Spring Clinic Registration
Saturday, April 13, 2019
8:30 am – 12:00 pm; Showoffs start at 11:30 am
Kilgore High School Gym
K - 8th Grade
Early Registration/Online Registration price: $20 per person/$35 for 2 family members
Regular price: $25 per person/$40 for 2 family members
(Camp *t-shirt and snack included)

Please mail your payment and the form below to: KHS Hi-Stepper Dance Camp, c/o Lisa Cook
886 FM 3053
Kilgore, TX 75662
Please make checks payable to KHS Hi-Stepper Support Group
Questions – Contact Lisa Cook at (903) 738-8030 or lcook@omegaoilfield.com

Participant Name *
Your answer
Participant Grade *
Home Room Teacher *
Your answer
Parent Name *
Your answer
Parent Phone *
Your answer
Parent Email *
Your answer
Emergency Contact and Number *
Your answer
Dance Camp participants will be invited to perform in the Hi-Stepper Spring Show. Additional rehearsals will be required. Dance camp participants will be admitted to the Hi-Stepper Spring Show free of charge with their dance camp t-shirt! Free admission is only for their performance. Parents must purchase a ticket to the show. Spring Show will be held at 7pm on Saturday, April 27th and at 2pm on Sunday, April 28th in Dodson Auditorium. For more information, check yes below: *
T-shirts will be ordered after Dance Camp and will be available the week of Spring Show. If your camper is not dancing in the show, we will deliver the shirt to their school. *
Would you like to add Bling for an extra $10? *
I release KISD, employees, students and chaperones from liability for any accident that may occur during the camp. I also give permission for my child’s image to be used in photo/video from dance camp. Please type name to be used as an official signature and include the date. *
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