T

N
U
T
S
S
AA
2017

WHAT IS STUNT?
STUNT is a competitive team sport
derived from traditional cheerleading.

CROWD LEADING IS REMOVED.

FOCUS IS ON TECHNICAL AND ATHLETIC COMPONENTS OF CHEERLEADING.
TEAMS COMPETE HEAD-TO-HEAD IN 4-QUARTER GAME FORMAT.

1 st Quarter
Partner Stunts

Round 1 1 pt.
Round 2 1 pt.
Round 3 1 pt.

Quarter Break (2 minutes)

2 nd Quarter
Pyramids/Tosses

Round 1 1 pt.
Round 2 1 pt.
Round 3 1 pt.

Halftime (10 minutes)

3 rd Quarter
Jumps/Tumbling

Round 1 1 pt.
Round 2 1 pt.
Round 3 1 pt.

Quarter Break (2 minutes)

4 th Quarter
Team Routine

Game Format

Round 1 3 pts.
Round 2 3 pts.
Round 2 3 pts.

WHAT DO YOU NEED?

-PSAL MEDICAL FORM
-PSAL PARENTAL CONSENT FORM

DEPARTMENT OF HEALTH * THE CITY OF NEW YORK * BOARD OF EDUCATION

INTERSCHOLASTIC * SPORTS EXAMINATION * - CONFIDENTIAL
PART 1 to be filed in
Students Health folder

Regulation of the Chancellor

OSIS # ______________
I.D. # __________
NAME: __________________________________
ADDRESS: _______________________________
_________________________________________
TELEPHONE: ____________________________
SPORT: _________________________________
SPORT: _________________________________

SCHOOL: ____________
BOROUGH: __________
HOMEROOM: ________
GRADE: __________
DATE OF BIRTH: __________________________
EMERGENCY TELEPHONE: ________________

PARENTAL PERMISSION: I have reviewed the STUDENT MEDICAL HISTORY section below and I agree with the
answers. I give permission for _____________________________________ to have a physical examination. I understand
that completion of the Maturation Index is optional.
SIGNATURE: _____________________________
RELATIONSHIP: __________________________

DATE: _______________

*************************

******************************************
CLINICIANS RECOMMENDATIONS

Based on my review of the history and physical examination as noted below and on the back of this form, and review of the guidelines for
this student:

(1) May participate in the following sports:

DRAW A LINE THROUGH ANY SPORTS TO BE OMITTED:

-NO SKILL NECESSARY

-WILLINGNESS TO TRY
-COMMITMENT

CONTACT
Football
Baseball
Basketball
Soccer
Hockey
Wrestling
Lacrosse
Softball
Cricket
Rugby

ENDURANCE
Gymnastics
Swimming
Track & Field
Cross-country
Tennis
Volleyball
Handball
Fencing
Double Dutch

OTHER
Bowling
Golf
Crew
Cheerleading
Field Events
Archery

DATE OF LAST TETANUS BOOSTER: ___________

(2) Special conditions for participation (e.g., pre-exercise medication or protective equipment), if any:
DATE: ______________________________ SIGNATURE: ___________________________________
(CLINICIAN)

TELEPHONE: ________________________ NAME: (PRINT) ___________________________________

REGISTRY #: ________________________ ADDRESS: ______________________________________
______________________________________
(To be filled out by student and parent)

STUDENTS MEDICAL HISTORY

Has anyone in your family under age 45 died suddenly

Have you ever had:
Concussion or been knocked out?
Fainting?
Heat Stroke?
Epilepsy, seizures, or fits?
Head or neck injury?
Very bad vision in one or both eyes?

Yes ___ No ___

Yes ___ No ___
Yes ___ No ___
Yes ___ No ___
Yes ___ No ___
Yes ___ No ___
Yes ___ No ___

Clinicians Comments

EXPECTED COSTS
UNIFORM
TOP - $30-$50
BOTTOM - $30-$35
SNEAKERS - $65
CLINICS - $20
TAPE/SPORTS WRAP - $20
TRANSPORTATION I SUPPLY METRO CARDS

THE ONLY 2 RULES OF STUNT

1. NO (ZERO) DRAMA
2.YOU ARE A REPRESENTATION, THEREFORE EXTENSION, OF
ME

TRYOUTS: HELD IN FEBRUARY (3 AFTERNOONS/EVENINGS)

MUST HAVE YOUR MEDICAL/PARENTAL CONSENT

FORM COMPLETED TO TRY-OUT...NO EXCEPTIONS!

ATTIRE:
TANK TOP/T-SHIRT
SPORTS BRA
SHORTS/LEGGINGS/SWEATPANTS
SNEAKERS (BOTTOMS CLEANED)

NO PIERCINGS/JEWELRY ALLOWED

ROUGHLY 32-34 SPOTS ON THE TEAM