2016 All Registration Forms - I

I-5 ROLLERGIRLS
JUNIOR ROLLER DERBY LEAGUE
2016 REGISTRATION INFORMATION
The I-5 Rollergirls is a Junior Flat Track derby program open to girls age 10-18. Our program is designed to
develop character, confidence leadership and positive social interaction through the sport of roller derby.
The I-5 Rollergirls intend to nurture and develop both the skilled athlete and those who have not yet realized
the champion inside them!
WE SUBSCRIBE TO THE FOLLOWING GOVERNING PRINCIPLES:
1. Safety
2. Sportswomanship
3. Full participation, at coaches discretion (everyone gets to play)
AGE REQUIREMENTS:
 Skaters shall be no younger than 10 years of age and no older than 18 years of age on or before
September 1st, 2015 to be eligible to skate with the I-5 Rollergirls.
 Participation on the travel team is usually kept to players aged 12-18.
 Due to special circumstances and depending on ability, the I-5 Rollergirls reserves the right to
make placement decisions.
SEASON AND PRACTICE INFORMATION:
 The regular season runs from November, 2015, until July, 2016. Post season play may run into
August. Information on post season play will be shared as soon as available.
 Practices are:
 Saturdays, 9:30-11:30am, Southgate Roller Rink
 Sundays, 10-11:30am, Shoreline Derby Center
 Scrimmages and bouts will be scheduled throughout the season. That schedule will be available
on the I-5 website.
 Practice times are still in flux and may change.
 Due to circumstances beyond our control, practice times and locations may change or be cancelled. I-5 strives to give as much notice as possible if there are changes.
TRYOUTS - PRESEASON PRACTICE SQUAD - DETERMINATION OF CHARTER
 I-5 Rollergirls has open tryouts at the beginning of every season. Any skater who meets the minimum
requirements and wishes to join the team may register and attend the tryouts on September 26th,
2015. Successful skaters will be notified within one week of tryouts of their inclusion in the Preseason Practice Squad.
 Skaters intending to accept the invitation to join the Preseason Practice Squad must formally do so by
paying a non-refundable deposit of $50. (If the skater continues on as a full member of the I-5 Rollergirls, this deposit will be applied towards the season dues.) This deposit is due on or before the first
day of practice, October 3rd, 2015.
 The first four (4) practices will allow both the skaters of the Preseason Squad and the coaches to
evaluate more fully if I-5 Rollergirls is the best fit for each other. All skaters, regardless of their previous standing with the team are subject to this evaluation.
 Upon the conclusion of the fourth (4th) practice on October 24th, 2014, skaters will be informed of
their status on the Charter. I-5 Rollergirls has determined that a Charter of forty (40) players is best
suited to the teams overall operations and the success of each skater’s development. The Board of
Directors of the I-5 Rollergirls reserves the right to change the number of players on the Charter at
any time during the season.
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At any point up to the announcement of the Charter team, any skater may withdraw themselves from consideration and be exempt from paying any further dues.
Skaters who intend to accept the invitation to join the Charter team must sign the League Registration
forms and submit their first payment of dues, no later than the first practice following the Charter creation
(October 31st, 2015). No skater will be allowed to practice until they have completed this step.
REGISTRATION FEES AND INSURANCE COVERAGE
 For the 2016 season, each skater will pay the registration fee of $550 for the season.
 Secondary insurance through Francis L. Dean is included in the cost.
 An estimated $120 equipment fee to cover battle helmets (worn for bouts only) and jerseys will be due
in addition to the registration fee. This fee is due on or about December 1st, 2015.
 Registration fees do not include costs for travel. I-5 bouts locally and regionally, at all levels of play.
Travel costs are typically the responsibility of the skater. Car and room shares are the norm between
teammates and parents.
 Registration fees may be paid on an installment basis via credit card or check. Installment schedule is
as follows:
 October 3rd, 2015: $50 non-refundable Practice Squad registration fee
 November 10th, 2015: $100 1st payment
 December 10th, 2015: $100 2nd payment
 January 10th, 2016: $100 3rd payment
 February 10th, 2016: $100 4th payment
 March 10th, 2016: $100 final payment
 Registration fees are considered due and payable IN FULL on November 14th, 2015. There is
no prorating of fees if withdrawal occurs after this date. Installment plan is provided as a convenience to families only.
 Application for alternate payment terms may be made directly to the Board of Directors. All information
is strictly confidential and names and particulars are kept within the Executive committee.
FUNDRAISING AND VOLUNTEERING
 I-5 Rollergirls is a non-profit entity. All fees and funds raised go directly to support the operations of the
team. It is through the efforts of all of us that we are able to present these opportunities to our children!
 As a major fundraiser, I-5 holds an annual Skate-a-thon. Every skater is required to participate in this
event, with a baseline amount raised of $250/skater. The funds from this event are used to support
overall team operations and travel opportunities.
 Other fundraising opportunities will be available and all parents and skaters are strongly encouraged to
participate.
