WTAMU Band Camp HS 2016 Audition Material
Transcription
WTAMU Band Camp HS 2016 Audition Material
WTAMU Band Camp HS 2016 Audition Material Flute play to the end of the variation (double barline) with which you are most comfortable BJ Brooks ASCAP Moderato q. = 60+ (suggested) Theme œ œ œ œ 6 & b8 œ J œ™ œ™ œ œ œ œ œ J œ œ nœ œ ™ mf œ œ œ œ œ œ b & 5 œ™ œ <b> œ J œ œ œ œ œ œ ˙™ f mf œ™ . œœœ n œ . . . . œ œ . . œ j œ œ œ œ œ œ œ ‰ œ œ œ œ. œbœ œœœœ œ J &b œ œ 9 Var. 1 f œ ˙™ . œ . œ œ . <b> œ œ œ . œ œ œœœ . œ. bœ. bœ. œ œ œ œ œ œ œ™ nœ J b b œ b œ & 13 f p . . . . . œ œ œ. œ. œ œ. œ œ œ œ œ œ œ#œ. œ. œ. n œ. œ œ œ œ n œ œ œ œ œ œ n œ œ. œ. œ. œ. œ œ œ. œ. œ J &b Var. 2 17 mf . œ b œ œ. œ œ. . œ™ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ œ &b 21 œj œ™ œ ™ f mp > >œ >œ >œ >œ > >œ œ œ œ œ œ œ œ œ >œ œ >œ œ œ >œ œ > œ œœœ œ œ œ œ œœœ œœœœ œ Var. 3 25 &b mf >œ 28 œ œ œ œ nœ œ ™ &b f >œ >œ œ >œ œ >œ œ œ b œ œ b œ œ ™ œ œ. . œ b œ œ b œ . œ œ n œ b œ œ œ b œ œ bœ œ . œ. n œ J ‰ ‰ nœ. œ &b nœ œnœ œ œ bœ J 31 f j œ. ‰ ‰ Œ ™ p Flute Major Scales & Arpeggios œœœœ œœœœœœœ œ œ Concert C œ œ œ œ œœœ œœ œ œ œ œ œ œ œœœ œ c œ œ & œ œ œœœ w œ œœ Concert F œœœ œœœœœœœ œ œ œ œ œ œœœœ œ œœ w &b œ œ œ œ œ œ œœ œœœœœœœ œ œ œ Concert Bb œ œ œœœœ œœœ w b œœœœœœœ b & Rev. 4/06 œœ œœœœœœœ œ œ œ œ œœœœœ b œ œ &b b œ œ œ œ œ œ œœ w œœœ œœœœœœœ œ Concert Ab œ œ œ œœœœœ bbb œ œ œ œ œ œ œœ w b œ & Concert Eb œœœ œœœœœœœ œ œ œ œ œ œœœœœ & b œœœœœœœ œ w Concert F# œœ œœœœœœœ œ œ œ # œ # # œœœœœ œ œ œœ w & # ## œ œ œ œ œ œ œœœ œœœœœœœ œ Concert B œ œ œ œ œœœœœ #### œ œ œ œ œ œ œ œ w # & bbbb Concert Db œœœ œœœœœœœ œ œ œ œ œ œœœœ œœ & œœ w œœœœœ œœ œœœœœœ Concert A œ œ œ œ œ œœœœ ### œœ œ œ œ œœœ w œ œœ & #### Concert E œœ œœœœœœœ œ œ œ œ œ œœœœ & œœœœœœœ œœœ w Concert G œœœœ œœœœœœœ œœ œ œ œ # œœ œœœœœ & œœœœœ w œ œœ œœ œ œ œ œœœ œ œ œ œœ Ó œ œ œœ œ œœ œ œ œœ Œ œœ œ œ œœœ œ œœœ œ œœŒ œœ œœ œ œ œœ œ œ œœœŒ œ œ œ œœ œ œœ œ œœœŒ œœœ œ œœ œ œœ œ œœœŒ œœœ œœ œ œ œœ œ œ œœœŒ œ œ œ œœ œ œœ œ œœœŒ œœœ œ œœ œ œœ œ œœœŒ œœœ œœ œ œ œœ œ œ œœœŒ œ œ œœ œ œ œœ œœ œ œœ œ œ œœœ œ #œ Chromatic œ #œ œ #œ œ œ #œ œ #œ œ œ # œ œ # œ œ œ #œ œ #œ œ œ #œ œ # œ & œ # œ œ # œ œ #œ œ #œ œ bœ œ bœ œ œ bœ œ bœ œ œ bœ œ bœ œ bœ œ œ bœ œ bœ œ œ bœ œ bœ œ bœ œ & œ bœ œ bœ ## Concert D œœ œœ œœ Œ œ œœ œœœŒ œ œ œ bœ nœ œ Œ Ó AUDITIONS 2016-2017 In this packet you will find information about upcoming auditions in the Travis Tiger band. Please look over the materials carefully and feel free to contact us should you have any question www.travistigerband.com Audition Information Dedication, Energy, Excellence, Success, Honor, “DEESH” It is an honor and a privilege to be a member of the William B. Travis High School Band Program. The Tiger Band has a history of honor and success. We are looking forward to having you in our program to continue the tradition of excellence! Here’s a little information on the upcoming auditions: • Auditions at this time will be for band placement in the fall semester. • Audition results will be posted sometime during the week of June camp or announced by email during the Summer. • If you have any questions, please feel free to email the directors. Playing Audition Details – If you are currently in 8th – 11th Grade • All students will have an audition during their section time during Monday June 6 and Tuesday June 7, 2016. • A metronome is NOT required to be used, however scales should be performed at quarter note equals 120. • You will be asked to perform as many of the 12 Major Scales as you can and your Chromatic Scale. (You do not have to play the arpeggios written on the page.) o You should consult the scale grading criteria page to understand how you will be scored. o You should try to perform the same ranges that are on the scale sheet in this packet. • You will also be asked to perform a prepared etude included in this packet. The etude will begin very easy and become progressively more difficult in order to make it accessible to