JUNIOR COMMANDancer CLINIC
PRICE CHOPPER
JUNIOR COMMANDancer CLINIC
PRESENTED BY DANNON
All participants have the opportunity to perform with the COMMANDancers during home games on June 4 and July 15. June 4 First Game July 15 Second Game Cost: $110
PARTICIPANT NAME
PHONE
PACKAGE INCLUDES: Six practices with COMMANDancers Learn the importance of proper nutrition, fitness, health tips and self esteem Uniform and Poms Photo Shoot with COMMANDancers Autographed COMMANDancer Poster Complimentary admission to KC COMMAND Games on June 4 and July 15 Friends and family enjoy a special JCD discount ticket offer PRACTICE DATES: May 14 May 21 June 1**
June 18 June 25 July 9
ADDRESS/CITY/STATE/ZIP
EMAIL ADDRESS
DATE OF BIRTH
AGE
DRESS SIZE (CIRCLE ONE)
YOUTH: S M L ADULT: S M L
SHIRT SIZE
(CIRCLE ONE)
YOUTH: S M L ADULT: S M L
SKIRT SIZE
(CIRCLE ONE)
YOUTH: S M L ADULT: S M L
EMERGENCY CONTACT
PRACTICE TIMES: Ages 5-9 Ages 10-14
9-10 am 10-11am
EMERGENCY PHONE
**Practice on June 1: Ages 5-9: 6-7pm; Ages 10-14: 7-8pm
Practices will be held at: Stars Unlimited Dance Studio 6602 Royal, Suite D Pleasant Valley, MO 64068
FORM OF PAYMENT CREDIT CARD:
MasterCard
Visa
NAME ON CARD CARD NUMBER
Mail to: Junior COMMMANDancer Clinics 1407 Grand Blvd, Kansas City, MO 64106 email: [email protected] 816-949-7100
EXPIRATION DATE SIGNATURE DATE
/
CCV ID #
AMEX
JUNIOR COMMANDancer CLINIC
PRESENTED BY DANNON
All participants have the opportunity to perform with the COMMANDancers during home games on June 4 and July 15. June 4 First Game July 15 Second Game Cost: $110
PARTICIPANT NAME
PHONE
PACKAGE INCLUDES: Six practices with COMMANDancers Learn the importance of proper nutrition, fitness, health tips and self esteem Uniform and Poms Photo Shoot with COMMANDancers Autographed COMMANDancer Poster Complimentary admission to KC COMMAND Games on June 4 and July 15 Friends and family enjoy a special JCD discount ticket offer PRACTICE DATES: May 14 May 21 June 1**
June 18 June 25 July 9
ADDRESS/CITY/STATE/ZIP
EMAIL ADDRESS
DATE OF BIRTH
AGE
DRESS SIZE (CIRCLE ONE)
YOUTH: S M L ADULT: S M L
SHIRT SIZE
(CIRCLE ONE)
YOUTH: S M L ADULT: S M L
SKIRT SIZE
(CIRCLE ONE)
YOUTH: S M L ADULT: S M L
EMERGENCY CONTACT
PRACTICE TIMES: Ages 5-9 Ages 10-14
9-10 am 10-11am
EMERGENCY PHONE
**Practice on June 1: Ages 5-9: 6-7pm; Ages 10-14: 7-8pm
Practices will be held at: Stars Unlimited Dance Studio 6602 Royal, Suite D Pleasant Valley, MO 64068
FORM OF PAYMENT CREDIT CARD:
MasterCard
Visa
NAME ON CARD CARD NUMBER
Mail to: Junior COMMMANDancer Clinics 1407 Grand Blvd, Kansas City, MO 64106 email: [email protected] 816-949-7100
EXPIRATION DATE SIGNATURE DATE
/
CCV ID #
AMEX
