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
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