all students in grades 8 through 11. • Scales have to be performed by memory. You may use your music in the case you’re not as familiar with a scale but it will be for less points. • Please fill out the attached information page PRIOR to your audition. Please write legibly. June Camp Information June Camp will be the first opportunity for the 2016 Travis Tiger Band to perform. During this camp, all current 8th – 11th grade students will work on fundamentals and music for the upcoming marching show. This is a great opportunity for the incoming freshmen to begin making new friends with older members of the Travis Band! If you have any questions, please email the directors. Schedule is attached. Dedication, Energy, Excellence, Success, Honor, “DEESH” F.A.Q. (Frequently Asked Questions) Q: A: What should I focus on when preparing my audition material? We realize that your preparation time is short, however, we are most interested in tone quality, technical and rhythmic accuracy, and musicianship. We are least interested in a tryout played too fast that sacrifices these qualities. We urge you to challenge yourself, but be reasonable when choosing tempos for your scales. Q: A: What if I get really nervous when I have to audition? We’re on your side! We want you to just be yourself and do the best that you can. Take a deep breath before you play and then DO YOUR BEST! Q: A: If I play oboe or bassoon, will I still get to participate in marching band? YES! Every member of the Travis Band Program will get to participate in the marching band. Q: A: When will I find out how I did? Audition results should be finalized and posted sometime during the summer or last day of June camp. Q: A: When will I find out more information regarding the schedule of activities? As of now, all of our dates including concerts and summer rehearsals are on the charms calendar. Please go to our website at www.travistigerband.com for the link to the charms calendar. Q: A: Are the summer practices that important? It is REQUIRED for you to attend the summer band rehearsals, and we cannot guarantee a spot in the competition block in the event you’re not present. You will find yourself very behind if you do not attend. If you already know of a scheduling conflict please contact the directors. Q: I really would like to be involved in many activities in high school. Can I do these activities and still be in band? It is possible to participate in other organizations in addition to band. It will work with some, but not all athletic organizations. Travis HS offers numerous clubs for students to participate in. It is the responsibility of the student to choose additional organizations that will have minimal conflicts with the attendance requirements for the Travis Band. A: Q: A: What do I do if I lose my audition music? All audition material is also available for download on the THS Band website www.travistigerband.com Dedication, Energy, Excellence, Success, Honor, “DEESH” Scale Grading Criteria 1: Made an attempt to play the scale but it is unrecognizable. 2: Tone quality may be poor and most of the notes are wrong, or the student did not finish the scale. 3: Some of the notes are correct. Tone quality may still be poor and the correct range may not have been performed. The performer had to stop or start over. 4: Most of the notes are correct, or the rhythm may be uneven. The wrong articulation pattern (tongue up/slur down) was used. Tone quality may not be refined, but would not be considered poor. The correct range was attempted, but may not have been completed. 5: All notes are correct. Rhythm is even or very close and the correct range was performed. Tone is developing properly, but may be fuzzy, thin, or inconsistent from register to register. Dynamic intensity may vary from note to note or from octave to octave. Instruments and reed are properly functioning. 