Gilroy High School Cheer Program 2020/2021 Try-Out Application and Handbook

Please return this application to g [email protected] no later than 4pm on May 7t h, 2020.

This application will be scored as part of your overall tryout score. Please complete and return the following: 1. Tryout Application 2. One (1) Teacher Evaluation (New Candidates Only) 3. One (1) Recommendation from an adult outside of school (New Candidates Only) 4. Voluntary Activities Participation Form Acknowledgment and Assumption of Potential Risk 5. Signature Page

Cheerleading Try-Out Application

CIRCLE ONE:

FROSH CHEER JV CHEER VARSITY CHEER ALL

Students Name: ______

Current School: ______

Student’s School ID #: ______

Parent Name: ______

Address: ______

Home Phone: ______Work Phone: ______

Student Cell: ______Parent Cell: ______

Date of Birth: ______Age: ______

Student Email Address: ______

Parent Email Address: ______

Grade 2020/2021: ______GPA 3rd Quarter: ______

Experience or Skills (Cheer, Dance, Gymnastics Performing:

VIRTUAL TRYOUT REQUIREMENTS

CHEER TEAM TRYOUT REQUIREMENTS ● Mandatory Parent Meeting Via Zoom – Monday, May 7t h at 7pm ● Mandatory 90 minute zoom clinic Tuesday, May 12th at 3pm . Missing this zoom clinic could result in a participant being dropped from tryouts. ● Participants should be on time to the zoom clinic. ● Hair must be pulled back neatly, in a ponytail. ● Practice attire for virtual tryouts should include blue or black short, white t-shirt and hair pulled back. ● Absolutely no jewelry is allowed. ● No gum

TRY OUT PERFORMANCE REQUIREMENTS Applicants must display sharp, precise moves, show energy, spirit and smile, have enthusiastic showmanship and demonstrate crown control and involvement. Special skills and original choreography should be practiced individually. All cheer applicants will learn and perform the following:

● Introduction ● Interview Questions ● 3 cheers ● Dance Routine ● Fight Song (required for VARSITY applicants only) ● Jumps

Cheer Program Handbook

Welcome to the Gilroy High School Cheer Team Tryout. Participation in the program will be one of the most exciting and fun experiences you have while attending Gilroy High School. As a member of this team, you are offered the opportunity for great personal growth, leadership development, and involvement in many different and exciting activities. Please discuss these considerations, evaluate your priorities, and if you and your parents’ consent, complete the Application Form and Handbook Agreement.

The Cheer Team will consist of Frosh Cheer, Junior Varsity Cheer, and Varsity Cheer for the 2020/2021 season.

To be an effective member of this team, you must commit a great deal of time throughout the entire school year. Social plans, job schedules, and other sports cannot interfere with practices and games. Per school policy, you may not quit one sport to join another. There will be zero exceptions to this rule. We expect all team members to be 100% committed for Football, Wrestling and Basketball seasons. A team member must maintain the required academic standard of a 2.0 GPA and pass 5 classes with zero “F” grades and no more than one “N” marks in citizenship. If selected for the team, 2n d semester grades will determine eligibility for fall sports.

Gilroy High School Cheer Team members attend a summer cheerleading/stunt camp with the team and coaches. Camp is two days with professional cheerleading and stunt instructors. Some of the cheerleading/stunt material we use throughout the year is learned at camp. While camp is not mandatory, we highly recommend all cheerleaders attend and participate. It is one of the many ways the cheerleaders will form a team bond.

The Gilroy High School Cheerleaders perform at rallies, football games, basketball games, wrestling meets as well as support other sports and school activities when called upon. All selected Gilroy High School Cheerleaders are responsible for other school events and on occasion, community events as well.

This team demands time, loyalty, unity, dedication and commitment. Before applying/trying out, please consider the following:

1. Class and work schedules 2. Personal time and other involvements 3. Ability to commit to this program for all 11 months and two consecutive sport seasons of the school year 4. Other sports that may conflict with practice/game schedules (example: basketball, swimming, gymnastics, softball, etc.)

TEAM MISSION Our team mission is to promote and uphold school spirit, unity and pride. You must represent the school to the highest degree. We ALWAYS expect all cheerleaders to set an example of good behavior and sportsmanship (whether in uniform or not). We expect Cheerleaders to promote friendship with each other and with the schools with whom we perform with.

EDUCATIONAL VALUE TO GILROY HIGH SCHOOL Membership on the Gilroy High School Cheer Team offers a unique opportunity for personal growth, leadership and involvement in diverse activities. The attitude, dedication and enthusiasm of squad members is just as important as the skills involved in spirit leading. Members of the Cheer Team are expected to be committed to the highest level of athleticism, performance, self-discipline, respect for our school and others, personal exemplary conduct and the performance of all responsibilities related to the pursuit of school spirit and pride. Furthermore, cheerleaders demonstrate a proven ability to balance academic requirements and demands with extra-curricular and personal activities.

PARTICIPATION RESPONSIBILITIES ● Summer Training – Dates will be provided at the first Booster Club Meeting. ● Summer Cheer Camp ● Participation in the Fireworks Booth Fundraiser ● Participation in the Garlic Festival (Pre-Festival Prep that takes place off site, Garlic Festival set up, working the Garlic Festival or working the tear down of the festival). ● After school practice 3 days a week beginning the first week of school. ● All assigned football and basketball games. ● All school pep rallies. ● Additional events such as Back to School Night, Mustang Madness, Mustang Mania and Gifted Games. ● Any additional community events such as Gilroy Rodeo, Wyatt’s Walk, etc.

GHS CHEER TEAM STANDARDS Athletes understand that teamwork and the maintenance of discipline is key to the success of the cheer program. Members are dedicated to promoting spirit, enthusiasm, and a positive winning attitude through example. Adherence to the Program Standards is vital to achieving these goals. All members realize that the manner in which they conduct themselves, in or out of the uniform, directly reflects on the entire team and school. It is recognized that these standards are necessary to maintain squad morale, squad individual discipline and effective learning. Consistent enforcement of the rules and regulations is also necessary to ensure the safety and general well being of each individual member. Participation in cheer is voluntary, not mandatory. It is a PRIVILEGE, not a right and may be revoked by the coaches/school personnel when a cheerleader violates the rules and regulations.

