DANCE CLINIC REGISTRATION | Clear Falls Emeralds

2022 DANCE CLINIC REGISTRATION

Date October 29, 2 pm-5:30 pm (Check-in at 1:30 pm, Performance at 5:30 pm)

Dance Clinic Registration - $45 (pre-registration or $50 at the door)

Registration includes Emeralds Dance Clinic T-Shirt, Photo with an Emerald, Mid-morning snack, Bottled water
*Registration must be received no later than Wednesday, October 12th to be guaranteed a T-Shirt.
Online registration will close Friday, October 21st.

For additional information contact email: CFEmeraldsDanceClinic@gmail.com

To pay by check:

Download, complete (front and back) and mail the printable form (please print on form) with a check payable to CFEBC to Clear Falls Emeralds Booster Club, P.O. Box 191, Seabrook, TX 77586

To pay by credit card or PayPal ($2 service fee for online payment through PayPal):

Complete the information below, click the button, and then use PayPal option.

*An email confirmation will be sent once your registration has been received.

This event is a fundraiser for our organization; therefore, once your registration has been received, we are unable to offer refunds. Your support and understanding are appreciated.

Emergency Contact Phone Number

PERMISSION TO PARTICIPATE

My Child has my permission to participate in the dance clinic sponsored by the Clear Falls Emeralds Booster Club on Saturday, October 29, 2022. I hereby waive and release Clear Falls High School, Clear Falls Emeralds and the Clear Falls Emeralds Booster Club from all liability for any injuries incurred during the clinic and give authority for any emergency treatment necessary.

I Agree to the PERMISSION TO PARTICIPATE

PHOTO PARTICIPATION

Our Booster Club sponsors a website, http://www.clearfallsemeralds.com, and Instagram, cfhs_emeralds, which may post pictures from our dance clinic. We would like your permission to include your child’s photographs on our website/Instagram. The Booster Club Webmaster will exercise discretion when selecting photos to display on the website.

I Agree to give PHOTO PERMISSION

Online Registration

Dancer's First Name:

Dancer's Last Name:

Dancer's Age:

Dancer's Grade:

Mailing Address:

Parent's Email

Parent's Cell Phone:

Emerald Friend's Name:

T-Shirt Size:

Emergency Contact Name: