2016

AUDITION & MEMBERSHIP PACKET

General Information (Section information comes in a separate document)

Phantom Regiment 420 N. Main St

Rockford, IL 61103 815-261-1956

www.regiment.org membership@regiment.org

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Table&of&Contents&Welcome! ................................................................................................................................................................ 3!Audition Information .............................................................................................................................................. 4!Audition Tips and Pointers ..................................................................................................................................... 5!How to Get to the Audition Camp .......................................................................................................................... 6!2016 Phantom Regiment Financial Obligations ..................................................................................................... 8!2016 Phantom Regiment Membership Commitment ............................................................................................. 9!Frequently Asked Questions ................................................................................................................................. 10!Coach USA/Van Galder Bus Permission Form .................................................................................................... 11!Medical Consent and Release Form ..................................................................................................................... 12!Section Audition Information………………………………………………………………….Separate Document PLEASE NOTE: Audition information that is specific to your section is in a separate document, which is sent to you along with this general information document. Please be sure to pay attention to the date of the camp you are attending! Brass/Conductor and Color Guard/Percussion camps are on DIFFERENT weekends. Any changes and updates can always be found on our website. Make sure to check it frequently for new items at: www.regiment.org

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Welcome!&& September 1, 2015 Congratulations on taking the first step to being a member of the world renowned Phantom Regiment Drum & Bugle Corps. This is the beginning of what will hopefully be a life changing experience for you. Not only will you be performing all over the country in front of thousands of people, but you will be doing so with 150 of your closest friends…who will become your family. The Phantom Regiment has a very long and storied history. For those that end up being a part of the 2016 corps, you will learn about that on our history night. You are potentially becoming a member of a group that has high standards on and off the field. Our goal is to make sure you have an experience that is second to none! That applies not only to the upcoming year, but to the upcoming audition camps as well. This is your chance to experience for yourself what the Phantom Regiment is all about. We too, remember how auditions can be stressful and nerve-wracking, but we will do our best to make sure you are comfortable and have a great time during the audition weekends. Don’t be one of those people who think they’re not good enough; or think that too many people audition so “there’s no way I can make it.” This is your best opportunity to take that chance - you’ll never know unless you try. The experience, the new friends, and the fun you will have during the weekend, will in the end outweigh the outcome. We treat this weekend as more than just an audition - we look at it as a chance for everyone to experience what the Phantom Regiment is all about. A wealth of information is included in this document. Do yourself a favor and take some time to read the whole packet a couple of times. If you still have a question, feel free to contact us, or your prospective caption at:

Battery battery@regiment.org Brass brass@regiment.org Color Guard guard@regiment.org Front Ensemble frontensemble@regiment.org Conductor conductor@regiment.org General Questions membership@regiment.org

For those that are in the curious mode and only purchased this $15 packet – we hope you decide to audition and take part in the Phantom Regiment experience. Just go back to www.regiment.org/join to start the process. We look forward to meeting you. Come prepared, relaxed and ready to have fun and experience the Phantom Regiment! Good luck!

Rick Valenzuela Dan Farrell Executive Director Program Director

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Audition&Information&

Sections: Color Guard and Percussion Brass and Conductors Starts: Friday, November 20, 2015

• 5pm Registration Begins (Do not arrive before 5p) • 7pm Camp Begins

Friday, November 27, 2015 • 5pm Registration Begins (Do not arrive before 5p) • 7pm Camp Begins

Ends: Sunday, November 22, 2015 • 2pm Camp Ends

Sunday, November 29, 2015 • 2pm Camp Ends

Location: Aldrich Middle School 1859 Northgate Drive Beloit, WI 53511

Aldrich Middle School 1859 Northgate Drive Beloit, WI 53511

Van Galder Bus Stop: South Beloit, IL South Beloit, IL Fee: $100 before 10/31

$125 after 10/31 (Returning members receive a $25 discount)

Audition & Registration Fee By paying the audition fee (non-refundable) on or before October 31st you are receiving an early payment discount. You need to register online and pay via credit card OR mail your check to the office before the deadline. Pre-Audition Feedback Pre-Audition Feedback is available for an additional fee. If you choose this option, you will have 2 opportunities to submit a video assignment and receive feedback from a member of the instructional staff. This option is only available until 10/31. More information is available on our website. What We Will Provide You

• Housing - provided at the school on the school gym floor (be sure to bring your sleeping bag and pillow). This is the only camp in which you are NOT required to stay with the corps though, so you can stay at a local hotel if you wish. But you will be missing out on part of the experience.

• Breakfast and after-rehearsal snack will be provided. Lunch and dinner are on your own, at local fast-food restaurants. Car pool and bus transportation to local fast-food locations will be provided.

• Local Shuttle – for those flying in to auditions, we will pick you up and drop you off at the local Coach USA/Van Galder bus stop, which provides round-trip transportation to and from O’Hare and Midway Airports (see below for important information about the Coach USA/Van Galder bus).

• Audition – brass and percussion will be a one-on-one basis, and small groups for color guard. You will receive your audition worksheet with feedback from your audition.

• Shirt – FREE Regiment audition shirt. We require you to have a plain white t-shirt, on which you will write your name. So you can use this free t-shirt, or just bring a plain white t-shirt, and keep your free t-shirt clean.

• Phantom Regiment experience – in the long run, you will get a taste of what it’s like to be a member of the Phantom Regiment. If you are not asked back this year, the experience will be invaluable to you in future auditions, here or elsewhere.

You will meet many people, learn a lot about drum corps, and get the full Phantom Regiment experience. We go to great lengths to make sure that everyone leaves the audition weekend with a positive and rewarding experience. One of the sessions during the weekend will cover what it takes to be part of the Regiment: the time commitment, potential costs, tour schedule, and your expectations will be fully explained. Feel free to ask any questions you may have throughout the weekend.

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Attendance • Conductor auditions take place at the November 27-29 camp ONLY. Therefore conductors must attend

that camp. • Color guard performers who cannot attend auditions on November 20-22 should contact the guard

caption head at guard@regiment.org. • Brass & percussion performers may attend the December camp to audition for any remaining positions

if for some reason they are unable to make the November audition camp for their section. RSVP/Registration for Auditions If you only purchased the $15 info packet, you will need to pre-register for auditions. You will receive the discounted rate by paying (check or credit card) before 10/31. You can pre-register for auditions by going to www.regiment.org/join. (If you do not have internet access, please call 815-261-1956 to pre-register). If you wish, you can register and pay at the door but you will be paying the non-discounted price. Hotel Information We will provide housing at a local school gymnasium for all students, but if you wish, students may stay with their parents at an area hotel. Please visit www.expedia.com or www.hotels.com and put in the school’s address to find nearby hotels. Parent Meeting At both Audition Camps, there will be a parent (or guardian) meeting on Sunday morning at 10am. You will be able to meet the directors and have a chance to ask any questions you may have. Regiment souvenirs will be available for purchase after the parent meeting and after camp concludes at 2pm. Audition Photo Must Be Submitted During Registration Process During the registration process, you will be required to submit an audition photo. We will use this picture to print out on your audition worksheets prior to your arrival. Photo MUST meet guidelines as outlined for a passport photo. There is a page on our website www.regiment.org/photo on how to do this. Please see the bottom of that referenced page to see examples of what we are looking for. The photo is a very important part of the audition as it helps us remember you.

Audition&Tips&and&Pointers&

• If you have questions that aren’t answered in this packet, feel free to contact the office via email at membership@regiment.org.

• Another good source for information on “what it takes” is by contacting one of our veteran members. Send us an email and make sure the subject states what particular section you want your email directed to (i.e. trumpet, mellophone, baritone/euphonium, tuba, guard, percussion), and we will forward it to a veteran of that section who will respond back to you.

• Since we are not located near the Chicago airports, you need to take a Coach USA/Van Galder shuttle bus from those airports to the appropriate bus stop. Please read the Coach USA/Van Galder section later in this packet for important information regarding the Coach/Van Galder shuttle bus.

