Youth Cheer/Dance camp!

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Inviting anyone in the Estacada School District in Kindergarten through 8 grade!

You will get to learn a fun routine and perform at an Estacada High School Football Halftime with the Cheer/Dance Team!
We know how you feel . . . We think it will be amazing, too!
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Registration: September 28 , 2016 at 6:00pm to 6:30pm followed by . . . .

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1st Practice Day is:
September 28 , 2016 at 6:30pm 8pm - Main Gym
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2nd Practice Day is: September 29 2016 at 6:30pm 8pm - Main Gym
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Performance/Game day is: September 30 , 2016 at 6:30pm. Meet in the Commons.
What to wear: Black yoga pants, stretchy pants or shorts & sneakers. Jeans are not recommended as you cant move that
well. (But dont buy anything!) Bring WATER!

To Pre-register
Please drop off or mail completed form to:
Estacada High School office
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355 NE 6 Avenue, Estacada, OR 97023
Checks to be made payable to: Estacada High School Dance Team

Cost
$20 if Pre-registered* - $25 if paid on the first day of the Clinic*.
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Only those who pre-register by September 28 will have a guaranteed T-shirt for the game. Please get your
registration in on time.
*NO REFUNDS for no-shows or cancellations.
This is a fundraiser and we THANK YOU for supporting the
EHS Cheer/Dance Team and our future team member!

Questions? Please contact Coach Chelsea at 503-956-7387 or chelseablackmon@msn.com

Name

___________________________________ Female

Address ___________________________________ City

Phone

_____________________

Grade

________________

Shirt size (Circle one)

YS

YM

Email

YXL

_______ Zip _______

___________________________

School
YL

Male

_____________________________
AS

AM

AL

In case of emergency, I authorize school personnel to arrange for ambulance transportation and give
my permission for emergency personnel and the hospital, under the supervision of the attending
physician, to treat my child.
PARENT/GUARDIAN Name __________________________________________________
Emergency Phone Number _____________________________________________________
Please list any allergies and/or medical conditions: ______________________________
PARENT/GUARDIAN Signature ____________________________ Date ___________
The Estacada School does not discriminate on the basis of race, color, national origin, sex, sexual orientation, disability, religion or age in its programs and activities
and provides equal access to Boy Scouts and other designated youth groups. The following staff has been designated to handle inquiries regarding nondiscrimination
policies for the school districts: Student service director. 255 NE 6th Avenue, Estacada, OR 97023. 503-630-6871