PEPPERDINE UNIVERSITY POM SQUAD

PEPPERDINE UNIVERSITY POM SQUAD 2015-2016 A UDITION I NFORMATION P ACKET

TABLE OF CONTENTS Audition Expectations...2 Audition Process...3 Frequently Asked Questions...4 Personal Skills Sheet...5 Audition Application...6 Audition Check List...7 Pom Squad Participation Form...8 Pre-participation Health History...10 Pre-participation Physical Evaluation...11 Sickle Cell Trait Testing...12 1

AUDITION EXPECTATIONS All candidates MUST be medically cleared to participate on the Pom Squad if selected. Please complete all required medical forms as well as an athletic physical by a medical doctor. Please refer to Pom Squad medical forms for details (pages 8-12). Candidacy for a position on the 2015-16 Pepperdine Pom Squad is contingent upon: o Remaining a full-time student in good academic and disciplinary standing o An overall grade point average of at least 2.5 from the date of auditions through the end of the athletic season Incoming freshmen and transfer students must be accepted to Pepperdine University before the first day of auditions All those interested in participating in the 2015-2016 season must attend Pom Squad Auditions on Wednesday, September 2 nd from 6pm to 10pm in the Firestone Fieldhouse Please bring with you a completed audition application packet and a copy of your class schedule Audition Attire: o Fitted Black Shorts o Fitted Black Tank o Tan/Black Jazz Shoes o Hair in ponytail/bun; bangs pulled back o No embellishments on tops or bottoms o No jewelry (rhinestone or studded earrings okay) o Full performance make up Required season dates may include: o Pom Squad Retreat and September Intensive (September 4 th and 5 th ) o 3 Weekly Practices (Mon/Wed/Thurs 8-10pm) o Orange and Blue Madness (October 16 th ) o Mini Waves Camp (November and February TBA) o Weekly Basketball games (Thursdays and Saturdays, times vary) o November Intensive (November TBA) o January Intensive (January TBA) o WCC Championships (March 3-8, 2016) o Select Post Season Appearances (TBA) 2

AUDITION PROCESS September 2 nd, 2015 Location: Firestone Fieldhouse (Times are approximate) 5:45pm Check-in, Take photos Audition number/label will be provided (place sticker where visible) Welcome and introductions Group stretch Auditions will begin promptly at 6:15pm 6:15pm 7:15pm 7:30pm 9:00pm 10:00pm Dance skills evaluation (will include across the floors and Fight Song) Deliberation and first round of eliminations (if needed) Remaining dancers learn try out routines (one hip-hop piece, one jazz piece) Audition/Performances in designated groups After each group has performed, last minute questions will be answered Results will be posted in gym foyer Immediately following quick meeting with final team members Each applicant will be evaluated on the following: 1. Skill Evaluation Right Triple Pirouette (minimum) Left Double Pirouette (minimum) Turns in Second Leap Progression which includes: grand jete, switch leap, leap in second, and a tilt Flexibility Skill (examples include: leg hold, leg hold turn, needle, scorpion, etc.) 2. Tryout Routine: Collegiate Image Technique and Execution Performance Ability Overall Impression Memory 3

PEPPERDINE POM SQUAD FREQUENTLY ASKED QUESTIONS When is my tryout packet due? All tryout packets are due at the time of your audition on September 2 nd, 2015. When and where are auditions? The audition will be held on Wednesday, September 2 nd in the Firestone Fieldhouse (located on main campus). Check-in is at 5:45pm, followed by a group stretch, and then we will begin promptly at 6:15pm. The audition process will conclude by 10:00pm. Please bring a snack with you as there will not be a designated dinner break. Do you offer scholarships or out of state tuition waivers? We do not offer scholarships or out of state tuition waivers, however we do pay and provide for the following items: Uniforms, shoes, poms, warm ups, select practice gear, team backpacks, and travel expenses to WCC Championships in Las Vegas. What are practices like? The pom squad practices two to three days a week in the evenings for 2-3 hours. Outside of practice, pom squad members follow a prescribed workout schedule and are encouraged to utilize the student fitness/weight centers to maintain a high level of stamina and cardio ability. Does the program compete at nationals? The program does not currently compete nationally. The team is focused on game day events, working with the University, and supporting Pepperdine Athletics. Is there a height and weight requirement? No, we do not have a height and weight requirement; however a strong, physical, healthy, and appropriate physique shall be maintained throughout the year. Are the tryouts opened to the public? No; all aspects of the audition process will be closed to the public. If I cannot attend the tryout, can I submit a video? Video auditions are not accepted at this time. All qualified and interested dancers must participate in the audition process at the designated time and location. Who judges the tryouts? The evaluation panel will consist of the Pom Squad Coach, alumni, and area experts. All decisions regarding the 2015-2016 pom squad will be determined by the head coach. All decisions are final. How many people audition? The number of applicants varies from year to year. How many females make the team? We do not have a maximum number of participants which means we have the ability to increase/decrease the number of dancers based on University needs as well as the needs of the team. The pom squad has historically consisted of anywhere between 8-17 members. As technique and uniformity are important components to maintaining a successful team, members chosen should have a good foundation and understanding of technical dance terms from which to build. 4

