Go Owls! SLINGER MIDDLE SCHOOL STRENGTH & AGILITY TRAINING CAMP for 7th and 8th GRADE STUDENT ATHLETES Train smarter. Play better. Campers will rotate through a variety of training stations and drills to improve: Core strength Upper and lower body strength Speed Balance and stability Reaction time Proper athletic form Injury prevention Camp Instructor: Jeni McKean, LAT, PES Slinger High School Athletic Trainer Performance enhancement Questions? Mike Daniels, Athletic Director 262-644-5261 Camp dates – six weeks: June 13 – July 20, 2017 Tuesdays and Thursdays (no class on Tuesday, July 4th) Camp time: 7:30 to 8:30 a.m. Camp location: Slinger High School 209 Polk Street, Slinger Gymnasium Fee: $25/camper REGISTRATION DEADLINE IS JUNE 8, 2017. Registration Form – Summer 2017 Camper Name: Grade Entering: 7th 8th (circle one) Parent Name(s): Address: Phone # (H) (W) (C) All participants and their parent/guardian are required to sign the Fitness Center’s Code of Conduct and Waiver Form and complete the Physical Activity Readiness Questionnaire before beginning the program. Submit your completed forms and registration with payment made out to Slinger Athletics to: Melissa DeJesus Slinger High School Office 209 Polk Street Slinger, WI 53086 Fees enclosed: Number of camp registrations: Total amount: $ @ $25 School District of Slinger Fitness Center Code of Conduct and Waiver Form For Your Safety and the Safety of Others: 1. It is always advisable to obtain your physicians approval before beginning any exercise program, especially if heart, respiratory, muscular or skeletal conditions exist. 2. Complete all required forms and notify staff of all medical conditions and/or changes in medical status. 3. Attend a Free Weight and Cardiovascular orientation prior to using this facility. 4. Follow the recommendations of the Fitness Center staff or coaches concerning your exercise program and usage of equipment. 5. Always warm up and cool down before and after each workout session. 6. Know your physical limits and exercise within those limits. Discontinue exercise if chest discomfort, dizziness, pain or any other physical discomfort occurs and report directly to a staff person. 7. Only attempt exercises you are familiar with and can use proper technique. If you are uncertain how to use any of the equipment please ask a staff person for assistance. 8. Always load and unload barbells evenly. When finished always unload your weight bar and your weights to the rack. 9. Always use collars and make certain that the weights and collars are secured properly. 10. When using machines make certain that all the adjustable components are securely locked in position and set at the correct setting for you. 11. Report any injuries to staff immediately. 12. Report any equipment problems to staff. 13. Always use a spotter when using free weights. 14. Wear proper workout attire, including shirts and athletic shoes (jeans, cut-off jeans, sandals and revealing attire is not permitted.) 15. Remove jewelry before working out (watches, rings, necklaces, bracelets, etc. 16. Wipe down the padding and handles and disinfect the cardio equipment after each use. 17. Follow appropriate safety and etiquette practices at all times. 18. No horseplay, offensive language or disrespectful comments to members or staff. 19. No equipment is permitted to leave the Fitness Center without written permission. 20. On-duty supervisors have the authority over all Fitness Center conduct and use of equipment, and may expel anyone from the facility for failure to comply with instructions and facility rules and guidelines. 21. All school rules apply to the Fitness Center, even during non-school hours. Violation of those rules will result in discipline from the school. The Following are NOT permitted: 1. Cell phone use in the Fitness Center and locker rooms. 2. Misuse of equipment or failure to comply with safe exercise practices. 3. Dropping weights and other equipment on the floor or weight stacks on machines. 4. Leaning the weights against the walls or equipment. 5. Food, gum, glass bottles, beverages (other than water), tobacco alcohol or non-prescription drugs into the Fitness Center. 6. Horseplay, offensive language or disrespectful comments to members or staff. 7. Weight belts are not permitted when the belts come in contact with the equipment or padding. 8. Facility phones are off limits unless permission is given. 