ELIGIBILITY ● Second semester grades will be used for initial eligibility. Participant must have at least a 2.0 GPA with zero “F” grades and zero “N” marks in citizenship. ● The Gilroy High School Cheer Team contract must be signed by the participant as well as a parent. ● The Gilroy High School Cheer Team must take priority over all extra-curricular activities for the entire length of the commitment.

CONDUCT ● Promoting good sportsmanship by way of example is always required. Foul language at practices, in school or at games will not be tolerated. ● Proper appearance is always required. Keep clothing appropriate to the occasion. ● By signing this contract and becoming part of the Gilroy High School Cheer Team, you are accepting the fact that your actions are more prominent than those not associated with such an activity. Exemplary behavior is always required, anywhere in the community and at school functions where you are a representative of Gilroy High School. ● Members must cooperate with all faculty members, squad members, game officials and coaches. ● Each case of discipline will be judged individually. The advisor/coach, with the assistance of administration if deemed necessary, has the final decision in any disciplinary situation. ● Every attempt will be made to discipline fairly and equally.

ATTENDANCE ● One person being absent affects the entire squad. It is important not to inconvenience the practice time of the entire squad by being absent or tardy. ● Absences should always be avoided when possible. ● Absences must be excused PRIOR to a practice or game. An email, text or phone call should be made to ALL COACHES if you are sick. Failure to notify a coach will result in an appropriate consequence decided by the coaching staff. ● Missing a scheduled practice, the day before a game, may result in removal from a halftime performance. ● If you miss a game and it is unexcused, you will sit out the next game. You must be at a game to sit out and this game will also count as a missed game. ● Each cheerleader will be given one game pass for Football season and one game pass for Basketball season. Said game pass is not be used for Senior Nights, Homecoming or the Severance Bowl.

PRACTICES ● Practices are mandatory. ● Athletes must arrive to practice on time, wearing the appropriate practice attire. ● Hair pulled back and secured in a ponytail. ● NO GUM. ● NO JEWELRY!!! NO EXCEPTIONS!!! ● Stunt appropriate nail length. ● All taping or visits to the athletic trainer must be done prior to practice start time. ● If you have to miss practice for any reason, you are required to email, call or text ALL COACHES prior to the start time of practice. Failure to notify your coach will result in discipline to be determined by the coach. ● Missing practices with a valid excuse could potentially lead to being removed form a routine, a position or a stunt, due to not physically being available to practice. ● Missing the practice prior to a game, could result in losing a spot in the stunting/performance.

GAMES ● Games are mandatory. Game passes cannot be used for games when a big performance is planned. ● Members are required to arrive on time, 45 minutes prior to game start time, game ready (uniform, shoes, poms, warmups in bag and hair up with specific cheer bow) ● All taping or visits to the athletic trainer must be done prior to arrival at the game. ● All cheer squad members must know all cheers and routines for the game. Cheer testing will be done prior to the start of Football season. A cheerleader will sit out if that cheerleader does not pass the cheer test. ● Makeup should be worn in moderation. ● NO JEWLERY OF ANY KIND!!! NO EXCEPTIONS! ● Nails should be athletic length. ● NO GUM. ● During game suspensions, the squad member will sit in uniform with the coaches for the entire game and help where needed.

UNIFORMS/APPEARANCE ● Uniforms must be clean and in good condition. ● Team athletic shoes must be clean. ● All squad members must have the same uniform look. ● Appropriate behavior MUST be used while wearing your uniforms or any type of cheer identifying apparel. ● NO JEWLERY is allowed during practices, performances or games. ● Bra must not be showing. ● No gum chewing during practices, performances or games. ● All phones must be turned off during practices, performances and games. If we start to experience an issue with phones, we will collect phones from cheer team members at the beginning of practices and games and return phones at the end of a practice or game. ● Hair must be worn the same, as a team, as directed by the coach. ● Members must wear their team-designated outfit to school on game days.

TRANSPORTATION Cheerleaders are not allowed to drive to away games with other members that have not been cleared by the District to drive. They must ride with an authorized approved driver/parent. If a bus has been secured for the team, everyone will be expected to travel to and from the away game on the bus.

DISCIPLINE POLICY The following policy has been developed as a tool to promote teamwork, equality, self-discipline and responsibility. DISRESPECT to any team member or coaching staff at any time warrants dismissal. There will be NO talking back or rude comments. Disciplinary action may result from the following: ● Tardiness. ● Wearing Jewelry (ALL JEWELRY IS INCLUDED). ● Untidy Uniform. ● Talking to fans or other cheerleaders excessively during games. ● Inappropriate social media posting. ● Display of unsportsmanlike conduct. ● Uncooperative attitude. ● Absent from games, practices or other Gilroy High School Cheer functions.

The following violations will be grounds for immediate dismissal from the program. ● Underage alcohol consumption, drug use, use of tobacco products, steroids, or any other controlled substances ● Discipline issues on campus ● Involvement in any type of physical altercation

RISKS AND PRECAUTIONS EXPECTATIONS The athleticism of cheerleading has obvious risks. All necessary precautions of warming up and stretching prior to participating in any Gilroy High School Cheerleading related event will be taken. All team rules and protocols will be followed when practicing or performing stunts. Stunts are not to be attempted that have not been introduced by the Coach. Stunts will not be practiced nor performed without the supervision of a Gilroy High School Cheer coach. The potential for injury involved in participating in the sport of cheerleading should be acknowledged.

DIRECTIONS FOR THE TEACHER EVALUATION FORMS

● Give one form to one teacher from your school that you have had during the 2019/2020 school year.

● Give one form to an adult outside of school (should not be a parent or sibling) that you have known for at least one year.

● These forms are to remain confidential between Cheer Coaches and the Teacher.

● Forms looked at or turned in by a student will NOT be accepted.

● Students trying out who are not currently Gilroy High School Students should ask their teachers to send the form to [email protected]

Teacher Evaluation CONFIDENTIAL

Directions: Please return this evaluation via email to [email protected] by May 7th, 2020.

Candidate’s Name:______

Teacher/Adult Evaluating Candidate:______

Your relationship with the Candidate: ______

Please list your contact information below in case the Advisor needs to contact you regarding your evaluation/recommendation. Email: ______Ph: ______

Please rate student on a scale from 1 – 5 (5 being the highest or best)

1. Attendance / Punctuality 1 2 3 4 5

2. Respect for Authority 1 2 3 4 5

3. Respect of Peers 1 2 3 4 5

4. Effort / Quality of Work: 1 2 3 4 5

5. Honesty and Integrity 1 2 3 4 5

Is there any reason why you would not recommend this student for the Gilroy High School Cheerleading Program? Circle: YES NO

If you answered yes, please explain.

