ARMSTRONG ATLANTIC STATE UNIVERSITY
CHEERLEADING TRY-OUT PACKET
2010-2011
Friday, April 30, 2010-Sunday, May 2, 2010
Dear Candidate,
We are very excited that you are interested in becoming a part of the Armstrong Atlantic State University 2010-2011 Co-Ed Cheerleading Squad. Currently, the squad participates in a variety of activities such as community service, fundraisers, cheering at the basketball games as well as taking part in competitions. As a cheerleader for AASU, one must be dedicated and determined and be prepared to work to their full potential at ALL times.
Please complete and submit the cheerleading try-out packet before Friday, April 16, 2010. Packets can be mailed to the address listed below. If there is any additional documentation that is needed, you will be notified. We look forward to working with you during try-outs and hopefully for the upcoming season. If you have any questions, please feel free to contact Coach Michalle Quarles at or Coach Charita Hardy at . See you in April!
Sincerely,
Charita N. Hardy Michalle Quarles
AASU Cheerleading Coach AASU Cheerleading Coach
Please mail packets to:
Charita N. Hardy, AASU Cheerleading Coach
Office of Admissions
Armstrong Atlantic State University
11935 Abercorn Street
Savannah, Georgia 31419
Armstrong Atlantic State University
Try-Out Packet
Checklist
*Cheerleading Application _____
*Cheerleading Waiver of Medical Liability_____
*Medical History and Examination Report______
*Copy of Acceptance to AASU (Freshman and Transfers ONLY)
*2 Letters of Recommendation (Freshman and Transfers ONLY)
1 Letter from previous coach
1 Letter from individual of choice (excludes family relatives)
Other Important Information:
Armstrong Atlantic State University
Cheerleading Try-Out Dates
Spring 2010 Cheerleading Try-Outs:
Friday April 30, 2010:
· Introduction/ Overview 6:00 PM-9:00 PM
Saturday May 1, 2010:
· Practice/Workshop 9:00 AM- 5:00 PM
Sunday May 2, 2010: Try-Out Day
· For Try-Outs candidates will be REQUIRED to perform a cheer, chant, dance, stunts, jumps, and tumbling.
**Please come dressed in the proper attire and be ready to work.
If selected for the 2010-2011 AASU Cheerleading Squad, the following are upcoming payments.
Upcoming Payments:
Friday June 4, 2010: $275.00 Camp Payment
Friday July 2, 201: $100.00 Camp Attire
**Cost for other semester payments will be given after Cheerleading Camp in August.**
Armstrong Atlantic State University
Cheerleading Application
Please Print
Full Name: ______Student ID #: ______
Home Address: ______
City: ______State: ______Zip: ______
Home Phone #: ______Cell #: ______E-mail:______
Email Address: ______
Parents’ Name: (Mother) ______Occupation ______
(Father) ______Occupation ______
Year in college: ______Projected Graduation Date: ______GPA: ______
Major: ______
Activities you are involved with in college: ______
______
Any honors/awards received in college: ______
______
Birth date: ______Age: ______Ht: ______Wt: ______Sizes: Cheer Shoe: ______T-Shirt: ______Soffe Cheer Shorts: ______
Out-of-pocket cheerleading expenses may be ~$550.00 Are you prepared to pay for those costs? YES NO
Emergency Contact Information:
Primary (Parent/Guardian) Secondary (optional)
Name(s) Name(s)
Address Address
Home Phone # Home Phone #
Work Phone # Work Phone #
Relationship Relationship
Armstrong Atlantic State University
Cheerleading Application
Skills Checklist
Check next to the skills you have mastered (meaning you can do it 10 out of 10 times)
Tumbling
_____Standing back hand-spring
_____Standing back tuck
_____Standing back hand-spring back tuck
_____Toe touch back tuck
_____Round-off back hand-spring
_____Round-off back hand-spring back tuck
_____Round-off back hand-spring layout
_____Round-off back hand-spring full twist
Any tumbling skills you have that are not listed above: ______
______
Stunts
What is your primary stunting position? Base: ______Flyer: ______Spot: ______
Check next to the skills you have mastered (meaning you can do it 10 out of 10 times)
_____Straight up extension
_____Liberty
_____Arabesque
_____Heel Stretch
_____Bow & Arrow
_____Scale
_____Scorpion
_____Toe touch basket toss
_____Back tuck basket toss
_____Kick full or kick double basket toss
_____Full cradles
_____Double full cradles
Any stunting skills you have that are not listed above: ______
______
Cheerleading Background/Experience/Achievements: ______
______
Cheerleading or Sports Related Injuries: ______
______
Feel free to contact me with any questions: (404) 488-1663 or
Armstrong Atlantic State University
Cheerleading Waiver of Medical Liability
Date of birth______
1. I, ______will be participating in a walk on tryout with the cheerleading team. I presently have no injuries or illnesses that might prevent me from participating in the tryout.