PEPPERDINE POM SQUAD PERSONAL SKILLS SHEET Audition Number NAME YEAR (2015-2016 school year) Do you have any dance/cheer experience? Please Circle: Yes No If Yes, How many years? What programs? Have you ever competed as a dancer/cheerleader? Please Circle: Yes No If Yes, How many years? What programs? What is your strongest style of dance? What dance skills are you most proud of? What is/are the most advanced dance skill(s) you can demonstrate? Do you take any dance technique classes? Where and for how many hours per week? What is your favorite type of dance? Why? Why do you want to be a part of the Pepperdine Pom Squad? Besides dancing, or athletic skills, what qualities or skills could you add to the Pepperdine Pom Squad? 5

PEPPERDINE POM SQUAD AUDITION APPLICATION Audition Number Name: Date of Birth: CWID: Year: Pepperdine University Cumulative GPA: Major/Minor: Student Organizations/Clubs: Campus Box: Cell Phone: ( ) Email: Parents Names: Home Address: State: Zip Code: High School: Emergency Contact: (Name) (Phone) P LEASE ANSWER THE FOLLOWING Q UESTIONS Are you a returning Pom Squad Member? Please list previous cheer/dance experience: Have you been under the care of a physician within the last year? If so, please explain: How did you hear about auditions? I understand that: E LIGIBILITY R ULES Candidacy for a position on the Pepperdine University Pom Squad is contingent upon being enrolled as a full-time undergraduate or graduate student, maintaining an overall grade point average of at least 2.5 starting from the date of auditions and throughout the duration of the athletics season. Eligibility checks will be conducted on all candidates. I am responsible for material provided during the candidate informational meetings, program expectations, and requirements provided on the website. I understand, accept, and am willing to comply with the selection procedures as outlined by the Pom Squad Coach. Signature Date 6

PEPPERDINE POM SQUAD AUDITION CHECK LIST I have read through and understand Audition Expectations I have read through and understand the Audition Process I have read through and understand Frequently Asked Questions I will bring to auditions the following, stapled as one packet: Completed Personal Skills Sheet Completed Audition Application Form Copy of my class schedule If selected, I will bring to the retreat the following, stapled as one packet: Pre-Participation Health History Form Pre-Participation Physical Evaluation Signed by a Physician Body Composition Results (ONLY if physical is completed at the Pepperdine Student Health Center (see page 9 for details) Sickle-Cell Waiver or Test Results (test may be waived, but form must be submitted) EKG report (to be included with your packet) Font and Back Copy of Insurance Card (to be included with your packet) 7

Pom Squad Pa pa o Form This form must be completed by any Pepperdine student seeking to participate in Pepperdine t etic Pom Squad PART ONE: TO BE COMPLETED BY STUDENT Name: Sport: Pepperdine ID#: The following documents must be attached: Completed Pre-Participation Health History form Pre-Participation Physical Evaluation Signed by a Physician Body Composition Results (prior to EKG) ONLY if using Pepperdine SHC EKG report Sickle-Cell Waiver or Test Results Front and Back Copy of Insurance Card ************************************************************************ PART TWO: TO BE COMPLETED BY HEAD COACH Head Coach Signature: Date: ************************************************************************ PART THREE: TO BE COMPLETED BY ATHLETIC TRAINER Student s Medical Information has been reviewed and the student is medically cleared to begin activities: Yes No Athletic Trainer Signature: Date: ************************************************************************ Updated 8.3.15