Additional Comments:

Signature:______Date:______

Adult Outside of School Evaluation CONFIDENTIAL

Directions: Please return this evaluation via email to [email protected] by May 7th, 2020.

Candidate’s Name:______

Teacher/Adult Evaluating Candidate:______

Your relationship with the Candidate: ______

Please list your contact information below in case the Advisor needs to contact you regarding your evaluation/recommendation. Email: ______Ph: ______

Please rate student on a scale from 1 – 5 (5 being the highest or best)

1. Attendance / Punctuality 1 2 3 4 5

2. Respect for Authority 1 2 3 4 5

3. Respect of Peers 1 2 3 4 5

4. Effort / Quality of Work: 1 2 3 4 5

5. Honesty and Integrity 1 2 3 4 5

Is there any reason why you would not recommend this student for the Gilroy High School Cheerleading Program? Circle: YES NO

If you answered yes, please explain.

Additional Comments:

Signature:______Date:______

GILROY UNIFIED SCHOOL DISTRICT SUPERINTENDENT BUSINESS SERVICES Dr. Deborah A. Flores, Ph.D.

7810 Arroyo Circle, Gilroy, California 95020 BOARD OF EDUCATION Tel.: 669-205-4000 Fax: 408-847-7561 Enrique Diaz  B.C. Doyle  Tuyen Fiack  Mark Good www.gilroyunified.org Anisha Munshi James E. Pace  Linda Piceno

VOLUNTARY ACTIVITIES PARTICIPATION FORM ACKNOWLEDGEMENT AND ASSUMPTION OF POTENTIAL RISK

I authorize my son/daughter, ______to participate in the District- sponsored activities of ______

(1) Assumption of Risk: On behalf of student and myself: We understand that the above-listed voluntary activity, by its very nature, includes certain risks. The specific risks vary, but may involve minor injury, major injury, and serious injury, including permanent disability and death, and severe social and economic losses which might result not only from student’s own actions, inactions, or negligence, but the actions, inactions, or negligence of others, the rules of play, or the condition of the premises or of any equipment used. We understand and appreciate the risks that are inherent in the above-listed voluntary activity, include but are not limited to, the following: 1. Sprains/strains 6. Paralysis 2. Fractured bones 7. Loss of eyesight 3. Unconsciousness 8. Communicable diseases 4. Concussion 9. Death 5. Head and/or back injuries

We hereby assert and agree, on behalf of ourselves, our family, heirs, personal representative(s), and/or assigns, that student’s participation in the above-listed voluntary activity is voluntary and as such is not required by the District for course credit or for completion of graduation requirements. We knowingly assume all such risks of that participation. We recognize the importance of following instructions regarding proper technique, training and other established safety rules, guidelines and regulations. We agree that student will abide by all rules and regulations governing the above-listed voluntary activity. (2) Medical Insurance: I understand and acknowledge that in order to participate in this activities, I am required to have my own medical and accident insurance for my son/daughter, and certify that I do have such insurance. (3) Hold Harmless, Indemnity and Release: On behalf of student and myself, and in consideration of permission for student to participate in the above-listed voluntary activity: We agree, here and forever, to the maximum extent permitted by law, for ourselves, our family, our heirs, personal representative(s), and/or assigns, to defend, hold harmless, indemnify and release, the Gilroy Unified School District (“District”), its Board members, administrators, officers, agents, employees, and volunteers from and against any and all claims, demands, actions, or causes of action of any sort, present or future, on account of damage to personal property, or personal injury, or illness, or death which may result from student’s participation in the extracurricular/athletic activity. This release specifically includes claims based on the negligence of the District and its Board members, administrators, officers, agents, and employees. We understand that we are releasing claims and giving up substantial rights, including our right to sue, and are doing so voluntarily. No representations, statements, or inducements, oral or written, apart from the foregoing written statement, have been made. I acknowledge that I have carefully read this VOLUNTARY ACTIVITIES PARTICIPATION FORM and that I understand and agree to its terms.

______Parent/Guardian Date

______Student Signature Date

______Medical Insurance Carrier Policy No. Address

A signed VOLUTARY ACTIVITIES PARTICIPATION FORM must be on file with the District before a student will be allowed to participate in the above extra-curricular activities.

Rev. 7.2019

GILROY UNIFIED SCHOOL DISTRICT SUPERINTENDENT 7810 Arroyo Circle, Gilroy, California 95020 Dr. Deborah A. Flores, Ph.D. Tel.: 669-205-4000 Fax: 408-847-7561 www.gilroyunified.org BOARD OF EDUCATION Enrique Diaz  B.C. Doyle  Tuyen Fiack  Mark Good Anisha Munshi James E. Pace  Linda Piceno

PARENT’S OR GUARDIAN’S PERMISSION FOR STUDENT PARTICIPATION IN EXTRACURRICULAR/ATHLETIC ACTIVITY MEDICAL TREATMENT AUTHORIZATION

To the Principal of:______(School)

______has my permission to participate in (Student Name: please print)

______during the ______. (Extracurricular/Athletic Activity) (School Year/Semester/Quarter)

Supervising Teacher / Coach (please print):______

I understand that the extracurricular/athletic activity, by its very nature, includes certain risks and could cause minor injury, major injury, and serious injury to student, including permanent disability and death. In the event of illness or injury to student, I do hereby consent to whatever x-ray examination, anesthetic, medical, surgical or dental diagnosis or treatment, emergency transportation, and hospital care of student considered necessary in the best judgment of the attending physician, surgeon, or dentist and performed under the supervision of a member of the medical staff of the hospital or facility furnishing medical or dental services.

_____ Student has no special health needs the staff should be aware of, and no medication is required during this class/activity.

_____ Student has a special need, and instructions are attached. Number of attached pages: _____.

_____ Other: ______

Medical Insurance Carrier: ______Policy Number: ______(e.g., Blue Cross)

In the event of an emergency, please contact:

______Work: ( ) ______(Name) (Relationship) Home: ( ) ______Cell: ( ) ______

______Signature of Parent/Guardian Please Print Name Date

______Signature of Student Please Print Name Date

Rev. 2.2019 On The Alert!