 The Board of Directors solicits volunteers from the parent and skater base to help fulfill support activities throughout the season. I-5 Rollergirls relies on all the parents and skaters participating as volunteers. Without your help, our team will not succeed!
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I-5 ROLLERGIRLS
JUNIOR ROLLER DERBY LEAGUE
2016 REGISTRATION FORM
SKATER LEGAL NAME:
DOB (mm/dd/yyyy):
SKATE NAME:
GRADE:
SCHOOL:
PARENT/GUARDIAN #1:
Relationship:
CITY:
HOME ADDRESS:
ZIP:
ALT PHONE #:
BEST PHONE #:
EMAIL:
STATE:
PARENT/GUARDIAN #2:
Relationship:
ZIP:
CITY:
HOME ADDRESS:
EMAIL:
ALT PHONE #:
BEST PHONE #:
EMERGENCY CONTACT INFORMATION
Please provide [2] emergency contacts other than the parents/guardians above
Emergency Contact #1:
Relationship:
BEST PHONE #:
ALT PHONE #:
Emergency Contact #2:
Relationship:
BEST PHONE #:
ALT PHONE #:
Please provide a copy of both the front and back of your current health insurance card
Payment Information: Registration Fees of $550 are due in full prior to the start of practice on November 14th, 2015.
Uniform Fees of $120 (estimated) are due in full on or about December 1st, 2015. Payment may be made via check, Visa
or Mastercard at select practices, or via EBT. An installment option is available - see the 2015 Registration Information
sheet for more details.
To be completed by I-5 Rollergirls registrar
CHECK
EBT
CHECK #
CREDIT CARD
INSTALLMENT
PAID DATE:
INS. CARD COPY
JUNIOR ROLLER DERBY LEAGUE
PARENT CODE OF CONDUCT
By signing below I hereby agree that:
1. I will not force my child to participate in the I-5 Roller Girls Junior League.
2. I will promote the emotional and physical well-being of the skaters ahead of any personal desire I may
have for my daughter to win.
3. I will inform the coach of any physical disability, injury, or illness that may affect the safety of my
daughter or the safety of others.
4. I (and my guests) will not engage in any kind of unsportsmanlike conduct with any official, coach,
skater, or parent such as booing and taunting; refusing to shake hands; or using profane language
or gestures.
5. I will encourage my daughter to play by the rules and to resolve conflicts without resorting to hostility
or violence.
6. I will encourage my child to treat other players, coaches, officials and spectators with respect regard
less of race, creed, color, sex or ability.
7. I will respect the officials and their authority during games and will never question, discuss, or confront
coaches at the rink, and will take time to speak with coaches at an agreed upon time and place.
8. I will encourage a safe sports environment for my child that is free from drugs, tobacco, and alcohol.
9. I will refrain from coaching my daughter or other players during games and practices, unless I am one
of the official coaches for the I-5 Roller Girls Junior League.
If I fail to abide by the aforementioned rules and guidelines, I will be subject to disciplinary
action that could include, but is not limited to the following:
(A). Verbal warning by an I-5 Roller Girls Board Member*
(B). Parental game suspension*
(C). Parental season dismissal*
Signature of Parent / Legal Guardian :
Date:
Printed Name of Parent / Legal Guardian :
Printed Name of League Member (Legal Name):
Relationship to League Member:
* With written documentation of incident kept on file by I-5 Roller Girls Junior Roller Derby League.
JUNIOR ROLLER DERBY LEAGUE
SKATER CODE OF CONDUCT
By signing below I hereby agree that:
1. I will lead by example and demonstrate good sportsmanship with fellow skaters,
coaches, officials, parents, and other attendees at every game and practice.
2. I will attend every practice and game, and I will notify [email protected] if I will be
absent. I will be on time for practice and games.
3. I will listen and learn from my coaches and other league members.
4. I will treat my coaches, other league members, officials and fans with respect regardless of
race, sex, creed, or abilities, and I will expect to be treated accordingly.
5. I deserve to have fun during my sports experience and will tell parents or coaches
if it stops being fun!
6. I deserve to play in an environment that is safe and free of drugs, alcohol, and tobacco.
I will not use drugs, alcohol, or tobacco.
7. I recognize the importance of school and will not allow my derby committment to interfere with my academic success.
8. I will learn the rules of the game of Flat Track Derby, - According to the most current WFTDA
standards.
9. I will use good sportswomanship conduct with all coaches, parents, league members,
officials or any other attendees.
10. I will not engage in any behavior which would endanger the health, safety, or well
being of coaches, parents, league members, officials, or any other attendees.
11. I will not engage in the use of profanity, verbal or physical threats, or any abuse aimed at
coaches, parents, league members, officials or any other attendees.
If I fail to abide by the above code of conduct, I will be subject to
disciplinary action that could include but is not limited to the following:
(A). Verbal warning by an I-5 Roller Girl league official or coach, and/or head of league
organization*
(B). Written warning*
(C). Player game/practice suspension*
(D). Player season suspension*
Printed Name (Parent / Gaurdian):
Signature of Parent / Gaurdian:
Date:
Printed Name (Legal Name):
Signature of League Member:
Date:
* With written documentation of incident kept on file by I-5 Roller Girls Junior League.
