Registration

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Parents, do your kids get bored during the summer months? Have them come for an afternoon of dance fun with the United All Stars dance coaches and special guests Joy, Anger, Disgust, Sadness and Anxiety. We will put things in motions and dance with the EMOTIONS! TSHIRT INCLUDED! There will also be a parents showcase at 7:15pm. This session is for 5-8 year olds from 5:30-7:30pm.

Event:

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End Date/Time:

Fee per Student:

Room:

* - denotes required fields

Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:*	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies:*
	Medications:*
	Primary Doctor:*

Questions/Options:


I am signing up for the 5-8 year old session from 5:30-7:30pm.
Child's Name*
Child's Age*
Child's t-shirt size

Additional Information:

Liability Waiver

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Legal Liability and Medical Release Form

" I am the legal guardian/parent and I fully understand that I am responsible for payment of expenses incurred relating to my child's medical treatment as a participant in the activities of United All Stars,L.L.C.

" I certify that my child is physically capable of participating in United All Stars,L.L.C. Summer Dance Camp and has no previous injuries that will effect participation.

" I hereby have been forewarned that participation in United All Stars,L.L.C. Summer Dance Camp has the following non-exhaustive list of particular risks and injuries including but not limited to: sprains, strains, abrasions, dislocations, fractures, concussions, contusions, blisters, head and neck injuries, illness and even possible death.

" Having been forewarned, I assume all risk and full responsibility in connection with United All Stars, L.L.C Winter Cheer Clinic and hereby release all instructors, staff, volunteers, practice and performance facilities, and others involved with United All Stars, L.L.C from any injury that may befall my child.

" I agree to hold harmless United All Stars, L.L.C for any injury incurred as a result of my child's participation.

" I am fully aware of the inherent risks of cheerleading or dance and am willing to accept these risks to participants of United All Stars, L.L.C.

" I understand that United All Stars, L.L.C strives to provide the maximum in safety precautions and student training.

" I give permission for any medical treatment necessary in the event of illness or injury at practice, events, travel, competitions, or any event we participate in with United All Stars, L.L.C.

" I have provided accurate information to the best of my knowledge regarding my child's health and have alerted the staff of United All Stars, L.L.C with any medical concerns.

" I have read, agree to, and fully understand the information and risks and agree to all payments required for my child as a participant of United All Stars, L.L.C.

" I grant my child permission to be photographed, videotaped, or interviewed for the website, publications or press.

I have read, agree to and fully understand the information and risks involved in United All Stars and agree to ALL payments required for my child to participate with United All Star,L.L.C. Summer Dance Camp.

I've read the above and agree.

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