Date: August 25, 2017 Attention: ASCIP Members Affected Department(s): Risk Management, Admin, Athletics, Coaches, Staff Applicability: K-12 Districts and Charter Schools

We have been receivingCOMPETITI more and more inquiries aboutVE GoFundMe CHEERLEADING pages. I was asked to develop guidelines so that weAND have some p ointDISTRICT of reference. Please review andRISK provide content if possible Because of Assembly Bill 949 and effective July 1, 2017, the California Interscholastic Federation (CIF) recognizes Competitive Cheer as an interscholastic sport as of the start of the 2017-2018 school year. CIF has developed a set of guidelines, procedures, and safety standards for this new sport, including safety education requirements for coaches (paid and unpaid). Districts that offer any form of cheerleading, including Sideline Cheer which may be impacted if the cheer squads compete against others, should review their programs to see if their cheer programs fall under this new sport, and if program activities are subject to CIF Bylaws. District boards should ask their athletic departments the following questions:  Do our existing cheer teams participate in any competitions? WHAT CONSTITUTES A SPORT  If so, do the teams currently have coaches FOR TITLE IX PURPOSES? who meet the safety guidelines and certification requirements mandated by the The Office for Civil Rights (OCR) has developed a detailed set of guidelines to determine if an activity new law? meets the criteria for a sport. Several factors are  How does the District ensure that they are considered including activity structure, certified prior to competition? administration, team preparation, and competition.  Is there interest in offering Competitive Furthermore, an activity must demonstrate the Cheer in the future? following to be in order to be recognized as a sport.  If so, how will the District facilitate funding  Its exclusive purpose is competition to comply with Title IX requirement for  It has a developed regular and post season parity in terms of the quality of resources, schedule opportunities, and scholarships available  It is governed and regulated by an established to male and female athletes? national governing body The California School Boards Association  It has an objective and consistent scoring system (CSBA) has published a Factsheet - OCR has not yet recognized competitive cheer as a Competition Cheer as Sport: AB 949 which sport. Districts should consider the above factors in addresses most issues related to this anticipation of this process. Nevertheless, it is development. important to note OCR takes such factors into consideration when investigating Title IX related complaints. NEXT STEPS ASCIP recommends that Districts with cheerleading programs adopt the CSBA recommendations. Other sites worth exploring include the National Federation of State High School Association (NFHS) Spirit Rule Book (NFHS is official rule book followed by CIF), American Association of Cheerleading Coaches and Administrators’ (AACCA’s) Cheerleader Safety Rules and the AACCA Spirit Safety Certification.

Please contact your ASCIP risk services consultant at (562) 404-8029 to discuss further. Parent/Student CIF Heat Illness Information Sheet

WHY AM I GETTING THIS INFORMATION SHEET? You are receiving this information sheet about Heat Illness because of California state law AB 2800 (effective January 1, 2019), now Education Code § 35179 and CIF Bylaws 22.B.(9) and 503.K (Approved Federated Council January 31, 2019):

1. CIF rules require a student athlete, who has been removed from practice or play after displaying signs and symptoms associated with heat illness, must receive a written note from a licensed health care provider before returning to practice. 2. Before an athlete can start the season and begin practice in a sport, a Heat Illness information sheet must be signed and returned to the school by the athlete and the parent or guardian.

Every 2 years all coaches are required to receive separate trainings about concussions (AB 1451), sudden cardiac arrest (AB 1639), and heat illness (AB 2800), as well as certification in First Aid training, CPR, and AEDs (life- saving electrical devices that can be used during CPR).

WHAT IS HEAT ILLNESS AND HOW WOULD I RECOGNIZE IT? Intense and prolonged exercise, hot and humid weather and dehydration can seriously compromise athlete performance and increase the risk of exertional heat injury. Exercise produces heat within the body and when performed on a hot or humid day with additional barriers to heat loss, such as padding and equipment, the athlete's core body temperature can become dangerously high. If left untreated, this elevation of core body temperature can cause organ systems to shut down in the body. Young athletes should be pre-screened at their pre-participation physical evaluation for heat illness risk factors including medication/supplement use, cardiac disease, history of sickle cell trait, febrile or gastrointestinal illness, obesity, and previous heat injury. Athletes with non-modifiable risk factors should be closely supervised during strenuous activities in a hot or humid climate. Sweating is one way the body tries to reduce an elevated core temperature. Once sweat (salt and water) leaves the body, it must be replaced. Water is the best hydration replacement, but for those athletes exercising for long periods of time where electrolytes may be lost, commercial sports drinks with electrolytes are available. Energy drinks that contain caffeine or other “natural” stimulants are not adequate or appropriate hydration for athletes and can even be dangerous by causing abnormal heart rhythms.

PREVENTION There are several ways to try to prevent heat illness:

ADEQUATE HYDRATION Arrive well-hydrated at practices, games and in between exercise sessions. Urine appears clear or light yellow (like lemonade) in well-hydrated individuals and dark (like apple juice) in dehydrated individuals. Water/sports drinks should be readily available and served chilled in containers that allow adequate volumes of fluid to be ingested. Water breaks should occur at least every 15-20 minutes and should be long enough to allow athletes to ingest adequate fluid volumes (4-8 ounces).

GRADUAL ACCLIMATIZATION Intensity and duration of exercise should be gradually increased over a period of 7-14 days to give athletes time to build fitness levels and become accustomed to practicing in the heat. Protective equipment should be introduced in phases (start with helmet, progress to helmet and shoulder pads, and finally fully equipped).

ADDITIONAL PREVENTION MEASURES Wear light-colored, light-weight synthetic clothing, when possible, to aid heat loss. Allow for adequate rest breaks in the shade if available. Avoid drinks containing stimulants such as ephedrine or high doses of caffeine. Be ready to alter practice or game plans in extreme environmental conditions. Eat a well-balanced diet which aids in replacing lost electrolytes.

A FREE online course “Heat Illness Prevention” is available through the CIF and NFHS at https://nfhslearn.com/courses/61140/heat-illness-prevention. Parent/Student CIF Heat Illness Information Sheet

HEAT EXHAUSTION Inability to continue exercise due to heat-induced symptoms. Occurs with an elevated core body temperature between 97 and 104 degrees Fahrenheit.