I-5 ROLLERGIRLS
JUNIOR ROLLER DERBY LEAGUE
2016 Non Compete and Image Release
Non Compete Clause
BY SIGNING BELOW, I AGREE TO THE FOLLOWING STATEMENT:
“While participating as an individual member of the I-5 Rollergirls, I will not participate with another
directly competitive roller derby league without Board approval. A directly competitive roller derby
league is defined as a roller derby organization that competes directly with I-5 Rollergirls in game play
or for regional and/or national standings. As a member of the I-5 Rollergirls, I agree to not be a member of, train or game bout with another directly competitive roller derby league unless given expressed written authorization from the I-5 Rollergirls Board of Directors.”
Printed Legal Name:
Date:
Skater Signature:
Parent/Guardian Signature:
Photo and Video Release
“I do not authorize I-5 Rollergirls to use my image.”
“I authorize I-5 Rollergirls to use my image.”
“For consideration which I acknowledge, I (the undersigned) irrevocably grant to I-5 Rollergirls, licensees, assigns and successors the right to use my image and (skater) name in all forms and media including composite or modified representations for all purposes, including advertising, trade or any commercial purpose
throughout the world and in perpetuity. I waive the right to inspect or approve versions of my image used for
publication or the written copy that may be used in connection with the images. I relinquish any right that I
may have to examine or approve the completed product or products or the advertising copy or printed material that may be used in conjunction therewith or the use to which it may be applied. I release, licensees, assigns and successors from any claims that may arise regarding the use of my image including any claims of
defamation, invasion of privacy, or infringement of moral rights, rights of publicity or copyright. I-5 Rollergirls
is permitted, although not obligated, to include my name as a credit in connection with the image. I have read
and understood the photo release agreement.
“I (the undersigned) do hereby confirm the consent heretofore given you with respect to your photographing
me or my child in connection with any I-5 Rollergirls video and any other media marketing or recruiting project. Additionally I hereby grant to you, your successor, assigns and licensees the perpetual right to use, as
you may desire, all motion pictures and sound track recordings which you may make of me or my child, and
the right to use my name and/or child’s name or likeness in or in connection with the exhibition or any other
use of such video or recording.
“I hereby certify that I am over eighteen years of age.”
Printed Legal Name:
Skater Signature:
Parent/Guardian Signature:
Date:
JUNIOR ROLLER DERBY LEAGUE
HOLD HARMLESS AGREEMENT
RELEASE AND WAIVER OF LIABILITY, ASSUMPTION OF RISK AND INDEMNITY AGREEMENT
(TOGETHER WITH MY PARENT OR GUARDIAN, IF I AM UNDER THE AGE OF EIGHTEEN OR UNDER A LEGAL DISABILITY) REPRESENT COVENANT AND AGREE,
ON BEHALF OF MYSELF AND MY HEIRS, ASSIGNS, AND ANY OTHER PERSON CLAIMING BY, UNDER, OR THROUGH ME, AS FOLLOWS:
I ACKNOWLEDGE THAT ROLLER SKATING AND SKATING THE SPORT OF JUNIOR ROLLER DERBY ARE INHERENTLY DANGEROUS ACTIVITIES, BUT STILL
DESIRES TO PARTICIPATE IN THESE ACTIVITIES AT HIS OR HER OWN RISK. IF A PARENT OR GUARDIAN OF A MINOR, THE UNDERSIGNED AGREES TO ALLOW
THE MINOR NAMED BELOW TO PARTICIPATE IN THESE ACTIVITIES AT HIS OR HER OWN RISK.
I AM FURTHER AWARE THAT THE USUAL RISKS, HAZARDS AND DANGERS (HEREINAFTER “RISKS”) OF PERSONAL INJURY, DEATH, DISABILITY, PROPERTY
DAMAGE AND OTHER LOSS, NECESSARILY INCREASE WHEN WEARING ROLLER SKATES AND PLAYING JUNIOR ROLLER DERBY. THESE RISKS INCLUDE BUT
ARE NOT LIMITED TO, FALLING, JUMPING, LANDING, SKATERS GETTING IN FRONT OF YOU, SKATERS LEANING ON YOU, TRIPPING OVER OTHER FALLEN
SKATERS, PERFORMING TRICKS, “SHOW BOATING”, COLLIDING WITH OTHERS, SUCH AS STAFF, MEDIA PERSONNEL AND SPECTATORS. THESE RISKS MAY
VARY FROM TIME TO TIME AND DAY TO DAY BASED ON THE SKATERS OWN FATIGUE (TIRED), EQUIPMENT, TYPE OF EVENT, AND OTHER FACTORS. FOR
VALUABLE CONSIDERATION, INCLUDING PERMISSION TO SKATE WITH THE JUNIOR DERBY IN ANY WAY, INCLUDING BUT NOT LIMITED TO BEING PERMITTED
TO COMPETE, OFFICIATE, OBSERVE, OR PARTICIPATE IN ANY OTHER WAY.
I HEREBY RELEASE, WAIVE, DISCHARGE, AND COVENANTS NOT TO SUE THE I-5 ROLLER GIRLS, THE JUNIOR ROLLER DERBY ASSOCIATION, LYNNWOOD
BOWL AND SKATE, THE EVERETT SKATE DECK OR OTHER SKATE VENUES, AGENTS, SUBSIDIARIES, EMPLOYEES, VOLUNTEERS, ANY OTHER PERSON OR
ENTITY IN ANY WAY ASSOCIATED WITH THE I-5 ROLLERGIRLS, (ALL HEREINAFTER COLLECTIVELY REFERRED TO AS “RELEASEES”), FROM LIABILITY, TO THE
UNDERSIGNED, HIS PERSONAL REPRESENTATIVES, ASSIGNS, HEIRS, AND NEXT OF KIN FOR ANY AND ALL LOSS OR DAMAGE, AND ANY CLAIM OR DEMANDS
THEREFORE ON ACCOUNT OF INJURY TO THE PERSON OR PROPERTY OR RESULTING IN DEATH OF THE UNDERSIGNED ARISING OUT OF OR RELATED TO
USE OF THE SKATE RINK, ITS PREMISES, OR EQUIPMENT, WHETHER CAUSED BY ANY ACT OF NEGLIGENCE OF THE RELEASEES OR OTHERWISE;
I HEREBY ASSUME FULL RESPONSIBILITY FOR ANY RISK OF BODILY INJURY, DEATH OR PROPERTY DAMAGE ARISING OUT OF OR RELATED TO THE USE OF
THE SKATE PARK, ITS PREMISES, OR EQUIPMENT, WHETHER CAUSED BY ANY ACT OF NEGLIGENCE OF RELEASEES OR OTHERWISE;
I HEREBY AGREE TO INDEMNIFY, SAVE AND HOLD HARMLESS THE RELEASEES FROM ANY LOSS, LIABILITY, DAMAGE, OR COST THEY MAY INCUR ARISING
OUT OF OR RELATED TO USE OF THE SKATE PARK, ITS PREMISES, OR EQUIPMENT, WHETHER CAUSED BY ANY ACT OF NEGLIGENCE OF THE RELEASEES OR
OTHERWISE;
I FURTHER AGREE THAT THIS RELEASE IS INTENDED TO BE AS BROAD AND INCLUSIVE AS POSSIBLE.
I UNDERSTAND THAT PARTICIPANTS ARE REQUIRED TO WEAR AN ADEQUATE HELMET, WRIST GUARDS, ELBOW PADS, KNEE PADS, HIP PADS AND A MOUTH
GUARD WHILE PARTICIPATING. PARTICIPANTS ARE REQUIRED TO FOLLOW ALL RULES OF CONDUCT AND ARE NOT TO TAKE UNREASONABLE RISKS WHILE
USING THE SKATE FACILITY AND PLAYING JUNIOR ROLLER DERBY, INCLUDING CAUSING ANY OTHER SKATERS AN UNREASONABLE RISK OF HARM.
I HEREBY CERTIFY THAT I HAVE PURCHASED SECONDARY SKATING INSURANCE (FRANCIS L. DEAN) AND IS CURRENT.
I HAVE COMPLETELY READ AND UNDERSTAND THIS WAIVER AND RELEASE AND ITS TERMS.
I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHT’S BY SIGNING IT, AND I HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT,
ASSURANCE OR GUARANTY BEING MADE TO ME. PRIOR TO SIGNING THIS WAIVER AND RELEASE, I HAVE HAD THE OPPORTUNLTY TO ASK ANY QUESTIONS
ABOUT THE WAIVER AND RELEASE, I-5 ROLLERGIRLS, LYNNWOOD BOWL & SKATE and EVERETT SKATE DECK.
EXECUTED this
day of
, 20
League Member (Legal Name)
Parent or Guardian Signature (if under 18)
Parent / Guardian Printed Name (if under 18)
Date Of Birth
Signature of League Member /Guest/Volunteer Coach
Home Address
Email Adddress
Zip Code
Phone Number
JUNIOR ROLLER DERBY LEAGUE
LEAGUE POLICY COMPLIANCE
I5RG Policy & Compliance Proceedures
Please sign, date, and present with I5RG registration packet.
I have read and understand all the contents of the I-5 Rollergirls
policies and procedures. I agree to adhere to the rules it has laid
forth and accept the consequences that I5RG management may
decide on should I fail to comply with these rules.
Insurance : I acknowledge that any insurance being provided by
I5RG, INC. is intended for catastrophic events only and is not
intended to cover ordinary accidents including any broken bones
or fractures and that my personal insurance is my primary insurance and will cover me in the event of any accident I cause or that
is caused to me by any member or visitor. Additionally I5RG skaters
will provide a copy of their primary health Insurance card, front and
back.
