MMS Hip-Hop Intensive Registration Form

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MMS Hip-Hop Intensive Registration Form

  1. 1. MMS Hip-Hop Intensive WorkshopThe MMS Pom & Dance Team is hosting a hip-hop intensive workshop as an opportunity to build yourdance skills, have fun, and learn two amazing hip-hop routines. All steps and combinations will bechoreographed and designed by professional choreographer, Charles Lawrence. Anyone with a passion fordance is welcome to attend. This workshop is highly recommended for anyone interested in trying out forthe MMS Pom & Dance Team! Rosati’s of Lakemoor will be providing pizza for lunch. Class size islimited, so sign up today! MMS Hip-Hop Intensive Workshop Date: Sunday, October 2nd Time: 10:00am - 1:30pm Location: Matthews Middle School Gymnasium Workshop fee: $40.00 (includes pizza from Rosati’s) Registration is due by Friday, September 30h! Information, photos and video can be found on the MMS Pom & Dance wiki: http://mmspoms.wikispaces.com/ For more information, questions, or concerns please contact Mrs. Nakazaki cnakazaki@d118.org Please fill out the information below and return to the office. Thank you!---------------------------------------------------------------------------------- MMS Hip-Hop Intensive Workshop Class Date Time Cost Hip-Hop Intensive Workshop Sunday, October 2nd 10:00am-1:30pm $40.00Student Name: _________________________________________________ Grade level:____________Parent Name:__________________________________ Emergency #:___________________________I/We the parent(s)/guardian(s) of _______________________________________, a participant in the MMS Hip-HopIntensive Workshop, recognize and acknowledge that there are certain risks of physical injuries, including death,damages, or loss which may be sustained as a result of participating in any and all activities connected with orassociated with the program. I/We agree to waive and relinquish all claims as a result of our child’s participation inthis program against Wauconda Community Unit School District #118 and it’s officers, agents, servants, andemployees. _________________________________________________ _____________________________(Signature of parent/guardian) (Date)

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