ASSUMPTION DANCE TEAM FALL DANCE CLINIC
ASSUMPTION DANCE TEAM FALL DANCE CLINIC Join the Assumption Dance Team for a fun Saturday morning of dance. Every participant will get to show off what they learned at one of the biggest volleyball games of the year Mercy vs. Assumption.
WHEN: Saturday, September 30, 2017 – 10am – 2pm WHERE: Assumption High School Gym, 2170 Tyler Lane COST: $40 in advance/ $45 day of clinic Cost includes: Dance instruction by AHS Dance Team, t-shirt, pizza and halftime performance at October 5, 2017 Mercy vs. Assumption Volleyball game. WHO: Dancers 4-15 yrs. old
MAIL ATTACHED PERMISSION SLIP AND CHECK TO: Coach Ashley Flaker c/o 360 Dance Studio 11401 Plantside Drive Louisville, KY 40299 **Make checks payable to ASSUMPTION DANCE TEAM** For more information please contact Dance Team Mom, Debbie Harbsmeier: [email protected]
ASSUMPTION HIGH SCHOOL DANCE CLINIC PERMISSION SLIP PLEASE COMPLETE AND SUBMIT WITH REGISTRATION FEE I, the parent/guardian of ________________________________________, would like for my son/daughter to participate in the Assumption High School Dance Clinic on Saturday, September 30, 2017. I understand my son/daughter will receive dance instruction from members of the Assumption High School Dance Team and will be taking part in activities designed to improve his/her dancing. In consideration of the clinic activities, I hereby release and save harmless Assumption High School and any and all employees of that school from any and all liability for any injuries, loss or other claims arising out of or resulting from participation. Signature of Parent/Guardian: ____________________________________________________________________ Date: ________________________________________________________________________________________________ Child’s Name: ______________________________________________________________________________________ Address: ____________________________________________________________________________________________ City, State, Zip: _____________________________________________________________________________________ Age: _______________ Grade: __________ School: ______________________________________________________ Allergies: ______No ______Yes if yes, please explain: ______________________________________________________________________________________________________ Parent/Guardian Name: _________________________________ Phone: __________________________________ Parent/Guardian email: ____________________________________________________________________________ Emergency Contact: _____________________________________Phone:___________________________________ Relationship to child: ______________________________________________________________________________ T-shirt size: _____YS _____YM _____YL _____YXL _____AS _____AM _____AL _____AXL Please make checks payable to: Assumption Dance Team Mail check & complete permission slip to: Coach Ashley Flaker c/o 360 Dance Studio 11401 Plant side Drive Louisville, KY 40299
WHEN: Saturday, September 30, 2017 – 10am – 2pm WHERE: Assumption High School Gym, 2170 Tyler Lane COST: $40 in advance/ $45 day of clinic Cost includes: Dance instruction by AHS Dance Team, t-shirt, pizza and halftime performance at October 5, 2017 Mercy vs. Assumption Volleyball game. WHO: Dancers 4-15 yrs. old
MAIL ATTACHED PERMISSION SLIP AND CHECK TO: Coach Ashley Flaker c/o 360 Dance Studio 11401 Plantside Drive Louisville, KY 40299 **Make checks payable to ASSUMPTION DANCE TEAM** For more information please contact Dance Team Mom, Debbie Harbsmeier: [email protected]
ASSUMPTION HIGH SCHOOL DANCE CLINIC PERMISSION SLIP PLEASE COMPLETE AND SUBMIT WITH REGISTRATION FEE I, the parent/guardian of ________________________________________, would like for my son/daughter to participate in the Assumption High School Dance Clinic on Saturday, September 30, 2017. I understand my son/daughter will receive dance instruction from members of the Assumption High School Dance Team and will be taking part in activities designed to improve his/her dancing. In consideration of the clinic activities, I hereby release and save harmless Assumption High School and any and all employees of that school from any and all liability for any injuries, loss or other claims arising out of or resulting from participation. Signature of Parent/Guardian: ____________________________________________________________________ Date: ________________________________________________________________________________________________ Child’s Name: ______________________________________________________________________________________ Address: ____________________________________________________________________________________________ City, State, Zip: _____________________________________________________________________________________ Age: _______________ Grade: __________ School: ______________________________________________________ Allergies: ______No ______Yes if yes, please explain: ______________________________________________________________________________________________________ Parent/Guardian Name: _________________________________ Phone: __________________________________ Parent/Guardian email: ____________________________________________________________________________ Emergency Contact: _____________________________________Phone:___________________________________ Relationship to child: ______________________________________________________________________________ T-shirt size: _____YS _____YM _____YL _____YXL _____AS _____AM _____AL _____AXL Please make checks payable to: Assumption Dance Team Mail check & complete permission slip to: Coach Ashley Flaker c/o 360 Dance Studio 11401 Plant side Drive Louisville, KY 40299