Participant Signature______Date______
Parent/Guardian Signature
(If under18)______Date______
2. In the event of an injury occurring during the tryout, I will not hold AASU responsible in any way.
Participant Signature______Date______
Parent/Guardian Signature
(If under 18)______Date______
3. I have current medical insurance that will cover any costs incurred due to injury sustained during the tryout.
Participant Signature______Date______
Parent/Guardian Signature
(If under 18)______Date______
Insurance Company: ______Ins. Co. Phone #: ______
Policy #: ______Group #: ______
*Please provide a front and back copy of insurance card*
Please Read Carefully
By filling out and signing this application, you are saying that all the above information is true and correct. If chosen to be on the squad, as an AASU Cheerleader, you will be expected to give 100% participation at all times. It will be MANDATORY for ALL cheerleaders to attend camp and cheer at the men and women basketball games depending on what is ask of you by the coach. Also, if selected as a member of the AASU Cheerleading Squad, you will abide by this agreement in addition to the rules and regulations while at practice, try-outs, camps, games, as well as Peach Belt and National Competitions which are stated in the AASU Cheerleading Manual.
Signature of Applicant: ______Date:______
Armstrong Atlantic State University
MEDICAL HISTORY AND EXAMINATION REPORT
Primary Sport:______Date of Physical:______
Name: ______SSN: ______-______-______
Date of Birth: ______/______/______Age: ______College Year: 1 2 3 4 5
Student’s local address: ______Name of Parent/Guardian: ______
______Address: ______
______
Phone #: ______Phone #: ______
Family Physician: (name)______(city)______(phone#)______
Emergency Contact: (name)______(relationship)______(phone#)______
Physical Examination
Height: ______Weight: ______RHR (60sec): ______BP:______
Normal / Abnormal Findings/Comments / InitialsMUSCULOSKELETAL
Neck
Back
Shoulders/Upper Arms
Elbows/Forearms
Wrist/Hands
Hips/Thighs
Knees
Lower legs/Ankles
General Flexibility
Other Comments
MEDICAL
Eyes/Ears/Nose/Throat
Lymph Nodes
Heart
Lungs
Abdomen
Skin
Cleared: _____ NOT Cleared: ______Cleared after completing eval./rehab for: ______
Recommendations:______
Name of Physician:______Signature of Physician: ______Date:______
I understand that this physical is for no other purpose than to clear me for athletic participation at AASU. I understand that it is not a physical for illness that may develop in the future. I further agree that such illnesses will be taken to my personal doctor, or the athletic trainer for referral or care. I give authorization to the athletic trainer or team physician to evaluate and treat injuries that occur during my athletic participation at AASU which includes first-aid treatment, X-Rays, physical exam, follow-up care, and rehabilitation. I understand the team physician has the authority to eliminate me from further participation because of an injury and/or because of undue risk to AASU. No records will be released to anyone other than the team physician unless given my written approval. Athlete will not be able to participate in AASU athletics until this form is completed and signed by athlete and team physician.
Signature: ______Date: ______
Personal History
Circle “yes” or “no” for each of the following which may have occurred in the past 3 years. If you answer “yes” to any question, please clarify in the space provided.
Explanation/Comments
Have you had a medical illness since your last check-up or sports physical? / YES / NOHave you been hospitalized? / YES / NO
Have you had surgery? / YES / NO
Are you currently taking any medications? / YES / NO
Do you have allergies? If yes, list medications. / YES / NO
Do you have asthma? If yes, list medications. / YES / NO
Have you had any severe asthma attacks? / YES / NO
Have you ever had racing of your heart or
skipped heart beats? / YES / NO
Have you had high blood pressure or high cholesterol? / YES / NO
Has a family member or relative died of heart problems or sudden death before the age 50? / YES / NO
Has a physician ever denied or restricted your participation in sports due to heart problems? / YES / NO
Have you ever felt dizzy or passed out during
or after exercise / YES / NO
Do you have a history of head injuey or concussions? / YES / NO
Have you ever had a seizure? / YES / NO
Do you have frequent/severe headaches? / YES / NO
Have you had problems exercising in heat? / YES / NO
Do you have any problems with vision/eye? / YES / NO
Have you or family members ever been
diagnosed with sickle cell anemia? / YES / NO
Are you currently taking medication for
ADD/ADHD? / YES / NO
Please list any medication you are currently taking not listed above: ______
Have you ever broken or dislocated any joints? Pain in muscles or joints? Check all that apply:
Head: ____ Hip/Thigh: ____ Elbow: ____ Neck: ____ Knee: ____ Wrist/Hand/Finger: ____
Back: ____ Lower Leg: ____ Shoulder: ____ Chest: ____ Ankle/Foot: ____
Explanations:______
FEMALE ATHLETES ONLY:
When was you first menstrual period? ______
When was your most recent menstrual period? ______
What is the normal length of time between your periods? ______
I hereby state, to the best of my knowledge, my answers to the above questions are correct.
Athlete’s Signature: ______Date: ______