WE ARE A NO-CUT SPORT AND WE HAVE A TEAM FOR EVERY LEVEL OF PLAY!

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THE SEASON March through mid-june 2 to 2.5 hours practice 5-6 days/week, after school. Games are played any day (1.5 hours long). Number of games (approximately) Varsity: 14; JV: 10-12. Home field is Commissioner s Park on 111 th Street just west of RT 59. Tournaments are usually played on Saturdays & Sundays, and may involve travel. Fabulous end-of-season banquet. WE ARE A NO-CUT SPORT AND WE HAVE A TEAM FOR EVERY LEVEL OF PLAY! FEES Since we are not yet a sanctioned sport, we do not get any money from the school. This means all of our funding comes from parents, players and fundraising. Here is a breakdown of what your fees cover: Field rental for three teams Transportation for most away games Officials for home games Insurance League fees and dues Coaches Uniforms Tournament fees Trainers Awards Equipment Concussion Impact Testing TOTAL FEES TO JOIN * $550 Due in Full by Feb. 15, 2016 BREAKDOWN OF FEES AND DUE DATES: Commitment Deposit...$200.00 due by Dec. 15, 2015 2 nd Installment...$175.00 due by Jan. 15, 2016 **$100.00 for second player Final Installment...$175.00 due by Feb. 15, 2016 *If pay entire fee by Dec 15, 2015, there will be a $25 discount. (no discount after this date) * $50 of the $550 is your uniform deposit. You will receive a refund at the end of the season when you return your full, clean and well maintained uniform. ** If there is more than one player per family, the second player s fees are only $300 for the season (this does include the $50 refundable uniform deposit).

NO REFUNDS OF ANY FEES AFTER FEBRUARY 15, 2016 All registration will be conducted online at NVLAX.com and payment may be Credit card or by Check Checks payable to: Neuqua Valley Girl s Lacrosse Send check payments to: Kelly Kowalski 3024 Kelltowne Ct. Naperville, IL 60565 Home: 630-778-0346 Cell: 630-991-6288 EQUIPMENT NEEDED TO PLAY: Mandatory Stick Goggles Mouth Guard (No Clear or White ones, always keep an extra) Solid Navy shorts (to be worn under kilt) Optional Cleats (highly recommended) Solid white Under Armour/Jetwear top (only white can be worn under your jersey) Solid navy Under Armour leggings (nice in cold weather) HELPFUL WEBSITE SOURCES for basic information and rules: www.momsguide.com/wlacrosse/wl4.html www. IHSWLA.org www. laxrules.com www.uslacrosse.org/topnav2right/rule/womensrules.aspx www.uslacrosse.org (get your US Lacrosse ID at this site) The following forms will be electronically signed through Cudasign and sent to the parent and player s emails for signature. ALL FORMS THAT NEED TO BE ELECTRONICALLY SIGNED BY FEB. 15, 2016 Completed and signed Medical Release & Liability Waiver Form (signed by parent) Signed Athletic and Activity Code Form (signed by parent and athlete) Signed Academic Release Form (signed by parent) (To be provided later. IHSA Rule changes are requiring this document to be updated) Signed Drug Testing Form Current Physical on file with school nurse Payment in FULL of $550.00 BY Feb 15, 2016 GET READY FOR AN EXCITING SEASON! GO WILDCATS?

Neuqua Valley Girl s Lacrosse Contact Information 2016 Team Email: nvgirlslaxteam@gmail.com Website: www.nvlax.com Coaches Varsity Logan Albanese Phone: logan5287@gmail.com Kirstie Sherman Phone: 802-275- 2285 kirstie.sherman@gmail.com Junior Varsity Beth Maluta 630-209-2344 emaluta19@gmail.com Shannon Karas Phone: kirstie.sherman@gmail.com Goalie Coach John Scanlon johniscanlon@gmail.com

