Performance VBC Desire Discipline Determination Player Name: TRYOUT FORM Player Age & Birth date: School Name & grade: Player s Height: Player Address (include city & zip code): Parent(s) Name: Parent(s) cell number: Parent(s) Email Address: Previous Club Experience: School Teams: Level Played (Circle one): 8 th Grade: Varsity JV Other 9 th Grade: Varsity JV Other 10 th Grade: Varsity JV Other Position Preferred (number in order of preference): Setter Outside Hitter Middle Blocker Libero/DS Please select one of the following choices: [ ] If I make the team, Performance is my first choice and I plan to commit, as soon as allowed. [ ] If I make the team, I still want to try out for other clubs before making a final decision. [ ] Performance is not my first choice and if selected for another team, I plan to choose them. For Performance Board Use ONLY: Pre-Registered Online Yes No Cash Paid Check No.
Desire, Discipline, and Determination Don t lower your expectations to meet your performance. Raise your level of performance to meet your expectations. Expect the best of yourself, and then do what is necessary to make it a reality. Ralph Martson Purpose: To learn and master the fundamentals. The fundamentals are the foundation of a solid volleyball player. Players will leave the season better equipped with the skills to move on to the next level of competition. Club Philosophy: Practices: Attendance: Playing time: Travel: Performance VBC is committed to providing an opportunity for young athletes to learn and improve volleyball skills through direct instruction and practice. We strive to provide a positive experience which may harbor a life-long love of volleyball, while instilling a competitive attitude and providing opportunities to compete. Performance VBC strongly believes in and fosters the belief of always doing your best, and accepting the results of competition with dignity and grace. Practice calendars will be issued. Be at each scheduled practice unless prior arrangements have been made with the coach. Athletes must be at the practice prior to a tournament or playing time will be affected. Consistent attendance is necessary for learning new skills, to make improvements as an individual player, and to develop into a strong unit; a team. Playing time is earned, not given. It will be based on attendance, ability, attitude, and effort. Parents are responsible for travel and hotel accommodations for their athlete. Athletes are to be accompanied by a parent/family member to traveling tournaments or make arrangements with a team family. Parent involvement: Questions or concerns regarding players should be addressed at appropriate times. Tournaments are not appropriate times to address concerns, but instead email coaches to arrange a time to talk. Players are encouraged to be proactive, and speak to coaches prior to having
parents visit with coach. Parents share the responsibility of setting up and breaking down cooler areas. Productive and positive involvement is necessary and greatly appreciated.
Desire, Discipline, and Determination *U15 Travel and U15/U16 Regional *(Or U15/16 travel) Tryout: Sunday, Nov. 13 Location: All Saints Primary Building Gym Address: 3510 E. 18 th Ave. Registration: 6:00 Tryout: 6:30-8:15 Parent meeting: 8:15 *U15 team will seek a national bid, a $200 deposit is required if your player is offered a spot and accepts. Please have all ERVA and club forms completed & signed upon arrival. * Tryout fee: $18.00 ($10.00 if pre-registered). Must be on pre-registered list * Checks payable to Performance VBC * Pre-registered players still need a concussion and medical release form Practices: Tuesday, Thursday and possibly every other Wednesday @ Stevens Elem. and Regal Elem. 5:30-7:30, 5:45-7:45 U15 Travel Tournaments: ERVA U16 Power league 4 tourneys, MLK in Eugene, Crossroads in CO, President s Day tourney in Seattle, Qualifier in Las Vegas, PNQ, and Regionals. U15/16 Regional tournaments: ERVA Power league 4 tourneys, President s Day tourney, PNQ, Regionals and one other local tournament. Club Fee: *U15 Travel $1,800 U15/U16 Regional $1,500 (payable in two or three installments) Fee provides: two jerseys, spandex, warm ups, socks, tournament fees, gym fees, equipment, water bottle, cooler fee, coaches fees Club Director: Alda Hoffnagle (509)954-7698 email: aldahoffnagle@gmail.com See back side for coaches information
