Lake Charles-Boston High School - Calcasieu Parish Public ...



LaGrange Gatorettes Dance Clinic

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When: January 28, 2017

Time: 8:45 a.m. to 12:15 p.m.

Where: LaGrange Senior High Boys’ Gym

Price: $30

Attention Moms, Dads, Aunts, Uncles and Grandparents: We are calling all girls in grades Pre-K thru 8th to join the LaGrange Gatorettes for a day of FUN, EXCITEMENT, and DANCE! All girls will be taught conditioning techniques and a dance routine. Lunch will be provided. Cutie Kickers will perform with the Gatorette Dance Team during half-time of the boys’ basketball game on Tuesday, January 31, 2017 (Leesville vs LaGrange).

For additional information, please contact Erin Harless (Dance Team Sponsor) at 217-4960, ext 7112.

How to Enter:

1. Complete and return this form signed with $30 registration fee. Money is due by January 18, 2017, in order to receive a t-shirt for the game. WE CANNOT ACCEPT REGISTRATION AT THE DOOR.

2. Please send cash or money order made payable to LaGrange High School (in the memo-Cutie Kicker Dance Clinic)

3. Form and fee may be dropped off or mailed to LaGrange High School

Attention: Gatorettes Cutie Kicker

3420 Louisiana Ave

Lake Charles, LA 70605

Please circle t-shirt size: Youth Small Youth Med Youth Large

Adult Small Adult Med Adult Large

Permission to Participate:

In consideration for being allowed to participate in the LaGrange High School Cutie Kicker Dance Clinic, I agree to assume the risk of participation in the activities. I also agree to hold harmless LaGrange High School, Calcasieu Parish School Board, their employees, agents, officers, and directors from and against all claims, demands from personal injuries, and property damage resulting from participation. I have read and understand this agreement and hereby declare my child fit to participate in this event. I also give permission for my child to be photographed and/or recorded on video in connection with Calcasieu Parish School System activities. My signature on this form indicates approval for the picture or portraits (video or still) to appear in the school or district’s publications, videos, or website. These pictures may or may not personally identify the student. I understand that all photos and videos will become property of Calcasieu Parish School System.

Minor Child Name:___________________________________ Age:__________Grade:__________

School:_______________________

Parent/Guardian: (print)_______________________________

Phone Number:______________________________________

Emergency Number:__________________________________

Parent Signature:____________________________________

Parents if you would like an additional t-shirt for yourself, please include an extra $10.00 with your registration fee and notate the size you would like: _______________________________

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Gatorette Name:_____________________

$30 covers the cost of the t-shirt, lunch, and participant entry into the Boys’ Basketball game. Sorry, it does not cover parent’s entrance to the game. (

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