2023 Spring Show Dance Clinic Registration

Student *

First NameLast Name

Student Grade Level*

Student Age*

Dancer Gender*

FemaleMale

Student E-mail

example@example.com

School

Teacher

T-shirt Size (select a size)*

Lunch Preference (select one)*

List any food allergies

Parent Name (this will be used as the emergency contact)*

First NameLast Name

Parent/Guardian Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact #*

Please enter a valid phone number.

Parent/Guardian E-mail*

Registration confirmation will be emailed to this e-mail address

Workshop Fee - $40*

Pay by SquarePay by Check (Payment must be received by November 5th)

Pay by Check Instructions:

Mail check payable to VRHS Star Steppers and mail to

Vista Ridge High School
ATTN: Star Stepper Booster Club
200 S. Vista Ridge Blvd
Cedar Park, TX 78613

Clinic Fee

Prep Clinic Fee

$40.00

Total

$0.00

Payment Methods

Credit Card

Apple Pay

By submitting this form, you hereby have REVIEWED and AGREE with the following waiver:

WAIVER OF CLAIMS: "I hereby release any claim I might have against Leander Independent School District, or any of its agents, which might arise from any injury or other damage my child might incur while on the property of LISD or while participating in any activity sponsored by LISD."

Student Information

Parent Information

Clinic/Workshop Fees

Payment Methods