EKG Exam As part of the initial pre-participation physical exam, an EKG test will be required prior to initiating any sanctioned training or practice. The EKG test should be performed prior to your first practice at Pepperdine The EKG test should be read and a report generated by the physician Pepperdine student-health center may also complete the EKG Exam requirement. Students are required to contact the Student-Health Center to schedule this exam. The EKG report should be o orm o r o r S o Kevin.wright@pepperdine.edu o Fax 310-506-4424 OR o Included with this completed packet Body Composition Testing If you are using the Pepperdine Student Health Center to complete your physical evaluation, you must complete a Body Composition test prior to the EKG exam. Body Composition tests will be administered to all selected Pom Squad members during the week following auditions and may be completed through the Student Health Center. Summary Each r must get an athletic physical from a medical doctor (can be their own PCP, a Pepperdine SHC physician etc.). o r financially responsible for this physical exam. The exam must have been performed within the previous calendar year. The completed exam must be reviewed by a Pepperdine team physician who will make the final decision regarding medical eligibility. Eac r must complete, pass and submit for review by Pepperdine Team Physicians an EKG test prior to an. Updated 8.3.15

Athletic Training Center Preparticipation Health History NEW RETURNING Name Date of Exam Sport Sex (M) (F) Age DOB Campus Address Phone Explain Yes answers 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? Do you have any ongoing or chronic illness? Have you ever been hospitalized overnight? YES NO 9. 2. Have you ever had surgery? 3. Have you ever had a sprain, strain, or swelling after injury? Have you broken or fractured any bones or dislocated joints? Have you had any other problems with pain or swelling in muscles. tendons, bones or joints? If yes, check appropriate box and explain below: Head Neck Back Chest Shoulder Upper Arm Elbow Forearm Wrist Hand Finger Thigh Knee Shin/Calf Ankle Foot Hip 4. Are you currently taking any prescriptions (including female hormones/oral contraceptives) or non-prescription (over-the-counter) medications, pills or using an inhaler? Do you have allergies to any medications? Have you ever taken any supplements or vitamins to help you gain or lose weight or improve your performance? 5. Do you have a broken, chipped or loose tooth or dental plate? 6. Has a physician ever denied or restricted your participation in sports for any heart problems? Have you ever passed out during or after exercise? Have you ever been dizzy 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 the heart or skipped heartbeats? Have you ever had high blood pressure or high cholesterol? Have you had any tests for your heart? (EKG or Echocardiogram?) Have you ever been told you have a heart murmur? Has any family member or relative died of heart problems or died suddenly before the age of 50? Have you ever had a severe viral infection (for example: myocarditis or mononucleosis) within the last month? 7. Are you missing one of the following: kidney, eye, testicle (or an undescended testicle)? 8. Do you have any current skin problems (for example: itching, rashes, acne, warts, fungus or blisters)? Explain Yes answers here: YES NO Have you ever had a head injury or concussion? Have you ever been knocked out, become unconscious or lost your memory? 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? 10. Have you ever become ill from exercising in the heat? 11. Do you cough, wheeze, or have trouble breathing during or after activity or have asthma? Have you ever developed hives with exercise? Do you have seasonal allergies that require medical treatment? 12. 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, or hearing aid)? 13. Are you satisfied with your body shape and size? What was your highest and lowest body weight last year? Have you ever been diagnosed with an eating disorder? 14. Have you had problems with your eyes or vision? Do you wear glasses, contacts, or protective eyewear? 15. Do you have any other concerns you would like to discuss? (e.g. social, academic or family issues) 16. Many people feel depressed at times. Please rate any recent feelings of depression you may have had: Use a number from 0 (none) - 10 (severe) 17. Record the dates of your most recent immunization (shots) for: Tetanus Measles/MMR Hepatitis B FEMALES ONLY 18. 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? Date of last pap/pelvic? Chicken Pox I hearby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Signature of athlete: Date: Updated 8.3.15

Athletic Troining Center PHYSICAL EXAMINATION Nome General tr Gheck Off tr Ortho tr Preparticipation Physical Evaluation Í)afp of Birth Height Weight-o/oBody fot (optionol) Pulse Sp- /-l- / -l-/ -l VisionR2o/-L2o/-CorrectedYNPupils:Equol-Unequol MEDICAT Appeoronce Lvmph Nodes Heqrt Pulses Lunqs Abdomen Genitolio (moles only) Skin NORMAL ABNORMAL FINDINGS INITIALSfnuscurosKEtETAI Neck Bock Shoulde Wrist/hond Hip/thiqh Knee Leq/onkle Foot 'Station-basêd examinatlon only CLEARANCE E Cleored E Cleored ofter completing evoluotion/rehobilifotion for: - EI Not cleqred for: Recommendotions: Reqson: Nome of Physicion (print/type) Address s/2008 Dote Phone