5.5: The scale is starting to take on melodic characteristics, but may still present unrefined tone quality in the extreme registers. The first and last notes may be abrupt and the sound may be coarse. Vibrato may or may not be present. 6: Starts and articulation are clear and response in the extreme registers is beginning to exhibit some control, though inconsistencies may exist. Tone quality is decidedly characteristic, clear, and resonant, with closely matched registers. The last note is released with a sense of finality. Faster tempos are used and the scale is not perceived as slow. Vibrato on long notes is present, but is not necessarily performed effectively. The scale definitely has melodic direction. 6.5: Takes on most positive characteristics of a “6,” but at a faster tempo. Inconsistencies in sound are negligible. There is very little “smeariness” or technique in the extreme registers. There are no “blips” present. The scale begins to take on a refined feeling. 7-7.5: Tempos are approaching the maximum for the instrument. Tone quality is consistent and well-developed over the range of the scale. Vibrato is refined and mature. There are no smeary registers and the instrument is in perfect working condition. Inconsistencies in pitch over the range of the scale may be present to a small degree. 8-8.5: Maximum tempo is used for your instrument and is performed convincingly. Articulation is characteristic and does not change in any register. Melodic tuning is nearly perfect. Finger/hand technique and wrist action cause no instrument noises that would be construed as distracting. The performance is perceived as effortless and takes on an individual personality. 9: All elements of musicality are present and performed in a convincing manner. The performer has complete control of the environment and performs all scales as if they were inter-related. 10: There are no discernible flaws to the most discriminating listener. The presentation takes on all positive characteristics of a professional performance. Chromatic Scale Performance Levels 0-9: Frequent errors; incorrect range; significant inconsistencies in tone quality; conservative tempo; multiple attempts. 10-19: All notes are correct; correct range performed; minor to moderate inconsistencies in tone quality; moderate tempo. 20-24: Tempos are approaching the maximum for the instrument; tone quality is characteristic and consistent over the range of the scale; technique is fluent and even. 25-30: All positive characteristics previously identified are present. There are few or no discernible flaws in technique, tone, articulation, or phrase direction. Dedication, Energy, Excellence, Success, Honor, “DEESH” 2016-2017 Band Audition Information Sheet Last Name: __________________________________ Instrument: _______________________________ First Name: ______________________________ Student ID #: ___________________________ Please circle your CURRENT school below: Travis H.S. Bowie M.S. Sartartia M.S. Crockett M.S. Hodges Bend M.S. Other_________________ Grade Related Did you fail a class any six weeks during the 2015-2016 school year? If so, what class(es) did you fail, what were the grade(s)? Yes or No Individual Performance Credits Were you selected into any of the following organizations? All District Band 7th 8th 9th 10th All Region Band 7th 8th 9th 10th Freshman All Region Band 9th Area Participant 9th 10th th All State Participant 9 10th If yes, circle the years that apply. 