Dawson High School’s Diamond Dancers

Proudly Present Their

Junior Diamond Dance Clinic

Join the Diamond Dancers for their Dance Clinic on Saturday, October 16, 2010Learn an actual routine that will be performed during the pre-game on

October 29, 2010 at the “Red Out” football game against La Marque at 7:00 pm!

Clinic is open to dancers in Grades K-6DATE: Saturday October 16, 2010TIME: 8:30 am – 12:30 pm Registration begins at 8:00 am

LOCATION: Glenda Dawson High School Gym2050 Cullen Blvd

COST: $35.00 Pre-Registration*Includes ticket to football game, T-shirt, pom’s, & hair ribbonRegistration must be received NO LATER THAN OCTOBER 8, 2010*$40.00 AT THE DOOR Multiple Family Members $35.00 each

ATTIRE: Come dressed to dance. Wear tennis shoes or soft soled dance shoes. LUNCH: Will NOT be provided, please bring a water bottle

Snacks will be providedComplete, detach, and mail this form with a check payable to Dawson Diamond Booster Club, Box #50, 8325 Broadway, Suite 202

Pearland, TX 77581

*(Form and payment must be received NO LATER THAN Friday, OCTOBER 8, 2010 to guarantee T-shirt)

NAME: GRADE: Medical Insurance Name:

Address: Zip: Policy Number: Subscriber Name:

School: Family Dr: Phone:

Emergency Contact Person: Medications:

Phone for Contact Person: Alternate Phone: Allergies:

Physical Limitations:

T-Shirt Size: (Youth sizes) Child S M L XL

My child

has permission to participate in the dance clinic and football performance the following Friday sponsored by the Dawson Diamond Booster Club on Saturday October 16, 2010 and Friday October 29, 2010 respectively. I also give permission for my child’s picture to be used

I hereby waive and release Pearland ISD, Glenda Dawson High School, Dawson Diamond Booster Club, the Diamond Dancers and Leslie Grant from all responsibility for

personal belongings of participants or of any injury incurred by participants in this event. If a medical emergency occurs and I cannot be contacted I give my permission for any emergency treatment necessary. I understand all fees paid are non-refundable.

Parent/Guardian Signature (required for registration)

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