fishers fusion dance team clinic
FISHERS FUSION DANCE TEAM CLINIC ATTENTION ALL KINDERGARTEN THROUGH 6TH GRADE!! Come out and dance with the Fishers Fusion Varsity Dance Team WHERE: FISHERS HIGH SCHOOL WHEN: September 22, 2017 TIME: Promptly at 4:30pm – 6:30pm, Performance at pregame Come out and dance with the Fishers Fusion Varsity Dance team September 22nd at our Fusion Dance Team Fall clinic and pre-game performance at the FHS Football game against Avon High School. Price of dance clinic and pre-game performance: $25.00 (includes: dance clinic and snack) GAME Tickets must be purchased at $5/per parent (not dancer). Indicate how many tickets you will need below! **** PAY AT THE DOOR THE DAY OF THE CLINIC! DO NOT SEND PAYMENT IN WITH REGISTRATION! ☺ September 22nd information • Promptly at 4:30pm - 6:30pm: Fall Dance Clinic class and learn performance routine • 6:45: Pre-Game Performance • Dancers should wear: Black Shorts and any red or blue shirt About Fishers Fusion Dance Team • Fishers Fusion Dance Team is a combination of talented dancers from both Fishers and HSE High schools. • We will be traveling to Orlando, Florida for NDA Nationals in March, where we have placed top 10 in the nation! ******DEADLINE IS: Monday September 18, 2017***** PLEASE MAIL THE REGISTRATION or EMAIL WITH ELECTRONIC SIGNATURE. YOU WILL PAY AT DOOR—DO NOT SEND PAYMENT WITH REGISTRATION! WE NEED REGISTRATION BEFORE THE EVENT, PLEASE! MAIL TO: Mary Carlson 15332 Ellington Drive, Fishers, IN 46040 Email to: [email protected] any questions, call: 317-507-7130
First Name ________________________
Last Name ______________________ #of TICKETS NEEDED __________
Grade ____________________
School ________________________________________
Guardian/Parent’s First Name ________________________/Last Name___________________________ Guardian/Parent’s First Name ________________________/Last Name___________________________ Guardian/Parent’s Email Address _______________________________________/______________________________________ Guardian/Parent’s Emergency Contact Number ______________________________________________ I, the undersigned, hereby state that I am the parent with legal custody or guardianship of the Participant listed above. I give __________________________________________ permission to attend and participate in the Fishers Fusion Dance Clinic and perform at the FHS Football game on September 22, 2017. I acknowledge that I will be responsible for paying for any medical treatment that the Participant may receive as a result of injuries or illness suffered during his/her attendance and/or participation in this event by The Fishers Fusion Dance Team. Should the Participant be injured or become ill during his/her attendance and/or participation in this event, and I am not immediately available, I authorize FFDT to seek emergency medical attention for the Participant. I, the lawful parent or guardian of _____________________________________, give permission for my child to participate in the activity of “dance clinic” and release from all liability and indemnify Hamilton Southeastern Schools, both individually and as trustee for the Hamilton Southeastern Schools, Hamilton Southeastern High School, and their officers, agents, representatives, volunteers, and employees from all liability, claims, judgments, cost or expenses, including attorney fees, arising out of any injury or illness by my child while participating in the activity. I understand that my electronic signature here is appropriate. Parent Signature ______________________________________________________________Date ________________________________________
First Name ________________________
Last Name ______________________ #of TICKETS NEEDED __________
Grade ____________________
School ________________________________________
Guardian/Parent’s First Name ________________________/Last Name___________________________ Guardian/Parent’s First Name ________________________/Last Name___________________________ Guardian/Parent’s Email Address _______________________________________/______________________________________ Guardian/Parent’s Emergency Contact Number ______________________________________________ I, the undersigned, hereby state that I am the parent with legal custody or guardianship of the Participant listed above. I give __________________________________________ permission to attend and participate in the Fishers Fusion Dance Clinic and perform at the FHS Football game on September 22, 2017. I acknowledge that I will be responsible for paying for any medical treatment that the Participant may receive as a result of injuries or illness suffered during his/her attendance and/or participation in this event by The Fishers Fusion Dance Team. Should the Participant be injured or become ill during his/her attendance and/or participation in this event, and I am not immediately available, I authorize FFDT to seek emergency medical attention for the Participant. I, the lawful parent or guardian of _____________________________________, give permission for my child to participate in the activity of “dance clinic” and release from all liability and indemnify Hamilton Southeastern Schools, both individually and as trustee for the Hamilton Southeastern Schools, Hamilton Southeastern High School, and their officers, agents, representatives, volunteers, and employees from all liability, claims, judgments, cost or expenses, including attorney fees, arising out of any injury or illness by my child while participating in the activity. I understand that my electronic signature here is appropriate. Parent Signature ______________________________________________________________Date ________________________________________
