2016 Cheering Pack - Wells Athletic Association

2016 Wells Football Cheering – General Information
AGE RANGE/SQUAD ASSIGNMENT:
! Squads are based on age as of 9/30, they are as follows:
FLAG: 5-7 YEARS OLD (10/1/2008 – 9/30/2011) MINOR: 8-9 YEARS OLD
(10/1/2006 – 9/30/2008) JUNIOR: 10-11 YEARS OLD (10/1/2003 –
9/30/2005 SENIOR: 12-14 YEARS OLD (1/1/2002 – 9/30/2004)
FUNDRAISERS:
! One fundraiser will be required this season. We are open to suggestions from parents. This
will benefit the team for competition and camp. Please be ready to participate.
VOLUNTEERS:
! We need parent involvement with Homecoming and Team Parents. Please contact us!!
PRACTICES:
! You will receive notification of the practice schedule approximately 2 weeks before hand.
! Practices will begin July 12th and are generally held at Goyne Park – 3-4 nights per week.
! Practice focus will shift to competition after the game season begins; likely will involve
additional practice times. All sideline Cheerleaders are expected to participate in
competition.
GAMES:
! Regular games are held on Saturday’s beginning Saturday September 10th after Labor Day
through October – they may run through November if we make the playoffs! Be prepared to
cheer through the playoffs and Championship games
! There may be at least one Monday or Wednesday night game, Make up games will most
likely be held on Sundays. We will notify you of all changes ASAP
! We are required to be present at every Wells conference football game (rain or shine)
COMPETITION (Mandatory):
! Competitions are held on Sundays at the end of October and beginning of November. All
participants must be able to attend ALL competitions to participate in competition cheering.
UNIFORMS:
! Each cheerleader must provide their own uniform. You cannot cheer at a game without a
uniform. This Year we will be ordering new uniforms, due to the discontinuation of our
current uniform. These uniforms are yours to keep and reuse year after year.
! All Uniforms must be paid for in full at the time of sizing. Uniform cost will be $120.
! If you do not purchase the wind suit you may want to purchase Navy sweatpants and
jacket for the colder weather. Only Navy can be worn over the uniform during games.
! Required uniforms for all ages: Wells cheering vest, skirt, orange lolly, orange crop top, no
show solid white socks, solid white tennis shoes( can purchase from payless- I suggest
ordering as early as possible.) **White Competition shoes, are required Minors- Seniors
Squads.**
REFUNDS:
! No refunds will be issued after the third week of practice, which is August 1, 2016.
HOW TO PREP FOR CHEERING SEASON:
! Gymnastics – Full Force Gymnastics, VIGGS, Richmond Olympiad for Tumbling for
Cheerleaders classes.
! Conditioning – jogging pushups, sit ups, jumps, stretches, lunges.- This will be the workout
during each practice. ** Conditioning camp with VCU Cheerleaders during Football
camp**
Contact US, if you have any questions!!
Head Cheer Director: Sherrell S. Grant: email: [email protected]: 804-882-5788
Assistant Cheer Director: Rasheen Fulmore: email: [email protected] Cell: 804-727-9076
2016 Wells Cheerleading Registration
Cheerleader Information
First Name:
Last Name:
DOB:
Age as 09/30/16:
Elementary School District:
School Attending Fall of 2016:
Address:
City:
Zip Code:
Parent or Guardian Contact
Mother:
Father:
Other:
Home Phone:
Cell Phone:
Can you receive text messages if there is a change to a practice or game?
E-Mail:
Emergency Contact:
Squad
Flag
Phone:
Relationship:
Age
5, 6, 7
Date of Birth
10/01/08-9/30/11
Fee
$
105
Minor
8, 9
10/01/06-9/30/08
$
135
Junior
10, 11
10/01/03-9/30/05
$
135
Senior
12, 13, 14
10/01/02-9/30/04
$
135
Parent or Guardian Signature:
Copy of Birth Certificate Provided:
THERE WILL BE A $25.00 FEE FOR EACH RETURNED CHECK
There are no refunds issued after July 31, 2016
CHESTERFIELD CHEERLEADER LEAGUE
MEDICAL FORM
YEAR: ________________
COMPLETITION OF THIS FORM WILL COVER YOUR CHILD AT ALL CCL EVENTS FOR THE CURRENT YEAR
THIS FORM MUST BE SIGNED IN THREE PLACES INDICATED BY THE “X” NO ONE CAN PARTICIPATE IN A CCL EVENT UNLESS THIS FORM
HAS BEEN PROPERLY FILLED OUT AND SIGNED BY A PARENT OR LEGAL GUARDIAN.
