SIZZLIN’ SUMMER DANCE CAMP
Hosted by the Stratford Spartanaires
Participant:___________________________________ Age:(as of 8/1)_________
Team/Individual:_______________________________(school or team name)
Mailing Address:_____________________________________________________
email address:_______________________ Phone Number:_________________
Camp session (please circle one): Full Day
Grades 6-12
OR
9-12pm
Grades K-5
Cost (Please circle one):
OR
$100 teams only
$125 individual
Payment Type: Cash or Check ONLY
Please make all checks payable to Spartanaire Booster Club.
Lunch: (optional)
$7 per day x (
)=
$________
Please check the lunches you would like to order.
_________Monday: Chick-Fil-A Sandwich, chips, drink
_________Tuesday: Two slices of pepperoni pizza, chips, drink OR
Two slices of cheese pizza, chips, drink
_________Wednesday: Turkey sandwich (cheese, lettuce, and tomato), chips, drink
Ham sandwich (cheese, lettuce, and tomato), chips, drink
Camp Cost:
$________
Total Payment:
$________
*Please mail registration form and medical release forms along with payment to:
Spartanaire Dance Team
Attention: Astrid Gonzalez
14555Fern Houston TX, 77079
Medical Release Form
Release Statement:
My child _________________________________, has my permission to attend the
Spartanaire Summer Intensive July 31-August 3, 2017 at Memorial Middle School.
The Spring Branch Independent School District, its employees, or the Spartanaires
will not be held responsible in the event of injury or accident. I also realize that
refunds will not be issued after June 1st. In case of accident or serious illness, I
request those in charge to contact me. If the person in charge is unable to reach
me, I hereby authorize them to call the physician and other contact listed below and
follow given instructions. I also realize that my child will not be released to any one
but me unless other arrangements have been made with the charge person.
Other Contact ___________________________________________
Phone
________________________________________
Physician ________________________________________________
Phone
_________________________________________
Parent/Guardian Signature __________________________________
Date ___________________