Cheer/Dance/ Mascot Spring Tryouts 2024 Cheer/Dance/Mascot Spring Tryouts 2024 Step 1 of 7 14% General/Contact Information About YouName* First Last Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code EMAIL ADDRESSES(Note: Please provide both a uconn-assigned email address and a secondary address (if you have one) We will be communicating with you using the UCONN email address. Please remember to check this email account periodically for updates and important information.UCONN Email (if not known please enter non-UConn email here also)* NON- UConn Email* Cell Phone*Home PhoneUConn PeopleSoft Number* All candidates must provide us with their UCONN assigned Student ID (PeopleSoftID/Number). Information regarding your PeopleSoft ID/Number can be located here http://peoplesoftnumber.uconn.edu/.Date Of Birth* Education and Prior SPT HistoryWhat High School Did You Attend?* What Year Did/Will You Graduate High School* Current UConn Status*Incoming FreshmanIncoming TransferReturning UConn StudentWaitlisted/OtherWhat Will Your Semester Standing Be In Fall 2024?*1st2nd3rd4th5th6th7th8th+What Year Will You Graduate from UCONN?* Have you been a member of the UConn SPT Program before?*YesNoOn which team were you a member in the past?*CheerDanceMascotMultiple Emergency Contact and Medical InformationEMERGENCY CONTACT NAME* First Last Relationship To Them (ex. Mother, Trusted Adult)* EMERGENCY Phone*EMERGENCY Email Address* Insurance Provider* Please List Any Current Or Recent Injuries/IllnessesPlease List Any Known Allergies Or Medical Conditions Tryout InformationFor Which Team Are You Trying Out?*CheerDanceMascotAre you trying out in person or Virtually?*In personVirtuallyNot sure yetPlease List Your Previous Experience - Please Enter NONE If Applicable*Stunt Position Preference (Check All That Apply)* Main Base (On LEFT When Looking At Stunt) Side Base (On RIGHT When Looking At Stunt) Backspot Flyer No Experience Highest Level Standing And Running Tumbling Skills (Hard Floor/Unspotted) - Please Enter 'NONE' If Applicable* Highest Level Standing And Running Tumbling Skills (Hard Floor/Unspotted) - Please Enter 'NONE' If Applicable* Why Do You Want To Be A Member Of The University Of Connecticut Spirit, Pride, & Tradition Program?* Reference Information NEW MEMBERS ONLY - Please Provide Contact Information For 2 Professional References - Specifically Related To Cheer/Dance If Possible. *Family members, friends, co-captains, or captains do not count as professional references* NOTE: References will be automatically contacted as soon as you submit this form.Reference #1 Name* First Last Reference #1 Email* Reference #1 Relationship* - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Reference #2 Name* First Last Reference #2 Email* Reference #2 Relationship* Acknowledgement of Risks This is an acknowledgement of risk regarding your participation in the University of Connecticut Spirit Pride Tradition Program Tryouts hosted by the University of Connecticut. Please read each section and check each box indicating that you have read, understand, and agree to the terms and conditions noted.Acknowledgement of Risks of Injury* By clicking this box, I am indicating that I have read, understand, and agree to the following: I fully recognize that there may be direct, indirect or inherent risks and hazards involved in this activity and it is with full knowledge of the facts and circumstances surrounding this activity and to the extent permitted by the laws of the State of Connecticut, that I release the University of Connecticut, its employees, agents and representatives from any liability whatsoever arising out of my participation in this activity. The following is a description and examples of some of the risks associated with this activity: fractures, broken bones, concussions, bruised, sprained, and torn muscles and ligaments. bound by the same. ---------------------------------------------------------------------Acknowledgement of Election to Participate* By clicking this box, I am indicating that I have read, understand, and agree to the following: I understand that the University of Connecticut does not require me to participate in this activity, but that I am choosing to do so, despite the possible dangers and risks. ---------------------------------------------------------------------Acknowledgement of No Health Restrictions* By clicking this box I am indicating that I have read, understand, and agree to the following: I assure the University of Connecticut that there are no health-related reasons or problems which preclude or restrict my participation in this activity and that the University will not be held responsible for any medical costs that may directly or indirectly result from my participation in this activity. ---------------------------------------------------------------------Acknowledgement of Assumption of Risks* By clicking this box I am indicating that I have read, understand, and agree to the following: I agree to assume all of the risks and responsibilities in any way associated with my participation in this activity and understand that this Acknowledgement of Risk shall bind the members of my family. ---------------------------------------------------------------------Agreement with Statement on Enforceability* By clicking this box I am indicating that I have read, understand, and agree to the following: If any term of this document shall be held illegal, unenforceable, or in conflict with any law governing this document, the validity of the remaining portions shall not be affected thereby. ---------------------------------------------------------------------Acknowledgement of Competency and Intent* By clicking this box I am indicating that I have read, understand, and agree to the following: I further state that I am fully competent to agree to the aforementioned terms and statements; and that I have agreed to this Acknowledgement of Risk for full, adequate, and complete consideration fully intending me and for my family, estate, heirs, administrators, personal representatives, or assigns to be bound by the same. ---------------------------------------------------------------------Acknowledgement of Photography/Video Release* By clicking this box I am indicating that I consent to being photographed or videotaped. I understand that photos and video footage will only be used by coaches as an aid in evaluating candidates. I understand that photos and video footage will not be made available to other persons and will not be distributed or publicly made available in any form. I understand that at the conclusion of the evaluation process all photos and videos will be deleted. ---------------------------------------------------------------------Please Enter Your First and Last Name* First Last Please Upload A Recent Full-Length Photograph of Yourself Here.*Max. file size: 100 MB.CAPTCHAEmailThis field is for validation purposes and should be left unchanged.