Junior Rebel Dance Clinic

Horlick High School

   Dance Clinic

WHEN:  Saturday November 3rd, 2012

WHERE: Horlick High School 

TIME:   9am- 12pm

Grades K-8

WHAT’S INCLUDED:

All participants will learn the basic fundamentals of dance. HHS Varsity dancers will teach a variety of turns, different jumps, and a short dance. In addition, we will include fun team-building activities for the girls.. Participants will receive a dance clinic  t-shirt. All participants are invited to dance during the Horlick Varsity basketball game half time on December 7^th !  Game starts at 7pm.Parents will meet their child after half-time.  Participants should wear clinic shirt, athletic shorts and wear athletic shoes.

COST: $25.00 per participant (due October 20^th ) $30.00 after 10/20 or at the clinic

                                             Please make checks payable to:

HORLICK HIGH SCHOOL

 Payment and forms should be sent to:

Horlick HS Dance Clinic

2101 Golf Ave

Racine, WI 53402

Please fill out the back side of this flyer and return it with full payment by

October 20^th , 2012.

Priority will be given to forms received by October 20th, 2012 to ensure correct t-shirt sizes.  Forms received after that date will be handled on a first come first served basis while t-shirt supply lasts.

PLEASE FILL OUT THE FOLLOWING INFORMATION 

 *PARTICIPANT INFORMATION: 

 Participant Name _________________________________________________ 

Address: ______________________________ ___ City/Zip: ____________________ 

School ____________________________________ Grade __________ Age __________ 

PARENT/GUARDIAN Email address: _________________________________ 

 *EMERGENCY CONTACT INFORMATION: 

 Parent Name(s) ______________________________________________ 

 Home Phone ________________________ Cell Phone ___________________________ 

  Doctor’s Name __________________________ Doctor’s Phone ____________________________ 

 *T-SHIRT SIZES (Please check ONE of the following): 

YOUTH SIZES: SM _____ MED _____ LG _____ 

 ADULT SIZES: SM _____ MED _____ LG _____  

I GIVE ____________________________________ (CHILD’S NAME) MY PERMISSION TO PARTICIPATE IN THE

ANNUAL HORLICK HIGH SCHOOL DANCE CLINIC.   IF MY CHILD SHOULD GET INJURED, I WILL NOT

HOLD RACINE HORLICK HIGH SCHOOL, THE DANCERS, OR RACINE UNIFIED SCHOOL DISTRICT LIABLE. 

 PARENT/GUARDIAN SIGNATURE: ____________________________________________ 

 DATE: _________________ 

 ?? Any Questions ??  

Feel free to contact Coach

Stephanie Skaarnes at horlickpomcoach@gmail.com 

THANK YOU FOR YOUR SUPPORT!!