Sickle Cell Trait Testing Name About the Sickle Cell Trait: Th e sick le cell t r ait is an in h er it ed g en et ic t r ait r esu lt in g in o n e g en e f o r sick le h em o g lo b in an d o n e g en e f o r n o r m al h em o g lo b in. Th e sick l e c e l l t r ai t i s n o t a d i se ase, b u t a lif e -lo n g co n d it io n w h ich can n o t b e ch an g ed o v er -t im e. Th e sick le cell t r ait is g en er ally b en ig n, b u t c o m p licat io n s can ar ise d u r in g p er io d s o f sev er e o r p r o lo n g ed o xy g en d ep r iv at io n, p h y sical exer t i o n, o r d eh y d r at io n. Man y in d iv id u als, i n clu d in g at h let es, w h o h av e t h e sick le cell t r ait ar e u n aw ar e o f t h eir co n d it io n. Effects of the Sickle Cell Trait on Athletes: Hav in g t h e sick le cell t r ait d o es n o t p r eclu d e o u t st an d in g at h let ic p er f o r m an ce. At h let es at all lev els, in clu d in g h ig h sch o o l, co lleg iat e, Oly m p ic an d p r o f essio n al, m ay h av e t h e sick le cell t r ait. If y o u h av e t h e sick le cell t r ait, p ar t ici p at in g in in t en se p h y sical exer cise m ay cau se y o u r r ed b lo o d cells co n t ain in g t h e sick le h em o g lo b in t o ch an g e sh ap e f r o m r o u n d t o a sick le o r cr escen t sh ap e. Th ese sick led r ed b lo o d cells m ay accu m u l at e i n t h e b l o o d st r e am d u r i n g p e r i o d s o f i n t en se exer cise cau sin g t h e b lo ck ag e o f n o r m al b lo o d f lo w t o y o u r m u scles w h ich can lead t o ser io u s co m p licat io n s. Du r in g p er io d s o f in t en se p h y sical exer cise, at h let es w it h t h e sick le cell t r ait h av e co llap sed, exp er ien ced sig n if ican t p h y sical d ist r ess, o r ev en d ied. Athletes with the Sickle Cell Trait: At h let es w it h t h e sick le cell t r ait w ill st ill b e ab le t o p ar t ici p at e f u lly in all u n iv er sit y at h let ics. Sc r een in g f o r t h e sick le cell t r ait allo w s y o u an d t h e u n iv er sit y t o t ak e sim p le p r ecau t io n s t o h elp p r ev en t in ju r y r esu lt in g f r o m t h e sick le cell t r ait, allo w in g y o u t o t h r iv e as a st u d en t -at h let e. Pr ecau t io n s m ay in clu d e g r ad u al p r eseaso n co n d it io n in g, set t in g y o u r o w n p ace d u r in g w o r ko u t s, st ay in g p r o p er ly h y d r at ed, g et t in g p r o p er r eco v er y b et w een exer cises, an d m o n it o r in g at h let es at h ig h alt it u d es. Mo r e in f o r m at i o n r e g ar d i n g t h e si c k l e c e ll t r ai t i s av ailab le o n t h e NCAA w eb sit e at w w w.n caa.o r g. In response to these concerns, the NCAA mandates that all incoming Division I student-athletes and prospect try-outs either be tested for the sickle cell trait or show proof of a prior test. This legislation applies to all studentathletes who are beginning their initial season of eligibility and tryout student-athletes. The NCAA allows student-athletes to opt out of this testing by signing the waiver at the bottom of this page. It is recommends that all student-athletes be tested for the sickle cell trait. Testing should be completed at your primary care physician s office. Sickle Cell Trait Testing I AGREE to be tested and provide results for the sickle cell trait or to provide proof and results of a prior test. (testing requires blood draw) I have read and fully understand the information provided above, and I DECL INE to be tested for the sickle cell trait. I acknowledge the risks associated with declining the testing and failing to be aware of my sickle cell trait status, including but not limited to physical distress, collapse and death. I release Pepperdine University and its employees, volunteers, and agents from any and all liability arising out of or relating in any way to my sickle cell trait status or my decision to decline testing. Signature / Date Name (Printed) Parent/Guardian Signature (if under 18 years) Parent/Guardian Name (Printed) Updated 8.3.15