Jackson High Junior Dance Clinic

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Jackson High Junior Dance Clinic - 2017

Thank you for your interest in our third annual Junior Dance Clinic! Please fill out the registration form and mail your payment to Jackson High School.

Please make checks out to:
Jackson Dance Team
(please put dancer's name on the memo line)

Please send payment to:
ATTN: Dance Team Coach
1508 136th ST SE
Mill Creek, WA 98012

Early bird pricing: $50 before 11/12/17
EARLY BIRD DISCOUNT EXTENDED TO 11/17/17!!
Regular pricing: $65 11/12-12/1
Walk-ins welcome! $80

An email will be sent out a week before the clinic to confirm your registration and remind you of any last minute details. If you have any questions before then, please direct them to Coach Aireal at aireal.jhsdance@gmail.com

Dancer's Name *

Age *

Grade *

School *

Parent/Guardian Name *

Parent/Guardian Number *

Parent/Guardian email *

Emergency Contact Name *

Emergency Contact Relationship *

Emergency Contact Number *

List any allergies or medical information we should know

Dancer's T-Shirt Size *

Youth Small

Youth Medium

Youth Large

Adult Small

Adult Medium

How did you hear about our clinic? *

Facebook

School announcement

Community Flyer/Peachjar

Friend or relative

JHS Dance team member

Other:

Parent/Guardian Conset *

By checking this box, you are giving consent for the child listed above to participate in the 2017 Jackson High School Junior Dance Clinic.

Required

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