• Visit www.regiment.org often, as well as join our Facebook fan page at www.facebook.com/regiment to keep up to date on everything Regiment!

• We will have some souvenir items available to purchase at the audition camps as well.

We wish you luck and hope you enjoy your experience with the Phantom Regiment!!!!

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How&to&Get&to&the&Audition&Camp& Camp Location The November audition camps will take place at Aldrich Middle School, 1859 Northgate Dr. in Beloit, WI. Beloit is on the Wisconsin/Illinois border, approximately 80 miles northwest of Chicago’s O’Hare airport, just off Interstate 90. Driving During the wintertime, weather can make driving difficult, so please always take your time and drive safely to and from camp! NOTE: Please do not arrive at the school prior to 5 pm. Flying There are three accessible airports to Beloit: Chicago Rockford (RFD); Chicago O’Hare (ORD); and Chicago Midway (MDW). O’Hare is the most accessible in terms of the number of flights and prices. You must then take a Coach USA/Van Galder bus to the South Beloit, IL stop (both ORD and MDW have Coach USA/Van Galder bus service). Please note that using Midway will add significantly more travel time to South Beloit, due to its location and bus schedule. Chicago Rockford Airport (RFD) If you are lucky enough to find a flight to Rockford at a price you can afford, please notify the Regiment office, as this is not a usual pick up location. We will need to make special arrangements to pick you up. RFD has very limited number of flights. Otherwise, the best two airports to use are below. Chicago O’Hare Airport (ORD) Please try and schedule a flight that lands by 12pm on Friday. Check the Coach USA/Van Galder bus website at www.coachusa.com for their schedule to make sure you arrive at auditions on time. Registration begins at 5pm and will be ongoing so that you can register as soon as you arrive. The bus ride from O’Hare to the Rockford area will be approximately 1-1/2 to 2 hours. The shuttle from Coach USA/Van Galder bus stop to audition site is approximately 20 minutes. After you land at O’Hare:

• Retrieve your checked luggage (be sure to check the latest restrictions issued by the TSA). • Walk to the Bus-Shuttle Center (follow red arrows). • Purchase ticket at Coach USA desk for bus ticket to South Beloit, IL. If no one is at the desk, you can purchase

your ticket from the driver (cash only). Better yet, you can purchase your bus ticket online in advance. Check their website for schedule and fare.

• Be sure to exit the bus at the appropriate bus stop (be sure to retrieve ALL of your belongings). • Wait for the Phantom Regiment shuttle to come pick you up to bring you to the school. We will be using a bus,

van, or car to take you to the audition site. The driver will announce “Phantom Regiment” when they arrive. For your departure - your flight home should depart from the airport after 6pm on Sunday. We shuttle you back to the same Coach USA/Van Galder bus stop and then you’ll ride the bus back to O’Hare. Early flights will cause you to miss most of, if not the entire day. Chicago Midway Airport (MDW) Please try and schedule a flight that lands by 12pm on Friday. Check the Coach USA/Van Galder website at www.coachusa.com for their schedule to make sure you arrive at auditions on time. Registration begins at 5pm and will be ongoing so that you can register as soon as you arrive. The bus ride from Midway to the camp location is approximately 3 hours. The shuttle from Coach USA/Van Galder bus stop to audition site is approximately 20 minutes.

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After you land at Midway: • Retrieve your checked luggage (be sure to check the latest restrictions issued by the TSA). • Coach USA/Van Galder shuttle buses load in the lower level outside the baggage claim area between doors 3 and