9. Personal training by anyone except by Fitness Center staff, without consent of management. School District of Slinger Fitness Center Physical Activity Readiness Questionnaire (PAR-Q) Name of Participant ____________________________________________________ This questionnaire is designed is to help identify those individuals for whom the types of physical activity provided in the fitness center may not be appropriate, or should only be attempted while following the advice of a physician. Please read the following questions carefully and answer them honestly by checking the box with the response that best applies to you. Yes No Do you feel pain in your chest when you engage in physical activity? Do you often feel faint or have spells of severe dizziness? Has your doctor ever indicated that you have a heart condition or that you should only engage in physical activity recommended by a doctor? Has a doctor indicated that your blood pressure is too high? If you answered yes any of the previous questions, have you been put on any heart or blood pressure medication? Has your doctor indicated that you have a bone or joint problem, which can be aggravated or made worse by exercise? Is there any physical reason, not covered in the questions above, that you should not follow a physical activity program? If you answered yes to any of these questions: 1. Consult with your personal physician before increasing your physical activity and/or taking a fitness appraisal. 2. Tell your physician what questions you answered yes to on the PAR-Q, or present your PAR-Q copy. 3. Ask about your suitability for unrestricted activity starting off easily and progressing gradually. 4. Ask about your suitability for restricted or supervised activity to meet your specific needs at least on an initial basis. If you answered No to all of the questions: 1. You have a reasonable assurance that you are suited for a graduated exercise program. (A graduated exercise program consists of a gradual increase in proper exercise, which promotes good fitness development while minimizing or eliminating discomfort) 2. Please consult with the fitness center director regarding your fitness program and training. 3. Please postpone exercise when you are not feeling well. I have read all of the statements on this form carefully and have answered all of the questions honestly. I understand that if my physical condition should change, I need to inform the fitness center staff. Signature ____________________________________________________ Date __________________ Parent Signature _______________________________________________ Date _________________ (If under age of 18) Etiquette: 1. Let fellow members “work in” (alternate) with you by not sitting on any equipment you are not actively using. 2. Keep grunting to a minimum. Loud noises distract other members and alert them to the fact that you are lifting more than you should. 3. Please be courteous at the drinking fountain. If there are people behind you do not fill your water bottle. 4. Observe the time limits on the cardio equipment. 30 minutes max. Other members have the right to use the equipment too. 5. Watch where you are going. If some one is working out in a certain area, give them room. Walking to close to another person who is working out can cause you injury and distract them. By signing below I am certifying that I have read and fully understand and agree to follow the code of conduct of the Fitness Center, as described above and on the reverse side of this form, at all times. In addition, I understand and am aware of the fact that physical exercise and the use of fitness center equipment is a potentially hazardous activity, which could result in serious injury or death. Therefore, I agree to assume all liability for the risk of serious injury or death, which may result from my presence in the fitness center or participation in any fitness center activity. Further, I agree to hold harmless and indemnify the fitness center management and the School District of Slinger, its agents, servants, and employees, from any loss, liability, or cost (including reasonable attorneys fees) I or they may incur due to my use, or my spouse’s use, of the fitness center and its equipment whether caused by the negligence of the management, the District, its employees, or otherwise. In addition, I also understand that if I am an employee of the School District of Slinger, I may not use the facility during my contracted day, or assigned working hours, therefore any injury I may sustain will not be compensable or subject to the worker’s compensation income protection process. I HAVE READ THIS RELEASE AND WAIVER OF LIABILITY AND INDEMNITY AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND HAVE SIGNED IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT, ASSURANCE OR GUARANTEE BEING MADE TO ME. I INTEND MY SIGNATURE TO BE A COMPLETE AND UNCONDITIONAL RELEASE OF ALL LIABILITY TO THE GREATEST EXTENT ALLOWED BY LAW. Signature: ___________________________________________ Date: ___________________ Parent/Guardian Signature: ___________________________________________ (If member is under 18 Date: ___________________
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