DHS MINI-CHEER CAMP REGISTRATION FORM *Return to DHS by October 5th 2016 Ages: 3yrs -3rd Grade Cost-$30.00

Name: ______Grade: ______

Parent or Guardian: ______

Address: ______

Emergency Contact: ______

Phone: ______Cell Phone:______

Work Phone: ______

*******Please make sure we have a phone number where we can reach you during the time that camp is in session these three days. Thanks! *******

The October 14th game against Bushland will be our Pink Out game. Campers will receive 2 purple and white poms to show their spirit at the game

Parents will not be allowed to watch during camp times as some campers are very shy at first.

Health problems or Food allergies:

PAID w/ CHECK # :______

w/ CASH :______

RELEASE OF LIABILITY

I, ______, am the parent or legal guardian of ______, who will be participating in the DHS Mini-Cheer Camp on Mon., Oct 12th, Wednesday, Oct. 14th, and Thurs., Oct. 15th, at Dalhart High School. I hereby release the cheerleader sponsors, DHS cheerleaders and Dalhart Independent School District from any and all liability as a result of any injuries which may occur during my child’s camp and performance participation. I fully understand that as a parent or the legal guardian, I am responsible for any and all medical expenses which may be incurred as a result of any accidental injuries. I also understand that parents and family members will be charged admission to the football game to watch my child’s performance on Oct 16th during the second quarter of the game. DHS Mini-Cheer Camp Practice Schedule

Mon. Oct. 10 th , Wed. Oct. 12 th & Thurs. Oct 13 th 4PM-5PM @ DHS Cafeteria 2100 Spirit Trail Dalhart, TX

Your child will cheer the entire 2nd quarter October 14th, 2016 @ the Dalhart vs. Bushland game!!

This will be our pink out game in support of Breast Cancer Awareness Month. Campers are encouraged to wear pink to the game.