Dear Parents/Guardians and Athletes:

Welcome to the Silver Cheetahs! As the only AAU Track & Field Club in the low country that has produced AAU Junior Olympic Natonal Champions for over twenty years, we have established ourselves as a team that can compete on an even par with all of the other teams in the nation.

Attached you will find our Athletic Packet that each athlete must have completed and on file with the Athletic Office before they are allowed to participate in or try out for a particular sport. A current physical is necessary as well and is good for one year. The physical can be turned in any time during the year prior to the expiration of the current physical but it is essential that the packet is turned in as soon as possible. It is mandatory that all items are completed in order for the athletes to participate.

Physicals will be accepted all year, but must be current at the beginning of each season in order to participate.

The Savannah-Chatham Silver Cheetahs believe that athletics are an integral part of our educational mission. It is part of our philosophy that each student athlete will have an opportunity to create memories that will last a lifetime.

Our expectation is that all athlete’s families will be supportive of our athletes during practice as well as during the competition meets. Thank you for joining our Cheetah family.

If you have any questions please call the Head Coach Ed Jinks at 912.660.1475 Thank you.

Sincerely,

Ed Jinks

Savannah-Chatham Silver CheetahsAthletic Registration Packet

Check Off Sheet

Before turning in your Athletic Registration Packet, please be sure you have completed, and attached the following pages…

1. ___________Registration Form with Athletic Fee attached2. _______Sport Physical Form 3. _______ Academic Eligibility Form4. _______ Student Athlete Code of Conduct5. _______ Parent/Guardian Code of Conduct6. _______ Concussion Information Sheet 7. _______ Medical Release Form8. _______ Medical Questionnaire9. _______ Transportation Policy/Informed Consent10. ______ Sports Physical Form

If you have any further questions, please contact Head Coach Ed Jinksat jj9948@comcast.net.

*Please be sure to complete and turn in the following pages before your sports first practice date.

Athlete Name: _____________________ Date of Birth: _________ Age: ____

Running Events: _________________ Field Events:_________________ _________________ __________________ _________________ __________________ _________________ __________________

T-shirt Size: _______________________

Savannah-Chatham Silver CheetahsATHLETIC/EMERGENCY REGISTRATION FORM

Name:_____________________________________________________________________

Grade: ______ Date of Physical:__________ Sport: _______________________________

Form of Payment: Check #________Check Amount__________ Cash Amount__________________

PLEASE MAKE CHECKS PAYABLE TO Savannah Silver Cheetahs(Please write student name and grade on the bottom of the check and attach to this paperwork)

FAMILY DEPOSIT FEES ARE $25.00 PER SEASON (CROSS COUNTRY, INDOOR & OUTDOOR).

Address:______________________________________________________________________________________________________________________________________________Home phone: _______________________________________________________________Male Parent/Guardian Name:___________________________________________________Father’s work: ______________________________Father’s cell: __________________________Female Parent/Guardian Name: ________________________________________________Mother’s work: _____________________________Mother’s cell: __________________________Emergency Contact Name and Phone: __________________________________________Allergic to any medications: ___________________________________________________Other health problems to be aware of:___________________________________________Physician: __________________________________________________________________Hospital Preference:__________________________________________________________Insurance Company:_______________________________ Policy # __________________

In the event of an emergency, and in the event that I (we) cannot be contacted, I (we)the undersigned parent or legal guardian give my (our) permission to school authorities to perform first aid and/or arrange for emergency medical services.

Parent/Guardian Signature ________________________________ Date _______________

Parent/Guardian Signature ________________________________ Date _______________

Savannah-Chatham Silver CheetahsAcademic Eligibility

There are several rules that govern participation in athletics. These rules are regulated by the school board and administration. Coaches have the option to set higher standards than what the school and District set. Athletes and their parents should be notified of these policies at the pre-season parent meeting.

Savannah-Chatham Silver Cheetahs’ Academic Eligibility Standards:

1. Academic progress: To insure academic progress is maintained, eligibility reports will be conducted. If a student has more than one “F” at the time of the report, he/she is ineligible, from meets, until the next weekly academic eligibility report.

2. Privilege to Participate: Participation in all interscholastic athletic programs is a privilege, not a right. Students may be dismissed from participation at any time do to conflicts or eligibility issues.

3. Suspension: A student that is suspended from school is suspended from athletics. No participation is allowed in either practices or games during the period of suspension. Upon the athletes return, the coach and athlete will meet to discuss any further repercussions for the remainder of the sport season.

I have read the standards of expected academic standards and agree to follow thestandards/rules set forth.