I5RG Signature of Compliance
EXECUTED this
day of
, 20
League Member (Legal Name)
Parent or Guardian Signature (if under 18)
Parent / Guardian Printed Name (if under 18)
Date Of Birth
Signature of League Member /Guest/Volunteer Coach
Home Address
Email Adddress
Zip Code
Phone Number
I-5 ROLLERGIRLS
LIABILITY WAIVER
Revised: JANUARY, 2012
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CONFIDENTIAL INTERNAL I5RG DOCUMENT
Please Provid the Following Information:
Participant’s legal name (First & Last):
Nickname / Skate Name:
Date of Birth:
Most Used Telephone Number:
Address:
Email Address:
Emergency conact name / Relationship:
Emergency contact telephone number:
Medical: It is the responsibility of the undersigned (the Participant) to ensure that they are medically fit to
participate in strenuous on-rink, or off-rink activities. As stated below, participation in roller derby activities
presents an inherent risk of injury to person or property. The undersigned certifies that the above named
Participant has no known conditions that prohibit, or limit participation in any roller derby, or roller skating
activities, including off-rink activities (the“Roller Derby Activities”) held by or in association with the
I-5 Rollergirls 501c3 (I5RG). Additionally, the undersigned must have primary medical insurance in place
for the participant to cover any expenses related to any potential injury that may arise from their participation
in the Roller Derby Activities.
Skating Equipment: The undersigned must take full responsibility that the above named Participant properly
wears the following mandatory safety equipment (i.e., helmet, mouth guard, knee pads, elbow pads, wrist pads)
during all Roller Derby Activities:
Eyeglasses must have plastic shatterproof lenses. Only four-wheeled roller skates are permitted. Participants
should use the softest wheel composition available to achieve the best possible grip on the skating surface. All
roller skates must be rink-safe, meaning that their use must not gash, indent or blemish the skating surface or
cause property damage. All equipment liabilities thereof are undertaken by the undersigned.
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I-5 ROLLERGIRLS
LIABILITY WAIVER
Revised: JANUARY, 2012
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Conduct: Participants signing this waiver must behave in a respectful manner to both person and property
during Roller Derby Activities. Behavior, which could potentially lead to intentional or unintentional bodily
injury or damage to property, will not be tolerated and questionable behaviors will be reviewed by I5RG.
If the behavior is found unacceptable, then this may result in a participant’s expulsion from the premises or
league participation.
Indemnification and Risk Acknowledgement: In consideration of being allowed to participate in any way
in the Roller Derby Activities, the undersigned acknowledges and agrees that:
The risk of injuries from Roller Derby Activities is significant, including the potential for permanent
paralysis and death and while particular rules, equipment and personal discipline may reduce this risk,
the risk of injury remains; and
I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IF
ARISING FROM THE NEGLIGENCE OF I5RG or its individual members (the “Releasees”) and I
assume full responsibility for my participation; and, I willingly agree to comply with the stated and
customary terms and conditions for participation.
If, however, I observe any unusual significant hazard during my presence or I for myself and on the
behalf of my heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND
HOLD HARMLESS the Releasees with respect to any and all injury, disability, death, loss, or damage
to my person or property.
I HAVE READ THIS LIABILITY WAIVER (ASSUMPTION OF RISK AGREEMENT),
ACKNOWLEDGE IT, AND I ACCEPT RESPONSIBILITY; I FULLY UNDERSTAND ITS
TERMS, AND I UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY
SIGNING IT AND I SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY
INDUCEMENT.
Participant’s Legal Guardian Signature:
Date Signed:
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I-5 ROLLERGIRLS
JUNIOR ROLLER DERBY LEAGUE
2016 EQUIPMENT CHECKLIST
QUAD SKATES (4 wheels—no inlines)
If you are purchasing your first pair of quads, be sure to visit a store that specializes in skate gear. Your skates are an investment in your success and getting the best pair that fits your budget and your feet is tremendously important. I-5 Rollergirls
strongly recommends you consider visiting a skate shop for advise on skates, plates, wheels, bearings and toe stops.
HELMET
A proper fitting helmet is absolutely the most important piece of safety equipment you will purchase. There are many styles
and brands on the market, but the most important detail is a helmet with an ABS shell and EPS hard foam liner. EPS hard
foam meets ASTM F 2040 and EN 1077B standard for snow and ski, CPSC and EN 1078 standard for bike and skate. If the
helmet you purchase meets these standards you will have the most protection. Again, I-5 Rollergirls strongly recommends
you have an expert help you select and fit your helmet. You will probably feel the helmet is too tight—that is common but
correct. Do not hesitate to spend more money on your helmet, if it affords better protection.
KNEE PADS
Knee protection is important not only for comfort but for longevity in the sport. Purchase pads that fit snugly and don’t slide
down. Always check you knee pads for wear, tears and exposed rivets, etc. Expect to replace your knee pads every season
or two.
ELBOW PADS
Purchase pads that fit snugly and don’t slide down. Your elbow pads will most likely last longer than your knee pads, but
proper care and inspection is required.
WRIST GUARDS
Wrist guards protect your wrist and hands from damage. There are a few different styles and features. Some pull on like a
glove, others wrap around your hand like a splint. While it ultimately is a matter of personal preference, the glove style
guards seems to have fewer issues with maintaining fit over time. Like other gear, they will require replacement every now
and then.
