2012 Fall Cheerleading Clinic Packet

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    2012FALL

    CLINIC Dalton State

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    2012 Fall Cheerleading Clinic

    The Dalton State Cheerleading Program has organized a Fall Clinic to help you advance yourskills and talents as a cheerleader and prepare you for high school and college cheerleadingtryouts.

    This clinic has been developed to help individuals advance their talents in all aspects of cheerleading. It will also be a great opportunity to those athletes who plan to make the transitionfrom high school to college cheerleading and to become familiar with cheering at a higher levelor on a collegiate Cheer Squad.

    The Dalton State 2012 Fall Cheerleading Clinicwill be held on December 8 and 9, 2012

    from 12:00 p.m. to 5:00 p.m.at Guild Gymnastics and Cheer

    2518 Cleveland HighwayDalton, Georgia 30720

    The Dalton State Fall Cheerleading Clinic will be open to all high school and college athletes,both male and female.

    At this clinic, you will receive incredible training by certified, well qualified and experiencedcoaches. You will be coached in coed stunt and partner stunt techniques, tumbling,choreography, cheer, jumps, interview and how to better prepare yourself for tryouts. You will

    be given the opportunity to introduce yourself to the Dalton State Cheerleading program andcoaches. You will benefit greatly from this clinic if you are interested in trying out as a collegecheerleader anywhere across the nation and especially at Dalton State. The techniques and skillsthat we will help you develop will give you a big head start over your competitors. At thisclinic, you can expect the best training. We will address any concerns and answer any questionsyou have about cheerleading tryouts.

    Attached are a registration form, an application, and a release form.The cost of the clinic is $75.00.

    The application will be used to help us evaluate each individual and separate you into groups byskill level in order to better benefit you at the clinic (please be honest). All materials must becompleted and returned along with the clinic fee by: November 23, 2012

    If you have any questions about the Dalton State Fall Clinic or the Dalton State Cheerleading program please contactDalton State Head Cheerleading Coach Robyn Newell

    (423)355-2979 (706)272-2052 or [email protected]

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    DALTON STATE 2012 FALL CHEERLEADING CLINICREGISTRATION FORM

    Name: ____________________________________

    Registration/Clinic Fee: $75

    We will be offering a Dalton State Cheerleading Clinic t-shirt that is included in theregistration.

    You must have your application in by the due date in order to insure receivinga t-shirt. Please put your requested size below.

    Size ___________

    Enclosed should be a check minimum total of $75 for the clinic.All checks are to be written to Dalton State Athletics .

    Clinic packages and money can be mailed to:Robyn Newell

    Dalton State College650 College Drive

    Dalton, Georgia 30720Brown Building 210

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    Dalton State CheerleadingFall Clinic Application

    Name: ____________________________

    (Full name)

    Birth date: ________________

    Present Address: __________________________________________________________________________________________

    Phone Number: ___________________________

    E- mail Address: ___________________________

    Year of High School Graduation: _________

    Are you a senior? __________

    Have you applied to Dalton State College for Admission? ___________

    Have you been accepted to Dalton State College? ____________

    Name of squad(s) currently cheering with:

    All Stars: __________________________

    High School: __________________________

    College:

    Name of squad(s) you have previously cheered with:

    All Stars: __________________________

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    High School: __________________________

    College:

    G.P.A.: ___________________

    Height: ____________________ Weight: ________________________

    Tumbling Skills/Experience:

    Standing: ____________________________________________________________________________________________________________

    Running: ____________________________________________________________________________________________________________

    Partner Stunting and Coed Stunting Positions and Skills/Experience:______________________________________________________

    Other Athletic Skills/Experience:

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    Dalton State2012 Fall Cheerleading ClinicStatement of Understanding

    I hereby certify that I fully understand the following:

    1. Cheerleading involves a variety of gymnastics, motions, partner stunts, rotations and heights;therefore, participation in cheerleading involves some amount of danger of personal injury. Itotally assume the risks involved by participating in this cheerleading clinic. I further realizethat improper conduct of cheerleading activity could result in catastrophic injury, paralysis oreven death.

    2. I hereby certify that I have read, am thoroughly familiar with, and will carefullyabide by the American Association for Cheerleading Coaches and Advisors (AACCA)guidelines for safety in college cheerleading (THIS WILL BE POSTED IN THE FACILITYWHERE CLINIC IS HELD).

    3. I further agree to hold harmless Dalton State College and the coaches, athletics, officers,directors, staff, cheerleading officials and Guild Gymnastics for any injury which I may incurby being a participant in the cheerleading clinic.

    Medical Insurance Company and Policy Number:________________________________________________________________________

    STATEMENT: I have read carefully this memorandum, and I understand and accept theinformation and requirements contained in it.

    Signature _________________________ Date ____________________If under the age of eighteen years old a parent or guardians signature is required.

    Signature _________________________ Date ______________________