FIRST AID KIT


SAFETY IS OUR PRIMARY CONCERN IN CHEERLEADING........Do you have a first aid kit? Or do you rely on the managers or trainers at the football/basketball games to have what you need? What about at practices? Is there an emergency kit near by? If you practice in the cafeteria versus the gym, how close is that kit? What about when you are driving to that away game? If you use the supplies from the First Aid Room, do you know what is available and where these items are? Do you know the closest place for ice? These are questions that all coaches and athletes need to know. Many times other sports teams have trainers with them at all times but cheerleaders have no one to turn to except the coach. Be prepared and know where these items are or carry them with you!

  • Band-aids (multiple sizes)
  • Compresses (multiple sizes)
  • Triangle bandages (6)
  • Scissors & Tweezers
  • Antiseptic Wipes
  • Pencil & Paper
  • Disinfectant
  • Roll of Gauze
  • Plastic Bags
  • Close access to a phone
  • Medical forms and releases of all the cheerleaders
  • Paper bag
  • Latex Gloves
  • Sanitary Pads
  • Safety Pins
  • Small sewing kit
  • Adhesive Tape
  • Ice
  • Splint Material
  • Blankets
  • Highway Flares
  • Hard Candy
  • Address of your location and closest cross road
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EMERGENCY FORM *
Student Name                                                                                                                               
School                                                                                 Grade                                                
I certify that                                                      is physically capable and able to fulfill requirements needed to be a cheerleader. I understand that this form legally releases all obligations and responsibilities for the medical treatment of my son/daughter in the event of illness or injury during any squad related activity when either parent cannot be reached. If there is any physical or medical reason why he/she should not participate fully, the school requires a doctor's release. Furthermore, the school is not liable for any injury incurred during cheerleading.
Parent's signature                                                                                 Date                                 
MEDICAL TREATMENT PERMISSION FORM
In the event of an emergency occurring while my son/daughter is on school sponsored practice, performance, or trip, I grant my permission to the school and it's employee to take whatever action necessary. In the event that i cannot be reached, i hereby authorize the school and /or its employees to give consent for my son/daughter.
Home Phone                                                              Business Phone                                          
Address                                                                                                                                         
City                                                                                State                           Zip                       
Person to be notified other than parent or guardian in an emergency
Name                                                                                     Phone                                            
Family doctor                                                                          Phone                                           
If you do not grant permission or authorization for consent to medical treatment, what procedure should be followed?
                                                                                                                                                     
Insurance company                                                              Policy                                              
Parent Signature                                                                                 Date                                   
MEDICAL INFORMATION
Heart Condition or disease      yes        no              Asthma                          yes         no
Diabetes                                  yes        no              Allergic to medication    yes         no
Convulsions disorder              yes        no              Allergic to bee stings      yes         no
State allergies                                                                   Last Tetanus shot                                   
Additional medical information that may be helpful                                                                       
                                                                                                                                                        
                                                                                                                                                        
Any medication currently receiving                                                                                                
                                                                                                                                                        
                                                                                                                                                        
* FORM FROM NCA COACHES MANUAL