Try Out Checklist. 1. CHHS Song/Dance application sheet with current picture

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2 Try Out Checklist In order to participate in the Chino Hills High School Spiritleader Try Outs, each candidate must return the following documents NO LATER THAN Monday, April 25 th. Students who have not turned in these documents will be unable to participate in clinics and tryout. ü 1. CHHS Song/Dance application sheet with current picture 2. Letter of Recommendation from a current dance teacher/coach/advisor and 2 teacher evaluations OR 3 teacher evaluations. 3. CHHS Song/Cheer Permission Form/Medical Release 4. A copy of your last report card (current CHHS students) OR Academic Grade Check (8 th grade students) 2.5 GPA min requirement. 5. CHHS Athletic Clearance packet with current physical. Download from available soon or available in Athletic or Activities office. 6. CHHS Pep Squad Rules & Policies last page, signed by both parent(s) and student. (will be distributed on the first day of clinics and due at tryout) Please place all items in a secure envelope with your name on it and turn in to the front office, Attn: Advisor Melissa Cosme or Co- Advisor Kerry Rupe- Tryout Packet, by 3pm on April 25 th.

3 CHHS Cheer/Song Application Name Grade in Fall Date of Birth T- Shirt Size XS S M L XL (Circle Size) Glue head shot here Parents Names Address Home Phone Parent Cell Student Cell Current GPA (Student) (Parent) Training # Years of Training Places of Training Jazz Ballet/Pointe Hip Hop Pom/Cheerleading Acting/Musical Theater Other Style(s)

4 Team/Group Experience # Years Name of Team/Company All- Star Team Dance Company/Competition Team Performance Experience What qualities do you possess that would make you a strong asset to the Cheer/Song team? Please describe what team work and work ethic mean to you. Please include one letter of recommendation from a current cheer/dance teacher/coach/advisor. You may include it in a secure envelope with your application marked Attn: Melissa Cosme/Kerry Rupe

5 CHINO HILLS HIGH SCHOOL SPIRITLEADERS Academic Advisor Grade Check For Eighth Graders Only PLEASE HAVE THIS FORM COMPLETED BY YOUR ACADEMIC ADVISOR Dear Academic Advisor, is trying out for the Chino Hills Cheer/Song Team. At the conclusion of the most recent grading period, his/her GPA was. The number of absences he/she had during the first semester was. If you would like to add any additional comments, please do so below: Signature Date Thank you in advance for your assistance. Please return this form to: Attn: Head Song/Dance Advisors- Melissa Cosme or Kerry Rupe Chino Hills High School Pomona Rincon Rd. Chino Hills, CA Form due no later than 3pm on April 25, 2016

6 CHINO HILLS HIGH SCHOOL SONG/CHEER TEAM Parent Permission Form and Medical Release Student Name Birth Date Current Grade Home Address City Zip Code Mother s Name Day Phone Cell Phone Father s Name Day Phone Cell Phone Name of Relative or Friend in case of emergency Day Phone Cell Phone Health Insurance Company Policy Number Phone Family Doctor Phone Number Allergies/prescription drugs/corrective lenses/current medication The undersigned hereby authorizes the Chino Hills High School Advisors to act as agents for the undersigned and to consent to any x- ray, anesthetic, medical, dental or surgical diagnostic, treatment or hospital care for the above named minor which is deemed advisable by and to be rendered upon the general or specific supervision of any physician and/or surgeon licensed under the Provision of Medicine Practice Act or any dentist licensed under the Dental Practice Act. We the undersigned also accept full responsibility for financial liability for any such care as outlined above or for emergency rescue vehicles as may be needed. We the undersigned also agree to release Chino Hills High School, the coaches, of all liabilities associated with our child s participation in the program. The undersigned also acknowledges that the above named minor must have his/her own travel/accident/medical insurance. The company and policy number must be listed above. Students without insurance will not be allowed to participate in the program. Parent Name Parent Signature Date Student Name Student Signature Date

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