Name: _________________________________________________________________________________________________ Birth Date: ____________________ Grade in September: _____
Mailing Address: __________________________________________________________________________________City: ______________________________St: _____Zip:______________
Telephone #: ( ) _______________________________ Emergency Contact: _________________________________________ Relationship: ________________________________________
Home Phone: (804) _______________________________ Business Phone: ( ) ___________________________________________
If this person cannot be reached, please contact: ________________________________________________________________ Relationship: ________________________________________
Home Phone: (804) _________________ Business Phone: ( ) __________________
THIS FORM DOES NOT REQUIRE A PHYSICAL EXAMINATION
Please list all allergies: __________________________________________________________________Please list allergies to medication: _____________________________________________
Please list any medication which participant is currently taking: __________________________________________________________________________________________________________
Please make any necessary comments concerning physical condition, restrictions of participant, if any, etc.: _______________________________________________________________________
______________________________________________________________________________________________________________________________________________________________
INSURANCE INFORMATION: Please list name and address of insurance company that covers participant.
Name of Insurance Company: __________________________________________________________________________Policy #:____________________________________________________
Mailing Address: _________________________________________________________________________________City: ________________________________ St: _____ Zip: _____________
Name of Subscriber: _______________________________________________________________ Relationship to Participant: _______________________________________________________
_________ Please check this line if participant is NOT covered by an insurance policy. Please be aware that bills will be sent directly to parent or legal guardian.
MEDICAL TREATMENT / AUTHORITY STATEMENT
I, the undersigned parent/guardian, do hereby grant permission for my daughter/son/ward to attend cheerleading events sponsored and conducted by Chesterfield Cheerleader League. In order for
my daughter/son/ward to receive the necessary medical treatment in the event of an injury or illness, I hereby authorize Chesterfield Cheerleader League’s staff members to obtain medical treatment
for my daughter/son/ward for such injury or illness, I hereby hold Chesterfield Cheerleader League and their representatives harmless in the exercise of this authority.
I further acknowledge, understand and agree that in participating in these events there is a possibility of physical injury or illness that my daughter/son/ward is assuming the risk of injury or illness
by her/his participation. I assume full financial responsibility for such treatment.
(X) Parent / Legal Guardian: _____________________________________________________________ Date: ______________________________
WAIVER & RELEASE OF LIABILITY
In consideration of being allowed to participate in any way in the Chesterfield Cheerleaders League’s cheerleader sports program and related events and activities, the undersigned:
1. Agree that the parent(s) or legal guardian(s) will instruct the minor participant that prior to participating he or she should inspect the facilities and equipment to be used, and it the participant
believes anything unsafe, he or she should immediately advise his or her coach or supervisor of such condition(s) and refuse to participate.
2. Acknowledge and fully understand that each participant will be engaging in activities that involve risk and serious injury, including permanent disability and death, and severe social and severe
social economic losses which might result not only from their own actions, inactions or negligence but the actions, inactions or negligence of others, the rules of play, or the conditions of the
premises of any equipment used.
3. Assume all the foregoing risk and accept personal responsibility for the damages following such injury, permanent disability or death.
4. Release, waive, discharge and covenant not to sue Chesterfield Cheerleader League, its affiliated associations, their respective directors, agents, coaches, sponsors, and other employees of the
organization, other participants, sponsoring agencies, sponsors advertisers, and, if applicable, owners and leasers of premises used to conduct the event, all of which are hereinafter referred to as
“releases” , from any and all liability to each of the undersigned, his or her heirs and next of kin for any and all claims, property losses or damages on account of injury, including death or damage to
property, caused or alleged to be caused in whole or in part by the negligence of the releases otherwise.