Student Athlete’s Signature_____________________________________Date___________

Savannah-Chatham Silver CheetahsAthlete’s Code of Conduct

As a student/athlete representing the Savannah-Chatham Silver Cheetahs, you have the responsibility to represent your school, your team, and your family in a positive manner. In as such, the following guidelines are expected behavior of our athletes. By signing at the bottom you agree to abide by these standards of behavior set forth by the Savannah-Chatham Silver Cheetahs.

Savannah-Chatham Silver Cheetahs Athlete’s Behavior Standards

1. I agree to respect and care for the equipment issued and agree to return all equipment at the end of the season in the same condition.2. I agree to respect those in authority; including the coaches, administrators, custodians, teachers, and officials at all times.3. I agree to practice good sportsmanship at all times, recognizing the talents and efforts of my opponents and the game officials.• I agree to congratulate my opponent on her/his effort• I agree to accept the decisions made by officials• I agree to practice self control at all times, including no fighting or taunting of others with negative behavior which would bring disrespect to my team and school4. I agree to respect the game site facilities and their equipment. Infractions include but not limited to damaging or vandalizing property, stealing, or leaving trash behind.5. I agree to represent my team by following the agreed upon dress code on game days at school and to/from contests.6. I agree to encourage and remind my teammates of expected behavior and to correct it when necessary. He/she is representing the program of which I am proud to be a part.7. I agree to attempt to resolve conflicts or concerns with my coaches before asking my parents to get involved. I am responsible for my actions and learning how to handle adverse situations on my own.

I, ___________________________, have read the statements of expected behavior and agree to follow these guidelines in order to bring respect of others to our team and to represent our team with class.

Student Athlete Signature____________________________________Date_____________

Savannah-Chatham Silver CheetahsParent/Legal Guardian Code of Conduct

As a parent of a student/athlete representing the Savannah-Chatham Silver Cheetahs, it is expected that you model behavior conducive to good sportsmanship and behavior that will represent your student and yourself in a positive manner. By signing below you agree to abide by these standards of behavior set forth by the Savannah-Chatham Silver Cheetahs.

Parent/Legal Guardian Standards of Behavior

1. I agree to support the effort of all players on both teams and refrain from negativity towards the opposition.2. I agree that officiating is a difficult, thankless task, and that officials are doing their best to be fair to both teams and accept their decisions.3. I agree not to taunt players, officials, or fans before, during, or following a competition.4. I agree to set an example of acceptable behavior for other spectators.5. I agree to support the goals of my student/athlete to the best of my abilities in all situations.6. I agree to support my son’s/daughter’s role on the team. If I (or my student) have concerns, I will direct my son/daughter to approach the coach at an appropriate time to discuss our concerns. If I feel it is necessary to meetwith the coach, I will set up an appointment with the coach, but will not harass or verbally assault the coach when I am emotionally responding to an issue.

I have read the statements of expected behavior and agree to follow these guidelines in order to show support of my son/daughter, and the team/school program he/she is representing.

Parent/Guardian Signature:________________________Date_________

Student Athlete’s Name _____________________Sport______________

Savannah Chatham Silver Cheetahs

ATHLETIC DEPARTMENT PHILOSOPHY

Athletics within the Savannah-Chatham Silver Cheetahs Track & Field Club are considered an integral part of a student's educational experience. The goals of the program are to give all students the opportunity to:

• develop skills and knowledge of game strategies and rules• collaborate and compete with others• develop a positive attitude towards themselves, others, and school

Participation in sound athletic programs contributes to good sportsmanship, teamwork, character building, physical development, coordination, and interest in sports. Interscholastic sports competition exemplifies the value of discipline, hard work, fair play and being a team player. It is a privilege to be able to participate in interscholastic athletics; therefore, greater expectations exist for all those who represent the Savannah-Chatham Silver Cheetahs, within their respective sportsprograms.

Our coaches and administrative staff wants to encourage all students to participate in athletics and reap its’ endless benefits.

Savannah-Chatham Silver CheetahsConcussion Information Sheet

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 tothe 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

Amnesia “Don’t feel right” Fatigue or low energy Sadness Nervousness or anxiety Irritability More emotional Confusion Concentration or memory

problems (forgetting gameplays)

Repeating the samequestion/comment

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 lacks coordination 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 in typical behavior or personality

Loses consciousnessSavannah-Chatham Silver Cheetahs

Concussion Information Sheet

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 athlete 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 orpractice immediately. No athlete may return to activity after an apparent head injury orconcussion, regardless of how mild it seems or how quickly symptoms clear, without medicalclearance. Close observation of the athlete should continue for several hours. The new CIFBylaw 313 now requires implementation of long and well-established return to play concussionguidelines that have been recommended for several years:

“A student-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 for the remainder of the day.”

and“A student-athlete who has been removed 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 concussionRemember its better to miss one game than miss the whole season. And when in doubt, theathlete sits out.