4. • Tickets must be purchased on the bus with cash only, or online in advance. Check their website for schedule and

fare. • Be sure to exit the bus at the South Beloit, IL stop (be sure to retrieve ALL of your belongings). • Wait for the Phantom Regiment shuttle to come pick you up to bring you to the school. We will be using a bus,

van, or car to take you to the audition site. The driver will announce “Phantom Regiment” when they arrive. For your departure - your flight home should depart after 7:30pm on Sunday. We shuttle you back to the same Coach USA/Van Galder bus stop and then you’ll ride the bus back to Midway. Early flights will cause you to miss most of, if not the entire day. Coach USA/Van Galder Bus Audition Camp is located 2-3 hours from the Chicago airports. Therefore, you need to take a Coach USA/Van Galder bus from those airports to the South Beloit, IL stop. Once there, we will pick you up and bring you to the school as well as drop you off there on Sunday. Phantom Regiment shuttles will run continually starting at 4:30 pm Friday until all are picked up. If you seem to be the only one there, call 815-540-9737. Each subsequent camp may have a different bus stop, so be sure to pay attention to which stop we are using that weekend. There is an “Unaccompanied Minor Policy” for those under 18 years of age. If you are 17 years old or younger, and traveling unaccompanied, make sure to bring the permission slip form (near end of this document) with parental signature and emergency contact info. Most camp weekends you will be able to meet up with others coming to camp at the airport and ride the bus together. Fares may be cheaper if you purchase a round-trip ticket. You can also purchase tickets in advance (suggested) by visiting the website below. You can also purchase them at the Bus Shuttle Ticket Counter at O’Hare during normal business hours. If you’re at Midway airport, you have to purchase your ticket with the driver on the bus with cash only. This info is subject to change, so be sure to verify it all with Coach USA. You should also consult the schedule when you are purchasing your flight to make sure the times all work out.

Visit www.coachusa.com for fares, schedules and further airport shuttle information. Additional Housing Nights We cannot guarantee housing for those that arrive early or stay later, but we will do our best to make sure you are housed with a local family. If you need additional housing, contact the corps office AT LEAST 7 DAYS IN ADVANCE at membership@regiment.org. Facebook Group We have created a special Facebook group to help you with arrangements or questions regarding Audition Camp. If you’re looking to car-pool with someone in your area, or want to meet up with other people coming to Regiment audition camp, or if you just have a simple question, go to: http://bit.ly/PRAuditions Questions If after reading this entire packet you have any questions, you can contact us via:

Email: membership@regiment.org Phone: (815) 261-1956 (M – F, 10a – 3p) Camp Weekend Cell Phone: (815) 540-9737 (Only used Friday through Sunday of camp weekends)

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2016&Phantom&Regiment&Financial&Obligations& Audition Information Packet

$15 (non-refundable) for new members only Audition Information Packet & Registration

$100* (non-refundable) for new members only $75* (non-refundable) for returning members only

*If paid by early registration date of 10/31. Otherwise, fees will be an additional $25. Pre-Audition Feedback (only available ‘til 10/31) more info on website $50 (non-refundable) for all Pre-Audition / Audition Full Package (only available ‘til 10/31) more info on website $140 (non-refundable) for new members only $115 (non-refundable) for returning members only Membership Fees The 2016 membership fees will be finalized soon but will likely be between $3400 and $3700, which INCLUDES specialized items such as; under-garments for the brass and percussion and; show gloves, shoes, under-garments, make-up and warm-up attire for the color guard. There are many variable costs that go into the membership fees including food, transportation, housing, spring training, instruction, equipment, insurance and fuel costs to name a few. Discounts for early payment and veterans are available as well. Any dog tags and section shirts/shorts, etc. will be at your own expense. Brass players will be required to purchase their own cotton show gloves (approx $2 per pair) and provide show socks. In some cases you may be asked to purchase a specialized mouthpiece. Member Jacket Cost is approximately $90 and is purely optional. Orders are taken in May and delivered in June. Please do not place an online order for your jacket until we tell you to. Payments If fees are not kept current, you may not be allowed to participate at camps and you may lose your position in the corps. Statements can be accessed anytime by logging into your CorpsData account. Monthly membership fee payments will be collected at check-in on Friday nights via cash, check or credit card. Payments can also be made online at anytime at www.regiment.org/memberfee. Refunds If the corps releases a member, any fees paid will be fully refunded minus $100 per camp. If a member is dismissed from the corps for disciplinary reasons, no refunds will be given. If a member quits on or before March 31, they will be refunded 50% (after deducting $100 per camp). If a member quits after March 31, no refunds will be given. Sponsorships Once you receive a membership position, we will provide a sponsorship request letter that you can use to request assistance from your family and friends. This is a great way to get help with your fees.