Performance VBC Coaches: Desire, Discipline, Determination U15 Head coach: Jordon Hoffnagle is currently pursuing a Master s Degree from Oregon State University. She graduated from Whitworth University with a Bachelor s degree in Biology and played volleyball there for four years. Jordon played club volleyball for nine years. Jordon was an assistant coach at Whitworth University after graduating. She has been coaching club volleyball for eight years and has coached in volleyball camps for eleven years. Jordon has coached developmental volleyball teams as well as competitive U12-U18 teams for Performance Volleyball Club. The past three years she has coached the junior varsity team for Lebanon High School in Oregon as well as assisted the varsity team. The past two club seasons she has been a U14 head coach and an assistant coach for North Pacific Juniors Volleyball Club. Jordon is excellent in teaching skills, strategy and teamwork. She will incorporate into the Performance VBC coaching model all she s learned from her recent work with high level coaches in the Oregon area. U15/U16 Head Coach: Christina Santorsola graduated from EWU with a Bachelor s degree in Exercise Science. She attended Gonzaga Prep where she played varsity volleyball. Christina was named to the All GSL First team and played at SFCC. Christina played club volleyball for seven years. Christina is a former St. Aloysius Gonzaga volleyball player and trained with Coach Alda for several years. Christina has been an assistant coach for Performance U12 and U14 teams and a head coach for a U14 team. Christina looks forward to sharing her knowledge and firsthand experience in how to be a competitive and disciplined all-around player. U15 Assistant coach: Alda Hoffnagle has directed Performance Volleyball Club for eleven years, and coached competitive U12-U14 club volleyball teams as well as assisted U13-U18 club teams. She was the head coach of the 2016 Performance U14 ERVA Regional Champions. Alda has coached volleyball for St. Als grades 4th-8 th for twenty years and has directed the St. Aloysius Gonzaga school volleyball program for eighteen years. She pioneered and started coaching the youngest developmental team of kindergartners in the state and region in 2008. She has directed and coached summer volleyball camps for eithteen years and has been a teacher in District 81 for twenty-six years. Alda has a Bachelor s degree in Education from Southern Oregon University and a Master s degree from Gonzaga University. Alda s goal is to develop high-skilled, tenacious, and teamoriented volleyball players. Her goal is also to impart the knowledge of how to progress quickly using the Performance VBC model of practicing well in combination with the growth mindset. 2016 Performance U14 team ERVA League Champions of all four tournaments ERVA U14 National Bid Champions ERVA Regional Champions Emerald City U14 Club Champions 2016 GJNC highlight: beating the number 3 seed in the National Open division
THIS FORM IS TO BE CARRIED TO ALL SANCTIONED COMPETITIONS & PRACTICES. USAV YOUTH & JUNIOR VOLLEYBALL PLAYER MEDICAL RELEASE FORM This must be completed - legibly - and signed in all areas by both the player and his/her parent or guardian. I understand and agree that this document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. By signing this form the participant affirms having read and agreed to the terms and conditions listed below. Club: Team Name: First Name Last Name Birth Date Age Primary Contact: Parent or Guardian Name: Primary Phone: Address: City, State & Zip Alternate Phone: Male Female Secondary Contact: Parent/Guardian Other Name: Primary Phone: Alternate Phone: Primary Insurance Co Primary Group/Policy # / Family Physician Name Physician Phone Please elaborate on any medical conditions of which we should be aware: Please list any medications currently being taken: In the past 24 months, have you been tested, diagnosed and/or treated for a concussion: Yes No If yes, provide the date (months and year), who performed the testing/diagnosing/treatment and what was the outcome: Please list any allergies: If None, please write None. Participant Signature (regardless of age): Participant,, has my permission to participate in training, competition, events, activities and travel sponsored by USA Volleyball or any of its Regional Volleyball Associations (RVAs). I approve of the leaders who will be in charge of this program. I recognize that the leaders are serving to the best of their ability. I certify that the participant has full medical insurance with the company listed above. I understand and agree that this document will be kept in the possession of authorized adult team personnel and that reasonable care will be used to keep this information confidential. I agree to allow the authorized adult team personnel to release this information in the event of a medical emergency to a third party medical provider. I also certify to the best of my knowledge that the participant named hereon is physically fit to engage in the activities described above. Parent/Guardian Signature: Relationship to Participant: If, during the course of my daughter's/son's activities in volleyball, she/he should become ill or sustain an injury, I hereby authorize you to obtain emergency medical/dental care. I will assume financial responsibility for the bills incurred through my insurance company. Signature: Parent/Guardian or I do not authorize emergency medical/dental care for my daughter/son. Signature: Parent/Guardian 4065 Sinton Road, Suite 200 Colorado Springs, CO 80907 2016-2017 Season Phone: 719 228-6800 Fax: 719 228-6899 www.usavolleyball.org Revised 7/27/2016
