del Sol Academy Cheerleader Constitution
regarding the expectations for members of a cheerleading squad. I understand that it is my responsibility to
abide by the rules and regulations as outlined in the Constitution if I am selected as a member. I further
understand that any violation of the rules or regulations may result in permanent or temporary
suspension or removal from the squad.
______________________________________
______________________________
Signature of Candidate
Date
Parental/Guardian Permission and Constitution Agreement
I have read the DSA Cheerleader constitution. I agree to my child’s participation in the tryout
procedures for this performing group. I believe my child to be in good health and to possess the stamina to
participate in all cheerleading activities and understand every reasonable precaution will be taken to insure
her/his safety; however, I do realize that there is an inherent risk of injury.
I understand that should my child become a member of the squad, it will be necessary for me to help them
abide by all the rules and regulations contained in the Cheerleader Constitution. I understand that I must
purchase uniforms, warm-ups, and accessories and that the squad members may participate in fundraisers
to help minimize the out-of-pocket costs associated with being a cheerleader. I also understand that my
child and I will be responsible for expenses related to cheerleading that she does not earn through these
fundraisers.
Furthermore, I understand that any violation of standards, lack of cooperation, unexcused
absences from performances or practices, or any violation of CCSD rules or the rules outlined in
the constitution may result in temporary or permanent dismissal from the cheerleading squad.
I am aware that there is a $250.00 payment due on May 15th, and additional payments are due
throughout the months of June-September. If not paid will result in suspension or removal.
I understand that my child’s 3rd and 4th quarter grades will determine his/her eligibility for tryouts. Should
my child fail to maintain a minimum 2.0 GPA necessary for eligibility, (s)he will be dismissed from the
DSA Cheerleading Squad. I also understand that if she receives any F’s on a 3-week NIAA eligibility grade
checks she will be ineligible to participate and may be replaced and/or removed from the squad.
I understand the Cheerleading Constitution is a living document, and changes may be made by the coaches
and Del Sol Academy administration.
______________________________________________
Signature of Parent/Guardian
__________________________
Date