Jr. Magic Mini DANCE CAMP SUNDAY, FEBRUARY 17, 2019 | 2:30 PM — 6:00 PM Halftime Performance: Friday, February 22

PARTICIPANTS WILL RECEIVE: • Professional instruction by the Magic Dancers in two (2) exciting dance classes • The opportunity to PERFORM on the court during HALFTIME on February 22 in front of thousands of Orlando Magic fans • Two (2) tickets to the Bulls vs. Orlando Magic game on February 22 • A video link of footage from the on-court performance • An official camp t-shirt • Photo session with the Magic Dancers

BEGINNER THROUGH ADVANCED DANCERS ARE WELCOME! Ages 5 - 17 | Limited space available

WHERE: CONTACT: RDV Sportsplex - Magic Court Beth Handelsman: 407.916.2956 8701 Maitland Summit Blvd OR E-Mail Orlando, FL 32810 [email protected] JR. MAGIC MINI DANCE CAMP REGISTRATION CAMP DATE: February 17, 2019 Terrace (Lower) Level Ticket Option: # of Participants x $160 Dance Camp Pre-Registration Fee (must pre-register!) = $ (includes 2 game tickets, 1 for performer, 1 for chaperone)

# of Add. Tickets x $60 = $

TOTAL DUE = $ Promenade (Upper) Level Options: # of Participants x $90 Dance Camp Pre-Registration Fee (must pre-register!) = $ (includes 2 game tickets, 1 for performer, 1 for chaperone)

= $ # of Add. Tickets x $25

TOTAL DUE = $

AGE PARTICIPANT PHONE (WK) PHONE (HM) TEAM / ORGANIZATION ADDRESS CITY STATE ZIP EMERGENCY CONTACT EMERGENCY PHONE PAYMENT TYPE: CHECK # VISA MC AMEX DISC CARD# EXP. SIGNATURE E-MAIL* *Required Please make checks payable to and mail to (DO NOT mail after February 8, 2019) Orlando Magic Attn: Jr. Magic Mini Dance Camp 8701 Maitland Summit Blvd., Orlando, FL 32810. For ordering by fax: (407) 916.2909 or scan and e-mail this registration form to [email protected]. Pre-registrations must be turned in by 5:00 pm on February 8, 2019. All tickets are assigned on a first-come, first-served basis. JR. MAGIC MINI DANCE CAMP WAIVER I hereby authorize the staff of the Jr. Magic Mini Dance Camp to act for me according to their best judgment in any emergency requiring medical attention, and I hereby waive and release RDV Sports, the Orlando Magic, the National Association and its Member Teams, NBA Properties, Inc., and each of their respective parents, subsidiaries, affiliates, directors, owners, employees and agents from any and all liability for any injuries or accidents incurred while at camp. I have no knowledge of any physical impairment that would be affected by the named participant in the camp program outlined. I also understand that the camp retains the right to use for publicity and advertising purposes photographs of participants taken during the clinic. The Jr. Magic Mini Dance Camp does not qualify for the child and dependent care expense credit under the IRS guidelines.

Child’s Name Date of Birth

Parent or Guardian’s Signature Date