Horlick Poms Junior Rebels Dance Clinic

    Horlick High School

  
Dance Clinic

WHEN:  Saturday November 23rd, 2013

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 6th !  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 November 15th ) $30.00
after 11/15 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

November
15th , 2013.

Priority will be given to forms received by November 15th,
20th, 2013to 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 horlickpomscoach@gmail.com