____________________________________________________________ ____________________________________________________________ ____________________________________________________________ ____________________________________________________________Dear Southington Resident, This resource directory consolidates resource information for Southington residents who need assistance with mental health and addiction challenges. This directory is for consumers, families, and those who help them. It is intended to provide information about mental health programs supporting Southington residents. Feelings of sadness, anxiety, worry, irritability, or sleep problems are common for most people. However, when these feelings get very intense, last for a long period of time, or begin to interfere with school, work, and/or relationships, they may be a sign of a mental health challenge. Just like people need to take medicine and get professional help for physical conditions, someone with a mental health challenge may need to take medicine and/or participate in therapy in order to get better. Behavioral health services include outpatient and inpatient care for children, adolescents, and adults. Programs offer confidential assessments, short and long-term counseling, psychotherapy, family therapy, and mental health treatment. Outpatient mental health services are provided to individuals who have acute or chronic psychiatric disorders but do not need 24-hour care. Outpatient mental health and substance use disorder services are provided in person in an ambulatory care setting such as a mental health center or substance use disorder clinic, hospital outpatient department, community health center, or practitioner’s office. Inpatient mental health services are 24-hour services delivered in a licensed hospital setting that provide clinical intervention for mental health and/or substance use diagnoses. This directory is a collaboration between the Bradley H. Barnes & Leila U. Barnes Memorial Trust at Main Street Community Foundation and Wheeler Clinic. This resource directory will not detail the symptoms of mental illnesses or delve into pharmaceuticals. Literature is available at the Connecticut Clearinghouse, a statewide library and resource center for information on substance use and mental health disorders, prevention and health promotion, treatment and recovery, wellness and other related topics. You may visit their website for more information: www.ctclearinghouse.org. Materials from their specialized library and resource center are available to Connecticut families, teachers, students, professionals, communities and children. The library is located on 334 Farmington Ave, Plainville, CT 06062. For assistance in locating and connecting with appropriate mental health services in the Southington area for you, a family member or friend, please feel free to contact: Justine Micalizzi Wheeler Clinic Senior Community Health Outreach Coordinator (860) 414-1235 jmicalizzi@wheelerclinic.orgWelcome and thank you for registering for the Greenfield Xtreme Cheer Competition January 27th snow day Sunday January 28th Registration opens 8:00 am Competition starts 9:00 AM Registration DeadLine January 14 registrations received after will be placed on a wait list and added as time permits LOCATION: GREENFIELD HIGH SCHOOL COST: Team: $15 per participant 4800 SOUTH 60TH ST Second Routine: $50 Greenfield, WI 53220 We are excited to have you join us for our second annual cheer competition. Each Cheer Team will have a routine limit of 2:30 minutes. Those in the Cheer Dance division will have a routine time limit of 2:00 minutes. Greenfield Xtreme will follow NFHS rules/guidelines and all coaches will be responsible to follow them as well. The competition will take place on a regulation floor of 9 panels of competition mats. We will provide each team with ten minutes of warm up time to practice stunting and tumbling on regulation panels of competition mats divided into three timed sessions. We will have two panels of judges that will follow the current WACPC score sheets. Trophies will be awarded to the top three teams in each division. A final schedule will be emailed out one week prior to the competition. The Recreational, Elementary, Middle School, and JV teams are currently slotted for the morning session followed by awards and the Varsity Teams are slotted for the afternoon session. Should you have any questions feel free to email Carla Gilmore, GHS Coach at: Greenfieldhawkscheer@gmail.com Follow us on FACEBOOK: Greenfield HS Cheer - Events GREENFIELD Greenfield Xtreme REGISTRATION Registration will be accepted until January 14, 2018. After this deadline date, teams will be placed on a WAIT LIST and may be added to the competition roster as time permits. No refunds will be given after January 14, 2018. No refunds will be given due to weather unless the alternate day needs to be canceled. TEAM NAME :____________________________________________________________________________ ADDRESS: _______________________________________________________________________________ COACH(ES):____________________________________________________________________________ EMAIL:__________________________________________________________________________________ TEAM CONTACT PHONE:_________________________________________________________________ DIVISION PLEASE CIRCLE: ELEMENTARY - GRADE LEVEL ____________ MIDDLE SCHOOL - GRADE LEVEL ______________ JV SMALL JV SMALL COED JV MEDIUM JV MEDIUM COED JV LARGE JV LARGE COED JV CHEER DANCE VARSITY CHEER DANCE VARSITY SUPER SMALL VARSITY SMALL VARSITY SMALL COED VARSITY MEDIUM VARSITY MEDIUM COED VARSITY LARGE VARSITY COED NON-STUNT________ NON TUMBLE__________ REGISTRATION DUE: JANUARY 14, 2018 MAKE CHECKS PAYABLE : GREENFIELD HIGH SCHOOL MAIL FORM TO: GREENFIELD HIGH SCHOOL CHEER TEAM 4800 SOUTH 60TH ST GREENFIELD, WI 53220 TEAM DIVISION NUMBER OF PARTICIPANTS FEE TOTAL PER EVENT X $15 PER ATHLETE = X $15 PER ATHLETE = X $15 PER ATHLETE = SECOND ROUTINE X $50 PER TEAM = X $50 PER TEAM = TOTAL DUE $ Please register your team according to the division chart below DIVISIONS Notes Elementary Grade 5 & under (divisions may be created dependent on registrations) Middle School Grade 8 & under (divisions may be created dependent on registrations) JV Small 11 or fewer athletes JV Medium 12 - 15 athletes Junior Varsity Large 16+ athletes Non Stunting (Varsity & JV teams) Non Tumbling (Varsity & JV teams) (Divisions may be created dependent on registrations) Super Small 9 or fewer athletes Small Varsity 10 - 12 athletes Medium Varsity 13 - 16 athletes Large Varsity 17 - 20 athletes Super Varsity 21+ athletes Small Coed 1 - 3 males; 5 - 20 athletes Medium Coed 4 - 7 males; 5 - 25 athletes Large Coed 8+ males; 8+ athletes Cheer Dance JV & Varsity divisions Greenfield Xtreme Cheerleading Championship Liability Waiver Each participant MUST turn in an original liability release form for the Greenfield Xtreme Cheerleading Championship. Please bring on 1/27/18 to registration Name of Athlete:__________________________________________________ Team: ____________________________________________________________ I, __________________________________________, the parent/legal guardian of _____________________,do hereby acknowledge and state that the above athlete is presently under my care, custody, and control and that I possess the authority to grant the permission and authorization that said athlete has no conditions which would prohibit or restrict his/her participation in the Greenfield Xtreme Cheerleading Championship held at Greenfield High School. I authorize any representative of Greenfield High School to locate qualified and licensed medical personnel and/or transport said athlete to an appropriate medical facility in the event that it may become necessary. I understand I will be notified as soon as possible in the event of an emergency. My insurance company and I will assume all expenses of such treatment. Parent/Guardian Signature _____________________________________________Date______________________ Parent/Guardian Contact Information: Home Phone: _______________________________ Cell Phone:_________________________________ Additional contact in the event of an emergency: Name: ____________________________________ Cell Phone:__________________________________ In case of emergency, please list confidential medical information: Insurance Company: _____________________________________________ Policy Number: ___________________________________________________ List pertinent medical information such as diabetic pumps, heart monitors, braces, inhaler, etc. applicable to heart condition, diabetes, epilepsy, nervous disorders or allergies:________________________________________________________________________________ List any medication or drugs to which the participant is allergic: _________________________________________________________________________________________ List any regular medication the participant is taking: _________________________________________________________________________________________