<p> Complete registration and consent forms by 8:30 am the day of clinic.</p><p>Learn cheers, chants, and a dance instructed by the HHS Cheerleaders & Wildcatdets. HUMBLE HIGH Tee Shirt Included!</p><p>CHEER & DANCE an</p><p>CLINIC Cheer the 1st half and perform at halftime of October 21, 2017! FOR YOUTH AGES 5 – 13</p><p>COST $35.00 (CASH OR MONEY ORDERS ONLY) CONTACT COACH DENT OR MS. JOHNSON SATURDAY, OCTOBER 21, 2017 FOR MORE INFORMATION. 9:00 AM – 12:00 PM Semi-ANNUAL </p><p>The Humble High School Cheerleaders & Wildcatdets will be hosting a mini-clinic for kids ages 5-13. </p><p>The clinic includes: A t-shirt, free entry to the game, instruction on jumps, chants, cheers, and a half time routine. This is the opportunity of a lifetime to perform at the football game on October 21, 2017!</p><p>LOCATION: Humble High School</p><p>1700 Wilson Road</p><p>Humble, TX 77338</p><p>DATE: Saturday, October 21, 2017</p><p>CLINIC: 9:00 am – 12:00 pm</p><p>COST: $35.00</p><p>PAYMENT: Cash or Money Orders - NO CHECKS</p><p>ATTIRE: Tennis shoes & comfortable clothes</p><p>Please complete the information below. Return the bottom half, along with $25 to Ms. Tavarez or a Varsity HHS Cheerleader, by Friday, October 31, 2008 at 3:00 pm.</p><p>Participants Name: ______</p><p>Parent / Legal Guardian: ______</p><p>Phone Number: ______Email:______</p><p>EMERGENCY INFORMATION</p><p>Emergency Contact Name: ______Relationship______</p><p>Home Number ______Work Number______Cell Number______</p><p>Age (please circle): 5 6 7 8 9 10 11 12 13 </p><p>Shirt Size (please circle): YOUTH S M L XL ADULT S M L XL PERMISSION FORM:</p><p>I give my child, ______, permission to participate in the mini- clinic sponsored by the Humble Cheerleaders/Wildcatdets. I agree to release the Humble Independent School District and all its employees from any liability regarding my child’s participation in the clinic. To my knowledge, my child has no physical or medical limitations that would prohibit him/her participation in this type of activity.</p><p>______</p><p>Parent or Guardian Signature Date</p><p>REFERRED BY: ______CHEERLEADER/WILDCATDE Consent for Participation</p><p>Warning: Although participation in the clinic may be one of the least hazardous in which students will engage in or out of school. By its nature, participation in cheer/dance clinics and game performance may include a risk or injury which may range in severity from minor to long term catastrophic. Although serious injuries are not common at clinics or while performing at the football game, it is possible only to minimize, not eliminate this risk.</p><p>Participants can and have the responsibility to help reduce the chance of injury. Participants must obey all safety rules. By signing this permission form, you acknowledge that you have read and understand this warning. Students who do not wish to accept the risks described in this warning should not sign this permission form.</p><p>My child will be participating at the Cheer/Wildcatdet Mini- Clinic on Saturday, October 21, 2017 from 9:00 am – 12:00 pm in order to prepare for the football game performance to be held on that evening at 6:00 pm.</p><p>If any emergency medical procedures or treatment are required by the student during the clinic or game, I understand payment is my responsibility.</p><p>I release and waive, and further agree to indemnity, hold harmless or reimburse, Humble ISD and its employees, successors and assigns, its members, agents, employee and representatives there of as well as other participating students, from and against, any claim which directly or indirectly, from any losses, damages or injuries arising out of, during, or in connection with the student's participation in the activity, or the rendering of emergency medical procedures or treatment, if any. </p><p>I have adequate accident insurance that will cover injuries sustained while participating.</p><p>Company Name ______</p><p>Name of Insured______</p><p>Policy Number______</p><p>______</p><p>Name of Child Date</p><p>______</p><p>Name of Guardian (Print) Date ______</p><p>Signature of Guardian (Print) Date</p>