Friday, December 9, 2011

Join in the fun learning a dance to one of JUSTIN BIEBERS new holiday songs and performing with the EHS Dance Team!!! Open to students grade K-8
Clinic at Edwardsville High School Registration 6:00 pm Clinic 6:30 pm Grand Finale Performance That evening during half time of the varsity basketball game Please be prepared to pick your child up immediately after the half time performance

Includes clinic t-shirt, snack, goodie bag and free entry to the basketball game for the participant Make checks payable to: EHS Poms Booster Please mail to: EHS Dance Team Booster Club 17 Junction Drive #201 Glen Carbon, IL 62034

Clinic Fee: $30.00 Early Bird Fee if received by November 26: $25.00

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Students are encouraged to wear a black or orange t-shirt, black pants and tennis shoes. Registrations will be accepted after November 26 and at the door the evening of the clinic. Instead of receiving your T-shirt at the clinic, it will be mailed to you in approximately three weeks. No refunds after November 26 or for no-shows. Please email questions to ehs_dance_clinic@yahoo.com or call Christie at 618-514-1327

EHS 2011 Dance Clinic Registration

Name______________________________________________________________________ Grade_______________ School__________________________________________________ Address_____________________________________________________________________ Home Phone_______________ Cell_______________ Email___________________________ Emergency Contact__________________________________________ Phone______________ Please Circle T-Shirt Size: Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large

If there are any food allergies or health concerns, please list them on back. If you would like to receive an email reminder about the clinic please write your email address above.

I hereby waive liability for injury during the EHS 2011 Dance Clinic and performance. X________________________________________________________________________

Parent/Guardian Signature

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