JR. MAGIC MINI DANCESATURDAY, FEBRUARY CAMP 24, 2018 1:00pm — 4:30pm Halftime Performance: Saturday, March 3, 2018 PARTICIPANTS WILL RECEIVE: • Professional instruction by the Magic Dancers in two (2) exciting dance classes • All participants will PERFORM on the Orlando Magic court during HALFTIME on March 3 in front of thousands of Orlando Magic fans • Two (2) tickets to the Memphis Grizzlies vs. Orlando Magic game on March 3 • A video link of footage from the on-court performance • An official camp T-shirt • Photo autographed by the Magic Dancers Beginner through advanced dancers are welcome! Ages 5 - 17 | Limited space available WHERE: CONTACT: Amway Center Practice Court Beth Handelsman: 407.916.2956 400 West Church Street [email protected] Orlando, FL 32801 JR. MAGIC MINI DANCE CAMP REGISTRATION CAMP DATE: February 24, 2018 | HALFTIME PERFORMANCE DATE: March 3, 2018 Terrace (Lower) Level Ticket Option: # of Participants x $140 Dance Camp Pre-Registration Fee (must pre-register!) = $ (includes 2 game tickets, 1 for performer, 1 for chaperone) # of Add. Tickets x $50 Ticket Price = $ TOTAL DUE = $ Promenade (Upper) Level Option: # of Participants x $80 Dance Camp Pre-Registration Fee (must pre-register!) = $ (includes 2 game tickets, 1 for performer, 1 for chaperone) # of Add. Tickets x $20 Ticket Price = $ 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 16, 2018) 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 5:00pm, February 16, 2018. All tickets are assigned based on a first-come, first-served basis and will be sent via e-mail. 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 Basketball 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.