2019 Colleens' Camp
Saturday, June 22nd
8 AM - 7PM

$35 pre-register
$45 at the door

Grades 6 - College
Held at Sheldon High School

Dancers will enjoy a full day of dancing, swimming, food, friends, treats, and fun!

Dancers should wear modest dance clothing.
Bring dance shoes and athletic shoes.
Bring a water bottle and a small snack.
Dancers will be fed lunch, dinner, and dessert.
Dancers will need to bring a swim-suit and towel for pool time.
We will need parents to carpool dancers from Sheldon to the Amazon Pool and back again.
The full agenda and information will be emailed to registered participants around June 16th.

Contact Coach McClintick with questions: 541-337-3367, nextstepdance@comcast.net

Dancer First Name *
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Dancer Last Name *
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Dancer Phone *
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Dancer Email *
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Dancer Age *
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Parent/Guardian Name (First & Last) *
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Parent/Guardian Email *
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Parent/Guardian Phone *
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Dancer Allergies/Medical info we need to know
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Emergency Contact # 1 Name *
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Emergency Contact #1 Phone *
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Emergency Contact # 1 Relationship to Dancer *
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Emergency Contact # 2 Name
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Emergency Contact # 2 Relationship to Dancer *
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Emergency Contact #2 Phone *
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Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement: The releases include, but are not limited to the following: Hillary McClintick, Next Step Dance Studio LLC., the 4J school district, Sheldon Colleens Inc., and any other coaches, athletes, parents of athletes, staff or teachers coaching, working at or participating in the dance activity.I, the minor’s parent and/or guardian, understand the nature of these activities and the minor’s experience and capabilities and believe the minor to be qualified, in good health, and in proper physical condition to participate in such activity. I hereby release, waive, discharge, covenant not to sue, and agree to indemnify and save and hold harmless any and all releases from all loss, liability damage, or cost that may incur arising out of or related to this participation whether caused by the negligence of the releases or otherwise. I agree that this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement extends to all acts of negligence by the releases, including negligent rescue operations, and is intended to be as broad and inclusive as is permitted by the laws of Oregon and that if any portion thereof is held invalid, it is agreed that the balance shall, notwithstanding, continue in full legal force and effect. I further agree that if, despite this release, I, the minor, or anyone on the minor’s behalf, make(s) a claim against any of the releases, I shall pay for any litigation expenses, attorney fees, loss, liability, damage, or cost that may incur as a result of any such claim.I have read this Release and Waiver of Liability, Assumption of Risk and Indemnity Agreement, fully understand its terms, understand that I have given up substantial rights by signing it, and have signed it freely and voluntarily without any inducement, assurance, or guarantee being made to me and intend my signature to be a complete and unconditional release of all liability to the greatest extend allowed by law. TYPING YOUR NAME IN THE SPACE BELOW SERVES AS A SIGNATURE AND CONSENT TO AGREEMENT. *
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Email confirmations will be sent about one week before the camp begins! Email with questions! nextstepdance@comcast.net Thank you!
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