Canton Chiefettes
PomPom Clinic
Saturday, November 21, 2015 Canton High School, North Building (Phase 3) GYM Registration begins at 8:00a.m.
9:00 a.m. – 11:30 a.m.
(Parent performance at 11:30 a.m.)
Cost: $35/participant
(Includes T-Shirt, Snack, Drink & Performance at the Canton Variety Show)
Canton Variety Show – December 11, 2015
Learn a Pom routine! Girls will be divided into three age levels. (Open to ages 5 to 14 years) E-mail questions to
[email protected] ------------------------------------------------------------------------------------------------------------------------------------------------------------------
Mail Registration Form and check to: Dawn Tavian – 7040 Weatherfield Way, Canton, MI 48187 Make check payable to: CCPBC
____________________________________________________________________________________________________________ Child’s Name: _______________________________________________________________________
Age: ________________
Address: ________________________________________________ City: ______________________ Zip: ________________ Home Phone: (________)_____________________________
Cell Phone: (________)______________________________
Parent’s E-mail Address: _____________________________________________________________________________________ (To be used for registration confirmation, performance reminders, and notification of future clinics) Circle Child’s T-shirt Size:
Youth Small Youth Medium Youth Large Adult Small Adult Medium
Were you referred by a Chiefette? Please tell us who?_______________________________________