Beebe Junior and Senior High Dance Team 1201 West Center Street Beebe, Arkansas 72012

What: BJH and BHS Dance Team Pee Wee Clinic Coaches: Amy Thomas and Alison Embrey When: Saturday, January 21st From 9 am -12:30 pm Who: Any student in grades K-8 Where: Badger Arena Performance Date: Monday, January 23rd during the 9th grade basketball games for grades Kindergarten-3rd. Tuesday, January 24th during the senior high basketball games for grades 4th-8th. Students will be able to dance in the stands and cheer along with the team during the game. Cost: The fees for the clinic are $30 per student. *Students will receive a t-shirt for their performance as part of their clinic fee* Please fill out the form below and return it to your child’s building office with the $30 fee by Thursday, January 19th. Make sure that checks are made out to Beebe Dance Team and that they have a current phone number listed on the check.

Student Name ____________________________________________ Grade ______ Homeroom Teacher ________________________________ Building ____________________________ Parent Name _________________________________ Contact Phone # _________________________ T-Shirt Size- YS ___ YM ___ YL ___ AS ___ AM ___ AL ___ AXL ____ I acknowledge that my child does not have any pre-existing injuries that would keep them from participating in the Beebe Dance Team Youth Clinic. I will not hold Beebe Public Schools or their cheerleading coaches/team members responsible for accidents. Parent Signature _____________________________________ Date ________________