Sample - Dance Clinic Registration

Join us for our Dance Clinic!

Date: _______________
Time: ____________
Location: __________

Football Game Performance Date: ________

Location: ________

Here's an opportunity to have your dancer perform at a High School Football Game!

The High School Drill Team is hosting a dance clinic on __________. Your FUTURE DRILL TEAM MEMBER will learn the a fun dance. She will then perform on ___________ when the Bears take on the Tigers at the high school stadium!

This is the perfect opportunity to snap a few pictures of your FUTURE DRILL TEAM MEMBER!

PRICING AND INFORMATION

The Dance Clinic is $50 which includes learning dances, clinic t-shirt, picture in a high school drill team uniform, snacks and water, entry into the football game for the participant only, and performing pre-game with the high school drill team.

If you have any questions, please email us at _________________.

Item Description		Price

Dance Clinic Fee
	Drill Team/Dance Clinic Early Registration	$40.00
Student's Last Name Student's First Name Student's Address Student's City Student's Zip Code Student's School Student's Grade* Student's T-shirt Size* Food Allergies? Please list any food allergies or dietary restrictions: Please list any additional information we need to know: Parent Name Parent Cell Phone # Parent Email Emergency Contact Name Emergency Contact Phone # Name of drill team member who referred you (if no one referred you, please enter NONE): All clinic dancers are invited to participate in pre-game at the Football Game on ______________ at the high school stadium! Dancers will meet at the North Entrance on the Home side of the Stadium at 6:00 pm. Dancers will receive their t-shirt at the gate when they check in for the game. They may wear shorts or leggings and will need to have tennis shoes or closed toed shoes for the pre-game performance. Parents should pick up their daughter at the same location at the end of the first quarter. There is no cost for clinic dancers to attend the game. Parents may purchase tickets at the box office before the game if they wish to attend. Will your daughter be participating in the Football Pre-Game performance on __________? Liability - Parent Acknowledgment* I do hereby give representatives of the Drill Team permission to seek medical help for my child in the event of an emergency. I further understand that the Drill Team, the school district, and its representatives assume no liability should an emergency occur. I also give permission for all photos and videos of my child obtained by the Drill Team be used in any and all media pertaining to the Drill Team, and exclusively for the purpose of promoting the Drill Team. District Photo Release - Parent Permission By selecting "Yes," I, the parent/guardian of the student named above, agree to release to the District the student's name, voice, verbal statements, portraits (video or still) and consent to their use by the District. Parent Signature By typing my name above, I affirm that I have read all of the above information and agree to comply with the guidelines therein and allow my daughter to participate in the Drill Team/Dance Clinic.

If you have any questions, please email us at _________________.