Dance with the Estacada High School Dance Team!

th

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 Basketball Halftime with the Dance Team! We
know how you feel . . . We think it will be amazing, too!
th

Registration: January 25 at 6:00pm to 6:30pm followed by . . . .

th
1st Practice Day is:
January 25 at 6:30pm 8pm River Mill Gym
th
2nd Practice Day is: January 26 at 6:30pm 8pm High School main Gym
th
Performance/Game day is: January 27 at 6:30pm. Meet in the Commons of the high school
What to wear: Black yoga pants, stretchy pants or shorts & jazz shoes or sneakers. Jeans are not recommended as you
cant move that well. (But dont buy anything!) Bring WATER!

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

To Pre-register
Please drop off or mail completed form to:
Estacada High School Dance Team
th
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*.
Only those who pre-register by October 21st 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 Dance Team and your future dancer!

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