Winter Dance Party Sign Up
Hosted by the Klein Oak Dance Program

Friday, Dec 15
5:30-11pm

Location:
Klein Oak High School, 22603 Northcrest, Spring TX 77389

**Meet at the Band Hall!! Look for the Dance Party Signs!!**

$25 Pre-registration / $30 at door

4-11 years old

Shirt... Pizza… Dancing… Games… Movie… & More!

Great opp for parents to enjoy an evening out or get some shopping done!

*Please bring a pillow and sleeping bag if staying beyond 9pm.

*Please mail payment (checks payable to KODance) to the address above, ATTN: Mrs. Curry / KOHS Dance.

Email address *
Dancer's Name (last name first, please) *
Your answer
Parent/Guardian's Name (last name first, please) *
Your answer
Mailing Address *
Your answer
Emergency Phone number *
Your answer
Emergency Contact and Phone Number *
Your answer
Age of Dancer *
T-Shirt Size *
Allergies / Medical Concerns *
Your answer
Release Statement - My child has my permission to participate in the KO Winter Dance Party. Klein ISD, Klein ISD teachers and staff, KOHS Dance volunteers and KOHS Dancers will not be held responsible in the event of an injury or accident. In case of an accident or serious illness, I hereby authorize the persons in charge of the KO WDP to seek and authorize medical care. I accept that my child will NOT be released to anyone but the parent/guardian previously listed unless otherwise stated here below. Please type your full name below. *
Your answer
How did you hear about the Winter Dance Party? *
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