* * * Coronado Pom Squad Junior Pom Prep * * *

* * * CORONADO POM SQUAD JUNIOR POM PREP * * * Saturday, September 8th

Who: The camp is open to all boys and girls in grades 6-8. What: This clinic will include instruction in grade appropriate dance technique, 1 stand tune, 1 POM routine, and tryout preparation. Where: Coronado High School Gymnasium When: Saturday, September 8th 12:30 p.m.- 4:00 p.m.

The cost of the camp is $40.00 per student if you pre-register, $45.00 if you register on-site. The cost includes instruction, refreshments and a Junior POM prep T-shirt.

Please return the form below with payment to 5112 96th street by Thursday, September 6th. You may register on-site if necessary. Please call 928-4518 for more information. Friends and family from other schools may also register and attend the clinic.

We will meet in the Coronado Gym to register and/or check roll. There will be some extra shirts available for sale, along with Pom-pon sets, uniforms, and POM calendars.

Please make checks payable to “Coronado POM Squad” and return payment with form to: Coronado POM Squad c/o Carol Wargo 5112 96th Street Lubbock, TX 79424 Due to prepayment of costs, there can be no refunds. Thanks for your support. We look forward to working with your son or daughter.

Stacey Lea Coronado POM Squad Sponsor Detach Here and Return Bottom Portion Only with Payment

Name (please print) ______School ______

Address Phone Grade

T-Shirt Size: Please circle one: Adult S M L XL

My son/daughter has my permission to participate in the Coronado POM Squad Junior POM Prep. I release the clinic, its directors, Coronado High School and Lubbock Independent School District from liability for injuries and medical costs should my child be injured or become ill. I also give my permission for the camp directors to obtain emergency medical assistance for my child if I am unavailable. Current medical conditions/medications/allergies:

Parent Signature Date