A concussion is a brain injury and all brain injuries are serious. They are caused by a bump, blow, or jolt to the head, or by a blow to another part of the body with the force transmitted to the head. They can range from mild to severe and can disrupt the way the brain normally works. Even though most concussions are mild, all concussions are potentially serious and may result in complications including prolonged brain damage and death if not recognized and managed properly. In other words, even a "ding" or a bump on the head can be serious. You can't see a concussion and most sports concussions occur without loss of consciousness. Signs and symptoms of concussion may show up right after the injury or can take hours or days to fully appear. If your child reports any symptoms of concussion, or if you notice the symptoms or signs of concussion yourself, seek medical attention right away. Symptoms may include one or more of the following: Headaches "Pressure in head" Nausea or vomiting Neck pain Balance problems or dizziness Blurred, double, or fuzzy vision Sensitivity to light or noise Feeling sluggish or slowed down Feeling foggy or groggy Drowsiness Change in sleep patterns Signs observed by teammates, parents and coaches include: Appears dazed Vacant facial expression Confused about assignment Forgets plays Is unsure of game, score, or opponent Moves clumsily or displays incoordination Answers questions slowly Slurred speech Shows behavior or personality changes Can t recall events prior to hit Can t recall events after hit Seizures or convulsions Any change I n typical behavior or personality Loses consciousness Amnesia "Don't feel right" Fatigue or low energy Sadness Nervousness or anxiety Irritability More emotional Confusion Concentration or memory problems (forgetting gan1e plays) Repeating the same question/comment Adapted from the CDC and the 3'd International Conference on Concussion in Sport Document created 6/15/2009 What can happen if my child keeps on playing with a concussion or returns to soon? Athletes with the signs and symptoms of concussion should be removed from play immediately. Continuing to play with the signs and symptoms of a concussion leaves the young athlete especially vulnerable to greater injury. There is an increased risk of significant damage from a concussion for a period of time after that concussion occurs, particularly if the athlete suffers another concussion before completely recovering from the first one. This can lead to prolonged recovery, or even to severe brain swelling (second impact syndrome) with devastating and even fatal consequences. It is well known that adolescent or teenage athletes will often under report symptoms of injuries. And concussions are no different. As a result, education of administrators, coaches, parents and students is the key for student-athlete's safety. If you think your child has suffered a concussion Any athlete even suspected of suffering a concussion should be removed from the game or practice immediately. No athlete may return to activity after an apparent head injury or concussion, regardless of how mild it seems or how quickly symptoms clear, without medical clearance. Close observation of the athlete should continue for several hours. The new "Zackery Lystedt Law'' in Washington now requires the consistent and uniform implementation of long and well-established return to play concussion guidelines that have been recommended for several years: "a youth athlete who is suspected of sustaining a concussion or head injury in a practice or game shall be removed from competition at that time" and "...may not return to play until the athlete is evaluated by a licensed heath care provider trained in the evaluation and management of concussion and received written clearance to return to play from that health care provider". You should also inform your child's coach if you think that your child may have a concussion Remember it s better to miss one game than miss the whole season. And when in doubt, the athlete sits out. For current and up-to-date information on concussions you can go to: http://www.cdc.gov/concussionlnyouthsports/ Athlete- Name Printed Athlete Signature Date Parent/Legal Guardian- Name Printed Parent Legal Guardian Signature Date Adapted from the CDC and the 3'd International Conference on Concussion in Sport Document created 6/15/2009