17th  Annual FLDT Lil’ Kickers Clinic

   Join the Forest Lake Dance Team at their 17th  Annual Lil’ Kickers Clinic

                              Dancers in PreK – 8th  Grade

                                        

*Clinic – 9 a.m. to noon, Saturday, September 16, 2017  at Forest Lake High School

What to wear to clinic: T-shirt, comfy pants/shorts and tennis shoes.

*Show - 12:30 p.m. – Saturday, September 16th  at FLHS gymnasium.  

Concessions for lunch will be available from 11:45-12:30 in FLHS cafeteria.

**The Lil’ Kickers will perform at halftime of the varsity football game on Friday, September 22nd.

Football Game – 7:30 Friday, September 22ndh, arrive at 6:30 p.m. at FLHS

Lil’ Kickers will receive their T-shirts & review dance.  Please remember their poms:) Please wear a long sleeve T-shirt to go under clinic T-shirt handed out that evening, black sweats/leggings, & tennis shoes.

                                        

Clinic Cost: $40.00- Includes a clinic t-shirt, snack at the clinic, pom poms, routine taught by members of FL Dance Team, show at 12:30 on Sat., September 16th. and a picture of the Lil’ dancer with the FLDT & one admission into the football game on Friday night. This ticket will be handed out when the Lil’ dancer is dropped off on Friday.  

Optional: Forest Lake Dance Sweatshirt can be pre-ordered below for $25. If it is cold the night of the football game, these sweatshirts will be great to wear!

-----------------------------------------------------------------------------------------------------------------------------Dance Team Clinic Registration Form – ADVANCE REGISTRATION is appreciated but We welcome registrations at the door the day of the event as well:)

                                        

Student:________________________________________________________ Parent/Guardian:_______________________________________________

Email Address:_________________________________________________

Cell Phone: #:___________________

Grade Level: (please check one)

___Pre-K ____ K ___1st____2nd____ 3rd___ 4th____ 5th ____6th ____7th ___8t

 Payment: Clinic Only ($40) ____ Clinic & Sweatshirt($65)_____

T-Shirt Size (Circle One)- Child S, M, L, XL or Adult S, M, L, XL

 **Optional** $25 Sweatshirt Size(Circle One) Child S, M, L, XL or Adult S, M, L, XL

Make Checks Payable to: FLDT Booster Club

Mail this form & check to:

 Pam Lowe 20595 Enfield Ave. N.

 Forest Lake, MN 55025

                                        

Questions? Contact Cheryl Smoczyk at csmoczyk@flaschools.org or Lynn Roberts 651-755-0140

You MUST sign Waiver on opposite side of this form.

                                

Funds used to print these materials were provided by FLDT Booster Club.

This is NOT a School District Sponsored Activity.

                                

                                

                                            EMERGENCY WAIVER                        

                        

                                

                                        

THIS WAIVER MUST BE SIGNED FOR YOUR CHILD TO PARTICIPATE IN THE CLINIC AND SHOWS.

                                        

Participant’s Name: (please print)

                                        

____________________________________________________________________________________

                                        

I, ______________________________________, in consideration of my voluntary application for my

                                        

child to participate in the Forest Lake Dance Team Clinic and Shows, understand that my child’s

participation in said clinic, show and halftime show might involve risk. I hereby disclaim, release and relinquish the Forest Lake Dance Team, Booster Club, Forest Lake High School and the district, from any and all claims, actions and/or lawsuits that I, or any of my dependents, heirs or family members may have relating to any damage and/or injury that results, or is alleged to have resulted, from my child’s participation in this dance clinic and shows. I knowingly and freely assume all such risks; both known and unknown even if arising from the negligence of those persons released from liability above and assume full responsibility for my child’s participation.

                                        

Parent/Guardian’s signature:___________________________________

                                        

Date: ___________________________________

Emergency Phone #:_________________________________________

                                

                                

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