Walled Lake Community Education/Winter Session 04/05

Walled Lake Community Education/Winter Session 04/05

<p> WALLED LAKE COMMUNITY EDUCATION WINTER 2009</p><p>INTRODUCTION TO BATON For those interested in learning to twirl, but cannot attend Monday nights, this class is for you. Enjoy top instruction from a leading Twirl-M’s coach as you learn tricks and twirling series. There are no performances and no costumes. It is a class to introduce you to the sport of baton twirling for six weeks. Batons will be available the first night of class for $21.00 each. A specially-imprinted Twirl-M’s water bottle will be given to each attendee. The location will be Walled Lake Community Education AUX Gym </p><p>Class # Class: Day: Time: Dates: Fee: RW09IB Introduction To Baton WED 5:45-6:30 1/28-3/4 $42 To register: Please return the attached registration form and payment to Walled Lake Community Education, 615 N. Pontiac Trail, Walled Lake, MI, 48390. You can also fax it to (248) 956-5005. Make all checks payable to Walled Lake Schools. If you have any questions please call (248) 956-5008. For Community Education policies and procedures please refer to our brochure or visit us on the web at www.walledlake.k12.mi.us/cec . Photographs may be taken, please refer to the website or call for more information.</p><p>Class #RW09IB TWIRL-M’S INTRODUCTION TO BATON CLASS WINTER 2009 Fee: $42</p><p>Name______Date of Birth______</p><p>Name of Parent or Guardian______</p><p>Address______No Street City Zip Phone______Work/Emer.#______</p><p>Email ______</p><p>Visa/MC#______Exp. Date______Ck. # ______Emergency & Medical Information: </p><p>Any medical, psychological or other problems? ______</p><p>Name of emergency contact (not parents)______</p><p>Phone of emergency contact (hm)______(wk)______</p><p>Family Doctor______Phone______</p><p>Hospital preferred for emergency treatment______Authorization to dispense medication must be on file with WLCE one week prior to camp beginning. Release and Hold Harmless Authorization I authorize Walled Lake Community Education to secure emergency medical and/or surgical treatment for______WHILE IN THEIR CARE. Non-emergency medical treatment or elective surgery is not in this authorization. Signature of Parent or Guardian ______Date______</p>

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