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AHHS Dance Clinic Registration Form
WHEN: September 22nd
WHERE: AHHS Inside Gym
TIME: 10:00 am to 3:00 pm
Parent Performance at 2:30 pm
WHO: Kindergarten to 12th grade
COST: $30 if registered by September 14th or $40 at the door
*Bring a lunch
Students will be split into groups based on age. Students will learn new dance skills and choreography in a fun and positive environment, led by the AHHS Repertory Dance Company.
Student First Name *
Your answer
Student Last Name *
Your answer
Student's Age *
Your answer
Student's Grade Level
Your answer
I release FWISD staff, dancers, and volunteers from any liability or injury as a result of attendance at this clinic and I accept full responsibility for any medical expenses that might occur as a result of my child’s participation in this clinic. I also give approval for pictures to be taken at the clinic for submission in the newspaper, the AHHS dance banquet video, and our dance social media and website. No names will be mentioned. *
Parent/Guardian Name *
Your answer
Parent Phone Number *
Your answer
Parent e-mail *
Your answer
Insurance Name and Policy #
Your answer
Emergency Contact Name and Number
Your answer
How did you hear about the Dance Clinic? *
Your answer
Payment can be mailed. Make checks payable to “AHHS Dance Guild Repertory Company”. $30 if registered by 9/14. $40 after 9/14. *
AHHS Dance (Attn. Jackie Millan), 4501 West FWY, Fort Worth, TX 76107
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