Mission Statement. Participant Guidelines

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1 Mission Statement The Hoover Boxing Program's mission is to provide Hoover Middle School students a structured and positive environment where kids can remain active and safe during unstructured hours such as the morning and afterschool. This program is designed to challenge students through physical activity that a boxer would experience. This boxing program uses the "scholarly athlete model" so that our youths are able reach their full potential during their day classes. This allows the coaches and mentors to keep track of their academic and behavioral progress. If the student is able to meet behavioral and academic expectations, the boxing class becomes the motivational reward for reaching them. This program also gives students a chance to practice leadership skills such as sportsmanship, respect, being a life-long learner, team work, and managing impulsiveness as well as boosting confidence in oneself. This program becomes a motivational reward as well as a support system for all of Hoover s students. Participant Guidelines In joining this program you will be representing the Hoover Hawks. With that in mind, you will be held to very high expectations of scholarly athletes. We will: Be respectful, kind, and understanding of one another, Listen and follow directions, Not interrupt when others are speaking, Not tolerate any forms of violence, inappropriate language, and bullying, Be respectful to personal and community property, Include others and embrace differences, Let Mr. Aringo know if you feel unsafe for whatever reason, HAVE FUN. Rules... Sign in daily upon entry of the workout session, Be on time. The coach will start promptly at the specified time. No foul and inappropriate language, Come prepared with your hands wrap and in your workout attire (i.e. shorts, sweats, t-shirt, tennis shoes), Respect community property and property of others, No one is allowed to spar without approval from the coach and proper license, When sparring, proper boxing gloves, headgear, mouth piece, and groin protection must be worn, Gloves and hand wraps must be worn when working with mitts and bags. Attend at least 2 out of the 3 workout sessions.

2 General Requirements Prior to entering the program: Fill out our Hoover Boxing Program registration, waiver, and permission forms. Every Monday by 4:00 PM Progress Reports are to be submitted to Mr. Aringo for approval and permission to participate in the subsequent week of boxing classes. Progress Report must meet the following requirement for you to participate for the week. Progress Reports can be found outside of Room B14. All students must meet the following expectations to participate on a weekly basis. All students grades must be a C or above in all classes. Student demonstrates appropriate behavior in all classes all week long. Student completes most assignments for the week. Student actively participates in all class activities all week long. Student attends class on time and is present on most days all week. Before your workout session you must have: Your hand wraps on. Hand wraps are mandatory to protect your wrist, knuckles, and to protect our gloves and mitts from sweat. Hand wraps will be sold for $5.00. A video on will show you how hand wrap are put on. Dressed up in your workout outfit - shorts, sweats, T-shirt, sweat shirt, tennis or mat shoes. If you are not dressed appropriately, you cannot participate. Sign in before working out. Our General Boxing classes will be held on Tuesday and Thursday afternoon in Room B18 from 3:45 4:45 PM or else told otherwise. You will need the following 1. Good Workout Shoes 2. Proper Workout Attire 3. Hand Wraps By applying for this program, you will be REQUIRED to meet all of the following guidelines as stated above and commit to at least two days of boxing classes for you to build proficiency in the movements. Print Name (Youth) Print Name (Parent) Signature (Youth) Signature (Parent)

3 Registration Form PARTICIPANT INFORMATION First Name: Last Name: Street Address: City/State: Zip Code: Date of Birth: Grade in School: Gender (Place a check next to the response) Male: Female: Address: PARENTAL/GUARDIAN INFORMATION Parent/Guardian Contact: Name: Address: Phone Number: Emergency Number: Parent/Guardian Contact: Name: Phone Number: Address: Emergency Number: MEDICAL INFORMATION Do you have Medical Insurance? Check the appropriate response. Yes No If yes, please provide a copy of your child s medical card. In case of emergency preferred hospital: Food or Medical Allergies/Inhalers etc.: Special Needs Consideration (i.e. ADHD, Dyslexia, Physical, etc.) Please provide a brief description of any information that may be helpful to the coaches in preparing activity programs or communication with the participant)

4 MINOR WAIVER/RELEASE RELEASE OF LIABILITY FOR MINOR PARTICIPANTS READ BEFORE SIGNING IN CONSIDERATION OF (Name of Minor/Child/Ward), my child/ward, being allowed to participate in any way in the HOOVER BOXING Program and related events and activities, undersigned acknowledges, appreciates, and agrees that: The risk of injury to my child from the activities involved in these programs is significant, including the potential for permanent disability and death, and while particular rules, equipment, and personal discipline may reduce this risk, the risk of serious injury does exist; and, 1) FOR MYSELF, SPOUSE, AND CHILD, I KNOWINGLY AND FREELY ASSUME ALL SUCH RISKS, both known and unknown, EVEN IS ARISING FROM THE NEGLIGENCE OF THE RELEASES or others, and assume full responsibility for my child s participation; and, 2) I willingly agree to comply with the program s stated and customary terms and conditions for participation. If I observe any unusual significant concern in my child s readiness for participation and/or in the program itself, I will remove my child from the participation and bring such attention of the nearest official immediately; and, 3) I myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY RELEASE AND HOLD HARMLESSS Hoover Boxing Program; its directors, officers, officials, agents, employees, volunteers, other participants, sponsoring agencies, sponsors, advertisers, and if applicable, owners and lessors of premises used to conduct the event ( Releasees ), WITH RESPECT TO ANY AND ALL INJURY, DISABILITY, DEATH, or loss or damage to person or property incident to my child s involvement or participation in these programs, WHETHER ARISING FROM THE NEGLIGENCE OF THE RELEASEES OR OTHERWISE, to the fullest extent permitted by law. 4) I, for myself, my spouse, my child, and on behalf of my/our heirs, assigns, personal representatives and next of kin, HEREBY INDEMNIFY AND HOLD HARMLESS all the above Releasees from any and all liabilities incident to my involvement or participation in these programs, EVEN IF ARISING FROM THEIR NEGLIENCE, to the fullest extent permitted by law. I HAVE READ THIS RELEASE OF LIABILITY AND ASSUMPTION OF RISK AGREEMENT, FULLY UNDERSTAND ITS TERMS, UNDERSTAND THAT I HAVE GIVEN UP SUBSTANTIAL RIGHTS BY SIGNING IT, AND SIGN IT FREELY AND VOLUNTARILY WITHOUT ANY INDUCEMENT. PARENT/GUARDIAN SIGNATURE PRINT NAME DATE SIGNED UNDERSTANDING OF RISK I understand the seriousness of the risks involved in participating in this program, my personal responsibilities for adhering to rules and regulation, and accept them as a participant. PARENT/GUARDIAN SIGNATURE PRINT NAME DATE SIGNED

5 Release for Use of Photos Parental/Guardian Release for Use of Photos I understand that the Hoover Boxing Program may use photos or videos of/from gym activities or boxing events which may include my child(ren) or family members for purposes which may include, but not be limited to, fundraising, public relations and posting at the gym facility (including but not limited to brochures, photo books, collages) and, on behalf of my child(ren) and family, I agree to allow the Hoover Boxing Program to use photos for these purposes without further need for permission or authorization. Participants Name(s): (Parent/Guardian Signature) (Print Name) (Date Signed): Permission for Transportation Parental/Guardian Release for Transportation I give the Hoover Boxing Program trainers and volunteer permission to transport my child to the gym and events by chartered bus, public transportation, rented or leased vehicle and personal vehicles as a participant in the Hoover Boxing Program. Participants Name(s): (Parent/Guardian Signature) (Print Name) (Date Signed):

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