Dance Registration Form

Ages Preschool to Eighth Grade are welcome to join in on the fun!

Dates & Times

Practice: December 16 & 18 3:30-5:00 PM
Performance: December 20 Halftime of Boys Game

Location

Practice: Herington Elementary School
Performance: Herington High School Gym

Cost

$25: includes t-shirt, practice & performance
Payment due first day of Dance Clinic Practice

Contact

Coach Abby Mayes
Email: amayes@usd487.org
Office: 785-258-2261 (Ask for Abby Mayes)

Get ready to dance, learn, and shine with the HHS Dance Team

Participant*

First NameLast Name

Gender

MaleFemale

Grade*

Shirt Size*

Parent/Guardian*

First NameLast Name

E-mail*

example@example.com

Phone Number*

I give permission for Abby Mayes and the Herington High School Dance team to pick my child up from Herington Elementary School to bring them to mini dance clinic practice in the Elementary.*

YesNo- I will bring them myself.

I will be picking up my child from Herington Elementary School at 5:00 Pm as there will be no bus transportation available.*

YesNo (if no, please provide name of person who will pick the childup on the next line)

Persons approved to pick up my child

Payment Information: Payment is due on the first day of Dance Clinic Practice.

CashCheck (Payable to HHS Dance Team)

Questions or comments, please post and we will return your call!

HHS Dance Clinic