11th 11th 11th 11th Please circle the years that you received a division one rating on a solo or ensemble. Division ONE – MIDDLE SCHOOL SOLO CONTEST 6th 7th 8th Division ONE – MIDDLE SCHOOL ENSEMBLE CONTEST 6th 7th 8th Division ONE – HIGH SCHOOL SOLO CONTEST Division ONE – HIGH SCHOOL ENSEMBLE CONTEST 9th 9th 10th 10th Please circle the years that correspond to the years of your performance with the listed groups. Other ensemble(s) from another school 7th 8th 9th 10th nd th th MS 2 Band 7 8 st th MS 1 Band 7 8th HS Concert 9th 10th HS Symphonic 9th 10th HS Honors 9th 10th 11th 11th 11th 11th 11th 11th Audition Scores Scale Score C F Bb Eb Ab Db Gb/F# B E A D G Chr SR Hon Dedication, Energy, Excellence, Success, Honor, “DEESH” June Camp 2016 (Woodwinds & Brass only) What to wear? • Plain white T-shirt • Athletic shorts (not basketball shorts) • Running shoes (with laces) • Sunglasses • Baseball cap or hat • Sunscreen • Instrument • Water jug (1gl insulated – red color) • Big water jug (1gl insulated – red color) • A really big water jug (1gl or more insulated – red color) • A sack lunch with lots of calories Do • Get a good night sleep • Get a big breakfast (no dairy) • Get a minimum of 2500 calories in at the end of the day • Drink Gatorade every night before bed • Drink water every day as soon as you wake up • Consult your doctor about any health issue Monday June 6, 2016 • 7:00AM Leadership Meeting • 7:30AM Welcome inside band hall • 8:00AM Outside on the grid • 10:45AM Back Inside for Sectionals • 11:00AM Indoor Rehearsal • 1PM Dismissal for students not auditioning • 1:30PM Flute auditions • 4:00PM Clarinet auditions • 5:45PM Saxophone + Double Reed auditions • (Percussion & Guard Students have a different schedule as distributed by their director) Tuesday June 7, 2016 • 7:00AM Leadership Meeting • 7:30AM Outside on the grid • 10:45AM Back inside for sectionals • 11:00AM Indoor Rehearsal • 1PM Dismissal for students not auditioning • 1:30PM Trumpet + Horn audition • 4:00PM Low Brass audition Wednesday June 8, 2016 • 7:00AM Leadership Meeting • 7:30AM Outside on the grid • 10:45AM LUNCH (bring a sack lunch) • 11:30AM Indoor Rehearsal • 4:00PM Dismissal Audition results will be posted on the website by June 13, 2016. All students are required to attend June camp and August camp to be considered for a primary spot. If you are planning to play in a fall sport like volleyball, football, swim, etc. please talk to the directors if you are planning to try-out for these events. Please refer to www.travistigerband.com for all the latest information. The charms calendar is available through this website and you must have the performance dates on your family calendar in order to avoid conflicts. ALL REHEARSALS AND PERFORMANCE DATES ARE MANDATORY AND FOR A GRADE! Please be aware that we cannot excuse a student do to work, tutorials, family, birthdays or club event. If you know of a conflict please contact us immediately so we may be able to work together to solve the schedule issues. Important dates (woodwinds & brass) August 1-5, 2016 7AM-5PM band camp week one August 8-10, 2016 7AM-7PM band camp week two August 15-18, 2016 4PM-8:30PM band camp week three + season preview (more details to come) A complete marching season calendar is available on attached to this packet. June 6-10, 2016 PERCUSSION placement camp 7:30AM-4PM June 6-9, 2016 COLORGUARD camp 8AM-4PM June 6, 2016 • 7:30-1PM woodwinds & brass • 1:30PM Flute auditions • 4:00PM Clarinet auditions • 5:45PM Saxophone + double reeds auditions June 7, 2016 • 7:30AM-1PM woodwinds & brass • 1:30PM trumpet & horn • 4:00PM Low Brass Auditions June 8, 2016 • 7:30AM-4PM woodwinds & brass July 11-14, 2016 Percussion music camp 7:30AM-4PM REQUIRED FOR ALL PERCUSSION STUDENTS July 25, 2016 FBISD leadership camp (for student leaders only) – times TBA July 26-28, 2016 THS leadership camp 9AM-Noon @ THS August 1-5, 2016 Band Camp 7AM-5PM REQUIRED for all band members (brass, woodwinds, percussion and colorguard) August 8-10, 2016 Band Camp 7AM-7PM REQUIRED for all band members (brass, woodwinds, percussion and colorguard) August 11, 2016 Percussion Camp REQUIRED for all percussion students 7AM-5PM August 12, 2016 Rock-A-Thon 7AM-6AM the next day August 15-18, 2016 Band Camp 4:00PM-8:30PM REQUIRED for all band members (brass, woodwinds, percussion and colorguard) (TMB = Tiger Marching Band – all students woodwinds, brass, percussion & colorguard partake in the TMB rehearsals) 8/23/16 TMB 4-6:30PM 8/25/16 TMB 4-6:30PM 8/27/16 TMB 9AM-Noon / FB @ 6:30PM 8/30/16 TMB 4-6:30PM 9/1/16 TMB 4-6:30PM 9/2/16 FB @ 7PM (FB = Football Games) 9/3/16 TMB 9AM-Noon 9/6/16 TMB 4-6:30PM 9/8/16 FB @ 6:30PM 9/9/16 TMB 4-6:30PM 9/10/16 TMB 9AM-Noon 9/13/16 TMB 4-6:30PM Calendar for marching band 2016 9/15/16 TMB 4-6:30PM 9/17/16 TMB 9AM-Noon 9/20/16 TMB 4-6:30PM 9/22/16 TMB 4-6:30PM 9/23/16 FB County Parade 8AM-1PM 9/24/16 TMB 9AM-Noon + FB @6:30PM 9/27/16 TMB 4-6:30PM 9/29/16 TMB 4-6:30PM 9/30/16 TMB 3:30-6:30PM 10/1/16 FB @ 6:30PM 10/4/16 TMB 4-6:30PM 10/6/16 TMB 4-6:30PM 10/8/16 Katy ISD Marching Festival (all day event) 10/10/16 TMB 3:30-6:30PM 10/11/16 FBISD Band Night 10/13/16 TMB 4-6:30PM 10/14/16 FB @ 7PM 10/15/16 Cy Fair ISD Marching Festival (all day event) 10/19/16 TMB 4-6:30PM 10/20/16 TMB 4-6:30PM 10/21/16 FB @ 7PM 10/22/16 TMB 9AM-Noon 10/24/16 TMB 4PM-6:30PM 10/25/16 UIL Marching Contest 10/27/16 FB @ 6:30PM 10/28/16 TMB 4-6:30PM 10/29/16 TMB 9AM-Noon + UIL AREA Marching 11/1/16 TMB 4-6:30PM 11/3/16 FB @ 6:30PM Senior Night 11/5/16 PERCUSSION – Gulf Coast Classic Drumline Competition If the football team makes the playoffs the band is required to travel with the team. Therefore please be advice that there may be additional games not listed here. Concert season starts immediately in the beginning of November. Students will have rehearsals based on their ensemble placement. www.travistigerband.com PREPARTICIPATION PHYSICAL EVALUATION -- MEDICAL HISTORY REVISED 12-4-14 This MEDICAL HISTORY FORM must be completed annually by parent (or guardian) and student in order for the student to participate in athletic activities. These questions are designed to determine if the student has developed any condition which would make it hazardous to participate in an athletic event. Student's Name: (print) Sex Age Date of Birth Address Grade Phone School Personal Physician Phone In case of emergency, contact: Name Relationship Phone (H) (W) Explain “Yes” answers in the box below**. Circle questions you don’t know the answers to. 1. Have you had a medical illness or injury since your last check up or sports physical? 2. Have you been hospitalized overnight in the past year? Have you ever had surgery? 3. Have you ever had prior testing for the heart ordered by a physician? Have you ever passed out during or after exercise? Have you ever had chest pain during or after exercise? Do you get tired more quickly than your friends do during exercise? Have you ever had racing of your heart or skipped heartbeats? Have you had high blood pressure or high cholesterol? Have you ever been told you have a heart murmur? Has any family member or relative died of heart problems or of sudden unexpected death before age 50? Has any family member been diagnosed with enlarged heart, (dilated cardiomyopathy), hypertrophic cardiomyopathy, long QT syndrome or other ion channelpathy (Brugada syndrome, etc), Marfan's syndrome, or abnormal heart rhythm? Have you had a severe viral infection (for example, myocarditis or mononucleosis) within the last month? Has a physician ever denied or restricted your participation in sports for any heart problems? 4. Have you ever had a head injury or concussion? 4. Have you ever been knocked out, become unconscious, or lost your memory? If yes, how many times? __________ When was your last concussion? __________ How severe was each one? (Explain below) Have you ever had a seizure? Do you have frequent or severe headaches? Have you ever had numbness or tingling in your arms, hands, legs or feet? Have you ever had a stinger, burner, or pinched nerve? 5. Are you missing any paired organs? 6. Are you under a doctor’s care? 7. Are you currently taking any prescription or non-prescription (over-the-counter) medication or pills or using an inhaler? 8. Do you have any allergies (for example, to pollen, medicine, food, or stinging insects)? 9. Have you ever been dizzy during or after exercise? 10. Do you have any current skin problems (for example, itching, rashes, acne, warts, fungus, or blisters)? 