MOUTHGUARDS
Mouth guards are actually mostly protection against concussion although they also protect your teeth and mouth. There are
many styles to choose from and the technology is ever evolving. As with helmets, do not go the least expensive route on
mouth guards. You can get your dentist to make a custom guard but be aware that with the ever changing structure of teeth
in the adolescent this may not even last a season. There are other options that have almost equal protection. Buy two, mold
them, and keep both in your bag.
HIP PADS (Optional, recommended for new skaters)
Hip pads protect your hip bones tailbone, and keep large hematomas minimized, Also called compression shorts, hip pads
are a spandex type short with padded lining. McDavid hip pads are recommended as they have the best protection for the
tailbone. Hard shelled hip pads are not allowed as they pose a hazard to other skaters.
GLADIATORS
Gladiators or knee gaskets are extra padding that help protect the ligaments, cartilage and patella. These are not required.
Many new generation knee pads have the added support built in to them. Ask your expert whether you need them.
REUSABLE WATER BOTTLE(S)
OUTDOOR WHEELS (Optional, Recommended)
SKATE BAG
You don’t need to buy a custom bag to store all your gear, but you must have a bag dedicated to holding all your gear. It is
best to have one that can be left wide open (similar to rollaways, not duffels). Make sure it is large enough to hold your
skates and helmet along with all your other gear.
TOOLS AND SUCH
Duct tape - Dry Rag — Multitool by Powerdyne (has tools for toe stops, axle nuts and trucks) - Bearing cleaner, lubricant and
tool - Spare laces ( at least two sets) - Spare axle nuts - spare bearings….
MAINTAINANCE
It is important to keep your gear in good working condition. Bearings and wheels need cleaning and lubrication. Pads should
be washed often to help prevent bacteria. All gear should be thoroughly aired and dried after each use. Toe stop nuts, truck
nuts and axle nuts should be inspected for appropriate tightness before every use.
Email [email protected] with questions. Go to www.fastgirlskates.com for more information and local resources for equipment.
U.S. D EPARTMENT
OF H EALTH AND H UMAN S ERVICES
CENTERS FOR DISEASE CONTROL AND PREVENTION
A Fact Sheet for PARENTS
WHAT IS A CONCUSSION?
A concussion is a brain injury. Concussions are caused
by a bump or blow to the head. Even a “ding,” “getting
your bell rung,” or what seems to be a mild bump or
blow to the head can be serious.
You can’t see a concussion. Signs and symptoms of
concussion can show up right after the injury or may
not appear or be noticed until days or weeks after the
injury. If your child reports any symptoms of concussion,
or if you notice the symptoms yourself, seek medical
attention right away.
WHAT ARE THE SIGNS AND
SYMPTOMS OF A CONCUSSION?
July 2007
Signs Observed by Parents or Guardians
If your child has experienced a bump or blow to the
head during a game or practice, look for any of the
following signs and symptoms of a concussion:
• Appears dazed or stunned
• Is confused about assignment or position
• Forgets an instruction
• Is unsure of game, score, or opponent
• Moves clumsily
• Answers questions slowly
• Loses consciousness (even briefly)
• Shows behavior or personality changes
• Can’t recall events prior to hit or fall
• Can’t recall events after hit or fall
Symptoms Reported by Athlete
• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems or dizziness
• Double or blurry vision
• Sensitivity to light
• Sensitivity to noise
• Feeling sluggish, hazy, foggy, or groggy
• Concentration or memory problems
• Confusion
• Does not “feel right”
HOW CAN YOU HELP YOUR CHILD
PREVENT A CONCUSSION?
Every sport is different, but there are steps your children
can take to protect themselves from concussion.
• Ensure that they follow their coach’s rules for
safety and the rules of the sport.
• Encourage them to practice good sportsmanship
at all times.
• Make sure they wear the right protective equipment
for their activity (such as helmets, padding, shin
guards, and eye and mouth guards). Protective
equipment should fit properly, be well maintained,
and be worn consistently and correctly.
• Learn the signs and symptoms of a concussion.
WHAT SHOULD YOU DO IF YOU THINK
YOUR CHILD HAS A CONCUSSION?
1. Seek medical attention right away. A health
care professional will be able to decide how serious
the concussion is and when it is safe for your child
to return to sports.
2. Keep your child out of play. Concussions take
time to heal. Don’t let your child return to play
until a health care professional says it’s OK.
Children who return to play too soon—while the
brain is still healing—risk a greater chance of
having a second concussion. Second or later
concussions can be very serious. They can cause
permanent brain damage, affecting your child for
a lifetime.
3. Tell your child’s coach about any recent
concussion. Coaches should know if your child
had a recent concussion in ANY sport. Your
child’s coach may not know about a concussion
your child received in another sport or activity
unless you tell the coach.
It’s better to miss one game than the whole season.