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2016&Phantom&Regiment&Membership&Commitment&

2016 Schedule (all rehearsals take place in the Rockford/Beloit area)

Camp Date Emphasis / Sections November 20-22, 2015 Color Guard & Percussion Auditions November 27-29, 2015 Brass & Conductor Auditions December 18-20, 2015 Rehearsal Camp (No Guard) January 15-18, 2016 Rehearsal Camp (No Guard) NOTE: Friday – Monday (MLK) February 19-21, 2016 Rehearsal Camp (Brass Only) April 22-24, 2016 Rehearsal Camp (Full Corps) May 15, 2016 Full Corps Spring Training Begins – all food/housing provided Summer Tour Schedule To Be Determined August 11-13, 2016 DCI World Championships, Indianapolis, Indiana August 14, 2016 Corps Banquet (11am) - Optional, Indianapolis, Indiana

All camps begin at 7pm on Friday night (doors open at 5pm) and end by 2pm on Sunday. (Please do not arrive before 5pm.) Members must stay with the corps on-site at all camps. Breakfast and snack are provided. Lunch and dinner will be on your own, at local fast-food places, which we will transport you to, or you can car pool. We also provide housing for the weekend, as well as pick you up and drop you off at the local Coach USA/Van Galder bus stop. Membership Forms You must bring the Medical Consent & Release Form (included) with you to auditions. If you are under 18 years old, your parent must sign it. Once accepted into the corps, you will be required to provide a photocopy of your birth certificate and turn in a completed Membership Agreement Form. Attendance Policy We expect each member to arrive at camp on Friday night on time and stay until the end of camp on Sunday. Once accepted into Phantom Regiment, we expect you to make camps a priority in your schedule. Attendance is required at each camp per the above schedule. Exceptions to this rule are for school related performances only and must be approved by Dan Farrell (dan@regiment.org) in advance. Medical Program Phantom Regiment is staffed with several medical doctors, RN’s and physical therapists. Members may be required to complete a physical exam by our medical staff and will be expected to follow any fitness and health programs suggested by these professionals. Alcohol, Drug and Tobacco Policy Phantom Regiment is a drug-free organization. Possession or use of any controlled substance is grounds for immediate dismissal without refund and may be reported to the authorities. Random drug screening tests may be performed at no expense to the member. The consumption of alcohol is allowed only when management states that it is, and then only by members who are of age. Tobacco usage on any school grounds is not allowed. Tobacco usage in uniform or on corps vehicles is not allowed. Communication For safety and educational reasons, all members are expected to speak English. International students will not be accepted without demonstrating the ability to communicate effectively. Information regarding weekend camps, locations, schedules, membership status, is given in detail at each camp. We also post information on our website at www.regiment.org. If you have any conflicts, we expect you to communicate them to us at least two weeks in advance. You can always reach Dan via email at dan@regiment.org.

