Clear Falls High School
Emeralds Dance Team
Proudly Presents their 7th Annual
DANCE CLINIC
Join the Emeralds for their Dance Clinic on Saturday, October 15th, 2016
Learn more about dance technique from an actual Clear Falls Emerald Dancer!
Ages 4 through 9th Grade
No dance experience required. All levels welcome!
DATE: Saturday October 15th, 2016
TIME: 9:00 a.m. – 2:00 p.m. Check-in at 8:30 a.m./Performance at 1:30 p.m.
LOCATION: Clear Falls High School Gymnasium
4380 Village Way, League City, TX 77573
COST: $45.00 Pre-registration
$50.00 at the door (includes lunch and picture with an Emerald)
ATTIRE: Come dressed to dance in comfortable clothes
Shorts and t-shirt are acceptable
Wear tennis shoes, soft soled dance shoes or even bare feet
Price Includes: Emeralds Dance Clinic T-Shirt, photo with an Emerald, mid-morning snack,
bottled water and lunch (2 slices of pizza & a drink).
**Registration must be received by Friday, September 30, 2016 to be guaranteed a T-shirt**
For additional information e-mail at: [email protected]
Complete and return the bottom portion of this form along with your payment to:
Clear Falls Emeralds Booster Club, P.O. Box 191, Seabrook, TX 77586
Or sign-up on our website www.ClearFallsEmeralds.com and pay via Paypal
**Please look for an email confirmation once we receive your registration**
PLEASE PRINT:
Name: _______________________________________________
Age: _____
Grade: ______
Home Address: ________________________________________________________________
Parent Email Address: ____________________________________________________________
Home Phone: _____________________________
Cell Phone: ___________________________
T-Shirt Size:
Child: S_____ M_____ L_____ XL ____
OR
Adult: S____ M____ L____ XL____
(Shirts are guaranteed only if your registration is received by September 30th)
Amount Enclosed - Please Check One:
____ Before 9/30 $45
OR
____ After 9/30 $50.00
Check #: ________
Checks should be made payable to: CFEBC
(See Reverse for Permission)
NEITHER THIS ORGANIZATION NOR THIS EVENT IS SPONSORED, ENDORSED OR
OTHERWISE AFFILIATED WITH CLEAR CREEK ISD.
My Child: ______________________________________ has my permission to participate in the dance clinic sponsored by the Clear
Falls Emeralds Booster Club on Saturday, October 15th, 2016. 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.
Parent Signature (required for registration)
Parent Signature:
_____________________________________________________________
Emergency Contact:
Phone:
Our booster club sponsors a website, http://www.clearfallsemeralds.com, which will post pictures from our dance clinic. We would like
your permission to include your child’s photographs on that website. The booster club Webmaster will exercise discretion when selecting
photos to display on the website.
_____ I do give my permission
_____ I do not give my permission
Parent/Guardian PRINTED Name:
Parent Guardian Signature:
Date: ______________