For current and up-to-date information on concussions you can go to:http://www.cdc.gov/ConcussionInYouthSports/

_____________________________ _____________________________ _____________Student-athlete Name Printed Student-athlete Signature Date

_____________________________ ______________________________ _____________Parent or Legal Guardian Printed Parent/Legal Guardian Signature Date

Name: _________________________________ Grade: _____ School Year: ___________

SAVANNAH CHATHAM SILVER CHEETAHS MEDICAL RELEASE FORM:

Circle sports you would like to participate in.

Fall: Cross Country Winter: Indoor Track/Field Spring/Summer: Outdoor Track/Field

In the event that I (parent/guardian) cannot be reached, I hereby authorize the trainer, administrator, or coach in charge, as agent to the student, to consent to any x-ray examination, anesthetic, medical or surgical diagnosis or treatment and hospital care which is deemed advisable by and is to be rendered under the general or special supervision of any physician or surgeon licensed under the provision of the Medical Practice Act, whether such diagnosis or treatment be rendered at the office or at the hospital.

Every student participating in interscholastic athletics must be covered by medical insurance. Please indicate the insurance carrier that insures your son/daughter, the policy number, and the name of your family physician.

INSURANCE CARRIER:_____________________________________ POLICY #:________________

NAME OF PHYSICIAN:_________________________________ PHONE #:_____________________

Birth date:_______________ Gender:______ Age:____ Known Allergies:________________________

Is the student currently taking any medication? _________ If so, please list:______________________

Is the student allergic to any medication? ________ If so, please list: ___________________________

Has the student had any major operations or serious injuries?_______ If so, please list:_____________

__________________________________________________________________________________

Parent Name (Print):__________________________________ Cell Phone:______________________

Parent Name (Print):__________________________________ Cell Phone:______________________

Home Phone :________________________ Work Phone:_____________________________

Parent(s) Email:____________________________________________________________________

ADDRESS:_________________________________________________________________________Street City State Zip

Code

NAME OF PERSON TO BE CONTACTED IF PARENTS/GUARDIANS ARE NOT AVAILABLE

Name:_______________________ Home Phone:_______________ Work Phone:________________

SIGNATURE OF PARENT/GUARDIAN: ___________________________________________

SAVANNAH CHATHAM SILVER CHEETAHSMEDICAL QUESTIONNAIRE

Name:_________________________________ Date:________________________________

Birth date:______________________ Grade:________ Age:___________________________

Height: _________________________________ Weight: _____________________________

How many inches have you grown in the past 12 months? ____________________________Please answer the following by circling YES or NO. Explain in detail all YES answers on the space provided. Please give dates of injury/illness and any other important information, such as how the injury occurred, etc. If you have any questions contact Coach Jinks at 660-1475.1. Are you presently taking any medications or pills yes / no __________________________________2. Do you have any allergies (medicine, bees, or other stinging insects)? yes / no _________________3. Have you been diagnosed with asthma? yes / no ________________________________________4. Do you have diabetes? yes / no ______________________________________________________5. Do you have epilepsy? yes / no ______________________________________________________6. Do you wear contacts, glasses, or protective eyewear? yes / no _____________________________

7. Do you or have you ever had mononucleosis or hepatitis? yes / no __________________________8. Do you or have you ever had kidney disease? yes / no ____________________________________9. Have you ever had an organ removed (i.e., kidney, spleen, etc.)? yes / no _____________________10. Do you have high blood pressure? yes / no ____________________________________________11. Has a doctor ever told you that you have a heart murmur or irregular heartbeat? yes / no ________12. Have you ever had an EKG done? yes / no ____________________________________________13. Do you have any history of heat cramps, heat exhaustion or heat stroke? yes / no _____________14. Have you ever had a head injury? yes / no ____________________________________________15. Have you ever been knocked out or unconscious? yes / no _______________________________16. Have you ever had a seizure? yes / no _______________________________________________17. Have you ever had a stinger, burner, or pinched nerve? yes / no____________________________18. Have you ever had a neck or back injury? yes / no ______________________________________19. Have you ever injured your ankle or foot? yes / no ______________________________________20. Have you ever injured your knee? yes / no ____________________________________________21. Have you ever injured your shoulder or elbow? yes / no __________________________________22. Have you ever injured your wrist or hand? yes / no ______________________________________23. Have you ever injured your fingers or thumb? yes / no ___________________________________24. Have you ever broken/fractured a bone? yes / no _______________________________________25. Have you ever dislocated a joint? yes / no _____________________________________________26. Have you ever had surgery? yes / no _________________________________________________

Parent signature_____________________________ Date________ Phone_____________

PLEASE NOTIFY US IMMEDIATELY IF ANYTHING ABOVE CHANGES DURING THE SEASON.

Savannah Chatham Silver Cheetahs

TRANSPORTATION POLICYIn order to accommodate the philosophy that “all members of the team have the opportunity to compete in league contests,” it may be necessary for transportation to some venues be provided by parents/guardians.

The team will provide transportation of student athletes to contests during the season whenever possible. If the number of participants exceeds our van occupancy limits or availability, then it will be the responsibility of the parent/guardian to provide transportation for the student athlete.

Parental/guardian transportation responsibility means:1. Driving their own son/daughter to venue.2. Giving permission for their own son/daughter to transport themselvesvia their own vehicle to venue.3. Arranging a carpool with another student athlete or parent to transporttheir son/daughter to venue.

I have read the Transportation Policy and agree to follow thestandards/rules set forth.

Parent/Guardian’s Signature____________________________________Date___________

INFORMED CONSENTThe Savannah Chatham Silver Cheetahs has a responsibility to make you aware of the dangers of participation in any form of athletic competition. I am asking that you carefully read over the statement below with your student athlete, sign and return it with your packet.

I am aware of the potential dangers of participating in interscholastic athletics in both practice and competition. I realize that there is a risk of being injured in all sports, no matter how many precautions are taken. I further realize that this risk of injury may be severe, including varieties of fractures, sprains, contusions, brain injuries, paralysis, or even death. I also realize that my student athlete needs to follow carefully all of the guidelines presented by the coaching staff regarding safety procedures, proper use of equipment, legal and safe playing techniques, and all other safety procedures. I understand that even if all of the above is done, my student athlete may still incur injury thorough participation in athletics. Understanding the information, I give my permission for my student athlete to participatein the sport(s) of Track & Field.

Parent/Guardian Signature________________________________ Student Initial_______

Sports Physical Form Sport: _______________________________________

Student Name: ___________________________________________________ Date: ______________________ Last First MI

Sex: Male Female Weight: ________ Height: ________ Pulse: _________ Blood Pressure: __________________

Legend: = Normal X = Abnormal NE = Not examined

General Body Build: ____________________________________ Skin: __________________________________

Eye: _________ Ear: _________ Nose: __________ Throat: _________ Teeth: __________ Neck: ____________

Lungs: _________ Heart: _________ Chest: __________ Liver: _________ Spleen: _________ Spine: _________

Abdominal Masses/Hernia: ____________________________________________________________________

Joint Function:

Neck: ______ Shoulders: ______ Elbows: ______ Wrists: ______ Hands: ______ Hips: ________

Knees: ______ Ankles: ______ Feet: ______

*Neurological: _____________________________________ Genitalia (male only): _______________________

* Important if medical history is positive for concussions, seizures, loss of consciousness or other neurological findings.

Concussion When

Fractures When, Where

Sprains When, Where

Chronic inflammation Where

Heart murmur When

High blood pressure When, Reading

Allergies: ___________________________________ Medications: ____________________________________

Special Instructions or Limitations: ______________________________________________________________

I certify that I have examined this student and he or she may compete in supervised team athletic activities.

Date of examination: _____________ Physician Name: ______________________________________________

Physician phone #: _________________ Physician Signature:

_________________________________________

NOTE: Return completed Sport Physical Form to Coach Jinks with completed registration form.

2015 OUTDOOR SCHEDULECHEETAH FINANCEAAU CARD 14.00USATF CARD 20.00FAMILY FEE 25.00**ENTRY FEES ARE DUE ONE WEEK BEFORE EVENT**OUTDOOR PAPERWORK REQUIRED:

1. WAIVER/REGISTRATION FORM2. ONE BIRTH CERTIFICATE ASAP3. CURRENT PHYSICAL FORM

DATE       DAY           MEETS                 SITE

March 21th     Sat.         City Meet                     SSU

March 28         Sat.     Pure Athletics               Gainesville, Fl

April 4th           Sat.       V-Athletic                   Jacksonville, Fl

April 18         Sat.         Cheetah Coach O Inv       SSU

April 25           Sat.       Tallahassee Zoom         TBA

May 09         Sat.         Young Achiever Relays     Jacksonville, Fl

May  23           Sat.       We Don't Need Wings to Fly Phenix City, Al

June  4-7         Thurs-Sun     Ga AAU District               TBA

June  19-21       Fri-Sat.       USATF Area C                 TBA

June   28         Thurs-Sun     Area 8  National Qualifier   Columbia, SC 

July 9-11                  Thurs - Sat     Primary Championship   Disney Wide World of Sports

July  12-18               Sun - Sat        Club Championship           Disney Wide World of Sports   

Aug 1-8 Sat - Sat         AAU JR Olympic Games Hampton Roads, VA