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Frequently&Asked&Questions& How old do you have to be to audition? All members are chosen based on their talent abilities no matter what their age. However, you could run into problems with taking exams early and getting out of high school before the end of the school year. All members are required to move to the Rockford area the third week of May for spring training. If you are graduating from high school, arrangements can be made for you to attend your commencement and then return to Rockford. Remember, attending audition camp is more than just a camp; it’s an experience that could prove valuable for future auditions at the Regiment. The maximum age per Drum Corps International rules is that you must be 21 years of age as of May 31st in the current season’s year. Besides the two Chicago airports, can I fly into any other airports? Milwaukee Mitchell or Madison Dane County airports are alternatives but you are responsible for securing your own transportation to the school. You should check into airport shuttles and/or shuttle buses that might be available from those airports. Rockford does have a small airport (RFD), but please notify us so that we can make arrangements to pick you and drop you off there. What if there’s bad weather for a camp? Camp will always be held, regardless of the weather. Our members come from all points of the USA and even the world. Though it may be snowing severely in your area, it may not in other areas. Thus, we will always have our doors open and camps will be held. Also, in the name of safety, we want to provide a place for members to stay and not force them to turn around in bad weather and head home. What should I bring to camp? Aside from what your sections requests, be sure to bring comfortable clothes, toiletries, a sleeping bag & pillow. Don’t forget your towel. No dress clothes are needed. You will be provided with a free shirt that you can write your name on, but you may not want to write on that shirt. So then, you should bring a plain white t-shirt with your name written on it. What should I wear for practice? For color guard members – read the guard audition section. For all others, you should wear tennis/athletic shoes, shorts, athletic/sweat pants, and t-shirts. How many members are coming back? We require all returning members to audition; therefore, we are filling 150 spots. If I audition for two different instruments or sections, do I have to pay twice? No, but make sure you don’t overextend yourself by trying out for all positions! We suggest you focus on your best instrument and make us aware of any alternate talents or interests you have. What can I do to improve my chances of making the corps? Practice and show up. Every year we see several very talented and promising people cut themselves by giving up. Intimidation is your own worst enemy. Will you have alternates this year? We plan to have several alternates or understudies on the road with the corps. They are considered members of the corps and will be learning for a future position on the field. Can I also be in a winter guard or winter percussion group? You can join a winter group activity as long as it does not conflict with your attendance at our camps. I have a ski trip planned during one of the camps; can you send me what I missed? NO. If you wish to be in the Phantom Regiment, we ask that you make this a major priority. Conflicts related to ski trips, non-academic school activities, non-scholarship music events, club, proms, dances, study weekends to name a few are not valid excuses to miss a camp. Legitimate concerts, juries and academic commitments may be excused. Time management and being realistic with your schedule are important skills we are looking for in our members. How many members in each section will you march? Typically we’ve fielded 80 brass; 36 guard; 31 percussion; and 3 conductors. We usually have 3-5 alternates as well. I have a few more questions, what can I do? Feel free to contact the Phantom office; we are never too busy to help you in your quest to be a part of the Phantom Regiment. By phone or email, trust that you aren’t bugging us. Communication is the key to making sure you have the best experience possible!

There are more FAQ’s at http://www.regiment.org/FAQ

420 N . Ma in S t r ee t Rock fo rd , I l l i no i s 61103 - 6819 Phone 815 /261 - 1956

Coach&USA/Van&Galder&Permission&Form&(for%17%yrs.%and%under)%

(date) I, , have given permission for my son/daughter to travel to

(print parent’s name) Rockford, IL / S. Beloit, IL to attend a Phantom Regiment rehearsal / camp. I understand that he/she will be boarding a Van Galder / Coach USA bus as part of this travel. In case of emergency, I can be reached at the following number: (parent’s signature)

www.regiment.org

420 N. Main Street Rockford, Illinois 61103-6819 Phone 815/261-1956

MEMBER INFORMATION Last Name First Name M.I. Today’s Date

Email Address Gender (Check One)

� Male � Female Current Age Date of Birth Place of Birth

CURRENT ADDRESS Street Address

Current City Current State Current Zip Phone Number Cell Phone

PARENTAL INFORMATION Father’s Name Occupation

Street Address (Check here if same as above □) Email Address

City State Zip Home Phone Work Phone Cell Phone

Mother’s Name Occupation

Street Address (Check here if same as above □) Email Address

City State Zip Home Phone Work Phone Cell Phone

In case of emergency, please contact: Name: Relation

Home Phone Work Phone Cell Phone

Copies of insurance card and/or prescription card should accompany member. Members are responsible for their own medical and all

medication expenses. Members should also bring their own ace bandages and knee / ankle braces.

MEMBER CONSENT / PARENT OR GUARDIAN CONSENT IF MEMBER IS UNDER 18 YRS OLD ! I do not know of any existing physical or any additional health reasons that would preclude participation in activities. I

certify that the answers to the questions in the Medical History Questionnaire section are true and accurate. I approve participation in activities. I hereby authorize release to the Phantom Regiment, corps nurse, trainer, tour manager and medical provider of information contained in this document. Upon written request, I may receive a copy of this document for my own personal health care records.