Parent Board Michelle Metry Kelly Kowalski Cell: 630-202-5693 Cell: 630-991-6288 michelle_metry@merck.com k_kowalski@comcast.net Mish Turner Renee Turner Cell: 630-660-1053 Cell: 630-995-6592 mishturner@yahoo.com renturner@yahoo.com Laura Litzer Andrea Rebman Cell: 630-957-7341 Cell: 630-244-3993 laura@litzer.com mrebmann4281@wowway.com Team Trainer Dr. Bill Buchar 630-820-1330 Office 630-607-4274 Cell Buchar1@yahoo.com NVHS Girl s Lacrosse - Parent Volunteer Positions The Neuqua Valley Girl s Lacrosse Club s success is only possible with the support of all our wonderful parents. There are many ways for you to be involved in helping the program throughout the season. There are volunteer opportunities for you to choose from and other activities that require help from each family. Each family will be required to help with 2 home games by scoring or timing, first aid, or providing ice. See descriptions below. Team parents will make assignments. Each family will be required to either host one of 1 pasta parties or provide food, drinks, etc. as assigned by team parents. Each family will be required to help with the Wildcat Classic Tournament on May 7, 2016. You may choose to be a chairperson or work a shift. Various jobs to choose from. More information to follow. Game Day Scoring & Timing Score keeper or timer for home games; must arrive 15 minutes early to keep score or run time clock during game. First Aid Use team first aid kit to administer band-aids or ice packs as needed. No formal training necessary. Bring ice to game. Call 911 if needed or provide direction to local hospital.

Ice Wildcat Classic Fr/So tournament and Tournament ** Provide ice to be used for injuries for home games. We host the Wildcat Classic on May 7, 2016. This is a JV and will have over 40 teams from around the area participating. This is an important fundraising event. Varsity players and parents from all teams are expected to help with this event. Please select at least two areas you would be interested in helping with on the registration form. Team Parent** Social** Fundraising** Senior Night** Banquet** Game Pictures Game Videos Team DVD** Web Site Publicity Board Member Statistician Usually 2 per team. Help to organize volunteers for each team as needed for games, pasta parties, and other team social activities and communicate as needed to parents and team members. Help plan and organize social events such as team sleepover, field trip, and end of year BBQ/Paper Plate Award party. Help plan and organize coupon card fundraiser. Plan and coordinate activities for senior night. Help coordinate end of season awards banquet for teams and parents. Work with facility to plan event, send invitations, handle RSVP's, help coordinate awards. Take pictures during games for use on team DVD or website. Take video of team play as requested by coach to use in training or for use on team DVD. Create team DVD for end of season. Assist with website maintenance as needed. Assist with varsity team publicity, providing game recaps and scores to local papers. Participate in the activities to successfully run one of the most successful Girls Lacrosse programs in the Western Suburbs. Learn how to take Women s Lacrosse statistics. These statistics are listed on the http://www.ihswla.org/ web site, and is one of the categories used by coaches to determine All Conference/State honors. This is a two person job; one to spot and another to note each stat, and is required for every game.

Pre-participation Examination NEUQUA VALLEY WOMEN S LACROSSE Expectations and Policies EXPECTATIONS A POSITIVE ATTITUDE is essential to our success. It is expected that all student-athletes will WORK HARD, respect each other, and be a positive influence on their teammates. On and Off-field, student-athletes will ABIDE BY SCHOOL POLICY All student-athletes are expected to MAINTAIN A HEALTHY LIFESTYLE including an appropriate diet for their level of activity and to get an appropriate amount of sleep. EFFECTIVE TIME MANAGEMENT is expected for each student-athlete in order to avoid unnecessary conflicts. All practice and FIELD SPACE SHOULD BE KEPT TIDY. Taking care of one s space shows you take great pride in taking care of the details. Additionally, parents, staff and maintenance crews are not your servants; you dirty it up, it is YOUR RESPONSIBILITY to clean it up. A POSITIVE SPORTING ATTITUDE will be displayed on and off the field to opponents, coaches, referees, parents, and spectators. Players are asked to GIVE 100% TOTAL EFFORT in the classroom, on the field, and in the community. Athletes will strive to KEEP PRIORITIES IN ORDER Family, Academics, and Athletics. During events and practice, athletes are expected to put the team first. TEAMMATE 1 st, Friend 2 nd POLICIES Failure to follow the standards can result in disciplinary action by the coach including but not limited to 1) Team Runs, You blow the whistle, 2) Suspension from Games/Team, 3) Dismissal from team PUNCTUALITY: All students are expected to attend and be on time for all games, meetings, trips, practices, fundraising activities, etc. ANY tardiness or absence needs to be communicated ahead of time to the NV staff in person or by phone by the athlete, not parents. COMMUNICATION: if issues arise, the student-athlete is expected to communicate directly with the coaching staff; not through her parents. Student-athletes shall refrain from any use of alcohol, drugs, and tobacco. It is not only illegal for your age, but it prevents the TEAM from reaching its potential. All student-athletes will abide by the Neuqua Valley High School Athletic and Activity Code that they have signed. Refrain from use of foul language on and off of the field. Students are expected to communicate in a positive, respectful, honest manner at all times. 24 hr rule. If you have a problem with something a teammate or coach has said, you have 24 HOURS to be upset and deal with it. In this 24 hr period you have 2 choices: Deal with the problem and discuss it with whom it pertains to, then move on. Get over it and move on. At the end of 24 hours, there is no more dwelling on it or complaining about it

