8/14/2019 Kids Clinic Application Springs How
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Ages K to 8th GradeSaturday, April 10, 2010Registration 9:00am
to 10:00 amClinic 10:00 am2:00 pm
Dickinson High School GymCost per Camper is $35.00
Dickinson High SchoolDiamonds Spring Kids Clinic
Campers will learn a dance routine and perform at 2:00pm on
Saturday April 10They will also perform at the Diamonds Spring Show
Friday, April 16, 2010 @ DHS Auditorium
Each camper who PRE-REGISTERS will receive a free Clinic
T-shirtPizza and drinks will be provided for lunch on the day of
the clinic
Pre-Register to get a Free Clinic T-shirtWe will take
registration at the door, however your child will not get the free
T-shirt
If you did not PRE-REGISTER you will be able to purchase the
clinic T-shirt for $10.00Pre-Registration:
Tuesday, March 23, 6pm-7pmLobby of Dickinson High
SchoolThursday, March 25, 6pm-7pmLobby of Dickinson High School
Pre-registration may also be done through any Dickinson
DiamondPre-Registration ends Friday, April 2nd . Forms MUST be
turned in to a Diamond or a Diamond
Booster Club Member by 6:30pm on Friday, April 2, 2010. NO
EXCEPTIONSPlease DO NOT turn in registration forms to any school
offices
For more information, contact the Dance Director Traci Mills at
(281)229-6512 or [email protected]
REGISTRATION FORM
FREE T-SHIRT FOR PRE-REGISTERED CAMPERS ONLYPlease circle shirt
size: Youth Youth Youth Adult Adult
Small Medium Large Small Medium
Last Name:__________________________________________ First
Name:_____________________________Age_______
Home CellPhone:_____________________________________________
Phone:__________________________________________
EmergencyPhone #:____________________________________________
Name:___________________________________________
School Name:________________________________________
Grade:___________________________________________Liability Release
/ Medical Permission:
___________________________________________________ has my
permissiono attend the Diamonds Fall Kids Clinic. I release and
absolve the sponsors, Dickinson ISD and all employees of
DickinsonSD from all responsibility related to this activity. I
also give permission for the sponsors to obtain any necessary
medical aidor my child in case of emergency, accident or
illness.
_________________________________________________________________________________________________
___Signature of Parent/Guardian Print Parent/Guardian Name
FOR OFFICE USE ONLY
____________________________________________________________________________________________________Diamond/DDBC
member Date received Check number Name on Check if different Cash
amoun