For more information and to order additional materials free-of-charge, visit:
www.cdc.gov/ConcussionInYouthSports
For more detailed information on concussion and traumatic brain injury, visit:
www.cdc.gov/injury
D EPARTAMENTO
DE S ALUD Y S ERVICIOS H UMANOS DE LOS E STADOS U NIDOS
CENTROS PARA EL CONTROL Y L A PREVENCIÓN DE ENFERMEDADES
Hoja Informativa para los PADRES
¿QUÉ ES LA CONMOCIÓN CEREBRAL?
Una conmoción cerebral es una lesión en el cerebro, causada
por un golpe en la cabeza o una sacudida. Incluso una pequeña
conmoción o lo que parece ser un golpe o sacudida leve puede
ser serio.
La conmoción cerebral no puede verse. Los signos y síntomas de
una conmoción pueden aparecer inmediatamente después de la
lesión o puede que no aparezcan, o se hagan visibles algunos días
o meses después de haber sufrido la lesión. Si su hijo tiene los
signos de una conmoción cerebral o si usted nota algún síntoma,
busque atención médica de inmediato.
Julio de 2007
Versión en español aprobada por CDC Multilingual Services – Order # 4421
¿CUÁLES SON LOS SIGNOS Y SÍNTOMAS DE LA
CONMOCIÓN CEREBRAL?
Signos que notan los padres y los tutores
Si su hijo ha sufrido un golpe en la cabeza o una sacudida
durante un juego o una práctica, obsérvelo para determinar si
tiene alguno de los siguientes signos y síntomas de una
conmoción cerebral:
• Luce aturdido o fuera de control
• Se confunde con la actividad asignada
• Olvida las jugadas
• No se muestra seguro del juego, la puntuación ni de sus
adversarios
• Se mueve con torpeza
• Responde con lentitud
• Pierde el conocimiento (así sea momentáneamente)
• Muestra cambios de conducta o de personalidad
• No puede recordar lo ocurrido antes de un lanzamiento
o un caída
• No puede recordar lo ocurrido después de un lanzamiento
o un caída
Síntomas que reporta el atleta
• Dolor o "presión" en la cabeza
• Náuseas o vómitos
• Problemas de equilibrio, mareo
• Visión doble o borrosa
• Sensibilidad a la luz y al ruido
• Se siente débil, confuso, aturdido o grogui
• Problemas de concentración o memoria
• Confusión
• No se "siente bien"
¿CÓMO AYUDAR A SU HIJO A PREVENIR UNA
CONMOCIÓN CEREBRAL?
Aunque todo deporte es diferente, hay medidas que puede tomar
para protegerse.
• Haga que siga las reglas impartidas por el entrenador y las
reglas del deporte que practica.
• Invítelo a mantener el espíritu deportivo en todo momento.
• Haga que su hijo use el equipo protector adecuado según la
actividad que realiza (como casco, almohadillas protectoras,
canilleras o protector dental). El equipo de protección debe
ajustarse bien, debe hacérsele el mantenimiento adecuado, y
el jugador debe usarlo correctamente y en todo momento.
• Aprenda a identificar los signos y síntomas de la conmoción.
¿QUÉ DEBE HACER SI CREE QUE SU HIJO HA SUFRIDO
UNA CONMOCIÓN CEREBRAL?
1. Busque atención médica de inmediato. Un profesional
de la salud podrá determinar la seriedad de la conmoción
cerebral que ha sufrido el niño y cuándo podrá regresar al
juego sin riesgo alguno.
2. No permita que su hijo siga jugando. Las conmociones
cerebrales necesitan de un cierto tiempo para curarse. No
permita que su hijo regrese al juego hasta que un profesional
de la salud le haya dicho que puede hacerlo. Los niños que
regresan al juego antes de lo debido - mientras el cerebro
está en proceso de curación - corren un mayor riesgo de
sufrir otra conmoción. Las conmociones cerebrales siguientes
pueden ser muy serias. Pueden causar daño cerebral
permanente que afectarán al niño de por vida.
3. Informe al entrenador del niño sobre cualquier
conmoción cerebral que el niño haya sufrido
recientemente. Los entrenadores deben saber si el niño
ha sufrido una conmoción recientemente en CUALQUIER
deporte. El entrenador no necesariamente sabrá si el niño
ha tenido una conmoción en otro deporte o actividad a
menos que usted se lo diga.
Es preferible perderse un juego que toda la temporada.
Para obtener más información o solicitar más materiales de forma gratuita, visite:
www.cdc.gov/ConcussionInYouthSports
Para obtener información más detallada sobre la conmoción cerebral y la
lesión cerebral traumática, visite: www.cdc.gov/injury
U.S. D EPARTMENT
OF H EALTH AND H UMAN S ERVICES
CENTERS FOR DISEASE CONTROL AND PREVENTION
A Fact Sheet for ATHLETES
WHAT IS A CONCUSSION?
A concussion is a brain injury that:
• Is caused by a bump or blow to the head
• Can change the way your brain normally works
• Can occur during practices or games in
any sport
• Can happen even if you haven’t been
knocked out
• Can be serious even if you’ve just been “dinged”
WHAT ARE THE SYMPTOMS OF
A CONCUSSION?