 Dizziness, lightheadedness, weakness  Profuse sweating  Headache  Cool, clammy skin  Nausea  Hyperventilation  Diarrhea, urge to defecate  Decreased urine output  Pallor, chills

TREATMENT OF HEAT EXHAUSTION Stop exercise, move player to a cool place, remove excess clothing, give fluids if conscious, COOL BODY: fans, cold water, ice towels, ice bath or ice packs. Fluid replacement should occur as soon as possible. The Emergency Medical System (EMS) should be activated if recovery is not rapid. When in doubt, CALL 911. Athletes with heat exhaustion should be assessed by a physician as soon as possible in all cases.

HEAT STROKE Dysfunction or shutdown of body systems due to elevated body temperature which cannot be controlled. This occurs with a core body temperature greater than 107 degrees Fahrenheit. Signs observed by teammates, parents, and coaches include:  Dizziness  Weakness  Drowsiness, loss of consciousness  Hot and wet or dry skin  Seizures  Rapid heartbeat, low blood pressure  Staggering, disorientation  Hyperventilation  Behavioral/cognitive changes (confusion,  Vomiting, diarrhea irritability, aggressiveness, hysteria, emotional instability)

TREATMENT OF HEAT STROKE This is a MEDICAL EMERGENCY. Death may result if not treated properly and rapidly. Stop exercise, Call 911, remove from heat, remove clothing, immerse athlete in cold water for aggressive, rapid cooling (if immersion is not possible, cool the athlete as described for heat exhaustion), monitor vital signs until paramedics arrive.

FINAL THOUGHTS FOR PARENTS AND GUARDIANS Heat stress should be considered when planning and preparing for any sports activity. Summer and fall sports are conducted in very hot and humid weather across regions of California. While exertional heat illness can affect any athlete, the incidence is consistently highest among football athletes due to additional protective equipment which hinders heat dissipation. Several heatstroke deaths continue to occur in high school sports each season in the United States. Heatstroke deaths are preventable, if the proper precautions are taken. You should also feel comfortable talking to the coaches or athletic trainer about preventative measures and potential signs and symptoms of heat illness that you may be seeing in your child.

I acknowledge that I have received and read the CIF Heat Illness Information Sheet.

______Student-Athlete Name Student-Athlete Date Printed Signature

______Parent or Legal Guardian Name Parent or Legal Guardian Date Printed Signature

CIF Concussion Information Sheet

Why am I getting this information sheet?

You are receiving this information sheet about concussions because of California state law AB 25 (effective January 1, 2012), now Education Code § 49475:

1. The law requires a student-athlete who may have a concussion during a practice or game to be removed from the activity for the remainder of the day. 2. Any student-athlete removed for this reason must receive a written note from a physician trained in the management of concussion before returning to practice. 3. Before a student-athlete can start the season and begin practice in a sport, a concussion information sheet must be signed and returned to the school by the student-athlete and the parent or guardian.

[Every 2 years all coaches are required to receive training about concussions (AB 1451), sudden cardiac arrest (AB 1639), and heat illness (AB 2500), and certification in First Aid training, CPR, and AEDs (life-saving electrical devices that can be used during CPR)].

What is a concussion and how would I recognize one?

A concussion is a kind of brain injury. It can be caused by a bump or hit to the head, or by a blow to another part of the body with the force that shakes the head. Concussions can appear in any sport, and can look differently in each person.

Most concussions get better with rest and over 90% of athletes fully recover. However, all concussions should be considered serious. If not recognized and managed the right way, they may result in problems including brain damage and even death.

Most concussions occur without being knocked out. Signs and symptoms of concussion (see back of this page) may show up right after the injury or can take hours to appear. If your child reports any symptoms of concussion or if you notice some symptoms and signs, seek medical evaluation from your team’s athletic trainer and a physician trained in the evaluation and management of concussion. If your child is vomiting, has a severe headache, or is having difficulty staying awake or answering simple questions, call 911 for immediate transport to the emergency department of your local hospital.

On the CIF website is a Graded Concussion Symptom Checklist. If your child fills this out after having had a concussion, it helps the physician, athletic trainer or coach understand how they are feeling and hopefully will show improvement over time. You may have your child fill out the checklist at the start of the season even before a concussion has occurred so that we can understand if some symptoms such as headache might be a part of their everyday life. We call this a “baseline” so that we know what symptoms are normal and common for your child. Keep a copy for your records, and turn in the original. If a concussion occurs, your child can fill out this checklist again. This Graded Symptom Checklist provides a list of symptoms to compare over time to follow your child’s recovery from the concussion.

What can happen if my child keeps playing with concussion symptoms or returns too soon after getting a concussion?

Athletes with the signs and symptoms of concussion should be removed from play immediately. There is NO same day return to play for a youth with a suspected concussion. Youth athletes may take more time to recover from concussion and are more prone to long-term serious problems from a concussion.

Even though a traditional brain scan (e.g., MRI or CT) may be “normal”, the brain has still been injured. Animal and human research studies show that a second blow before the brain has recovered can result in serious damage to the brain. If your athlete suffers another concussion before completely recovering from the first one, this can lead to prolonged recovery (weeks to months), or even to severe brain swelling (Second Impact Syndrome) with devastating consequences.

There is an increasing concern that head impact exposure and recurrent concussions may contribute to long-term neurological problems. One goal of concussion education is to prevent a too early return to play so that serious brain damage can be prevented.

Signs observed by teammates, parents and coaches include: • Looks dizzy • Slurred speech • Looks spaced out • Shows a change in personality or way of acting • Confused about plays • Can’t recall events before or after the injury • Forgets plays • Seizures or “has a fit” • Is unsure of game, score, or opponent • Any change in typical behavior or personality • Moves clumsily or awkwardly • Passes out • Answers questions slowly

Symptoms may include one or more of the following: • Headaches • Loss of memory • “Pressure in head” • “Don’t feel right” • Nausea or throws up • Tired or low energy • Neck pain • Sadness • Has trouble standing or walking • Nervousness or feeling on edge • Blurred, double, or fuzzy vision • Irritability • Bothered by light or noise • More emotional • Feeling sluggish or slowed down • Confused • Feeling foggy or groggy • Concentration or memory problems • Drowsiness • Repeating the same question/comment • Change in sleep patterns

What is Return to Learn?

