Dance Clinic Form
WOODSTOCK NORTH HIGH SCHOOL
CHEER CLINIC Who: All Girls & Boys, Grades K-12 (split by age) When: Friday, February 10th Time: 5-7:00 P.M. Clinic; 7:00 P.M. GAME Location: WNHS Cafeteria; Main Gym Cost: $25.00 (t-shirt, bow and pizza included if registered on time)
Attire: Wear Shorts, T-Shirt, and Gym Shoes Please bring a water bottle. You may bring a nut-free snack.
All Cheer Clinic attendees will perform during the Woodstock North vs. Harvard varsity basketball game which begins at 7:00 P.M. Attendees will participate in pre-game activities and perform a floor cheer and dance during half-time. Please arrive by 6:45 to watch your cheerleader for pregame. Pick up is after half-time around 7:45 in the gym. Parents, family and friends will need to pay admission into the game: $4/adults, $3/high or middle school students and $2/elementary students or seniors. Registration welcome anytime including day of clinic, but to ensure a t-shirt, please register by Monday, January 30th to: Woodstock North High School Cheerleading Attention: Coach Kelly Firkus McAdow 3000 Raffel Road Woodstock, IL 60098
Questions? Contact Woodstock North Athletics at (815)334-5700 OR email Coach Firkus McAdow @ [email protected] Please return bottom portion with payment (Please Print) Cheerleader’s Name:______________________________________________________________________ Grade:___________________ Address: ______________________________________________________________________________________________________________ Parent/Guardian Name:_______________________________________________Phone Number: ____________________________ Parent Email Address:________________________________________________________________________________________________ Emergency Contact: __________________________________________Phone Number:_____________________________________
Check t-shirt size: ___YS ___YM ___YL ____S ____M ____L ____XL ___XXL Check pizza choice: _____Cheese _____Sausage _____Pepperoni Waiver of Liability and Acknowledgement of Warning Athletic/Recreational Activities Agreement Consent Form I, the undersigned parent or guardian of __________________________, acknowledge that the Woodstock Community Unit School District 200 does not provide school accident insurance for students participating in activities. I understand that I must obtain insurance for accidental injury to my child/ward. Further, I hereby acknowledge that I have been properly advised, cautioned, and warned by the proper administrative, teaching, and coaching personnel of District 200 that by participating in sports/activities I hereby release, indemnify, and hold harmless Woodstock Community Unit School District 200, its Board members, agents, employees, and officers from any and all claim for personal injury and property damage which my child/ward may incur by such participation in sports/activities. I do hereby acknowledge that I have been fully advised, cautioned, and warned by the proper administrative and coach personnel of the Woodstock Community Unit School District 200 that my child/ward named above may suffer serious injury, including but not limited to sprains, fractures, brain damage, paralysis, or even death by participating in sports/activities. Notwithstanding such warnings, and with full knowledge and understanding of the risk of serious injury which may result to my child/ward name above, I give my consent for _________________________ to participate in sports/activities. I also understand that my son/daughter will be expected to obey the rules and regulations set forth by the Athletic Policy Handbook, the Illinois High School Association, and as explained by the athletic coach/advisor on the first day of practice. A copy of these rules and regulations were given to me, in addition, I give consent to Woodstock Community Unit School District 200 to release height and weight information for use in athletic programs.
__________________________________________________Parent/Guardian Signature ______________________________________________ Student-Athlete Signature
CHEER CLINIC Who: All Girls & Boys, Grades K-12 (split by age) When: Friday, February 10th Time: 5-7:00 P.M. Clinic; 7:00 P.M. GAME Location: WNHS Cafeteria; Main Gym Cost: $25.00 (t-shirt, bow and pizza included if registered on time)
Attire: Wear Shorts, T-Shirt, and Gym Shoes Please bring a water bottle. You may bring a nut-free snack.
All Cheer Clinic attendees will perform during the Woodstock North vs. Harvard varsity basketball game which begins at 7:00 P.M. Attendees will participate in pre-game activities and perform a floor cheer and dance during half-time. Please arrive by 6:45 to watch your cheerleader for pregame. Pick up is after half-time around 7:45 in the gym. Parents, family and friends will need to pay admission into the game: $4/adults, $3/high or middle school students and $2/elementary students or seniors. Registration welcome anytime including day of clinic, but to ensure a t-shirt, please register by Monday, January 30th to: Woodstock North High School Cheerleading Attention: Coach Kelly Firkus McAdow 3000 Raffel Road Woodstock, IL 60098
Questions? Contact Woodstock North Athletics at (815)334-5700 OR email Coach Firkus McAdow @ [email protected] Please return bottom portion with payment (Please Print) Cheerleader’s Name:______________________________________________________________________ Grade:___________________ Address: ______________________________________________________________________________________________________________ Parent/Guardian Name:_______________________________________________Phone Number: ____________________________ Parent Email Address:________________________________________________________________________________________________ Emergency Contact: __________________________________________Phone Number:_____________________________________
Check t-shirt size: ___YS ___YM ___YL ____S ____M ____L ____XL ___XXL Check pizza choice: _____Cheese _____Sausage _____Pepperoni Waiver of Liability and Acknowledgement of Warning Athletic/Recreational Activities Agreement Consent Form I, the undersigned parent or guardian of __________________________, acknowledge that the Woodstock Community Unit School District 200 does not provide school accident insurance for students participating in activities. I understand that I must obtain insurance for accidental injury to my child/ward. Further, I hereby acknowledge that I have been properly advised, cautioned, and warned by the proper administrative, teaching, and coaching personnel of District 200 that by participating in sports/activities I hereby release, indemnify, and hold harmless Woodstock Community Unit School District 200, its Board members, agents, employees, and officers from any and all claim for personal injury and property damage which my child/ward may incur by such participation in sports/activities. I do hereby acknowledge that I have been fully advised, cautioned, and warned by the proper administrative and coach personnel of the Woodstock Community Unit School District 200 that my child/ward named above may suffer serious injury, including but not limited to sprains, fractures, brain damage, paralysis, or even death by participating in sports/activities. Notwithstanding such warnings, and with full knowledge and understanding of the risk of serious injury which may result to my child/ward name above, I give my consent for _________________________ to participate in sports/activities. I also understand that my son/daughter will be expected to obey the rules and regulations set forth by the Athletic Policy Handbook, the Illinois High School Association, and as explained by the athletic coach/advisor on the first day of practice. A copy of these rules and regulations were given to me, in addition, I give consent to Woodstock Community Unit School District 200 to release height and weight information for use in athletic programs.
__________________________________________________Parent/Guardian Signature ______________________________________________ Student-Athlete Signature
