Hale Charter Academy Drill Team Application Form
Name: ______Grade: 7th 8th (circle the one you will be entering)
Address: ______
Home Phone(s): ______
Cell Phone: ______
Email address: ______
Parent/Guardians’ Names: ______
Parent/Guardians’ Work Phone Numbers: ______
Parent email address: ______
Other activities, interests, and commitments you participate in outside of school: ______
______
Checklist (*All items must be turned in the first day of tryout practice*):
___ Completed Application Form ___ Picture ___20 Wk Fall Report Card
___ Financial Obligation Signed ___ Medical Release Form Completed
____ 10 week Spring Eligible? (You will need to show me your 10 week report card if you make the team.) No D’s, Fails or U’s in Cooperation. No more than 1 U in work habits
Questions? Please email Mrs. Coleman at ekc0551 @lausd.net
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Code of Conduct
Participant’s Name ______
I must maintain a C average with no “u”s in cooperation. I will be placed on probation for the first warning and may be dismissed from the team if academic standards are not met.
Signature: ______Date: ______
Uniforms
Once the new squad has been established, a representative from the uniform company will come out to measure the girls and get the uniforms ordered. Money for these will be needed up front and is non-refundable once they have been ordered. Because they are custom made they take up to 3 months to come in.
Financial Obligation
Participant’s Name: ______
I/We understand the financial obligation that is required for my/our daughter to participate on the drill team, and that additional costs, though minimal, may surface throughout the year. I/We will do our best to turn in money on time so that everything is taken care of in a timely manner. Receipts will be provided at my/our request. I/We also acknowledge that this money is non-refundable.
Parent Name(s): ______
Parent Signature: ______Date: ______
Parent Signature: ______Date: ______
Medical Release Form
My son/daughter ______has my permission to participate in the Hale Charter Academy Drill Team tryouts located on campus. I will assume responsibility for getting my child to and from school.
Emergency Contact: ______Phone number: ______
Relationship to participant: ______
Insurance carrier: ______Policy/Group number: ______
Last date of tetanus shot: ______
Other pertinent medical information (allergies, asthma, diabetes, etc.):
I hereby grant permission for my child to receive emergency medical treatment under the authority of a Hale Charter Academy Representative.
Signed: ______Date: ______
Note: The emergency contact person must be someone other than a parent/guardian