Following a concussion, students may have difficulties with short- and long-term memory, concentration and organization. They may require rest while recovering from injury (e.g., limit texting, video games, loud movies, or reading), and may also need to limit school attendance for a few days. As they return to school, the schedule might need to start with a few classes or a half-day. If recovery from a concussion is taking longer than expected, they may also benefit from a reduced class schedule and/or limited homework; a formal school assessment may also be necessary. Your school or physician can help suggest and make these changes. Students should complete the Return to Learn guidelines, successfully returning to a full school day and normal academic activities, before returning to play (unless your physician makes other recommendations). Go to the CIF website (cifstate.org) for more information on Return to Learn.

How is Return to Play (RTP) determined?

Concussion symptoms should be completely gone before returning to competition. A RTP progression is a gradual, step-wise increase in physical effort, sports-specific activities and then finally unrestricted activities. If symptoms worsen with activity, the progression should be stopped. If there are no symptoms the next day, exercise can be restarted at the previous stage.

RTP after concussion should occur only with medical clearance from a physician trained in the evaluation and management of concussions, and a step-wise progression program monitored by an athletic trainer, coach, or other identified school administrator. Please see cifstate.org for a graduated return to play plan. [AB 2127, a California state law effective 1/1/15, states that return to play (i.e., full competition) must be no sooner than 7 days after the concussion diagnosis has been made by a physician.]

Final Thoughts for Parents and Guardians:

It is well known that students will often not talk about signs of concussions, which is why this information sheet is so important to review with them. Teach your child to tell the coaching staff if they experience such symptoms, or if they suspect that a teammate has had a concussion. You should also feel comfortable talking to the coaches or athletic trainer about possible concussion signs and symptoms that you may be seeing in your child.

References: • American Medical Society for Sports Medicine position statement: concussion in sport (2013) • Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Berlin, October 2016 • https://www.cdc.gov/traumaticbraininjury/PediatricmTBIGuideline.html • https://www.cdc.gov/headsup/youthsports/index.html

CIFSTATE.ORG Revised 02/2019 CIF

Hoja de información de la CIF sobre la conmoción cerebral

¿Por qué recibí esta hoja de información?

Usted recibió esta hoja de información sobre las conmociones cerebrales debido a la existencia de la ley estatal AB 25 (con vigencia a partir del 1 de enero, 2012), en la actualidad, Código de Educación § 49475:

1. La ley requiere que un/una atleta estudiantil que haya sostenido una conmoción cerebral durante una práctica o juego deberá ser retirado(a) de la actividad durante el resto del día. 2. Cualquier atleta estudiantil que sea retirado(a) por esta razón deberá recibir una nota escrita de un médico capacitado en el manejo de conmociones cerebrales antes de regresar a las prácticas. 3. Antes de que un/una atleta estudiantil pueda empezar la temporada y comenzar a practicar un deporte, una hoja de información sobre la conmoción cerebral deberá ser firmada y devuelta a la escuela por el/la atleta estudiantil y por el padre o tutor.

[Cada 2 años, todos los entrenadores deberán recibir capacitación sobre las conmociones cerebrales (AB 1451), paro cardíaco repentino (AB 1639) y enfermedad por el calor (AB 2500) así como ostentar una certificación de capacitación en primeros auxilios, reanimación cardiopulmonar (CPR por sus siglas en inglés) y en la utilización del desfibrilador externo automático (AED por sus siglas en inglés). (Este último es un dispositivo eléctrico salvavidas que puede ser utilizado durante CPR)].

¿Qué es una conmoción cerebral y cómo la reconocería?

Una conmoción cerebral es un tipo de lesión cerebral. Puede ser causada por un golpe en la cabeza, o por un golpe en otra parte del cuerpo con una fuerza tal que sacuda la cabeza. Las conmociones cerebrales pueden suceder en cualquier deporte, y pueden manifestar un aspecto diferente en cada persona.

La mayoría de las conmociones cerebrales mejoran con reposo, y más del 90% de los atletas se recuperan completamente. Sin embargo, todas las conmociones cerebrales deben considerarse graves. Si no se reconocen y no se manejan de la manera correcta, se pueden producir problemas que incluyen daños cerebrales e incluso la muerte.

La mayoría de las conmociones cerebrales ocurren sin haber perdido el conocimiento. Las señales y los síntomas de conmoción cerebral (consulte el reverso de esta página) pueden manifestarse inmediatamente después de una lesión o pueden tomar horas para que aparezcan. Si su niño/niña reporta cualquier síntoma de conmoción cerebral, o si usted observa algún síntoma o señal, solicite una evaluación médica del entrenador atlético de su equipo y de un médico capacitado en la evaluación y manejo de concusiones cerebrales. Si su niño/niña está vomitando, tiene un fuerte dolor de cabeza, o tiene dificultad para permanecer despierto(a) o no puede responder preguntas sencillas, llame al 911 o llévelo(a) inmediatamente a la sala de emergencias de su hospital local.

En el sitio web de la CIF se encuentra una Lista de verificación por etapas de los síntomas por conmoción cerebral (Graded Concussion Symptom Checklist). Si su niño/niña llena esta hoja después de haber sufrido una conmoción cerebral, la misma ayudará al médico o entrenador atlético entender cómo él o ella se está sintiendo y esperamos que también pueda mostrar señales de mejora conforme avance el tiempo Le pedimos que su niño/niña llene la lista de verificación al comienzo de la temporada, incluso antes de que haya sufrido una conmoción cerebral para que podamos entender si algunos de los síntomas tales como el dolor de cabeza podrían ser parte de su vida cotidiana. Esto es lo que llamamos una "base de referencia" para que sepamos cuáles síntomas son normales y comunes para su niño/niña. Guarde una copia para sus registros, y entregue el original. Si se produce una conmoción cerebral, su niño o niña puede llenar esta lista de verificación de nuevo. Esta Lista de verificación por etapas de síntomas provee una lista de síntomas para comparar conforme avanza el tiempo para asegurarse que su niño o niña se está recuperando de la conmoción cerebral.

¿Qué puede suceder si mi niño/niña sigue jugando con síntomas de conmoción cerebral o vuelve demasiado pronto después de una conmoción cerebral?

Los/las atletas con señales y síntomas de conmoción cerebral deben ser retirados(as) del juego de forma inmediata. NO existe la posibilidad de volver a jugar el mismo día para un(a) joven bajo sospecha de padecer una conmoción cerebral. Los jóvenes atletas pueden tardar más tiempo en recuperarse de una conmoción cerebral y son más propensos a tener graves problemas a largo plazo debido a una conmoción cerebral.

