Scappoose High School Vision Dance Team “Summer Beats” Dance Camp 2016 August 17th – 19th What:

Three days of summer fun for kids and teens!! Campers will learn various dance routines and showcase them in front of family and friends on the last day of camp. Just bring a lunch, water bottle, comfortable clothes/shoes and a great attitude!

Who:

Boys and Girls enrolled in the upcoming grades K-8

When:

August 17-19 (8:45 am to 3:00pm W/TH & 8:45am -5pm on Friday for Showcase)

Where:

Scappoose MIDDLE SCHOOL

Cost:

$80 per child – please register by August 10th. Early Bird Registration $70 if registered by June 30th. Cost includes camp shirt, snacks each day, and affordable dance instruction and care! Late registrants accepted, but please call/email to confirm grade and shirt size for planning.

Register:

Send your completed form (below) and a check payable to: Scappoose Vision Dancers. Mail to: Summer Beats Dance Camp, PO Box 1247, Scappoose, OR 97056

For more information, please email the coaches at: [email protected] Or, you may call Afina 503-866-8227 Ally 503-358-7484 or Pam 503-351-1833

------------------------------------------------------------------------------------------____________________________ has my permission to attend and participate in “Summer Beats” hosted by the SHS Dance Team. I agree to hold harmless and discharge Scappoose Dance Team, Scappoose School District, and supervisors from any claims or demands on account of injury or expenses related to injuries incurred while my child is participating in this program. I am familiar with the potential risks involved, and I assume all such risks on behalf of the participant. In addition, I agree to allow Scappoose Dance Team to photograph my child at camp and use any such pictures for advertising or promotion of Summer Beats Dance Camp. _____________________________________________ Parent or Guardian Signature

______________________ Date

Participants Name_________________________________________ Age:_______ Grade (in-going):______ Sex: M

F

Parent or Guardians Name___________________________________________________________________________ Address__________________________________________________________________________________________ Email_________________________________________ Parent Contact Number_______________________________ Other Emergency Contact ____________________________________________________________________________ Name Phone Number Allergies or Medications_________________________________________________________________ Shirt Size: Youth

S

M

L

XL

Adult

How did you hear about our camp? (check all that apply) ______ school flyer ______ cinema ad

______ mailed home

S

M

L

______ dance clinic

__________________________________________ SHS Dancer

XL

XXL

______ friend/family _______________________ Other

Summer Beats Dance Camp 16.pdf

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