Pre-participation Examination To be completed by athlete or parent prior to examination. Name Last First Middle School Year Address City/State Phone No. Birthdate Age Class Student ID No. Parent s Name Phone No. Address City/State HISTORY FORM Medicines and Allergies: Please list all of the prescription and over-the-counter medicines and supplements (herbal and nutritional) that you are currently taking Do you have any allergies? Yes No If yes, please identify specific allergy below. Medicines Pollens Food Stinging Insects Explain Yes answers below. Circle questions you don t know the answers to. GENERAL QUESTIONS Yes No MEDICAL QUESTIONS Yes No 1. Has a doctor ever denied or restricted your participation in sports for any reason? 2. Do you have any ongoing medical conditions? If so, please identify below: Asthma Anemia Diabetes Infections 26. Do you cough, wheeze, or have difficulty breathing during or after exercise? 27. Have you ever used an inhaler or taken asthma medicine? 28. Is there anyone in your family who has asthma? Other: 29. Were you born without or are you missing a kidney, an eye, a 3. 4. Have you ever spent the night in the hospital? Have you ever had surgery? testicle (males), your spleen, or any other organ? 30. Do you have groin pain or a painful bulge or hernia in the groin HEART HEALTH QUESTIONS ABOUT YOU 5. Have you ever passed out or nearly passed out DURING or AFTER exercise? 6. Have you ever had discomfort, pain, tightness, or pressure in your chest during exercise? 7. Does your heart ever race or skip beats (irregular beats) during exercise? Yes No area? 31. Have you had infectious mononucleosis (mono) within the last month? 32. Do you have any rashes, pressure sores, or other skin problems? 33. Have you had a herpes or MRSA skin infection? 34. Have you ever had a head injury or concussion? 35. Have you ever had a hit or blow to the head that caused 8. Has a doctor ever told you that you have any heart problems? If so, check all that apply: High blood pressure A heart murmur High cholesterol A heart infection Kawasaki disease Other: confusion, prolonged headache, or memory problems? 36. Do you have a history of seizure disorder? 37. Do you have headaches with exercise? 38. Have you ever had numbness, tingling, or weakness in your arms 9. Has a doctor ever ordered a test for your heart? (For example, ECG/EKG, echocardiogram) 10. Do you get lightheaded or feel more short of breath than expected during exercise? 11. Have you ever had an unexplained seizure? or legs after being hit or falling? 39. Have you ever been unable to move your arms or legs after being hit or falling? 40. Have you ever become ill while exercising in the heat? 41. Do you get frequent muscle cramps when exercising? 12. Do you get more tired or short of breath more quickly than your 42. Do you or someone in your family have sickle cell trait or disease? friends during exercise? 43. Have you had any problems with your eyes or vision? HEART HEALTH QUESTIONS ABOUT YOUR FAMILY Yes No 44. Have you had any eye injuries? 13. Has any family member or relative died of heart problems or had 45. Do you wear glasses or contact lenses? an unexpected or unexplained sudden death before age 50 46. Do you wear protective eyewear, such as goggles or a face shield? (including drowning, unexplained car accident, or sudden infant 47. Do you worry about your weight? death syndrome)? 48. Are you trying to or has anyone recommended that you gain or 14. Does anyone in your family have hypertrophic cardiomyopathy, lose weight? Marfan syndrome, arrhythmogenic right ventricular 49. Are you on a special diet or do you avoid certain types of foods? cardiomyopathy, long QT syndrome, short QT syndrome, Brugada 50. Have you ever had an eating disorder? syndrome, or catecholaminergic polymorphic ventricular 51. Have you or any family member or relative been diagnosed with tachycardia? cancer? 15. Does anyone in your family have a heart problem, pacemaker, or implanted defibrillator? 52. Do you have any concerns that you would like to discuss with a doctor? 16. Has anyone in your family had unexplained fainting, unexplained seizures, or near drowning? FEMALES ONLY Yes No 53. Have you ever had a menstrual period? BONE AND JOINT QUESTIONS Yes No 17. Have you ever had an injury to a bone, muscle, ligament, or 54. How old were you when you had your first menstrual period? tendon that caused you to miss a practice or a game? 55. How many periods have you had in the last 12 months? 18. Have you ever had any broken or fractured bones or dislocated joints? Explain yes answers here 19. Have you ever had an injury that required x-rays, MRI, CT scan, injections, therapy, a brace, a cast, or crutches? 20. Have you ever had a stress fracture? 21. Have you ever been told that you have or have you had an x-ray for neck instability or atlantoaxial instability? (Down syndrome or dwarfism) 22. Do you regularly use a brace, orthotics, or other assistive device? 23. Do you have a bone, muscle, or joint injury that bothers you? 24. Do any of your joints become painful, swollen, feel warm, or look red? 25. Do you have any history of juvenile arthritis or connective tissue disease? I hereby state that, to the best of my knowledge, my answers to the above questions are complete and correct. Signature of athlete Signature of parent/guardian Date 2010 American Academy of Family Physicians, American Academy of Pediatrics, American College of Sports Medicine, American Medical Society for Sports Medicine, American Orthopaedic Society for Sports Medicine, and American Osteopathic Academy of Sports Medicine. Permission is granted to reprint for noncommercial, educational purposes with acknowledgment. HE0503

