MSM Jr. Rocket Cheer & Dance Clinic (grades K-6) Participant Information

Grades K - 6th

Campers can choose to participate in either the cheer clinic or dance clinic. For the game time performance all participants will perform together.

Clinic to Learn Material: November 7, 5:45 - 8:00 pm at the MSM Gym

Party & Performance: November 8 beginning at 5:00 pm at the MSM Gym. Participants will enjoy hair styling, pizza, and practice with the Rocket Spirit Team! They will then perform at 6:50 before the start of the football game and cheer the first quarter of the game with Rocket Spirit!

Camp Cost: $35 (includes bow, t-shirt & pizza dinner)

Payment can be made at the door on November 7.

Those participating in the cheer clinic should make checks payable to: Kaitlan Hurst

Those participating in the dance clinic should make checks payable to: Jessica Bohne

Campers need to wear athletic shorts & tennis shoes.

If you have questions or need additional information, please contact Jessica Stiles at jstiles@mountstmary.org or 405-631-8865 ext. 266.

Please complete a separate registration form for each participant.

Mother / Guardian Information

Father / Guardian Information

Authorization

I certify that my child has been examined by a physician and found to be in good health and able to compete in all athletic activities without restriction. I acknowledge that I have medical insurance to cover the cost of any injury or illness that may occur during my camper/student’s participation in any athletic activities. I authorize Mount St. Mary Catholic High School and members of its staff or the camp staff to act for me and use their best judgment in an emergency requiring medical attention. I acknowledge that any athletic event is an inherently dangerous activity that can cause personal injuries due to contact or non-contact athletic activity. I hereby release Mount St. Mary Catholic High School, Mount St. Mary Catholic High School Athletic Staff, Mount St. Mary Catholic High School Camp Staff and any other agent or employee of Mount St. Mary Catholic High School from any and all liability, claims, demands or causes of action that I may hereafter have for injuries or damages arising during my camper/student’s participation in athletic activities.

I authorize Mount St. Mary High School to use my camper/student’s photograph in publications and promotional materials of Mount St. Mary Catholic High School. Photographs and campers/student’s work may be used only by Mount St. Mary High School for Mount St. Mary High School publications and may not be sold or used by any other entity for any other purpose. I understand that my camper/student’s name will NOT be published. I further understand that there will be no compensation for the use of my camper/student’s photo now or in the future. Photographs are the property of Mount St. Mary High School.

Please sign electronically if you agree to the above:ve:

Medical Information

Emergency Information

Please list an alternate contact in case we are unable to reach you during camp hours.

Comments

Payment of $35 per participant is to be paid at the door.