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DANCE CAMPJR. MAGIC MINI
CONTACT:Beth Handelsman: 407.916.2956 or e-mail [email protected]
Participants will receive:• Professional instruction by the Magic Dancers in two (2) exciting dance classes• All participants will PERFORM on the Orlando Magic court during HALFTIME on December 13 in front of thousands of Orlando Magic fans• Two (2) tickets to the Orlando Magic vs. Cleveland Cavaliers on December 13• A video link of their footage from the on-court performance• An official camp T-Shirt.• Photo autographed by the Magic Dancers!
BeGINNeRs ThROuGh AdvANCed - AGes 5-13 - LIMITed spACe AvAILABLe
WheRe:RDV Sportsplex-Multisport Gym8701 Maitland Summit Blvd.Orlando, FL 32810
Saturday, December 7, 20139:00 A.M. - 12:30 P.M.Halftime Performance Friday, December 13 at 7:00 P.M. Ages 5-13
LeARN FROM The MAGIC dANCeRs ANd peRFORM AT A MAGIC GAMe!
Celebrate.
AGE
PARTICIPANT PHONE (WK) PHONE (HM)
TEAM / ORGANIZATION
ADDRESS CITY STATE ZIP
EMERGENCY CONTACT EMERGENCY PHONE
PAYMENT TYPE: CHECK # VISA MC AMEX DISC CARD#
EXP.
SIGNATURE E-MAIL*
I hereby authorize the staff of the Jr. Magic Mini Dance Camp to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release RDV Sports, the Orlando Magic, the National Basketball Association and its Member Teams, NBA Properties, Inc., and each of their respective parents, subsidiaries, affiliates, directors, owners, employees and agents from any and all liability for any injuries or accidents incurred while at camp. I have no knowledge of any physical impairment that would be affected by the named participant in the camp program outlined. I also understand that the camp retains the right to use for publicity and advertising purposes photographs of participants taken during the clinic. The Jr. Magic Mini Dance Camp does not qualify for the child and dependent care
expense credit under the IRS guidelines.
Jr. MAgiC MiNi DANCE CAMP WAivEr
Child’s Name
Parent or Guardian’s Signature
Date of Birth
Date
Jr. MAgiC MiNi DANCE CAMP rEgistrAtioN
Please make checks payable to and mail to (DO NOT mail after November 29, 2013) Orlando Magic • Attn: Jr. Magic Mini Dance Camp • 8701 Maitland Summit Blvd., Orlando, FL 32810. For ordering by fax: (407) 916-2909 or scan and e-mail this registration form to [email protected] • Pre-registrations must be turned in by 5:00 pm, November 29, 2013. All
tickets are assigned based on a first-come, first-served basis and will be sent via e-mail.
*Required
# of Participants x $80 Dance Camp Pre-Registration Fee (must pre-register!) = $
(includes 2 game tickets, 1 for performer, 1 for chaperone)
# of Add. Tickets x $22 Ticket Price = $
TOTAL DUE = $
Promenade (Upper) Level Ticket Option:
CAMP DAtE: December 7, 2013
# of Participants x $140 Dance Camp Pre-Registration Fee (must pre-register!) = $
(includes 2 game tickets, 1 for performer, 1 for chaperone)
# of Add. Tickets x $50 Ticket Price = $
TOTAL DUE = $
Terrace (Lower) Level Ticket Option:
Celebrate.