I/WE HAVE READ THE ABOVE WAIVER AND RELEASE, UNDERSTAND THAT I/WE GIVE UP SUBSTANTIAL RIGHTS BY SIGNING IT AND SIGN IT VOLUNTARILY.
(X) Parent / Legal Guardian: _____________________________________________________________ Date: ______________________________
Printed name of Parent or Guardian: _______________________________________________ Printed name of participant: __________________________________________________________
Address of Participant: ___________________________________________________________________ City: _______________________________ St:______ Zip: _______________________
PERMISSION FOR USE OF PHOTGRAPH
Permission is granted to use my daughter’s/son’s/’ward’s picture in future advertisement and literature for CHESTERFIELD CHEERLEADER LEAGUE events sponsored and conducted by them.
(X) Parent / Legal Guardian: _____________________________________________________________ Date: ______________________________
No one can be admitted to the event/competition unless this form has been properly filled out and signed in THREE places by a parent or legal guardian.
Chesterfield County Parks and Recreation Code of
Conduct
The Chesterfield County Parks and Recreation Advisory Commission has adopted the
following code of conduct as a result of its concerns for good sportsmanship in
cosponsored youth activities. Youth sports can be used as an opportunity for young
people to learn how to engage in healthy competition while maintaining respect for their
opponents. All parties to athletic competitions should adhere to the highest standards of
positive support for the contestants. By participating in Chesterfield County Youth Sport
Programs, all parties must abide by Code of Conduct. Violations may result in the loss
of privileges at county facilities.
I (and my guests) will be a positive role model for my children and encourage
sportsmanship by showing respect and courtesy, and by demonstrating positive support
for all players, coaches, officials and spectators at every game, practice or sporting event.
I (and my guests) will not engage in any kind of unsportsmanlike conduct with any
official, coach, player or parent, such as booing and taunting, refusing to shake hands or
using profane language or gestures.
I will respect the officials and their authority. I will refrain from questioning, discussing
or confronting coaches during the game, and will take time to speak with the officials or
coaches at an agreed upon time and place.
I will remember that children participate to have fun and that the game is for the youths,
not the adults.
I will demand a sports environment for my child that is free from drugs and alcohol and
will refrain from their use at all youth sports events.
I realize that the purpose of my attendance is to observe a contest and support recreation
activities, not a license to verbally assault others or be generally obnoxious.
I will respect the athletic facility in which I am visiting and will not damage or deface
park or school property.
I have read and understand the code of conduct and consent to abide by all listed term.
Signature __________________________________________
Date____________
2016 Football Cheerleading Registration
Registration for Wells Football Cheerleading will be held from
6:00 p.m. – 8:00 p.m. at Wells Elementary
on the following dates:
Thursday, April 14 & Tuesday, May 10
And
10 a.m. – 12 noon
on the following dates:
Saturday, May 21 & Saturday, June 11 And During all of Football Camp Dates
Eligibility: Must be a Chesterfield County resident, born during 2002 through 2011 (ages 5-14 as of
September 30, 2016) We are not restricted by school boundaries.
Year of birth Squad Registration fees
2008, 2009, 2010, and 2011 Flags $105
2006, 2007, and 2008 Minors $135
2004, 2005, and 2006 Juniors $135
2002, 2003, and 2004 Seniors $135
No Refunds will be issued after July 31, 2016
Uniforms:
Uniforms are not included in registration fees; each participant is required to have a full
uniform:
o Lolly, Vest, Skirt (pants for boys) crop top and socks for all squads (~ $120)
Solid white athletic shoes for games(Payless). Competition shoes will be ordered in September
and is required for all cheerleaders participating in competition (~$35).
Team Wind suit – optional, suggested for cold weather (~ $65).
We will try to have uniforms available at the registrations for fitting.
Please note, uniform are purchased by parent and are your to reuse each season.
We must have a copy of the participant’s birth certificate on file. Be sure to have your
insurance information available at registration. Please – we rely 100% on volunteers. For
more information contact me and we can discuss your participation.
Contact Sherrell Grant at [email protected]/ 804-882-5788 or
Rasheen Fulmore at [email protected]/ 804-727-9076
www.WellsAthletics.com