PHYSICAL EXAMINATION FORM Pre-participation Examination Name Last First Middle EXAMINATION Height Weight Male Female BP / ( / ) Pulse Vision R 20/ L 20/ Corrected Y N MEDICAL NORMAL ABNORMAL FINDINGS Appearance Marfan stigmata (kyphoscoliosis, high-arched palate, pectus excavatum, arachnodactyly, arm span > height, hyperlaxity, myopia, MVP, aortic insufficiency) Eyes/ears/nose/throat Pupils equal Hearing Lymph nodes Heart a Murmurs (auscultation standing, supine, +/- Valsalva) Location of point of maximal impulse (PMI) Pulses Simultaneous femoral and radial pulses Lungs Abdomen Genitourinary (males only) b Skin HSV, lesions suggestive of MRSA, tinea corporis Neurologic c MUSCULOSKELETAL Neck Back Shoulder/arm Elbow/forearm Wrist/hand/fingers Hip/thigh Knee Leg/Ankle Foot/toes Functional Duck-walk, single leg hop aconsider ECG, echocardiogram, and referral to cardiology for abnormal cardiac history or exam. bconsider GU exam if in private setting. Having third party present is recommended. cconsider cognitive evaluation or baseline neuropsychiatric testing if a history of significant concussion. On the basis of the examination on this day, I approve this child s participation in interscholastic sports for 395 days from this date. Yes No Limited Examination Date Additional Comments: Physician s Signature Physician s Assistant Signature* Physician s Name PA s Name Advanced Nurse Practitioner s Signature* ANP s Name *effective January 2003, the IHSA Board of Directors approved a recommendation, consistent with the Illinois School Code, that allows Physician s Assistants or Advanced Nurse Practitioners to sign off on physicals.