Silver Wings Dance Clinic

Register your child for the 2022 Silver Wings Dance Clinic:
Grades K-8th
Saturday, October 15, 2022 – Hebron HS Gym
9am-12pm – Doors open at 8:30am, Parent Show-offs at 11:30am
Bring your cameras!
$35 by October 1st – $40 after October 2nd – Must register by October 1st to guarantee a t-shirt!
** Water and snack will be provided. Wear t-shirt, shorts and tennis shoes.
Email for more information: vp_fundraising@hebronsilverwings.org

Child Information
Student's Name*
First Last
School*
School-Other
Grade*
T-Shirt (Must Order by Oct 1st to guarantee a t-shirt)*
Parent/Guardian Information
Parent/Guardian Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
Emergency Contact Information
Emergency Contact Name (day of clinic)*
Emergency Contact Phone (day of clinic)*
HHS Silver Wings Release of Liability:
I give permission for my daughter to participate in the Hebron HS Silver Wings Dance Clinic on October 15, 2022. I agree to and understand that although precautions will be taken to ensure the safety of my child, any injury that may occur during the clinic is not the responsibility of HHS or the Silver Wings Booster Club.
Release of Liability*
- I agree
HHS Silver Wings Photo Release :
The HHS Silver Wings Dance Clinic is a community outreach program and may reproduce and publish photographs taken on October 15, 2022. I agree that my child’s picture may be used in connection with articles concerning the dance clinic or with advertisement of future clinics.
Photo Release*
- I agree
The Hebron Silver Wings will be providing a snack and water for participants. If your daughter has specific food allergies or you would like us to know something specific, please email vp_fundraising@hebronsilverwings.org.
Total
$0.00
Click Next to Complete Payment.
Comments
This field is for validation purposes and should be left unchanged.