Aunque una escanografía cerebral tradicional (por ejemplo, una imagen de resonancia magnética [MRI o CT]) puede ser "normal", el cerebro aún está lesionado. Estudios realizados en los animales y en los humanos indican que un segundo golpe antes de que el cerebro se haya recuperado puede resultar en daños graves en el cerebro. Si su atleta sufre otra conmoción cerebral antes de estar completamente recuperado(a) de la primera, esto puede resultar en una recuperación prolongada (de semanas a meses) o incluso en una inflamación grave (Síndrome del segundo impacto) con consecuencias devastadoras.

Hay una creciente preocupación por el hecho de que la exposición a impactos en la cabeza y conmociones cerebrales recurrentes pueden contribuir a tener problemas neurológicos a largo plazo. Una de las metas de este programa de conmoción cerebral es evitar que el niño/la niña vuelva demasiado pronto a jugar para que graves daños cerebrales se puedan prevenir.

Las señales observadas por los compañeros de equipo, los padres y los entrenadores son:

• Parece estar mareado(a) • Balbucea • Parece estar aturdido(a) • Muestra cambios de personalidad o en su forma de actuar • Confundido(a) acerca de los juegos • No puede recordar lo ocurrido antes o después de la lesión • Se olvida de los juegos • Tiene convulsiones o “sufre una crisis” • No está seguro(a) del juego, la puntuación, ni de quiénes son • Cualquier cambio en su conducta o personalidad típica sus adversarios • Se mueve con torpeza o con dificultad • Se desmaya • Responde a las preguntas con lentitud

Los síntomas pueden incluir uno o más de los siguientes:

• Dolores de cabeza • Pérdida de la memoria • "Presión en la cabeza" • "No se siente bien" • Náuseas o vómitos • Se siente cansado(a) o con poca energía • Dolor en el cuello • Está triste • Dificultad para pararse o caminar • Está nervioso(a) o con los nervios de punta • Visión borrosa, doble o difusa • Se siente irritable • Sensibilidad a la luz o al ruido • Está más sensible • Se siente cansado(a) o hace las cosas más lentamente • Confundido(a) • Parece aturdido(a) o desorientado(a) • Problemas de concentración o de memoria • Somnolencia • Repite la misma pregunta/comentario • Cambio de patrones de sueño

¿Qué es Volver a Aprender?

Después de una conmoción cerebral, los estudiantes pueden tener dificultades con la memoria, la concentración y la organización al corto y a largo plazo. Será necesario el descanso mientras se recupera de una lesión (por ejemplo, limitar enviar textos, juegos de vídeo, ver películas de alto volumen, o leer), y quizás tengan que quedarse en casa y no ir a la escuela por unos cuantos días. A su regreso a la escuela, es posible que el horario deba comenzar con unas pocas clases o medio día. Si la recuperación de una conmoción cerebral está llevando más tiempo del esperado, ellos también pueden beneficiarse de un horario de clases reducidas y/o tareas limitadas; una evaluación escolar formal también podría ser necesaria. Su escuela o médico puede ayudar a sugerir y hacer estos cambios. Los estudiantes deben completar las directrices de Volver a Aprender (Return to Learn) y volver exitosamente a la escuela y a las actividades académicas normales a tiempo completo antes de comenzar a participar en Volver a Jugar (Return to Play) (a menos que su médico recomiende otra cosa). Visite la página web de la CIF (cifstate.org) para obtener más información sobre Volver a Aprender (Return to Learn).

¿Cómo se determina Volver a Jugar (Return to Play [RTP])?

Los síntomas de conmoción cerebral deben haber desaparecido por completo antes de volver a competir. Una progresión RTP, o Volver a Jugar, es una progresión gradual de aumento del esfuerzo físico, actividades específicas del deporte y, finalmente a las actividades sin restricciones. Si los síntomas ocurren con la actividad, la progresión debe ser detenida. Si no hay síntomas el día siguiente, el ejercicio se puede reiniciar en la etapa anterior.

RTP después de la conmoción cerebral debe ocurrir sólo con autorización médica de un médico capacitado en la evaluación y la gestión de casos de conmoción cerebral, y un plan de progresión por etapas supervisado por un entrenador atlético, coach, u otro administrador escolar identificado. Por favor consulte cifstate.org para un plan gradual de volver a jugar. [AB 2127, una ley del estado de California con vigencia a partir del 1/1/15, reza que volver a jugar (es decir, a competir plenamente) no debe ocurrir antes de 7 días después de que la conmoción cerebral haya sido diagnosticada por un médico.]

Reflexiones finales para los padres y los tutores:

Es bien sabido que los estudiantes a menudo no hablan acerca de las señales de la conmoción cerebral, la cual es la razón por la que es importante que esta hoja de información sea revisada con ellos. Enséñele a su niño/niña que le diga al personal entrenador si él o ella siente tales síntomas, o si él o ella sospecha que un compañero de equipo ha sufrido una conmoción cerebral. Usted también debe sentirse cómodo hablando con los entrenadores atléticos acerca de las señales y síntomas de la conmoción cerebral que pueda ver en su niño/niña.

Referencias: • American Medical Society for Sports Medicine position statement: concussion in sport (2013) • Consensus statement on concussion in sport: the 4th International Conference on Concussion in Sport held in Berlin, October 2016 • https://www.cdc.gov/traumaticbraininjury/PediatricmTBIGuideline.html • http://www.cdc.gov/headsup/youthsports/index.html

CIFSTATE.ORG Revisado el 02/2019 CIF PRESCRIPTION OPIOIDS: WHAT YOU NEED TO KNOW

Prescription opioids can be used to help relieve moderate-to-severe pain and are often prescribed following a surgery or injury, or for certain health conditions. These medications can be an important part of treatment but also come with serious risks. It is important to work with your health care provider to make sure you are getting the safest, most effective care.

WHAT ARE THE RISKS AND SIDE EFFECTS OF OPIOID USE?