• Headache or “pressure” in head
• Nausea or vomiting
• Balance problems or dizziness
• Double or blurry vision
• Bothered by light
• Bothered by noise
• Feeling sluggish, hazy, foggy, or groggy
• Difficulty paying attention
• Memory problems
• Confusion
• Does not “feel right”
WHAT SHOULD I DO IF I THINK
I HAVE A CONCUSSION?
July 2007
• Tell your coaches and your parents. Never
ignore a bump or blow to the head even if you
feel fine. Also, tell your coach if one of your
teammates might have a concussion.
• Get a medical check up. A doctor or health care
professional can tell you if you have a concussion
and when you are OK to return to play.
• Give yourself time to get better. If you have
had a concussion, your brain needs time to heal.
While your brain is still healing, you are much
more likely to have a second concussion. Second
or later concussions can cause damage to your
brain. It is important to rest until you get
approval from a doctor or health care
professional to return to play.
HOW CAN I PREVENT A CONCUSSION?
Every sport is different, but there are steps you
can take to protect yourself.
• Follow your coach’s rules for safety and the
rules of the sport.
• Practice good sportsmanship at all times.
• Use the proper sports equipment, including
personal protective equipment (such as helmets,
padding, shin guards, and eye and mouth
guards). In order for equipment to protect you,
it must be:
> The right equipment for the game, position,
or activity
> Worn correctly and fit well
> Used every time you play
It’s better to miss one game than the whole season.
For more information and to order additional materials free-of-charge, visit:
For more detailed information on concussion and traumatic brain injury, visit:
www.cdc.gov/ConcussionInYouthSports
www.cdc.gov/injury
D EPARTAMENTO
DE S ALUD Y S ERVICIOS H UMANOS DE LOS E STADOS U NIDOS
CENTROS PARA EL CONTROL Y L A PREVENCIÓN DE ENFERMEDADES
Hoja Informativa para los ATLETAS
¿QUÉ ES LA CONMOCIÓN CEREBRAL?
sientas bien. También dile al entrenador si crees que uno
La conmoción cerebral es una lesión del cerebro que:
de tus compañeros de equipo sufrió una conmoción.
• Es causada por un golpe en la cabeza o una sacudida
• Puede cambiar el funcionamiento normal del cerebro
• Puede ocurrir en cualquier deporte durante las prácticas
• Ve al médico para que te examine. Un médico u otro
profesional de la salud podrá decirte si sufriste una conmoción
cerebral y cuándo estarás listo para volver a jugar.
de entrenamiento o durante un juego
• Puede ocurrir aun cuando no se haya perdido el
conocimiento
• Puede ser seria aun si se piensa que sólo se trata de un
• Tómate el tiempo suficiente para curarte. Si sufriste
una conmoción cerebral, tu cerebro necesitará tiempo
para sanar. Es más probable que sufras una segunda
conmoción mientras tu cerebro esté en proceso de
golpe leve
curación. Las segundas conmociones y cualquier
¿CUÁLES SON LOS SÍNTOMAS DE LA CONMOCIÓN
conmoción adicional pueden causar daños al cerebro.
CEREBRAL?
Por eso es importante que descanses hasta que un
• Dolor o "presión" en la cabeza
médico u otro profesional de la salud te permitan
• Náuseas (sentir que quieres vomitar)
regresar al campo de juego.
• Problemas de equilibrio, mareo
• Visión doble o borrosa
• Molestia causada por la luz
• Molestia causada por el ruido
Julio de 2007
Versión en español aprobada por CDC Multilingual Services – Order # 4417
• Sentirse debilitado, confuso, aturdido o grogui
• Dificultad para concentrarse
• Problemas de memoria
¿CÓMO PUEDO PREVENIR UNA CONMOCIÓN
CEREBRAL?
Aunque todo deporte es diferente, hay medidas que puedes
tomar para protegerte.
• Sigue las reglas de seguridad del entrenador y las reglas
del deporte que practicas.
• Mantén el espíritu deportivo en todo momento.
• Confusión
• No "sentirse bien"
• Utiliza los implementos deportivos adecuados, incluido
el equipo de protección personal (como casco,
¿QUÉ DEBO HACER SI CREO QUE HE SUFRIDO UNA
CONMOCIÓN CEREBRAL?
almohadillas protectoras, canilleras, gafas y protector
dental). Para que este equipo te proteja, debe:
> Ser adecuado para el deporte que practicas, tu
• Dile a tus entrenadores y a tus padres. Nunca ignores
un golpe en la cabeza o una sacudida aun cuando te
posición en el juego y tipo de actividad
> Usarse correctamente y ajustarse bien a tu cuerpo
> Usarse en todo momento durante el juego
Es preferible perderse un juego que toda la temporada.
Para obtener más información o solicitar más materiales de forma gratuita, visite:
www.cdc.gov/ConcussionInYouthSports
Para obtener información más detallada sobre la conmoción cerebral y la
lesión cerebral traumática, visite: www.cdc.gov/injury