11. Have you ever become ill from exercising in the heat? 12. Have you had any problems with your eyes or vision? Yes No o o o o o o o o 14. o o o o o o 15. o o o o o o o o joints? Have you had any other problems with pain or swelling in o o o Yes 13. No Have you ever gotten unexpectedly short of breath with exercise? Do you have asthma? Do you have seasonal allergies that require medical treatment? Do you use any special protective or corrective equipment or devices that aren't usually used for your sport or position (for example, knee brace, special neck roll, foot orthotics, retainer on your teeth, hearing aid)? o o o o o o o Have you ever had a sprain, strain, or swelling after injury? Have you broken or fractured any bones or dislocated any o o o o o o o o o o o o o muscles, tendons, bones, or joints? If yes, check appropriate box and explain below: o o o o o o 16. 17. o o o o 18. o o o o o o o o o o o o o o o o o o o o o o o o Head o o Elbow Hip o Neck o Forearm o Thigh o Back o Wrist o Knee o Chest o Hand o Shin/Calf o Shoulder o Finger o Ankle o Upper Arm o Foot Do you want to weight more or less than you do now? Do you feel stressed out? Have you ever been diagnosed with or treated for sickle cell trait or cell disease? Females only 19. When was your first menstrual period? _____________ When was your most recent menstrual period? _____________ How much time do you usually have from the start of one period to the start of another? _____________ How many periods have you had in the last year? _____________ What was the longest time between periods in the last year? _____________ An individual answering in the affirmative to any question relating to a possible cardiovascular health issue (question three above), as identified on the form, should be restricted from further participation until the individual is examined and cleared by a physician, physician assistant, chiropractor, or nurse practitioner. **EXPLAIN ‘YES’ ANSWERS IN THE BOX BELOW (attach another sheet if necessary): ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ __________ It is understood that even though protective equipment is worn by the athlete, whenever needed, the possibility of an accident still remains. Neither the University Interscholastic League nor the school assumes any responsibility in case an accident occurs. If, in the judgment of any representative of the school, the above student should need immediate care and treatment as a result of any injury or sickness, I do hereby request, authorize, and consent to such care and treatment as may be given said student by any physician, athletic trainer, nurse or school representative. I do hereby agree to indemnify and save harmless the school and any school or hospital representative from any claim by any person on account of such care and treatment of said student. If, between this date and the beginning of athletic competition, any illness or injury should occur that may limit this student's participation, I agree to notify the school authorities of such illness or injury. I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Failure to provide truthful responses could subject the student in question to penalties determined by the UIL Student Signature: Parent/Guardian Signature: Date: Any Yes answer to questions 1, 2, 3, 4, 5, or 6 requires further medical evaluation which may include a physical examination. Written clearance from a physician, physician assistant, chiropractor, or nurse practitioner is required before any participation in UIL practices, games or matches. THIS FORM MUST BE ON FILE PRIOR TO PARTICIPATION IN ANY PRACTICE, SCRIMMAGE OR CONTEST BEFORE, DURING OR AFTER SCHOOL. For School Use Only: This Medical History Form was reviewed by: Printed Name Date Signature PREPARTICIPATION PHYSICAL EVALUATION -- PHYSICAL EXAMINATION Student's Name _________________________________ Sex _______ Age _______ Date of Birth _________________________ Height ______ Weight________ % Body fat (optional) ________ Pulse __________ BP____/____ (____/____, ____/____) brachial blood pressure while sitting Vision: R 20/______ L 20/___ Corrected: o Y o N Pupils: o Equal o Unequal As a minimum requirement, this Physical Examination Form must be completed prior to junior high athletic participation and again prior to first and third years of high school athletic participation. It must be completed if there are yes answers to specific questions on the student's MEDICAL HISTORY FORM on the reverse side. * Local district policy may require an annual physical exam. NORMAL ABNORMAL FINDINGS INITIALS* Lymph Heart-Auscultation of the heart the supine Heart-Auscultation of the heart the standing Heart-Lower extremity Genitalia (males Marfan’s stigmata pectus excavatum, hypermobility, MUSCULOSKELETAL *station-based examination only CLEARANCE o Cleared o Cleared after completing evaluation/rehabilitation for: __________________________________________________________ _________________________________________________________________________________________________________ o Not cleared for:_________________________________________Reason: _________________________________________ Recommendations: _________________________________________________________________________________________ _________________________________________________________________________________________________________ The following information must be filled in and signed by either a Physician, a Physician Assistant licensed by a State Board of Physician Assistant Examiners, a Registered Nurse recognized as an Advanced Practice Nurse by the Board of Nurse Examiners, or a Doctor of Chiropractic. Examination forms signed by any other health care practitioner, will not be accepted. Name (print/type) __________________________________________ Date of Examination: ______________________________ Address: _______________________________________________________________________________________________________ Phone Number: ___________________________________________________________________________________________________ Signature: _____________________________________________________________________________________________ Must be completed before a student participates in any practice, before, during or after school, (both in-season and out-of-season) or games/matches. 2016 FORT BEND ISD ATHLETIC PHYSICAL EXAMS Physical dates listed are for schools located closest to the physical exam location. Physical Exams are open to athletes from all schools. Thurs. 5/5/2016 Wheeler Field House 6:00-8:00 Clements, Kempner, Fort Settlement, First Colony, Sugar Land, Sartartia Thurs. 05/12/2016 Travis HS 2:00-8:00 Travis, Austin, Bush, Garcia, Hodges Bend, Crockett, Bowie Thurs. 05/19/2016 Hopson Field House 6:00-8:00 Willowridge, Hightower, Ridge Point, McAuliffe, Baines Tues. 05/24/2016 Elkins High School 6:00-8:00 Elkins, Dulles, Marshall, Lake Olympia, Quail Valley, Missouri City, Dulles MS Sat. 7/30/2016 HMOSM Building 9:00-Noon All Schools Wed. 08/24/2016 Hopson Field House 6:00-8:00 The UIL Pre-participation Physical Evaluation form is available for download and completion of the demographics and medical history at: http://www.fortbendisd.com/cms/lib09/ TX01917858/Centricity/Domain/129/ UILPhysicalForm_2015_update_pm.pdf Bring this completed form with you to the examination. Blank paper forms are available at the physical exam. Parents must complete their child’s medical history, and sign the exam form prior to the examination. Houston Methodist parent consent forms must also be signed prior to the examination. All other forms are available through the FBISD Athletics web site: https://fortbendisd.rankonesport.com/Main /Default.aspx?ID=24e66440-c4c6-4efb-bb1e52d3ef97ad15. All Schools For more information, call the Houston Methodist Athletic Training Hotline at 281.275.0447 or visit methodistsportsmed.com.