! I acknowledge that there are risks of participating, including the possibility of catastrophic injury. ! I hereby give my consent for the above named person to travel with the Phantom Regiment and receive emergency medical

treatment when necessary. It is understood that the Phantom Regiment does not assume any responsibility in case of accident.

! I agree to hold the Phantom Regiment harmless from any and all expenses related to any injuries or illnesses that take place while I am with the corps.

! I realize that personal information (such as name/email/phone/city/state/etc) will be used in a private password protected members only section of the Phantom Regiment website. I also understand and agree that the Corps may use my image, sound, and likeness within Corps’ corporate materials, press releases, website, merchandise, and advertising materials.

Signed: ____________________________________ Date: ________________ Member (or parent, if member is under 18)

1.

Y N � �

Have you had a medical illness or injury since your last check up or sports physical? If yes, what was it? __________________ __________________________________

2. Y N � �

Do you have an ongoing or chronic illness? If yes, what is it? _____________ __________________________________

3. Y N � �

Have you ever been hospitalized overnight? If yes, what for? ___________ __________________________________

4. Y N � �

Have you ever had surgery? If yes, what for? ______________________________

5. Y N � �

Are you currently taking any prescription or non-prescription (over-the-counter) medications or pills or using an inhaler? If yes, what are they? __________________ __________________________________

6. Y N � �

Have you ever taken any supplements or vitamins to help you gain or lose weight or improve your performance? If yes, what have you taken? _____________________

7. Y N � �

Do you have any allergies (for example, to pollen, medicine, food, or stinging insects)? Have you ever had a rash or hives develop during or after exercise? If yes, what are you allergic to? ______________ __________________________________

8. Y N � �

Have you ever passed out during or after exercise?

9. Y N � �

Have you ever been dizzy during or after exercise?

10. Y N � �

Have you ever been told that you have a heart problem or blood pressure problems? __________________________________

11. Y N � �

Has any family member or relative died of heart problems or of sudden death before age 50? If yes, who and how old? _______

12. Y N � �

Have you had a severe viral infection (for example, myocarditis or mono) within the last month? If yes, what was it? ________ __________________________________

13. Y N � �

Has a physician ever denied or restricted your participation in sports due to heart problems? If yes, when? ______________ __________________________________

14. Y N � �

Have you ever had a head injury or concussion? If yes, when and how many? __________________________________

15. Y N � �

Have you ever been dizzy or had a seizure for any reason? _____________________

16. Y N � �

Have you ever become ill from exercising in the heat? If yes, when? _____________ __________________________________

17. Y N � �

Have you ever had or do you now have any breathing problems such as asthma or difficulty breathing? _________________ __________________________________

18. Y N � �

Do you use any special protective or corrective equipment or devices that are usually used when you march (for example, knee brace, special neck roll, foot orthotics, retainer on your teeth, hearing aid)? If yes, what is it? _______________ __________________________________

19. Y N � �

Have you had any problems with your eyes or vision? If yes, what? _______________ __________________________________

20. Y N � �

Do you wear glasses, contacts, or protective eyewear? If yes, what? _______ __________________________________

21. Y N � �

Have you ever had a sprain, strain, fracture or dislocation of a muscle, tendon, bone or joint?

If yes, check appropriate box and explain below. �Head � Elbow � Hip � Neck � Forearm � Thigh �Back �Wrist �Knee �Chest �Hand �Shin/calf �Shoulder �Finger �Ankle �Upper arm �Foot

______________________________________________________________________________________________________

22. Y N � �

Were you born without or are you missing a kidney, testicle or any other organs? If yes, what? _________________________

23. Y N � �

Do you feel that you have fatigue or increased shortness of breath with activity?

FEMALES'ONLY 24. Y N

� � Do you ever experience any problem with your period (i.e., irregularity, pain, etc.)? If yes, what? _________________________ __________________________________

! � !