Prescription opioids carry serious risks of addiction and overdose, especially with prolonged use. An opioid overdose, often marked by slowed breathing, can cause sudden death. The use of prescription opioids can have a number of side effects as As many as well, even when taken as directed: 1 in 4 PEOPLE* • Tolerance—meaning you might need • Nausea, vomiting, and dry mouth receiving prescription to take more of a medication for the • Sleepiness and dizziness opioids long term same pain relief in a primary care • Confusion • Physical dependence—meaning you setting struggles with have symptoms of withdrawal when • Depression addiction. a medication is stopped • Low levels of testosterone that can * Findings from one study • Increased sensitivity to pain result in lower sex drive, energy, and strength • Constipation • Itching and sweating

RISKS ARE GREATER WITH:

• History of drug misuse, substance use Avoid alcohol while taking prescription opioids. disorder, or overdose Also, unless specifically advised by your health care provider, medications to avoid include: • Mental health conditions (such as depression or anxiety) • Benzodiazepines (such as Xanax or Valium) • Sleep apnea • Muscle relaxants (such as Soma or Flexeril) • Older age (65 years or older) • Hypnotics (such as Ambien or Lunesta) • Pregnancy • Other prescription opioids

LEARN MORE | www.cdc.gov/drugoverdose/prescribing/guideline.html

CS000000 CS264107C May 9, 2016 KNOW YOUR OPTIONS

Talk to your health care provider about ways to manage your pain that don’t involve prescription opioids. Some of these options may actually work better and have fewer risks and side effects. Options may include: Pain relievers such as acetaminophen, ibuprofen, and naproxen Some medications that are also used for depression or seizures Physical therapy and exercise Cognitive behavioral therapy, a psychological, goal- directed approach, in which patients learn how to modify physical, behavioral, and emotional triggers of pain and stress.

IF YOU ARE PRESCRIBED OPIOIDS FOR PAIN:

Never take opioids in greater amounts or more often than prescribed. Follow up with your primary health care provider within ___ days. –– Work together to create a plan on how to manage your pain. –– Talk about ways to help manage your pain that don’t involve prescription opioids. –– Talk about any and all concerns and side effects. Help prevent misuse and abuse. –– Never sell or share prescription opioids. –– Never use another person’s prescription opioids. Store prescription opioids in a secure place and out of reach of others (this may include visitors, children, friends, and family). Be Informed! Safely dispose of unused prescription opioids: Find your community Make sure you know the name of your drug take-back program or your pharmacy mail-back program, or medication, how much and how often to take flush them down the toilet, following guidance from the Food and Drug it, and its potential risks & side effects. Administration (www.fda.gov/Drugs/ResourcesForYou). Visit www.cdc.gov/drugoverdose to learn about the risks of opioid abuse and overdose. If you believe you may be struggling with addiction, tell your health care provider and ask for guidance or call SAMHSA’s National Helpline at 1-800-662-HELP.

LEARN MORE | www.cdc.gov/drugoverdose/prescribing/guideline.html California Department of Education Updated March 2018 Parent/Guardian and Pupil Sudden Cardiac Arrest Warning Signs and Symptoms Information and Acknowledgment Form

On July 1, 2017, Assembly Bill 1639, known as the Eric Paredes Sudden Cardiac Arrest (SCA) Prevention Act went into effect. This requires the pupil and their parent or guardian to read, sign, and return an SCA form of acknowledgement before the pupil participates in any athletic activity. Districts may use this form, a form located on the California Interscholastic Association (CIF) website, or design their own form. An SCA acknowledgment form must be signed and returned to the school site each school year. What Is SCA? SCA occurs suddenly and often without warning. It is triggered by an electrical malfunction in the heart that causes an irregular heartbeat. With the heart’s pumping action disrupted, the heart cannot pump blood to the brain, lungs, and other organs. Seconds later, a person loses consciousness and has no pulse. Death occurs within minutes if the victim does not receive treatment. Who Is at Risk for SCA? Thousands of sudden cardiac arrests occur among youth each year, as it contributes to the #2 medical cause of death of youth under the age of 25 and is the #1 cause of death of student athletes during exercise. While a heart condition may have no warning signs, studies show that many young people do have warning signs or symptoms but neglect to tell an adult. This may be because they are embarrassed, they do not want to jeopardize their playing time, they mistakenly think that they are out of shape and need to train harder, or they simply ignore the symptoms, hoping the signs will go away. Possible Warning Signs and Risk Factors • Fainting or seizure, especially during or right after exercise • Fainting repeatedly or with excitement or startle • Excessive shortness of breath during exercise • Racing or fluttering heart palpitations or irregular heartbeat • Repeated dizziness or lightheadedness • Chest pain or discomfort with exercise • Excessive, unexpected fatigue during or after exercise • Family history of sudden death or heart disease under age 50 • Use of high-caffeine supplements, energy drinks, diet pills, and drugs

Removal from Activity A pupil who faints during or following participation in an athletic activity must be removed from play and may not return to play until they are evaluated and cleared by a physician and surgeon, nurse practitioner or physician’s assistant. I have reviewed and understand the symptoms, warning signs, and risk factors associated with SCA. ______Print Student/Athlete Name Signature Student/Athlete Date ______Print Parent/Guardian Name Signature Parent/Guardian Date The CDE used information from the following sources: American Heart Association, Parent Heart Watch (https://parentheartwatch.org/), Eric Paredes Save a Life Foundation: Keep Their Heart in the Game (https://epsavealife.org/), and Sudden Cardiac Arrest Foundation (http://www.sca-aware.org/). CHEER SIGNATURE PAGE

I have received, read, and understand all documents listed below. I understand that it is my responsibility to follow all guidelines. I do not hold Gilroy Unified School District, Gilroy High School, coaches or players liable for any injuries. All information presented is correct and truthful.

Please initial the boxes below.

Cheer Program Handbook STUDENT PARENT

Virtual Tryout Requirements STUDENT PARENT

Tryout Application STUDENT PARENT

Voluntary Activities Participation Form STUDENT PARENT

Parent/Guardian Permission for Student Participation STUDENT PARENT

Competitive Cheer Risk Information Sheet STUDENT PARENT

Concussion Information Sheet STUDENT PARENT

Heat Illness Information Sheet STUDENT PARENT

Concussion Information Sheet STUDENT PARENT

Sudden Cardiac Arrest Information Sheet STUDENT PARENT

Opioids Facts Information Sheet STUDENT PARENT

Student Name: ______Parent Name: ______

Student Signature: ______Parent Signature: ______

Date: ______Date: ______